1
Mersin University, Faculty of Sports Science, Mersin / Türkiye
2
Universidade da Beira Interior / Portugal
Abstract
The aim of this study; investigated the effects of an eight-week exercise and nutrition lifestyle intervention on weight control and behavior change processes in sedentary older adults with overweight obesity. They were assigned to a control group (18 women) aged ≥65 years with a body mass index (BMI (kg/m2) ≥30.00) or to a intervention group (17) undergoing an eight-week exercise lifestyle intervention. The behavioral attitudes of the participants before and after the intervention were determined with the Exercise Change Processes Scale (ECPS) and the Nutrition Change Processes Scale (NCPS). Descriptive statistics and T test were used in the research. Statistical significance was accepted as P < 0.05. There were no significant control group differences in any of the baseline values, but there were BMI and Body weight significant intervention group differences of the post-test values (p<00*). While there was a no significant (p>,278) difference in Helping Relationships according to comparison of pre-test and post-test measurements of the intervention group exercise change processes scale sub-dimensions, there were significant between-group differences in other of the baseline values (p<05*, p<001*). When comparing the pre-test and post-test measurements of the nutrition change processes scale sub-dimensions of the control and intervention groups, there are significant differences in all sub-dimensions in favor of the intervention group (p<05*, p<001*). In conclusion; Within the scope of ECPS and NCPS among inactive elderly individuals, it is aimed to prevent obesity in the elderly, improve health, and make people competent in improving and controlling their own health.
Keywords
Active Aging ,Nutritional ,Exercise Behavior
How to Cite
TOPTAŞ DEMİRCİ, P., & LOURENÇO, C. (2024). Effect of Exercise and Nutritional Lifestyle Intervention on Weight Control and Behavior Change Processes in Among Inactive Older Adults. International Journal of Active & Healthy Aging, 2(1), 1–9. https://doi.org/10.5281/zenodo.12571146
📄World Health O Rganization (WHO, 2022). Global status report on physical activity 2022. World Health Organization. WHO Press.
📄Tardido, AP., & Falcão, MC. (2006). Impacto da modernização na transição nutricional e obesidade. Rev Bras Nutr Clin;21(2):117–24.
📄Owen, N., Sparling, P.B., Healy, G.N., Dunstan, D.W., & Matthews, C.E. (2010). Sedentary behavior: emerging evidence for a new health risk. Mayo Clin Proc;85(12):1138–41. [PubMed]
📄Hallal, P.C., Andersen, L.B., Bull, F.C., Guthold, R., Haskell, W., & Ekelund, U. (2012). Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet; 380(9838):247–57. [PubMed]
📄Lee, I-M., Shiroma, E.J., Lobelo, F., Puska, P., Blair, S.N., & Katzmarzyk P.T. (2012). Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet; 380(9838):219–29. [PubMed]
📄Rezende, L.F.M., Lopes, M.R., Rey-López, J.P., Matsudo, V.K.R., & Luiz O.C. (2014). Sedentary behavior and health outcomes: an overview of systematic reviews. PloS One;9(8):e105620. [PubMed]
📄Van der Ploeg, H.P., Chey, T., Korda, R.J., Banks, E., & Bauman, A. (2012). Sitting time and all-cause mortality risk in 222497 Australian adults. Arch Intern Med;172(6): 494–500. [PubMed]
📄Pate, R.R., O’Neill, J.R., & Lobelo, F. (2008). The evolving definition of “sedentary”. Exerc Sport Sci Rev; 36(4):173–8. [PubMed]
📄Zhai, L., Zhang, Y., & Zhang, D. (2015). Sedentary behaviour and the risk of depression: a meta-analysis. Br J Sports Med; 49(11):705–9. [PubMed]
📄Proper, K.I., Singh, A.S., Van Mechelen, W., & Chinapaw, M.J.M. (2011). Sedentary behaviors and health outcomes among adults. Am J Prev Med;40(2):174–82. [PubMed]
📄Wilmot, E.G., Edwardson, C.L., Achana, F.A., Davies, M.J., Gorely, T., Gray, L.J., et al. (2012). Sedentary time in adults andthe association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia;55(11):2895–905. [PubMed]
