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Narrative-Focused Group Counseling Improves Intervention Outcomes in Women With Obesity Publisher Pubmed



Ajami M1 ; Kagawa M2 ; Roshanmehr F2, 3 ; Mckian SS4 ; Radfar M5 ; Vazirijavid R6 ; Houshiarrad A7 ; Esmaeili M7 ; Taghizadehhesary F8, 9 ; Lovell L10 ; Abdollahi M11
Authors

Source: Journal of Nutrition Education and Behavior Published:2022


Abstract

Objective: To investigate the effects of narrative group counseling combined with diet modification and exercise plans on weight loss in Iranian women with obesity. Design: Parallel 2-arm clinical trial. Participants: Fifty-six Iranian women with obesity (aged 18–50 years). Intervention: The intervention group included weekly diet, exercise, and narrative-focused group counseling, whereas the comparison group included dietary modification and exercise sessions for 8 months (32 sessions). Main Outcome Measure: Anthropometric and body composition parameters, blood biochemical parameters (high-density lipoproteins, low-density lipoproteins, triglycerides, fasting blood sugar, ghrelin, obestatin), physical activities, and appetite scores. Analysis: McNemar test was used for the variables that were not normally distributed and for scaling. Furthermore, t tests were used to compare quantitative variables with normal distributions. The original P (0.05) was adjusted to P = 0.0031 using the Bonferroni correction. Results: Weight, body mass index, body fat proportion, and hip circumference decreased significantly in the intervention vs comparison group. Serum low-density lipoproteins, triglycerides, total cholesterol, fasting blood sugar, appetite score, and ghrelin decreased, whereas obestatin increased significantly in the intervention vs comparison group. Conclusions and Implications: Narrative-focused group counseling combined with traditional strategies was effective in achieving significant changes in weight, body mass index, and appetite. Future studies with a more diverse audience and a longer follow-up are warranted. © 2022 Society for Nutrition Education and Behavior
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