Research Article
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The impact of education given to obese and preobese university students according to the health promotion model on nutrition and physical activities

Year 2020, Volume: 45 Issue: 3, 795 - 806, 30.09.2020
https://doi.org/10.17826/cumj.684583

Abstract

Purpose: This investigation was conducted in order to evaluate the impact of education given to university students according to the Health Promotion Model (HPM) on their practices about nutrition and physical activity.
Materials and Methods: This interventional study was conducted in Amasya University in the 2017–2018 educational year. Intervention and a control groups were formed from the students having a body mass index (BMI) 25 and over. A sociodemographic questionnaire, Healthy Lifestyle Behaviours Scale–II (HLBS-II), and International Physical Activity Questionnaire (IPAQ) were administered to the students and height and weight measures were taken. The students in the intervention group were given education on healthy lifestyle behaviours in accordance with the HPM.
Results:. In the intervention and control groups, significant increases were found in the HLBS sub-scale scores after education. The increase in the intervention group was significantly higher than the control group. The increase in the IPAQ total score and walking sub-dimension score was significantly higher in the intervention group compared to the control group.
Conclusion: Education according to the HPM significantly improved the behaviours of students related to health responsibility, nutrition, and physical activity. 

Supporting Institution

Erciyes Üniversitesi

Project Number

TDK-2018-7973.

Thanks

We would like to thank the administrators of Amasya University, the Faculty of Literature and the Vocational School of Social Sciences, who gave permission for the application of this study and to the faculty members and students, of the same schools, for their assistance in collecting data.