📄Shuval, K., Leonard, T., Murdoch, J., Caughy, M.O., Khol, H.W., & Skinner, C.S. (2013). Sedentary behaviors and obesity in a low-income, ethnic-minority population. J Phys Act Health;10(1):132-6. [PubMed]
📄Pinto, A. J., Bergouignan, A., Dempsey, P. C., Roschel, H., Owen, N., Gualano, B., & Dunstan, D. W. (2023). Physiology of sedentary behavior. Physiological reviews, 103(4), 2561–2622. [PubMed]
📄Yu, Z., Han, S., Cao, X., Zhu, C., Wang, X., & Guo, X. (2012). Genetic polymorphisms in adipokine genes and the risk of obesity: A systematic review and meta-analysis. Obesity; 20, 396–406. [CrossRef] [PubMed]
📄Lee, E.B., & Mattson, M.P. (2014). The neuropathology of obesity: Insights from human disease. Acta Neuropathol; 127, 3–28. [PubMed] [CrossRef]
📄Kapoor, G., Chauhan, P., Singh, G., Malhotra, N., & Chahal, A. (2022). Physical Activity for Health and Fitness: Past, Present and Future. Journal of lifestyle medicine, 12(1), 9–14. [CrossRef]
📄Garcia, L., Pearce, M., Abbas, A., Mok, A., Strain, T., Ali, S., Crippa, A., Dempsey, P. C., Golubic, R., Kelly, P., Laird, Y., McNamara, E., Moore, S., de Sa, T. H., Smith, A. D., Wijndaele, K., Woodcock, J., & Brage, S. (2023). Non-occupational physical activity and risk of cardiovascular disease, cancer and mortality outcomes: a dose-response meta-analysis of large prospective studies. British journal of sports medicine, 57(15), 979–989. [CrossRef]
📄Johnson, S.S., Paiva, A.L., Cummins, C.O. et al. (2008). Transtheoretical model-based multiple behavior intervention for weight management: effectiveness on a population basis. Preventive Medicine;46(3): 238–46. [PubMed]
📄Field, C.A., Adinoff, B., Harris, T. R., et al. (2009). Construct, concurrent and predictive validity of the URICA: Data from two multi-site clinical trials. Drug and Alcohol Dependence, 101(1–2), 115–123. [PubMed]
📄Marcus, B.H., Rossi, J.S., Selby, V.C. et al. (1992). The stages and processes of exercise adoption and maintenance in a worksite sample. Health Psychol; 11:386-95. [PubMed]
📄Prochaska, J. Q., Norcross, J. C., Abrams, D., & Fowler, J. (1987). Changes in stages and processes of change between behavior therapy treatment sessions for weight control. Manuscript submitted for publication.
📄Lipowska, M., Lipowski, M., Olszewski, H., & Dykalska-Bieck, D. (2016). Gender differences in body-esteem among seniors: Beauty and health considerations. Arch. Gerontol. Geriatr; 67, 160–170. [CrossRef] [PubMed]
📄Ferraro, F.R., Muehlenkamp, J.J., Paintner, A., Wasson, K., Hager, T., & Hoverson, F. Aging, body image, and body shape. J. Gen. Psychol. 2008, 135, 379–392. [CrossRef] ] [PubMed]
📄Brantley, P.J.; Stewart, D.W.; Myers, V.H.; Matthews-Ewald, M.R.; Ard, J.D.; Coughlin, J.W.; Jerome, G.J.; Samuel-Hodge, C., Lien, L.F., Gullion, C.M.;,et al. Psychosocial predictors of weight regain in the weight loss maintenance trial. J. Behav. Med. 2014, 37, 1155–1168. [CrossRef] [PubMed]
📄Soyuer, F., & Soyuer A. (2008). Old age and physical activity. İnönü University Faculty of Medicine Journal; 15(3): 219-24.
📄Gümüş Y., & Kitiş, Y. (2015). Validity and Reliability of Exercise Behavior Change Scales. Hacettepe University Faculty of Nursing Journal 1–19.
📄Annunziato, R.A., Timko, C.A., Crerand, C.E., et al. (2009). A randomized trial examining differential meal replacement adherence in a weight loss maintenance program after one-year follow-up. Eating Behaviors;10(3):176–83. [PubMed]
📄Bock, B.C., Marcus, B.H., Pinto, B.M., et al. (2001). Maintenance of physical activity following an individualized motivationally tailored intervention. Ann Behav Med.;23:79–87. [PubMed]
📄DiLillo, V., Siegfried, N. J., West, D. S. (2003). Incorporating motivational interviewing into behavioral obesity treatment. Cognitive and Behavioral Practice, 10, 120–130. [CrossRef]
📄Johnson, S.S., Driskell, M.M., Johnson, J.L et al. (2006). Transtheoretical model intervention for adherence to lipid-lowering drugs. Disease Management;9(2):102–14. [PubMed]
📄Rodgers, W. M., Courneya, K. S., Bayduza, A. L. (2001). Examination of the transtheoretical model and exercise in 3 populations. American Journal of Health Behavior, 25, 33-41. [PubMed]
,
Carla LOURENÇO
2