The effect of empowerment program to reduce Sugar Consumption based on the Multi-Theory Model on Body Mass Index and abdominal obesity in Iranian women

• Published in: BMC women's health Vol. 23; no. 1; p. 207
• Main Authors: Joveini, Hamid, Sharifi, Nader, Meymary, Batool Kalate, Mehri, Ali, Shahrabadi, Reza, Rahmanian, Vahid, Hashemian, Masoumeh
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 28.04.2023; BioMed Central; BMC
• Subjects: Abdomen; Body Mass Index; Care and treatment; Complications and side effects; Diabetes; Dietary Sugars; Distribution; Eating behavior; Education; Empowerment; Female; Food habits; Health aspects; Health behavior; Health services; Humans; Intervention; Iran; Likert scale; Middle Aged; Multi-Theory Model; Nutritional aspects; Obesity; Obesity - epidemiology; Obesity - prevention & control; Obesity, Abdominal - prevention & control; Overweight; Power; Questionnaires; Sample size; Service centers; Smoking cessation; Sugar; Sugars; Waist circumference; Women; Womens health; Iran; Body Mass Index; Women; Waist circumference; Education; Multi-Theory Model
• ISSN: 1472-6874; 1472-6874
• DOI: 10.1186/s12905-023-02361-9

Considering the prevalence of overweight and abdominal obesity in middle-aged women, this study was conducted to determine the effect of empowerment program to reduce sugar consumption based on the Multi-Theory Model (MTM) on Body Mass Index (BMI) and abdominal obesity in women aged 30-60 in Joven. This quasi-experimental study (include descriptive and interventional sections) was conducted on the Joven city, Khorasan Razavi province, Iran country from October 2020 to August 2021. Sampling was performed as a multi-stage cluster. First, a descriptive study was performed among 400 women, and then 128 people who were eligible to enter the interventional phase of the study were selected. In the control group, 63 people and in the intervention group, 65 people were eligible to enter the study. The educational intervention was performed in five 60-minute sessions for groups of 12 people. The instruments included the demographic questionnaire, sugar consumption checklist and researcher-made questionnaire based on MTM constructs. Before the intervention, one, three and six months after the intervention, the questionnaire was completed by both intervention and control groups also measurement of waist circumference and BMI were performed using standard instruments. The obtained data were analyzed by SPSS 17. After the educational intervention, there was a significant difference between the intervention and control groups in all the MTM constructs. Also, six months after the educational intervention, BMI, waist circumference and amount of consumption of sugary substances decreased significantly in the intervention group (p < 0.05). Educational intervention based on the MTM can be effective in reducing the consumption of sugary substances and shaping behaviors related to healthy lifestyle in women.