References

  • Referans1. Garrow JS. Obesity and related diseases. London, Churchill Livingstone, 1988: 1-16.
  • Referans2. World Health Organization. Obesity: Preventing and Managing The Global Epidemic. WHO Technical Report Series 894, Geneva 2000.
  • Referans3. Ogden CL, Carroll MD, Fryar CD, Flegal KM. Prevalence of obesity among adults and youth: United States, 2011-2014. NCHS Data Brief 2015; (219): 1-8.
  • Referans4. Dağ ZÖ, Dilbaz B. Impact of obesity on infertility in women. J Turk Ger Gynecol Assoc 2015; 16 (2): 111-117. doi: 10.5152/jtgga.2015.15232
  • Referans5. Davis SR, Castelo-Branco C, Chedraui P, Lumsden MA, Nappi RE, et al. Understanding weight gain at menopause. Climacteric 2012; 15 (5): 419-429. doi: 10.3109/13697137.2012.707385.
  • Referans6. Burkert NT, Rasky E, Großschädl F, Muckenhuber J, Freidl W. The relationship of weight to women's health: A matched sample study from Austria. Women & Health 2015; 55 (2): 134-151. doi: 10.1080/03630242.2014.979967
  • Referans7. Robinson JA, Burke AE. Obesity and hormonal contraceptive efficacy. Women's Health 2013; 9 (5): 453-466. doi: 10.2217/whe.13.41.
  • Referans8. Recipient M, Pınar R. Evaluation of the efficiency of training for obese patients. Journal of Research and Development in Nursing 2008; 10 (2): 32-47.
  • Referans9. Tedik SE. The role of nurse in preventing overweight/obesity and promoting healthy life. Turkey Diabetes and Obesity Journal 2017; 1 (2): 54-62. doi: 10.25048/tjdo.2017.9
  • Referans10. Slentz CA, Duscha BD, Johnson JL, Ketchum K, Aiken LB et al. Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE—a randomized controlled study. Archives of internal medicine 2004; 164 (1), 31-39. doi: 10.1001/archinte.164.1.31
  • Referans11. Turkish Statistical Institute Newsletter: Youth with Statistics. 2017. Issue: 27598, May 16, 2018
  • Referans12. Can G, Ozdilli K, Erol O, Unsar S, Tülek Z et al. Comparison of the health promoting lifestyles of nursing and non-nursing students in Istanbul, Turkey. Nurs Health Sci 2008; 10: 273-80. doi: 10.1111/j.1442-2018.2008.00405.x.
  • Referans13. Ozcan S, Bozhuyuk A. Cukurova University health sciences students healthy life behavior. Cukurova Medical Journal 2016; 41 (4): 664-74. doi: 10.17826/cutf.254191
  • Referans14. Turan T, Ceylan SS, Cetinkaya B, Altundag S. Examination of obesity frequency and nutritional habits of vocational high school students. TAF Preventive Medicine Bulletin 2009; 8 (1): 5-12.
  • Referans15. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 4th ed. Prentice Hall, 2002. p 340.
  • Referans16. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003; 35 (8): 1381-95. doi: 10.1249/01.MSS.0000078924.61453.FB
  • Referans17. Öztürk M. Determination of the validity and reliability of the international physical activity questionnaire and physical activity levels of the students studying at the university. Science Expertise Thesis. Ankara: Hacettepe University Institute of Health Sciences; 2005.
  • Referans18. Walker SN, Sechrist KR, Pender NJ. The health promoting lifestyle profile development and psychometric characteristics. Nursing Research 1987; 36 (2): 76-80.
  • Referans19. Walker SN, Hill-Polerecky DM. Psychometric evaluation of the health-promoting lifestyle profile II. Unpublished Manuscript, University of Nebraska Medical Center 1996.
  • Referans20. Bahar Z, Beser A, Gordes N, Ersin F, Kissal A. Validity and reliability study of healthy lifestyle behavior scale II. Cumhuriyet University School of Nursing Journal 2008; 12: 1-13. doi : 10.14486/IJSCS268
  • Referans21. Kostak MA, Kurt S, Milk N, River O, Ergül GD. Healthy lifestyle behaviors of nursing and primary school students. TAF Preventive Medicine Bulletin 2014; 13 (3): 189-96.
  • Referans22. Yilmazel G, Cetinkaya F, Nacar, M. Health promotion behavior in nursing students. TAF Preventive Medicine Bulletin 2013; 12 (3): 261-70.
  • Referans23. Kocaakman M, Aksoy G, Eker HH. Healthy lifestyle behaviors of students of school of nursing in Istanbul province. Süleyman Demirel University Journal of Medicine 2010; 17 (2): 19-24.
  • Referans24. Ertop NG, Yilmaz A, Erdem Y. Healthy lifestyles of university students. Kırıkkale University Journal of Medicine 2012; 14 (2): 1-7.
  • Referans25. Özyazıcıoğlu N, Kılıç M, Erdem N, Yavuz C, Afacan S. Determination of healthy lifestyle behaviors of nursing students. International Journal of Human Sciences 2011; 8 (2): 277-332.
  • Referans26. Chen J, Xiang H, Jiang P, Yu L, Jing Y et al. The role of healthy lifestyle in the implantation of regressing suboptimal health status among college students in China: A nested case-control study. IJERPH 2017; 14 (3): 240.
  • Referans27. Aynacı G, Akdemir O. The relationship between lifestyle, health promotion lifestyle profile ii and high blood pressure in university students. Open Access Macedonian Journal of Medical Sciences 2018; 6 (9): 1756-61. doi: 10.3889/oamjms.2018.314
  • Referans28. Nemet D, Geva D, Pantanowitz M, Igbaria N, Meckel Y et al. Health promotion intervention in Arab-Israeli kindergarten children. J Pediatr Endocrinol Metab 2011; 24 (11-12): 1001-1007. doi: 10.1515/JPEM .2011.387
  • Referans29. Altun I. Effectiveness of a health promotion course on health promotion behaviors of university students. East Mediterr Heal J 2008; 14 (4): 880-887.
  • Referans30. Savcı S, Öztürk M, Arıkan H. Physical activity levels of university students. Archives of the Turkish Society of Cardiology 2006; 34 (3): 166-72.

Obez ve preobez üniversite öğrencilerine sağlığı geliştirme modeline göre verilen eğitimin beslenme ve fiziksel aktivitelerine etkisi

Year 2020, Volume: 45 Issue: 3, 795 - 806, 30.09.2020
https://doi.org/10.17826/cumj.684583

