Journal of Korean Academy of Nursing

Effect of Lifestyle Intervention Program for Overweight and Obesity Pregnant Women: Choi, Hye Kyung , Kim, Hyeon Ok; J Korean Acad Nurs 2020;50(3):459-473. Published online June 30, 2020; DOI: https://doi.org/10.4040/jkan.19228

Abstract PDF: Purpose
This study was conducted to identify the effects of a lifestyle intervention program on weight gain, dietary habits, fatigue andpregnancy stress, blood pressure, and neonatal birth weight, using Cox’s interaction model of client health behavior for overweight andobese women.
Methods
This was a quasi-experimental research with a non-equivalent control group pre-post test design. A total of 52patients who met the selection criteria, including 25 in the experimental group and 27 in the control group, were the subjects of the study;they comprised overweight and obese pregnant women who were receiving prenatal care at A and B women’s hospital in J province. Thelifestyle intervention program ran for 12 weeks in total and consisted of interactions involving affective support, health information, andprofessional/technical competencies. The data collection period was from February 1, 2017 to August 31, 2017.
Results
This study showeddifferences in the appropriate weight gain rate (x²=6.17, p=.013), suppression of an increase in fatigue (t=-2.32, pp =.012), and an increasein pregnancy stress (t=-1.87, p=.034). Yet, no differences in physical activity, dietary habits change, blood pressure, and neonatal birthweight (p>.05) were found.
Conclusion
The study findings indicate that this program could be an effective intervention for the control ofappropriate weight gain, fatigue, and pregnancy stress. Therefore, a lifestyle intervention program based on Cox’s interaction model of clienthealth behavior could be an efficient strategy for a positive health outcome of overweight and obesity pregnant women.

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The Effects of a Physical Activity-Behavior Modification Combined Intervention(PABM-intervention) on Metabolic Risk Factors in Overweight and Obese Elementary School Children: Young Ran Tak, Ji Yeon An, Young A Kim, Hae Young Woo; Journal of Korean Academy of Nursing 2007;37(6):902-913. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2007.37.6.902

Abstract PDF: PURPOSE: The purpose of this study was to identify the effects of a physical activity-behavior modification combined intervention(PABM-intervention) on metabolic risk factors in overweight and obese elementary school children. METHODS: Thirty-two participants (BMI≥85 percentile or relative obesity≥10) were allocated to the PABM-intervention group and behavior modification only intervention group. The PABM-intervention was composed of exercise intervention consisting of 50 minutes of physical activity(Hip-hop dance & gymbased exercises) twice a week and the behavior modification intervention consisted of 50 minutes of instruction for modifying lifestyle habits (diet & exercise) once a week. Effectiveness of intervention was based on waist circumference, BP, HDL-cholesterol, TG, and fasting glucose before and after the intervention. RESULTS: The proportion of subjects with 1, 2, 3 or more metabolic risk factors were 28.1, 43.8, and 15.6%, respectively. After the 8-week intervention, waist circumference, systolic BP, diastolic BP, and HDL-cholesterol changed significantly(p<.01) in the PABM group. CONCLUSION: This provides evidence that a PABM-intervention is effective in changing metabolic risk factors such as waist circumference, systolic BP, diastolic BP, and HDL-cholesterol in overweight and obese elementary school children.

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Body Image, Self-esteem and Depression in College Female Students: Normal and Overweight: Hye Sook Shin, Seung Nam Paik; Journal of Korean Academy of Nursing 2003;33(3):331-338. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2003.33.3.331

Abstract PDF: Purpose
The purpose of this study was to investigate the relationships among variables of body image, self-esteem and depression in college female students according to the normal and overweight.
Method
The subjects of this study consisted of 245 college female students. The data was collected through personal interviews using questionnaires from May to June of 2001. The data was analyzed by the SPSS computer program, and it included descriptive statistics, χ²-test, t-test and the pearson correlation coefficient.
Result
Demographics provided a significant difference in grade, household income, weight control experience. There was a perceived health status difference, according to the normal and overweight subjects. There was a significant difference in body image, self-esteem and depression between the two groups. There was a significant positive correlation between body image and self-esteem, and negative correlation between body image and depression, and self-esteem and depression in college female students.
Conclusion
The Findings of this study give useful information to construct further studies in intervention program relating overweight control for college female students.

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