Motivational interviewing in obesity reduction

Szczekala, Katarzyna; Ślusarska, Barbara; Goś, Anna

doi:10.5114/ms.2017.66962

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…Health risks related to inadequate weight gain during pregnancy involve, first and foremost, a greater risk of premature birth and a low birth weight baby and/or intrauterine hypotrophy and, consequently, an increased risk of mortality and morbidity [ 1 , 9 , 16 ]. Excessive weight gain is indicated as a risk factor for giving birth to a high birth weight baby compared with its gestational age [ 9 , 17 ], giving birth to a baby with macrosomia [ 4 , 9 , 18 ], gestational diabetes [ 19 , 20 ], pregnancy-induced hypertension [ 21 , 22 ], caesarean delivery [ 23 , 24 ], longer infant hospital stays [ 22 ] and the persistence of a higher postpartum weight for the mother after childbirth, which predisposes one to obesity later in life [ 8 , 14 , 15 , 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with gestational weight gain: a cross-sectional survey

Suliga

Rokitaⴕ

Adamczyk-Gruszka

et al. 2018

BMC Pregnancy Childbirth

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BackgroundThe aim of this study was to describe the dietary patterns in pregnant women and determine the association between diet factors, pre-pregnancy body mass index, socio-demographic characteristics and gestational weight gain.MethodsThe analysis was conducted on a group of 458 women. Cut-off values of gestational weight gain adequacy were based on recommendations published by the US Institute of Medicine and were body mass index-specific. Logistic regression analysis was used to assess the risk of the occurrence of inadequate or excessive gestational weight gain. Dietary patterns were identified by factor analysis.ResultsThree dietary patterns characteristic of pregnant women in Poland were identified: ‘unhealthy’, ‘varied’ and ‘prudent’. The factor associated with increased risk of inadequate gestational weight gain was being underweight pre-pregnancy (OR = 2.61; p = 0.018). The factor associated with increased risk of excessive weight gain were being overweight or obese pre-pregnancy (OR = 7.00; p = 0.031) and quitting smoking (OR = 7.32; p = 0.019). The risk of excessive weight gain was decreased by being underweight pre-pregnancy (OR = 0.20; p = 0.041), being in the third or subsequent pregnancy compared to being in the first (OR = 0.37; p = 0.018), and having a high adherence to a prudent dietary pattern (OR = 0.47; p = 0.033).ConclusionsWomen who were overweight or obese pre-pregnancy and those who quit smoking at the beginning of pregnancy should be provided with dietary guidance to prevent excessive gestational weight gain.Electronic supplementary materialThe online version of this article (10.1186/s12884-018-2112-7) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Factors associated with gestational weight gain: a cross-sectional survey

Suliga

Rokitaⴕ

Adamczyk-Gruszka

et al. 2018

BMC Pregnancy Childbirth

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“…When discussing the issue of girls' puberty, one should consider all of the genetic and socio-economic conditions, including eating habits, parents' education, self-esteem, and motivation of a healthy lifestyle among girls, as indicated by multiple studies (e.g. Nowak-Starz and Zięba [19], Zając et al [20], and Szczekala et al [21]). It should also be noted that the current standard of living in rural areas is not very different from the urban standard, and in some cases is even better.…”

Section: Discussionmentioning

confidence: 99%

Social and economic factors influencing the age of menarche of female students at the Faculty of Medicine and Health Sciences at the Jan Kochanowski University in Kielce compared to developmental norms

