Multidisciplinary Approach to Obesity: Effects on Healthy - Permanent Weight Loss and Psychological Symptoms

Year 2021, Volume: 13 Number: Supplement 1 (Research Issue), 311 - 323, 29.12.2021

Dilek Şayık , Ahmet Ak , Ezgi Dinibütün Öğrünç , Sevilay Süreyya Ermis , Ahmet Musmul

https://doi.org/10.18863/pgy.998530

Abstract

Obese individuals are at increased risk for many physical and psychological diseases compared to normal-weight individuals. This study aims to determine the effectiveness of the multidisciplinary approach applied to obese patients in an Obesity Center on healthy - permanent weight loss and psychological symptoms. This cross-sectional study was conducted with 50 obese individuals who completed the 12-month (6 modules) Obesity Center Training Program (OCTP). The mean age of the participants was 47.36 ± 12.88, and 96.0% (n = 48) were women. The Body Mass Index (BMI) of the participants with an education level of primary and secondary school was higher. The metabolic age, body weight, BMI, body fat mass, and lean tissue mass of the participants decreased significantly after the 12-month multidisciplinary program OCTP. Concurrently, the participants' mean Beck depression scores decreased significantly from 18.68 ± 7.94 (moderate depression) to 10.56 ± 5.60 (mild depression). There was a highly positive correlation between the depression level (10.56 ± 5.60) and the BMI value of the participants at the end of the program (34.48 ± 4.86). The multidisciplinary approach adopted in the fight against obesity is effective in permanent and healthy weight loss in obese individuals and reduces psychological symptoms. It is crucial that obese individuals are supported by health professionals in the weight loss process.

Keywords

Obesity, obesity center, training program, weight loss, multidisciplinary approach

Obeziteye Multidisipliner Yaklaşım: Sağlıklı - Kalıcı Kilo Verme ve Psikolojik Belirtiler Üzerine Etkileri

Abstract

Obez bireyler normal kilolu olan bireylere göre fiziksel ve psikolojik hastalıklar yönünden daha fazla risk taşıyabilmektedir. Bu çalışma, obez hastalara Obezite Merkezinde uygulanan multidisipliner yaklaşımın sağlıklı - kalıcı kilo verme ve psikolojik belirtilere etkisinin belirlenmesi amacıyla yapılmıştır. Kesitsel tipte olan bu araştırma 12 aylık (6 modül) Obezite Merkezi Eğitim Programını (OMEP) tamamlamış 50 obez birey ile yapılmıştır. Katılımcıların yaş ortalaması 47,36±12,88 ve %96,0’ı (n=48) kadındır. İlkokul ve ortaokul mezunu olan katılımcıların Beden Kitle İndeksi (BKİ) daha yüksektir. Katılımcıların 12 aylık multidispliner yaklaşımlı OMEP sonrasında metabolizma yaşı, vücut ağırlığı, BKİ, vücut yağ kitlesi ağırlığı ve yağsız doku kitlesi ağırlığının anlamlı olarak azaldığı saptanmıştır. Katılımcıların Beck Depresyon ortalamasının 18,68±7,94’ten (orta derece depresyon) 10,56±5,60’a (hafif derecede depresyon) anlamlı olarak düştüğü belirlenmiştir. Katılımcıların uygulama sonrasındaki depresyon düzeyi (10,56±5,60) ile modül sonu BKİ değeri (34,48±4,86) arasında ileri düzeyde pozitif pozitif yönde ilişki saptanmıştır. Obezite ile mücadele için obez bireylere uygulanan multidisipliner yaklaşımın kalıcı ve sağlıklı kilo vermede etkili olduğu ve psikolojik semptomları azalttığı görülmektedir. Obez bireylerin kilo verme sürecinde sağlık profesyonelleri tarafından desteklenmeleri önemlidir.

