Effectiveness of an integrated-Weight Management Programme (i-WMP) in reducing body weight among noncommunicable disease patients in Malaysian government primary care clinics: a randomised controlled trial
Introduction: Obesity is a global issue called as “globesity”. Overweight and obesity may lead to many noncom- municable diseases (NCDs). Primary care is the first centre to monitor and follow-up the progress of NCD patients. Therefore, the objective of this study was to determine the effectiveness...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
2022
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| Online Access: | http://psasir.upm.edu.my/id/eprint/99339/1/2022112909252608_MJMHS_0081.pdf |
| _version_ | 1825938217435660288 |
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| author | Tan, Siew Tin Mohd Sidik, Sherina Rampal, Lekhraj Tan, Kit Aun Ibrahim, Zuriati Ahmad, Norliza Mustapha, Ummu Kalsum Paimin, Fuziah Talib, Nor Hazlin Sharifuddin, Naemah Ibrahim, Normala |
| author_facet | Tan, Siew Tin Mohd Sidik, Sherina Rampal, Lekhraj Tan, Kit Aun Ibrahim, Zuriati Ahmad, Norliza Mustapha, Ummu Kalsum Paimin, Fuziah Talib, Nor Hazlin Sharifuddin, Naemah Ibrahim, Normala |
| author_sort | Tan, Siew Tin |
| collection | UPM |
| description | Introduction: Obesity is a global issue called as “globesity”. Overweight and obesity may lead to many noncom- municable diseases (NCDs). Primary care is the first centre to monitor and follow-up the progress of NCD patients. Therefore, the objective of this study was to determine the effectiveness of an integrated-Weight Management Pro- gramme (i-WMP) to reduce body weight among NCD patients from two Government primary care clinics from Hulu Langat District. Methods: This study was single-blinded randomised controlled trial by design. There were 244 eligible patients were randomised into intervention (n = 122) or wait-list control group (n = 122). The i-WMP was developed based on the behaviour change wheel through the operationalization of behaviour change techniques. The duration of this intervention programme was four weeks. Data collected at week 0, week 4, and week 12. The software IBM SPSS was used to analyse the data. Generalized linear mixed model analysis with intention-to-treat principle was applied. Results: The retention rate was 74.2%. Findings showed that the i-WMP was significantly effective in reducing not only body weight as primary outcome but also secondary outcomes such as waist-to-height ratio, waist circumference, body mass index, and total sitting time. It also improved effectively other secondary out- comes such as participants’ knowledge, attitude, and practice towards dietary and towards physical activity. Howev- er, no significant changes were reported for body fat percentage and total physical activity metabolic equivalent of task-minutes/week. Conclusion: Implications surrounding the implementation of i-WMP in the primary care clinics are recommended. |
| first_indexed | 2024-03-06T11:11:14Z |
| format | Article |
| id | upm.eprints-99339 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T11:11:14Z |
| publishDate | 2022 |
| publisher | Faculty of Medicine and Health Sciences, Universiti Putra Malaysia |
| record_format | dspace |
| spelling | upm.eprints-993392023-03-13T03:51:26Z http://psasir.upm.edu.my/id/eprint/99339/ Effectiveness of an integrated-Weight Management Programme (i-WMP) in reducing body weight among noncommunicable disease patients in Malaysian government primary care clinics: a randomised controlled trial Tan, Siew Tin Mohd Sidik, Sherina Rampal, Lekhraj Tan, Kit Aun Ibrahim, Zuriati Ahmad, Norliza Mustapha, Ummu Kalsum Paimin, Fuziah Talib, Nor Hazlin Sharifuddin, Naemah Ibrahim, Normala Introduction: Obesity is a global issue called as “globesity”. Overweight and obesity may lead to many noncom- municable diseases (NCDs). Primary care is the first centre to monitor and follow-up the progress of NCD patients. Therefore, the objective of this study was to determine the effectiveness of an integrated-Weight Management Pro- gramme (i-WMP) to reduce body weight among NCD patients from two Government primary care clinics from Hulu Langat District. Methods: This study was single-blinded randomised controlled trial by design. There were 244 eligible patients were randomised into intervention (n = 122) or wait-list control group (n = 122). The i-WMP was developed based on the behaviour change wheel through the operationalization of behaviour change techniques. The duration of this intervention programme was four weeks. Data collected at week 0, week 4, and week 12. The software IBM SPSS was used to analyse the data. Generalized linear mixed model analysis with intention-to-treat principle was applied. Results: The retention rate was 74.2%. Findings showed that the i-WMP was significantly effective in reducing not only body weight as primary outcome but also secondary outcomes such as waist-to-height ratio, waist circumference, body mass index, and total sitting time. It also improved effectively other secondary out- comes such as participants’ knowledge, attitude, and practice towards dietary and towards physical activity. Howev- er, no significant changes were reported for body fat percentage and total physical activity metabolic equivalent of task-minutes/week. Conclusion: Implications surrounding the implementation of i-WMP in the primary care clinics are recommended. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2022-11 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/99339/1/2022112909252608_MJMHS_0081.pdf Tan, Siew Tin and Mohd Sidik, Sherina and Rampal, Lekhraj and Tan, Kit Aun and Ibrahim, Zuriati and Ahmad, Norliza and Mustapha, Ummu Kalsum and Paimin, Fuziah and Talib, Nor Hazlin and Sharifuddin, Naemah and Ibrahim, Normala (2022) Effectiveness of an integrated-Weight Management Programme (i-WMP) in reducing body weight among noncommunicable disease patients in Malaysian government primary care clinics: a randomised controlled trial. Malaysian Journal of Medicine and Health Sciences, 18 (6). pp. 54-64. ISSN 2636-9346 https://medic.upm.edu.my/upload/dokumen/2022112909252608_MJMHS_0081.pdf 10.47836/mjmhs18.6.9 |
| spellingShingle | Tan, Siew Tin Mohd Sidik, Sherina Rampal, Lekhraj Tan, Kit Aun Ibrahim, Zuriati Ahmad, Norliza Mustapha, Ummu Kalsum Paimin, Fuziah Talib, Nor Hazlin Sharifuddin, Naemah Ibrahim, Normala Effectiveness of an integrated-Weight Management Programme (i-WMP) in reducing body weight among noncommunicable disease patients in Malaysian government primary care clinics: a randomised controlled trial |
| title | Effectiveness of an integrated-Weight Management Programme (i-WMP) in reducing body weight among noncommunicable disease patients in Malaysian government primary care clinics: a randomised controlled trial |
| title_full | Effectiveness of an integrated-Weight Management Programme (i-WMP) in reducing body weight among noncommunicable disease patients in Malaysian government primary care clinics: a randomised controlled trial |
| title_fullStr | Effectiveness of an integrated-Weight Management Programme (i-WMP) in reducing body weight among noncommunicable disease patients in Malaysian government primary care clinics: a randomised controlled trial |
| title_full_unstemmed | Effectiveness of an integrated-Weight Management Programme (i-WMP) in reducing body weight among noncommunicable disease patients in Malaysian government primary care clinics: a randomised controlled trial |
| title_short | Effectiveness of an integrated-Weight Management Programme (i-WMP) in reducing body weight among noncommunicable disease patients in Malaysian government primary care clinics: a randomised controlled trial |
| title_sort | effectiveness of an integrated weight management programme i wmp in reducing body weight among noncommunicable disease patients in malaysian government primary care clinics a randomised controlled trial |
| url | http://psasir.upm.edu.my/id/eprint/99339/1/2022112909252608_MJMHS_0081.pdf |
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