Abstract

Amaç. Bu araştırma üniversite öğrencilerine Sağlığı Geliştirme Modeline göre verilen eğitimin, öğrencilerin beslenme ve fiziksel aktivite ile ilgili bilgi, tutum ve danranışlarına etkisini değerlendirmek amacıyla yapılmıştır.
Gereç ve Yöntem: Bu müdahale araştırması Amasya Üniversitesinde 2017–2018 eğtim–öğretim yılında yapıldı. Beden kitle indeksi (BKİ) değeri 25 ve üzerinde olan 134 öğrenci müdahale grubuna, 132 öğrenci kontrol grubuna alındı. Öğrencilere sosyodemografik anket formu, Sağlıklı Yaşam Biçimi Davranışları Ölçeği (SYBDÖ) ve Uluslararası Fiziksel Aktivite Anketi (UFAA) uygulandı. Müdahale grubundaki öğrencilere, Sağlığı Geliştirme Modeline uygun olarak, sağlıklı yaşam biçimi davranışları ile ilgili eğitim verildi. Eğitimden üç ay sonra aynı anket ve ölçekler yeniden uygulandı
Bulgular: Müdahale ve kontrol gruplarında eğitimden sonra SYBDÖ alt boyut puanlarının çoğunda önemli ölçüde artış saptandı. SYBDÖ Toplam puanı ile Sağlık Sorumluluğu ve Beslenme ve alt boyutlarında müdahale grubundaki artış kontrol grubuna göre önemli ölçüde yüksek bulundu. Eğitim sonrasında, UFAA Toplam skoru ve Yürüme alt boyutu skorundaki artış müdahale grunbunda kontrol grubuna göre önemli ölçüde yüksek bulundu..
Sonuç: Üniversite öğrencilerine Sağlığı Geliştirme Modeline göre verilen eğim, öğrencilerin özellikle sağlık sorumluluğu, beslenme ve fiziksel aktivite ile ilgili tutum ve davranışlarında önemli ölçüde iyileşme sağlamıştır. 

Project Number

TDK-2018-7973.

