Department of Health Education and Health Promotion, Faculty of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Department of Public Health, Khomein University of Medical Sciences, Khomein, Iran.
BMC Womens Health. 2023 Apr 28;23(1):207. doi: 10.1186/s12905-023-02361-9.
Considering the prevalence of overweight and abdominal obesity in middle-aged women, this study was conducted to determine the effect of empowerment program to reduce sugar consumption based on the Multi-Theory Model (MTM) on Body Mass Index (BMI) and abdominal obesity in women aged 30-60 in Joven.
This quasi-experimental study (include descriptive and interventional sections) was conducted on the Joven city, Khorasan Razavi province, Iran country from October 2020 to August 2021. Sampling was performed as a multi-stage cluster. First, a descriptive study was performed among 400 women, and then 128 people who were eligible to enter the interventional phase of the study were selected. In the control group, 63 people and in the intervention group, 65 people were eligible to enter the study. The educational intervention was performed in five 60-minute sessions for groups of 12 people. The instruments included the demographic questionnaire, sugar consumption checklist and researcher-made questionnaire based on MTM constructs. Before the intervention, one, three and six months after the intervention, the questionnaire was completed by both intervention and control groups also measurement of waist circumference and BMI were performed using standard instruments. The obtained data were analyzed by SPSS 17.
After the educational intervention, there was a significant difference between the intervention and control groups in all the MTM constructs. Also, six months after the educational intervention, BMI, waist circumference and amount of consumption of sugary substances decreased significantly in the intervention group (p < 0.05).
Educational intervention based on the MTM can be effective in reducing the consumption of sugary substances and shaping behaviors related to healthy lifestyle in women.
鉴于中年女性超重和腹部肥胖的普遍存在，本研究旨在确定基于多理论模型（MTM）的赋权计划对 30-60 岁女性体重指数（BMI）和腹部肥胖的影响。
这项准实验研究（包括描述性和干预性部分）于 2020 年 10 月至 2021 年 8 月在伊朗霍拉桑拉扎维省乔文市进行。采用多阶段聚类抽样。首先，对 400 名妇女进行描述性研究，然后选择 128 名符合研究干预阶段条件的妇女。对照组有 63 人，干预组有 65 人符合研究条件。教育干预分五组进行，每组 12 人，每次 60 分钟。仪器包括人口统计学问卷、糖摄入量检查表和基于 MTM 结构的研究者自制问卷。在干预前、干预后 1、3 和 6 个月，干预组和对照组都填写了问卷，还使用标准仪器测量了腰围和 BMI。用 SPSS 17 分析获得的数据。
教育干预后，干预组和对照组在所有 MTM 结构上均有显著差异。此外，教育干预 6 个月后，干预组 BMI、腰围和含糖物质摄入量显著下降（p<0.05）。
基于 MTM 的教育干预可以有效减少女性对含糖物质的摄入，塑造与健康生活方式相关的行为。