Keywords

Obezite, obezite merkezi, eğitim programı, kilo verme, multidisipliner yaklaşım

References

• Aggarwal B, Jain V (2018) Obesity in children: definition, etiology and approach. Indian J Pediatr, 85:463-471.
• Alp G (2014) Determination of the Effect of obesity treatment applied in a private physical therapy center on weight loss (dissertation on the Internet). Ankara, University of Baskent.
• Beck AT (1961) An inventory for measuring depression. Arch Gen Psychiatry, 4:561-71.
• Biffi F, Raineri ML (2018) The social capital of obese persons: implication for selfhelp/mutual aid groups and social work practice. European Journal of Social Work, 21:530-545.
• Blüher M (2020) Metabolically healthy obesity. Endocrine Reviews, 41:405-420.
• Bray GA, Frühbeck G, Ryan DH, Wilding JP (2016) Management of obesity. The Lancet, 387:1947-1956.
• Byrd AS, Toth AT, Stanford FC (2018) Racial disparities in obesity treatment. Curr Obes Rep, 7:130-138.
• Celebioglu N (2020) Nutrition habits, physical activity and conditions of using weight loss product of individuals who apllied to a private diet center in buldan district (dissertation on the Internet). Pamukkale,University of Pamukkale.
• Daly M, Sutin AR, Robinson E (2019) Perceived weight discrimination mediates the prospective association between obesity and physiological dysregulation: Evidence from a population-based cohort. Psychol Sci, 30:1030-1039.
• Danismaz Sevin M, Kaya B, Zengin DB, Esenturk MU, Dogan S, Demir S et al. (2020) XXXL sizes: investigation of obese people’s coping strategies in terms of some socio demographic variables. J Society & Social Work, 31:1029-1052.
• Dobner J, Kaser S (2018). Body mass index and the risk of infection-from underweight to obesity. Clin Microbiol Infect, 24:24-28.
• Ertem M (2017) Obesity epidemiology and prevention. Klinik Tıp Bilimleri, 5:21-30.
• Horák S, Sovová E, Pastucha D, Konečný P, Radová L, Calabová N et al. (2017) Comprehensive group therapy of obesity and its impact on selected anthropometric and postural parameters. Cent Eur J Public Health, 25:326-331.
• Hsieh TH, Lee JJ, Yu EWR, Hu HY, Lin SY, Ho CY (2020) Association between obesity and education level among the elderly in Taipei, Taiwan between 2013 and 2015: a cross-sectional study. Sci Rep, 10:20285. Kadouh HC, Acosta A (2017) Current paradigms in the etiology of obesity. Tech Gastrointest Endosc, 19:2-11.
• Kara H (2014) The relationship between weight loss and levels of leptin, ghrelin, nesfatin1 and obestatin biochemical parameters in obese individuals with diet (dissertation on the Internet). Balıkesir, University of Balıkesir.
• Lanigan J, Tee L, Brandreth R (2019) Childhood obesity. Medicine, 47:190-194.
• LeBlanc ES, Patnode CD, Webber EM, Webber EM, Redmond N, Rushkin M et al. (2018) Behavioral and pharmacotherapy weight loss interventions to prevent obesity-related morbidity and mortality in adults: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA. 320(11):1172-1191.
• Ma J, Yank V, Xiao L, Lavori PW, Wilson SR, Rosas LG et al. (2013) Translating the diabetes prevention program lifestyle intervention for weight loss into primary care: a randomized trial. JAMA Intern Med, 173:113-121.
• Ma J, Rosas LG, Lv N, Xiao L, Snowden MB, Venditti EM et al. (2019) Effect of integrated behavioral weight loss treatment and problem-solving therapy on body mass index and depressive symptoms among patients with obesity and depression: the RAINBOW randomized clinical trial. JAMA, 2019;321(9):869-879.
• Megson M, Wing R, Leahey TM (2017) Effects of breakfast eating and eating frequency on body mass index and weight loss outcomes in adults enrolled in an obesity treatment program. J Behav Med, 40:595-601.
