Effectiveness of Weight Control Program on Nutritional Status and Knee Pain in Overweight Older Adults

2.50
Hdl Handle:
http://hdl.handle.net/10755/622099
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Effectiveness of Weight Control Program on Nutritional Status and Knee Pain in Overweight Older Adults
Other Titles:
Promoting Outcomes in Obese Patients
Author(s):
Piaseu, Noppawan; Narasri, Pawena
Lead Author STTI Affiliation:
Phi Omega-at-Large
Author Details:
Noppawan Piaseu, PhD, RN, APN/NP, Professional Experience: 1997-2005 Lecturer, Division of General Practice and Emergency Nursing, Department of Nursing, Ramathibodi Hospital, Faculty of Medicine, Mahidol University, Bangkok, Thailand 2000-2003 Research Assistant and SPSS consultant, Nursing Research Office, University of Washington 2005 Guest lecturer for Faculty of Nursing, Mahidol Univeristy, Thammasat University, Chulalongkorn University, Srinakarintaravirot University 2005-2009 Assistant Professor, Division of General Practice and Emergency Nursing, Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand 2006 Consultant, Thai-Australian Collaboration in HIV Nutrition 2009-2013 Associate Professor and Chair, Department of Primary Care Nursing, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University 2013-Sep2015 Associate Professor and Associate Director for Graduate Studies and Research, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University Oct2015-present Associate Professor and Chair, Master Program in Community Nurse Practitioner, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University Author Summary: I have been working as an Associate Professor and Chair, Master Program in Community Nurse Practitioner, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University. My area of research focuses on Community health promotion.
Abstract:

Purpose:  A common health problem in older adults is knee pain, particularly those with overweight. Weight control is an appropriate approach for overweight older adults suffering from knee pain. This study aimed to examine the effects of weight control program using community and group support on nutritional status and knee pain in overweight older adults with knee pain. The specific research purposes were to: 1) compare mean scores of nutritional status (body mass index and waist circumference) and knee pain in the experimental group before and after the program, and 2) compare mean differences of nutritional status (body mass index and waist circumference) and knee pain between the experimental and the control groups.

Methods: This study employed quasi-experimental research with 2-group pre-post design. Through convenience sampling with inclusion criteria, the sample included 60 overweight older adults with knee pain who lived in two communities in Bangkok, Thailand. The 30 subjects in the experimental group in a community participated in the 12-week weight control program including four stages: Raising community awareness, Aiming at target health outcome, Mobilizing change, and Assuring synergy through group activities. The program consisted of 14 activities addressing food exchange and behavioral modification for food consumption, arm swing exercise, knee exercise, modification of postures in daily living and arrangement of the surrounding environment in the community as well as monitor of body mass index and waist circumference. The control group received only leaflets and booklets. Data were analyzed using descriptive and inferential statistics including Chi-square test, Paired t-test, Independent t-test, and Wilcoxon Signed Ranks test.

Results:  Results revealed that the mean age of the subjects was 70.8 (SD 5.8) years, ranging from 60-84 years. There were no significant differences in demographic characteristics between the control and the experimental groups. At baseline, the mean body mass index, waist circumference, and knee pain in the control group were 27.2 kg/m2 (SD 3.5), 94.6 cm (SD 9.5), 5.4 (SD 1.6), respectively and those in the experimental group were 27.9 kg/m2 (SD 3.5), 95.3 cm (SD 8.8), 6.7 (SD 1.9), respectively. There were no significant differences in body mass index and waist circumference between the control and the experimental groups at baseline, except for knee pain. After the program, the experimental group had body mass index (27.2: SD 3.1), waist circumference (93.6: SD 8.7) and knee pain (4.4: SD 1.9) less than before the program with statistical significance (t = 2.128, p =.042; t = 6.599, p <.001; Z = -4.745, p <.001, respectively). Mean differences in body mass index (-.69), waist circumference (-1.74), and knee pain (-2.4) in the experimental group were more than differences in body mass index (.01), waist circumference (.44), and knee pain (.13) in the control group with statistical significance (t = 2.124, p =.038; t = 7.209, p <.001; t = 7.447, p <.001, respectively).

Conclusion:  The weight control program was effective. The results suggested approaches to behavioral modification on food consumption behaviors and group support for arm swing exercise and knee exercise as appropriate for the overweight older adults with knee pain.

