Abstract

Low-income middle-aged women (LMW) who are vulnerable have various physical and psychosocial problems. They need lifestyle interventions to actively cope with these risk factors. This study used a randomized control group pretest-posttest design. LMW aged from 40 to 60 years were recruited and randomly assigned to an experimental group (n = 31) and a control group (n = 32). The lifestyle interventions for this study, which were implemented for eight weeks, included nutritional management, physical activity, stress management and cognitive function improvement based on King’s goal attainment theory. The measured outcomes were health-promoting behaviors, Type D personality, cognitive function and body composition. The experimental group scored significantly higher than the control group for health-promoting behaviors (effect size (ES) = 0.68~1.27, p < 0.001~0.014) and cognitive function (ES = 0.79~1.31, p < 0.001~0.005). The negative affectivity (ES = 0.70, p = 0.012) and the prevalence of a Type D personality (x2 = 4.39, p = 0.047) and the systolic blood pressure (ES = 0.65, p = 0.019) decreased significantly in the experimental group compared with the control group. Lifestyle interventions for LMW were effective in improving health-promoting behavior, Type D personality traits and cognitive function.

Highlights

  • Published: 25 May 2021Women aged between 40 and 60 years have a decreased metabolic activity compared with age-matched men

  • Lifestyle interventions (LSIs) including nutrition management, physical activity and stress management were effective in influencing weight control, depression, health-promoting behavior (HPB), reproductive health and the quality of life [2,16,17]

  • Lifestyle interventions provided before and after the test results to the independent t-test for the difference before and after intervention to measure the changes in health-promoting behaviors applied before and after the intervention group difference 0.39 ± 0.39, control group −0.10 ± 0.38 in the control group than life. a Mann–Whitney U test

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Summary

Introduction

Women aged between 40 and 60 years have a decreased metabolic activity compared with age-matched men. Their stress is at its highest when the income level is low [3] These results suggest the importance of promoting healthy lifestyle behaviors and developing effective health-promoting programs [5]. Lifestyle interventions (LSIs) including nutrition management, physical activity and stress management were effective in influencing weight control, depression, HPB, reproductive health and the quality of life [2,16,17]. Brain yoga, which was developed for inducing brain cell activation and neurogenesis based on integrated functional physical exercise, was found to improve short-term memory and increase serum BDNF levels in healthy middle-aged women [19]. HPB, (2) Type D personality, (3) cognitive function and (4) body composition

Participants
Setting and Data Collection
Conceptual Framework
Lifestyle Intervention Based on King’s Goal Achievement Theory
Outcome Measures
Type D Personality
Cognitive Function
Body Composition
Ethical Considerations and Statistical Analysis
Homogeneity Test for General Characteristics and Variables between Groups
Effects of the LSIs
Discussion
Conclusions

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