• Nigatu YT, Bültmann U, Schoevers RA, Penninx BW, Reijneveld SA (2017) Does obesity along with major depression or anxiety lead to higher use of health care and costs. Eur J Public Health, 27:965-971.
• Ogden CL, Carroll MD, Fakhouri TH, Hales CM, Fryar CD, Li X et al. (2018) Prevalence of obesity among youths by household income and education level of head of household - United States 2011–2014. Morb Mortal Wkly Rep, 67(6):186–189.
• Oguz G, Karabekiroglu A, Kocamanoglu B, Sungur MZ (2016) Obesity and cognitive behavioral therapy. Current Approaches in Psychiatry, 8:133-144.
• Ozden MLFO, Atabey V (2019) The Relation between obesity, oxidative stress and periodontal disease. EU Dishek Fak Derg, 40:9-16.
• Rand K, Vallis M, Aston M, Price S, Piccinini-Vallis H, Rehman L et al. (2017) “It is not the diet; it is the mental part we need help with.” A multilevel analysis of psychological, emotional, and social well-being in obesity. Int J Qual Stud Health Well-being, 12:1306421.
• Sahin CE, Sezerol MA, Atak M (2021) Assessments of healthy diet and obesity services on primary health care centers in Turkey. Anatolian Clinic, 26:60-69.
• Sharma N, Lee J, Youssef I, Salifu MO, McFarlane SI (2017) Obesity, cardiovascular disease and sleep disorders: insights into the rising epidemic. J Sleep Disord Ther, 6:260.
• Stefan N, Birkenfeld AL, Schulze MB (2021) Global pandemics interconnected - obesity, impaired metabolic health and COVID-19. Nat Rev Endocrinol. 17:135-149.
• Tastan K, Harmanci H, Sincan S, Oztekin C (2020) Comparison of effectiveness of ear acupuncture and NLP practices on weight loss in overweight and obese individuals. Konuralp Medical Journal, 12:290-295.
• T.C. Saglik Bakanligi, Halk Sagligi Genel Mudurlugu (2021) Obezite nasıl hesaplanır?. https://hsgm.saglik.gov.tr/tr/obezite/obezite-nasil-saptanir.html (cited 2021 May 25).
• Tegin B (1980) Cognitive impairments in depression: an analysis according to Beck’s model (doctoral thesis). Ankara, University of Hacettepe.
• Tiryaki ST (2017) Retrospectıve analysıs of composıtıon values wıth lıver enzymes and bılurubın levels body of women aged 55-70 years dıagnosed wıth obesıty (dissertation on the Internet). Batman, University of Batman.
• TUIK. Turkey Saglik Arastirmasi (2019) Obezite. https://data.tuik.gov.tr/Bulten/Index?p=Turkiye-Saglik-Arastirmasi-2019-33661 (cited 2021 May 25).
• Ural D, Kilickap M, Goksuluk H, Karaaslan D, Kayikcioglu M, Ozer N et al. (2018) Data on prevalence of obesity and waist circumference in Turkey: Systematic review, meta-analysis and meta-regression of epidemiological studies on cardiovascular risk factors. Turk Kardiyol Dern Ars, 46:577-590.
• Varela C, Andrés A, Saldaña C (2020) The behavioral pathway model to overweight and obesity: coping strategies, eating behaviors and body mass index. Eat Weight Disord, 25:1277-1283.
• Wadden TA, Bailey TS, Billings LK, Davies M, Frias JP, Koroleva A, et al. (2021) Effect of subcutaneous semaglutide vs placebo as an adjunct to intensive behavioral therapy on body weight in adults with overweight or obesity: the STEP 3 randomized clinical trial. JAMA. 325:1403-1413.
• WHO, World Health Organization (2016) Obesity. https://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight (cited 2021 May 25).
• Yesil E, Ozdemir M, Aritici G, Aksoydan E (2019) Evaluatıon of the relatıonshıp between waıst heıght ratıo and other anthropometrıc measures in the rısk of chronıc dıseases. AUHSJ, 10:241-246.
• Yilmaz BO, Cicek B, Kaner G (2018) Determining the obesity level and related risk factors in adolescents attending at high schools in Kayseri province. Turk Hij Den Biyol Derg, 75:77-88.
• Yoldag F (2016) Comparison of high protein diets and normal protein diets for weight loss in obese individuals (dissertation on the Internet). North Cyprus, University of Eastern Mediterranean.