Abstract

This study aimed to examine the effect of a lifestyle intervention (LSI) on overweight or obese female university students. Participants: A total of 53 overweight or obese female college students participated. This study was conducted from May to December 2017 in Jeonbuk Province, South Korea. A quasi-experimental design using a non-equivalent control group pretest-posttest was used. The LSI consisted of providing health information, individual health counseling, lifestyle monitoring, and effective support based on the interaction model of client health behavior, which was implemented for 12 weeks. Significant group differences were found in health-promoting behavior, psychological distress, reproductive health, body weight, body fat, and triglyceride level among participants. LSIs are effective in improving health-promoting behavior, psychological distress, reproductive health, and body composition. Therefore, healthcare providers should develop and apply LSIs through interaction for overweight or obese female college students.

Highlights

  • In the United States, the prevalence of obesity in women aged 20–39 was 36.5% in 2015–2016, and it has been increasing since 1999 [1]

  • The purpose of this study was to investigate the effects of a 12-week lifestyle intervention (LSI) on healthpromoting-behavior, psychological distress, reproductive health, and body composition index of overweight or obese female college students based on the interaction model of client health behavior (IMCHB)

  • The LSI was found to be effective in improving health-promoting-behaviors, psychological distress, reproductive health, and body composition index

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Summary

Introduction

In the United States, the prevalence of obesity in women aged 20–39 was 36.5% in 2015–2016, and it has been increasing since 1999 [1]. In the United States, the prevalence of obesity in women aged 20–39 was 36.5% in 2015–. In South Korea, the prevalence of obesity in women aged 19–29 continuously increased from 13.8% in 2016 to 16.2% in 2017 [2]. Weight gain leads to the risk of cardiovascular disease, type 2 diabetes, cancer, osteoarthritis, asthma, psychological stress, and reproductive health issues across the population; college students are not resistant to the health impact of such weight gain [3]. Overweight and obese college students, women, have a 12% and 33% higher risk of experiencing blood pressure and coronary heart issues, respectively, than normal-weight individuals [4]. Obesity with women impacts reproductive health, as it is associated with an increased risk of amenorrhea, irregular menstruation, infertility, and pregnancy complications (e.g., stillbirth and miscarriage) [7,8]

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