Ajami M, Kagawa M, Roshanmehr F, McKian SS, Radfar M, Vazirijavid R, Houshiarrad A, Esmaeili M, Taghizadeh-Hesary F, Lovell L, Abdollahi M. Narrative-focused Group Counseling Improves Intervention Outcomes in Women With Obesity.
JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2022;
54:894-901. [PMID:
35909038 DOI:
10.1016/j.jneb.2022.04.005]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 03/24/2022] [Accepted: 04/05/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE
To investigate the effects of narrative group counseling combined with diet modification and exercise plans on weight loss in Iranian women with obesity.
DESIGN
Parallel 2-arm clinical trial.
PARTICIPANTS
Fifty-six Iranian women with obesity (aged 18-50 years).
INTERVENTION
The intervention group included weekly diet, exercise, and narrative-focused group counseling, whereas the comparison group included dietary modification and exercise sessions for 8 months (32 sessions).
MAIN OUTCOME MEASURE
Anthropometric and body composition parameters, blood biochemical parameters (high-density lipoproteins, low-density lipoproteins, triglycerides, fasting blood sugar, ghrelin, obestatin), physical activities, and appetite scores.
ANALYSIS
McNemar test was used for the variables that were not normally distributed and for scaling. Furthermore, t tests were used to compare quantitative variables with normal distributions. The original P (0.05) was adjusted to P = 0.0031 using the Bonferroni correction.
RESULTS
Weight, body mass index, body fat proportion, and hip circumference decreased significantly in the intervention vs comparison group. Serum low-density lipoproteins, triglycerides, total cholesterol, fasting blood sugar, appetite score, and ghrelin decreased, whereas obestatin increased significantly in the intervention vs comparison group.
CONCLUSIONS AND IMPLICATIONS
Narrative-focused group counseling combined with traditional strategies was effective in achieving significant changes in weight, body mass index, and appetite. Future studies with a more diverse audience and a longer follow-up are warranted.
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