Keywords:
nutritional status; overweight adults with knee pain; weight control program
Repository Posting Date:
25-Jul-2017
Date of Publication:
25-Jul-2017
Other Identifiers:
INRC17F13
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleEffectiveness of Weight Control Program on Nutritional Status and Knee Pain in Overweight Older Adultsen_US
dc.title.alternativePromoting Outcomes in Obese Patientsen
dc.contributor.authorPiaseu, Noppawanen
dc.contributor.authorNarasri, Pawenaen
dc.contributor.departmentPhi Omega-at-Largeen
dc.author.detailsNoppawan Piaseu, PhD, RN, APN/NP, Professional Experience: 1997-2005 Lecturer, Division of General Practice and Emergency Nursing, Department of Nursing, Ramathibodi Hospital, Faculty of Medicine, Mahidol University, Bangkok, Thailand 2000-2003 Research Assistant and SPSS consultant, Nursing Research Office, University of Washington 2005 Guest lecturer for Faculty of Nursing, Mahidol Univeristy, Thammasat University, Chulalongkorn University, Srinakarintaravirot University 2005-2009 Assistant Professor, Division of General Practice and Emergency Nursing, Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand 2006 Consultant, Thai-Australian Collaboration in HIV Nutrition 2009-2013 Associate Professor and Chair, Department of Primary Care Nursing, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University 2013-Sep2015 Associate Professor and Associate Director for Graduate Studies and Research, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University Oct2015-present Associate Professor and Chair, Master Program in Community Nurse Practitioner, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University Author Summary: I have been working as an Associate Professor and Chair, Master Program in Community Nurse Practitioner, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University. My area of research focuses on Community health promotion.en
dc.identifier.urihttp://hdl.handle.net/10755/622099-
dc.description.abstract<p><strong>Purpose: </strong><span> A common health problem in older adults is knee pain, particularly those with overweight. Weight control is an appropriate approach for overweight older adults suffering from knee pain. This study aimed to examine the effects of weight control program using community and group support on nutritional status and knee pain in overweight older adults with knee pain. The specific research purposes were to: 1) compare mean scores of nutritional status (body mass index and waist circumference) and knee pain in the experimental group before and after the program, and 2) compare mean differences of nutritional status (body mass index and waist circumference) and knee pain between the experimental and the control groups.</span></p> <p><strong>Methods: </strong>This study employed quasi-experimental research with 2-group pre-post design. Through convenience sampling with inclusion criteria, the sample included 60 overweight older adults with knee pain who lived in two communities in Bangkok, Thailand. The 30 subjects in the experimental group in a community participated in the 12-week weight control program including four stages: Raising community awareness, Aiming at target health outcome, Mobilizing change, and Assuring synergy through group activities. The program consisted of 14 activities addressing food exchange and behavioral modification for food consumption, arm swing exercise, knee exercise, modification of postures in daily living and arrangement of the surrounding environment in the community as well as monitor of body mass index and waist circumference. The control group received only leaflets and booklets. Data were analyzed using descriptive and inferential statistics including Chi-square test, Paired t-test, Independent t-test, and Wilcoxon Signed Ranks test.</p> <p><strong>Results: </strong> Results revealed that the mean age of the subjects was 70.8 (SD 5.8) years, ranging from 60-84 years. There were no significant differences in demographic characteristics between the control and the experimental groups. At baseline, the mean body mass index, waist circumference, and knee pain in the control group were 27.2 kg/m<sup>2</sup> (SD 3.5), 94.6 cm (SD 9.5), 5.4 (SD 1.6), respectively and those in the experimental group were 27.9 kg/m<sup>2</sup> (SD 3.5), 95.3 cm (SD 8.8), 6.7 (SD 1.9), respectively. There were no significant differences in body mass index and waist circumference between the control and the experimental groups at baseline, except for knee pain. After the program, the experimental group had body mass index (27.2: SD 3.1), waist circumference (93.6: SD 8.7) and knee pain (4.4: SD 1.9) less than before the program with statistical significance (t = 2.128, p =.042; t = 6.599, p <.001; Z = -4.745, p <.001, respectively). Mean differences in body mass index (-.69), waist circumference (-1.74), and knee pain (-2.4) in the experimental group were more than differences in body mass index (.01), waist circumference (.44), and knee pain (.13) in the control group with statistical significance (t = 2.124, p =.038; t = 7.209, p <.001; t = 7.447, p <.001, respectively).</p> <p><strong>Conclusion: </strong> The weight control program was effective. The results suggested approaches to behavioral modification on food consumption behaviors and group support for arm swing exercise and knee exercise as appropriate for the overweight older adults with knee pain.</p>en
dc.subjectnutritional statusen
dc.subjectoverweight adults with knee painen
dc.subjectweight control programen
dc.date.available2017-07-25T14:03:55Z-
dc.date.issued2017-07-25-
dc.date.accessioned2017-07-25T14:03:55Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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