Intensive lifestyle modification program on weight loss and metabolic syndrome risk reduction among obese women in rural areas of Thailand

Abstract

Purpose-The purpose of this paper is to examine the effect of the intensive lifestyle modification program on weight and metabolic syndrome risk reduction in rural obese women who have no underlying non-communicable diseases in Thailand. Design/methodology/approach-A randomized controlled trial was conducted. In total, 60 healthy obese women aged 30-50 years were recruited and randomly assigned to either the intervention (n ¼ 30) or control (n ¼ 30) group after health screening. Tailored nutritional counseling, health education and exercise training were included in the lifestyle modification program. Behavioral modification techniques were also incorporated. The intervention was conducted weekly for the first eight weeks, then biweekly until week 16.

The effectiveness of lifestyle interventions on type 2 diabetes and gestational diabetes incidence and cardiometabolic outcomes: A systematic review and meta-analysis of evidence from low- and middle-income countries

“…Study characteristics and descriptions of the interventions and main findings of eligible studies are summarised quantitatively in Table 1 , and qualitatively reviewed in the appendix (pp 14-23). The majority of the eligible studies were published in the last decade, 2012-2022, (90%), and conducted in lower-middle (56%) 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 or upper-middle-income (44%) 23 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 countries. No eligible study was found in low-income countries.…”

“…No eligible study was found in low-income countries. By continent, the vast majority of studies (84%) were performed in Asia (15 in India, 25 , 27 , 28 , 29 , 32 , 33 , 35 , 36 , 41 , 42 , 44 , 46 , 47 , 48 , 50 12 in China, 53 , 54 , 55 , 56 , 57 , 58 , 60 , 61 , 63 , 66 , 67 , 68 five in Iran, 31 , 37 , 40 , 43 , 45 two in Thailand, 51 , 65 Vietnam, 30 , 49 Bangladesh, 24 , 32 and Sri Lanka, 26 , 32 and one in Jordan, 69 Pakistan, 39 and Mongolia 38 ), followed (14%) by America (three in Brasil, 52 , 64 , 70 two in Colombia, 23 , 62 and one in Cuba 59 ), and only one study (2%) in Africa (Egypt 34 ). To define at-risk populations, most studies selected participants with impaired glucose/prediabetes (52%) or presenting a combination of cardiometabolic risks (34%).…”

“…No intervention components related to financial incentives were identified. As per eligibility criteria, all interventions were evaluated using an RCT design with 74% of studies using individually randomisation 23 , 26 , 27 , 28 , 29 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 47 , 50 , 52 , 53 , 54 , 55 , 56 , 59 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 and 26% clustered randomisation. 24 , 25 , 30 , 31 , 45 , 46 , 48 , 49 , 51 , 57 , 58 , 60 When appraising the risk of bias using RCT-specific tools, 54% of studies were ranked as having medium risk, 23 , 26 , 28 , 29 , 33 , 35 , 36 , 37 , 39 , 42 , 43 , 45 , 46 , ...…”

Improving lifestyle behaviours among women in Kisantu, the Democratic Republic of the Congo: A protocol of a cluster randomised controlled trial

“…A diabetes community lifestyle improvement programme, an RCT conducted in India, showed that after 3 years of intervention the incidence of diabetes was reduced significantly more in the intervention group when compared to the control group [43]. Similarly, an intervention study aiming to assess a lifestyle modification program on weight loss and metabolic syndrome risks in Thailand involving 60 women, showed that the intervention group had significantly greater weight loss than the control group, as well as greater improvements in blood pressure, fasting plasma glucose and waist circumference, among other indicators [44]. Moreover, an RCT conducted in Iran involving 137 pregnant women showed a lower prevalence of GDM after lifestyle information and motivational intervention of 8 weeks of duration when compared to the control group [45].…”

Strategies to tackle non-communicable diseases in Afghanistan: A scoping review

“…Thailand designed a lifestyle modification program for rural obese women for 16 weeks. It included nutritional counseling, health education, and exercise training, leading to a loss of weight of 10.2% from baseline (79). A weight reduction program was also designed in Thailand using Facebook in 2016.…”