Özel Bir Beslenme Danışmanlık Merkezine Başvuran Obez Kadınların Öz Yeterlilik ve Beslenme Durumlarının Vücut Ağırlığı Yönetimi Programı ile Değerlendirilmesi

Abstract

This research has been conducted to evaluate the relationship between the weight management program and the self-efficacy and nutritional status of obese women, aged between 32 and 51 years applied to a private nutrition consulting centre, with a Body Mass Index (BMI) between 30.0-39.9 kg/m², without any chronic diseases, in premenopausal period. A weight efficacy lifestyle questionnaire (WEL test) was applied to determine the self-efficacy status of the individuals prior to initiating the weight management programme. Recruited subjects were instructed by the researcher to record their 24-h dietary intakes for 3 consecutive days (with a one weekend day), the food frequencies and physical activities. For the first three days no change of lifestyle was recommended. For 6 weeks, the subjects were applied to a healthy weight-loss program, depending on their basal metabolic rate and lifestyle conditions. At the beginning and at the end of the programme body fat (BF) and fat free mass (FFM) were measured with Bioelectrical Impedance Analysis (BIA) technique. A significant decrease was observed in BMI between initial and final values (p<0.001). In addition, Basal Metabolic Rate (BMR) and daily energy expenditure (TEE) of the subjects were decreased significantly, but no significant differences were found in the recommended energy intakes, energy content of the diet applied to the individuals and energy expenditure due to physical activity level. As aresult, no significant relationships were found between the self-efficacy score and the variables such as body weight, BMI, waist/hip ratio, energy intake, FFM and FM (p>0.05). In conclusion this research should be repeated in a more comprehensive sample group.