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Background: Visceral adipose tissue is a hormonally active component of total body
fat. Abnormally high deposition of visceral adipose tissue is known as visceral
obesity. Various physiological, psychosocial and clinical factors influence the
amount and distribution of the adipose tissue throughout the human body. Much
research has reveals that stress can affect lifestyle choices and health
behavior leading to overweight and obesity.
Aim: The main aim of the current study was to assess the effectiveness of
Multicomponent Intervention on Visceral Adiposity (BMI, Hip Waist Ratio) among
employees with Hypertension in NLC India Hospital, Neyveli, Tamil Nadu.
Materials and methods: Quantitative research approach was used for
this study. The experimental study design was used for this study. Total 25
samples were selected using Simple random Sampling Technique.
Conclusion: The effectiveness of multicomponent intervention was implicated with
findings of body weight which was 71.1 with the standard deviation of 11.8,
body mass index was 30.6 with the standard deviation of 2.4 and the waist hip
ratio was 0.81 with the standard deviation of 0.06 and the improvement was
statistically tested by “z” test. The result found to be significant at
P<0.0001, because of intervention.
Keywords: Multicomponent, Intervention, Visceral adiposity, BMI
INTRODUCTION
OBJECTIVES OF THE
STUDY
•
To assess the
effectiveness of multicomponent intervention on visceral adiposity (BMI, Hip
Waist Ratio) among employees with hypertension.
•
To evaluate
the effectiveness of administration of cherry juice, stress management and
Sleep hygiene among employees with hypertension.
•
To find out
the association between BMI and Hip Waist Ratio with multicomponent
intervention.
METHODOLOGY
Research approach
Quantitative approach was adopted for the study.
Research design
The design used was experimental research design.
Study setting
The study was conducted in General Hospital of NLC, Tamil Nadu.
Study population
The population of the study includes
employees with hypertension in General Hospital of NLC Ltd., who met the
inclusion criteria.
Sample and sample size
Patient admitted in General Hospital of NLC
Ltd. and those who fulfill the criteria, where selected as sample. The Sample
Size was 25.
Sampling technique
The samples who met the inclusion criteria
during the data collection were selected Simple Random Sampling Technique.
Data collection procedure
The permission was obtained from the
concerned authorities conduct the study. Complete information regarding the
study was explained to the Subjects and consent form was obtained. The sample
was selected according to inclusion and exclusion criteria. The personal data
was collected from the sample and the pretest value was obtained from control
and experimental group, which includes (BMI, Hip Waist Ratio). Multi component
intervention included the following: Administration of cherry juice, stress
management and Sleep hygiene. MCI was carried out for 3 month in experimental
group. During this period the investigator in person was constantly monitoring
the participants for following of the intervention. After 3 month the post-test
values was obtained from control and experimental group. The investigator will
use descriptive and inferential statistics to analyze the data.
RESULTS
The distribution of nature of work among
employees with hypertension is shown elaborately via a pie-chart in Figure 1.
And, Table 1 shows the frequency and percentage wise distribution of the
demographic variables among obese employees.
Table 2 reveals that
average score of weight is 75.9 with the standard deviation of 11.9, were as in
body mass index score is 32.2 with the standard deviation of 1.8, were as in
waist hip ratio score is 0.84 with the standard deviation of 0.05, after
implementation of focused dietary patter and stress management training was
improved with the weight is 71.1 with the standard deviation of 11.8, were as
in body mass index is 30.6 with the standard deviation of 2.4, were as in waist
hip ratio is 0.81 with the standard deviation of 0.06 and the improvement was
statistically tested by “Z” test. The result found to be significant at
P<0.0001, because of intervention [2].
DISCUSSION
The results revealed that the average score of weight was75.9 with the
standard deviation of 11.9 and BMI average score was 32.2 with the standard
deviation of 1.8. Regarding waist hip ratio the average score was 0.84 with the
standard deviation of 0.05. The effectiveness of multicomponent intervention
was implicated with findings of body weight which was 71.1 with the standard
deviation of 11.8, BMI was 30.6 with the standard deviation of 2.4 and the
waist hip ratio was 0.81 with the standard deviation of 0.06 and the
improvement was statistically tested by “z” test. The result found to be
significant at P<0.0001 because of intervention [3].
CONCLUSION
Hence visceral obesity is associated with increased adipocytokine
production, pro-inflammatory activity and deterioration of insulin sensitivity,
increased risk of developing diabetes, hypertension, atherosclerosis and higher
mortality rate. In India, World's obese population hits 640 million among 2.3%
are men versus 5% are as severely obese (BMI-35 kg/m2). This places
an individual at significantly increased risk of conditions such as diabetes,
heart disease and cancer. Tart cherries are clearly a potent tool for
inhibiting the chronic, often obesity-related, low-level inflammation that can
lead to many disorders. Stress management can facilitate weight loss in
overweight and obese women. With an 8 week stress management programme, this
study implies that the multi component intervention which includes cherry
juice, stress management, sleep hygiene was very effective in reducing the
weight among obese hypertensive employees [4].
1.
Shuster A, Patlas M, Pinthus JH, Mourtzakis M (2012)
The clinical importance of visceral adiposity: A critical review of methods for
visceral adipose tissue analysis. Br J Radiol 85: 1-10.
2.
Chinedu SN, Ogunlana OO, Azuh DE, Iweala EE, Afolabi
IS, et al. (2013) Correlation between body mass index and waist circumference
in Nigerian adults: Implication as indicators of health status. J Public Health
Res 2: e16.
3.
Mouchacca J, Abbott GR, Ball K (2013) Associations
between psychological stress, eating, physical activity, sedentary behaviors
and body weight among women: A longitudinal study. BMC Public Health 13: 828.
4.
Kurniawan LB, Bahrun U, Hatta M, Arif M (2018) Body
mass, total body fat percentage and visceral fat level predict insulin
resistance better than waist circumference and body mass index in healthy young
male adults in Indonesia. J Clin Med 7: pii: E96.
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