References

  • Referans1. Garrow JS. Obesity and related diseases. London, Churchill Livingstone, 1988: 1-16.
  • Referans2. World Health Organization. Obesity: Preventing and Managing The Global Epidemic. WHO Technical Report Series 894, Geneva 2000.
  • Referans3. Ogden CL, Carroll MD, Fryar CD, Flegal KM. Prevalence of obesity among adults and youth: United States, 2011-2014. NCHS Data Brief 2015; (219): 1-8.
  • Referans4. Dağ ZÖ, Dilbaz B. Impact of obesity on infertility in women. J Turk Ger Gynecol Assoc 2015; 16 (2): 111-117. doi: 10.5152/jtgga.2015.15232
  • Referans5. Davis SR, Castelo-Branco C, Chedraui P, Lumsden MA, Nappi RE, et al. Understanding weight gain at menopause. Climacteric 2012; 15 (5): 419-429. doi: 10.3109/13697137.2012.707385.
  • Referans6. Burkert NT, Rasky E, Großschädl F, Muckenhuber J, Freidl W. The relationship of weight to women's health: A matched sample study from Austria. Women & Health 2015; 55 (2): 134-151. doi: 10.1080/03630242.2014.979967
  • Referans7. Robinson JA, Burke AE. Obesity and hormonal contraceptive efficacy. Women's Health 2013; 9 (5): 453-466. doi: 10.2217/whe.13.41.
  • Referans8. Recipient M, Pınar R. Evaluation of the efficiency of training for obese patients. Journal of Research and Development in Nursing 2008; 10 (2): 32-47.
  • Referans9. Tedik SE. The role of nurse in preventing overweight/obesity and promoting healthy life. Turkey Diabetes and Obesity Journal 2017; 1 (2): 54-62. doi: 10.25048/tjdo.2017.9
  • Referans10. Slentz CA, Duscha BD, Johnson JL, Ketchum K, Aiken LB et al. Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE—a randomized controlled study. Archives of internal medicine 2004; 164 (1), 31-39. doi: 10.1001/archinte.164.1.31
  • Referans11. Turkish Statistical Institute Newsletter: Youth with Statistics. 2017. Issue: 27598, May 16, 2018
  • Referans12. Can G, Ozdilli K, Erol O, Unsar S, Tülek Z et al. Comparison of the health promoting lifestyles of nursing and non-nursing students in Istanbul, Turkey. Nurs Health Sci 2008; 10: 273-80. doi: 10.1111/j.1442-2018.2008.00405.x.
  • Referans13. Ozcan S, Bozhuyuk A. Cukurova University health sciences students healthy life behavior. Cukurova Medical Journal 2016; 41 (4): 664-74. doi: 10.17826/cutf.254191
  • Referans14. Turan T, Ceylan SS, Cetinkaya B, Altundag S. Examination of obesity frequency and nutritional habits of vocational high school students. TAF Preventive Medicine Bulletin 2009; 8 (1): 5-12.
  • Referans15. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 4th ed. Prentice Hall, 2002. p 340.
  • Referans16. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003; 35 (8): 1381-95. doi: 10.1249/01.MSS.0000078924.61453.FB
  • Referans17. Öztürk M. Determination of the validity and reliability of the international physical activity questionnaire and physical activity levels of the students studying at the university. Science Expertise Thesis. Ankara: Hacettepe University Institute of Health Sciences; 2005.
  • Referans18. Walker SN, Sechrist KR, Pender NJ. The health promoting lifestyle profile development and psychometric characteristics. Nursing Research 1987; 36 (2): 76-80.
  • Referans19. Walker SN, Hill-Polerecky DM. Psychometric evaluation of the health-promoting lifestyle profile II. Unpublished Manuscript, University of Nebraska Medical Center 1996.
  • Referans20. Bahar Z, Beser A, Gordes N, Ersin F, Kissal A. Validity and reliability study of healthy lifestyle behavior scale II. Cumhuriyet University School of Nursing Journal 2008; 12: 1-13. doi : 10.14486/IJSCS268
  • Referans21. Kostak MA, Kurt S, Milk N, River O, Ergül GD. Healthy lifestyle behaviors of nursing and primary school students. TAF Preventive Medicine Bulletin 2014; 13 (3): 189-96.
  • Referans22. Yilmazel G, Cetinkaya F, Nacar, M. Health promotion behavior in nursing students. TAF Preventive Medicine Bulletin 2013; 12 (3): 261-70.
  • Referans23. Kocaakman M, Aksoy G, Eker HH. Healthy lifestyle behaviors of students of school of nursing in Istanbul province. Süleyman Demirel University Journal of Medicine 2010; 17 (2): 19-24.
  • Referans24. Ertop NG, Yilmaz A, Erdem Y. Healthy lifestyles of university students. Kırıkkale University Journal of Medicine 2012; 14 (2): 1-7.
  • Referans25. Özyazıcıoğlu N, Kılıç M, Erdem N, Yavuz C, Afacan S. Determination of healthy lifestyle behaviors of nursing students. International Journal of Human Sciences 2011; 8 (2): 277-332.
  • Referans26. Chen J, Xiang H, Jiang P, Yu L, Jing Y et al. The role of healthy lifestyle in the implantation of regressing suboptimal health status among college students in China: A nested case-control study. IJERPH 2017; 14 (3): 240.
  • Referans27. Aynacı G, Akdemir O. The relationship between lifestyle, health promotion lifestyle profile ii and high blood pressure in university students. Open Access Macedonian Journal of Medical Sciences 2018; 6 (9): 1756-61. doi: 10.3889/oamjms.2018.314
  • Referans28. Nemet D, Geva D, Pantanowitz M, Igbaria N, Meckel Y et al. Health promotion intervention in Arab-Israeli kindergarten children. J Pediatr Endocrinol Metab 2011; 24 (11-12): 1001-1007. doi: 10.1515/JPEM .2011.387
  • Referans29. Altun I. Effectiveness of a health promotion course on health promotion behaviors of university students. East Mediterr Heal J 2008; 14 (4): 880-887.
  • Referans30. Savcı S, Öztürk M, Arıkan H. Physical activity levels of university students. Archives of the Turkish Society of Cardiology 2006; 34 (3): 166-72.
There are 30 citations in total.

Details

Primary Language English
Subjects Public Health, Environmental Health
Journal Section Research
Authors

Zehra İncedal Sonkaya 0000-0002-5446-9707

Osman Günay 0000-0001-7131-2253

Project Number TDK-2018-7973.
Publication Date September 30, 2020
Acceptance Date April 27, 2020
Published in Issue Year 2020 Volume: 45 Issue: 3

Cite

MLA İncedal Sonkaya, Zehra and Osman Günay. “The Impact of Education Given to Obese and Preobese University Students According to the Health Promotion Model on Nutrition and Physical Activities”. Cukurova Medical Journal, vol. 45, no. 3, 2020, pp. 795-06, doi:10.17826/cumj.684583.