Effect of Nursing Intervention on Weight Loss of Obese Older Adults | ||
| Alexandria Scientific Nursing Journal | ||
| Volume 21, Issue 1, July 2019, Pages 25-42 PDF (407.64 K) | ||
| Document Type: Research articles | ||
| DOI: 10.21608/asalexu.2019.206574 | ||
| Authors | ||
| Doaa Abd Elmawla* ; Aziza Boughdady; Eman Radwan | ||
| Gerontological Nursing, Faculty of Nursing, Mansoura University | ||
| Abstract | ||
| Obesity and a sedentary lifestyle are an increasing worldwide health problem. Obesity is recognized as a major health threat throughout the life-span affecting all ages particularly older adults. Overweight and obesity are commonly associated with comorbidities that significantly deteriorate quality of life and expectancy. Behavioral interventions are the initial approach recommended for the prevention, as well as treatment of obesity. Objective: Determine effect of nursing intervention on weight loss of obese older adults. Setting: The study was carried out in geriatric outpatient clinic at Specialized Medical Hospital, Mansoura University, Egypt. Subjects: The study included 66 obese older adults of both sex, aged 60 year and more, able to communicate, accept to participate in the study, and available at the selected setting during the period of data collection. Tools: Data was collected using four tools, Demographic and clinical data structured interview sheet of obese older adults, Obesity knowledge structured interview sheet, Self reported health behaviors related to weight loss structured interview sheet and Physical activity scale for the elderly (PASE). Results: Results of the study indicate, 78.8% of the study subjects were females. There was significant decrease in mean body mass index (39.05±3.19 vs. 37.54±3.48, p≤0.001) with a mean weight of (107.36±4.76 vs. 103.31±6.12 kg, p≤0.001), indicating mean weight loss of 4.05 kg. Significant improvements were observed regarding obesity knowledge, adoption of health behaviors and physical function particularly among elderly women. a significant improvement in self perception of body weight and perceived obesity risks among the studied elders, p≤0.001. Conclusion: This study reflects that weight loss nursing intervention based on healthy hypo-caloric diet with increased physical activity and behavioral change had marked reduce in body weight with improvement in physical function. Recommendations: Obesity prevention efforts should be applied in primary care settings, where health care providers have longitudinal relationship with geriatric patients and can provide a brief, motivational interviewing to engage them in behavioral change to maintain their weight. | ||
| Keywords | ||
| Obesity; Weight loss; Older adults; Physical function | ||
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