Kuder¹,

Suliga²,

Mańka³

et al. 2019

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Introduction: The age of menarche is the beginning of the final puberty phase. It is used as an assessment criterion for girls' sexual maturation. Despite much research in the area, the issue is still valid because, along with improvement of the quality of life and socioeconomic conditions, a tendency has been observed for girls go through puberty earlier. Aim of the research: To analyse the menarche age of female students at the Faculty of Medicine and Health Sciences Jan Kochanowski University (JKU) in Kielce with respect to socioeconomic conditions and developmental norms. Material and methods: An anonymous retrospective questionnaire was applied and filled out by a total of 132 female students (70 from urban areas, 62 from rural areas). The questions concerned menarche age, socioeconomic conditions, health, height, and weight. From the obtained data, mean values and standard deviations were calculated, and Student's t-test analysis was performed. Results: Among the female students from urban areas, the majority of them, i.e. 18.57%, achieved sexual maturity at the age of 12.0 years. Among the girls from rural areas, the majority of them (19.37%) had their first menstruation at the age of 13.0. The mean menarche age of female students from cities is 12 years and 10 months, from the countryside-13 years and 1 month. The mean puberty age of the JKU female students is similar to the corresponding age in other regions of Poland. Conclusions: It cannot be unequivocally stated that socioeconomic conditions have a crucial impact on the age of menarche. The differences between urban and rural standard of living conditions are blurring. Streszczenie Wprowadzenie: Wiek menarche (pierwszej miesiączki) jest początkiem końcowej fazy dojrzewania. Stosowany jest jako kryterium oceny dojrzewania płciowego dziewcząt. Mimo licznych badań zagadnienie to jest ciągle aktualne, gdyż wraz z poprawą jakości życia i warunków społeczno-ekonomicznych obserwuje się pewną tendencję do wcześniejszego dojrzewania dziewcząt. Cel pracy: Analiza wieku menarche u studentek Wydziału Lekarskiego i Nauk o Zdrowiu Uniwersytetu Jana Kochanowskiego (UJK) w Kielcach na tle uwarunkowań społeczno-ekonomicznych oraz norm rozwojowych. Materiał i metody: W badaniu użyto anonimowej ankiety retrospektywnej, którą zgodziły się wypełnić 132 studentki (70 pochodziło z miasta, 62 ze wsi). Pytania dotyczyły wieku pierwszej menstruacji, warunków społeczno-ekonomicznych, wiedzy na temat dojrzewania oraz wysokości i masy ciała. Z uzyskanych danych obliczano średnie i odchylenia standardowe oraz przeprowadzono analizę statystyczną testem t-Studenta. Wyniki: Wśród studentek pochodzących z miasta najwięcej (18,57%), dojrzewało w wieku 12 lat. Spośród dziewcząt pochodzących ze wsi najwięcej (19,37%) miało pierwszą menstruację w wieku 13 lat. Średnia wieku menarche studentek z miasta to 12 lat i 10 miesięcy, a ze wsi-13 lat i 1 miesiąc. Średni wiek dojrzewania studentek UJK jest zbliżony do wieku dziewcząt z innych regionów Polski. Wnioski: Nie można jednoznacznie stwier...

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“…The principles and methods of MI address issues associated with ambivalence about behavior change, including decreased confidence and low self-efficacy [45]. The specific MI strategies that were used include enhancing decisional balance, exploring values, exploring importance and faith, and identifying specific measurable and feasible objectives [47]. The psychological part was also focused on minimizing stress, psychological factors of obesity, or support from the environment.…”

Section: Phase 2 Of the Study-post-therapeutic Carementioning

confidence: 99%

The Long-Term Dietitian and Psychological Support of Obese Patients Who Have Reduced Their Weight Allows Them to Maintain the Effects

et al. 2021

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The role of post-therapeutic support after weight loss in obesity treatment is not fully understood. Therefore, weight maintenance after a successful weight loss intervention is not very common, especially in obese individuals. This randomized controlled study was conducted to explore the efficacy of following dietary and psychological support in a group of 36 obese individuals. Participants (22 women, 14 men aged 35.58 ± 9.85 years, BMI 35.04 ± 3.80 kg/m2) who completed a 12-month weight loss phase (balanced energy-restricted diet) were randomly allocated to receive 18-month support (SG) or no additional care (CG). The support phase included some elements of Ten Top Tips (TTT), cognitive behavioral therapy (CBT), motivational interviewing (MI) in combination with nutritional education and assessment of the level of physical activity. The primary outcome was the maintenance of anthropometric parameters at an 18-month follow-up. The secondary outcomes included evaluation of biochemical parameters and single nucleotide polymorphisms (SNPs) in genes connected with obesity. A comparison of SG vs. CG after a 30-month period of the study revealed significant differences in weight changes (−3.83 ± 6.09 vs. 2.48 ± 6.24 kg), Body Mass Index (−1.27 ± 2.02 vs. 0.72 ± 2.12 kg/m2), visceral adipose tissue (−0.58 ± 0.63 vs. 0.45 ± 0.74 L), and waist circumference (−4.83 ± 4.05 vs. 1.83 ± 5.97 cm). Analysis of SNPs (rs9939609 FTO, rs987237 TFAP2B, and rs894160 PLIN1) provided further insight into the potential modulating effect of certain genotypes on weight loss and maintenance and extended the knowledge of the potential benefits of personalized medicine. Post-therapeutical support in current clinical practice may increase the chances of long-term weight loss maintenance in obesity treatment even in patients with a genetic predisposition to excessive weight.

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Motivational interviewing in obesity reduction

Cited by 3 publications

References 23 publications

Factors associated with gestational weight gain: a cross-sectional survey

Factors associated with gestational weight gain: a cross-sectional survey

Social and economic factors influencing the age of menarche of female students at the Faculty of Medicine and Health Sciences at the Jan Kochanowski University in Kielce compared to developmental norms

The Long-Term Dietitian and Psychological Support of Obese Patients Who Have Reduced Their Weight Allows Them to Maintain the Effects

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