UPSI Digital Repository (UDRep)
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Abstract : Universiti Pendidikan Sultan Idris |
The study aims to measure the effectiveness of psychological and physical interventions
for obesity and associated factors. The psycho-physical interventions are the combination of
cognitive behavior therapy (CBT), exercise, and diet management to reduce obesity diagnostic
factors such as body weight, body mass index (BMI), waist- to-hip ratio (WHR), and percent body fat
(PBF) among Pakistani women. The same interventions targeted obesity associated factors such as
eating behavior, sedentary behavior, body image, and self-control. Through a randomized control
trial repeated measure design, the study recruited 128 females by employing panel data technique on
the basis of inclusion criteria (BMI>25 kg/m2). The sample were distributed into four equal groups
using online permuted block randomization. Experimental group-1 (CBT
+ Exercise) received weekly sessions for 10 weeks of cognitive behavior therapy along with exercise
execution. Experimental group-2 (CBT + Diet) received weekly sessions for 10 weeks of cognitive
behavior therapy with diet management plan. Experimental group-3 (CBT + Exercise + Diet) also
received weekly sessions for 10 weeks of CBT along with exercise execution and diet plan. Group-4
(control) attended weekly sessions for 10 weeks but were provided information only. The results
found that the intervention-3 significantly (treatment effect × time effect p≤0.001) reduced more
body weight, BMI, WHR, and PBF at 10-week and 5-month follow-up as compared to other groups.
Likewise, the intervention-3 significantly (treatment effect × time effect p≤0.001) reduced eating
behavior, sedentary behavior, body image, and self-control at 10-week as compared to other groups
but in the 5-month follow-up there were no significant changes. Conclusively, the combination of
CBT with exercise and diet management is the most effective intervention to reduce obesity and
associated factors as compared to CBT with exercise alone or CBT with diet management alone. The
study implicated that body weight, obesity, and associated factors can be reduced by
using psycho-physical interventions.
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