Effects of lifestyle intervention towards obesity and blood pressure among housewives in klang valley: A quasi-experimental study

Mohd Shaiful Azlan Kassim, Mohd Rizal Abdul Manaf, Noor Safiza Mohamad Nor, Rashidah Ambak

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Abstract

Background: The obesity rate in Malaysia is the highest in Asia. Half its population is obese or overweight. The present study aims to determine the effects of lifestyle intervention on weight loss and blood pressure among Malaysian overweight and obese housewives in Klang Valley. Methods: A quasi-experimental study with 328 obese and overweight low socioeconomic status housewives aged 18–59 years old who met the screening criteria participated in the study. They were recruited into an intervention group (N = 169) or control group (N = 159). The intervention group received a lifestyle intervention consisting of a diet, physical activity and self-monitoring behavior package. The control group (delayed intervention group) received a women’s health seminar package. Both groups were followed up for six months. Weight, body mass index (BMI), and blood pressure were evaluated both pre- and post-intervention. Results: A total of 124 participants from the intervention group and 93 participants from the control group completed the study. Mean weight loss was 1.13 ± 2.70 kg (P < 0.05) in the intervention group and 0.97 ± 2.60 kg (P < 0.05) in the control group. Systolic blood pressure (SBP) reductions in the intervention group were 5.84 ± 18.10 mmHg (P < 0.05). The control group showed reduction in SBP 6.04 ± 14.52 mmHg (P < 0.05). Both group had non-significant DBP reduction. Multivariate analysis via General Linear Model Repeated Measures observed no significant differences in terms of parameter changes with time in both groups for all parameters. Conclusions: The results indicate that the lifestyle interventions in this study resulted in modest weight loss and thus decreased BMI and blood pressure (SBP) within six months of intervention.

Original languageEnglish
Pages (from-to)83-91
Number of pages9
JournalMalaysian Journal of Medical Sciences
Volume24
Issue number6
DOIs
Publication statusPublished - 1 Nov 2017

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Life Style
Obesity
Blood Pressure
Control Groups
Weight Loss
Body Mass Index
Non-Randomized Controlled Trials
Malaysia
Women's Health
Social Class
Linear Models
Multivariate Analysis
Diet
Weights and Measures
Population

Keywords

  • Blood pressure
  • Lifestyle intervention
  • Obesity

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Effects of lifestyle intervention towards obesity and blood pressure among housewives in klang valley : A quasi-experimental study. / Kassim, Mohd Shaiful Azlan; Abdul Manaf, Mohd Rizal; Nor, Noor Safiza Mohamad; Ambak, Rashidah.

In: Malaysian Journal of Medical Sciences, Vol. 24, No. 6, 01.11.2017, p. 83-91.

Research output: Contribution to journalArticle

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