The Effectiveness Of E-Counseling toward Weight Loss Program Among Obesity Students

Fitri Nur Malini Siregar, Ratih Yulistika Utami

Abstract


A pandemic of obesity has caused many people to gain weight during the COVID pandemic.This pandemic has also caused people to minimize seeking treatment at health facilities. Therefore, the e-counseling method in the weight loss program is considered capable of being a treatment for obesity during a pandemic. This study aims to determine the effectiveness of e-counseling on the weight loss management program among obesity students. Methods: This study is a retrospective cohort analytic study involving obese patients. Sixty subjects was taken by the consecutive sampling method. The E-counseling method that the patient undergoes is in the form of face-to-face virtual counseling at the beginning of the program about 15 minutes per person, then a meal plan is given by reducing 500-700 kcal from the daily intake. This is followed by providing education on healthy lifestyles and periodic consultations through the WhatsApp group while undergoing the weight loss program. Results:. After undergoing the intervention for 1 month, the effects of losing as much weight as 3,39 – 4,21 kg (p<0.001) used T- dependent test. Body mass index of research subjects also decreased as much as 1,72 kg/m2 to 1,88  kg/m2 (p<0.001) used T dependent test. Waist circumference measurements also showed a decrease as much as  4,4 cm to 5,8 cm (p<0.001) used Wilcoxon test. Conclusion: The weight loss program through the e-counseling method was clinically and statistically proven effective in reducing body weight, body mass index and waist circumference in research subjects after 1 month of intervention.

Keywords: e-counseling, obesity, body mass index, waist circumference


Keywords


e-counseling, obesity, body mass index, waist circumference

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References


Berry EM. The Obesity Pandemic—Whose Responsibility? No Blame, No Shame, Not More of the Same. Front Nutr. 2020 Jan 31;7:2.

Badan Penelitian dan Pengembangan Kesehatan. LAPORAN NASIONAL RISKESDAS 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2019.

Chooi YC, Ding C, Magkos F. The epidemiology of obesity. Metabolism. 2019 Mar;92:6–10.

Harbuwono DS, Pramono LA, Yunir E, Subekti I. Obesity and central obesity in Indonesia: evidence from a national health survey. Med J Indones. 2018 Sep 9;27(2):114–20.

Nasution HN, Febriyanti E, Suryani D. Relationship between Frequency of Sugar Sweetened-Beverages (SSB) Consumption and Prediabetes: Aim For Screening Prediabetes Among Medical Students. 2022;7(1).

Boles A, Kandimalla R, Reddy PH. Dynamics of diabetes and obesity: Epidemiological perspective. Biochim Biophys Acta BBA - Mol Basis Dis. 2017 May;1863(5):1026–36.

Tanaka N, Okuda T, Shinohara H, Hirano N, Higashine Y, Hamaguchi I, et al. Prevalence of Masked Obesity Associated with Lifestyle-Related Habits, Dietary Habits, and Energy Metabolism in Japanese Young Women. J Gizi Dan Pangan. 2020 Jul 30;15(2):81–90.

Durrer Schutz D, Busetto L, Dicker D, Farpour-Lambert N, Pryke R, Toplak H, et al. European Practical and Patient-Centred Guidelines for Adult Obesity Management in Primary Care. Obes Facts. 2019;12(1):40–66.

Febriyanti E, Suryani D, Utami RY. Edukasi Masalah Nutrisi Selama Pandemi Covid-19 Kepada Ikatan Remaja Masjid Al Rasyid (Ikrama) Bandar Khalipah Medan. J Implementa Husada. 2020 Aug 11;1(2):107.

Kheniser K, Saxon DR, Kashyap SR. Long-Term Weight Loss Strategies for Obesity. J Clin Endocrinol Metab. 2021 Jun 16;106(7):1854–66.

Senecal C, Widmer RJ, Larrabee BR, de Andrade M, Lerman LO, Lerman A, et al. A Digital Health Weight Loss Program in 250,000 Individuals. J Obes. 2020 Mar 26;2020:1–8.

Phelan S, Halfman T, Pinto AM, Foster GD. Behavioral and Psychological Strategies of Long‐Term Weight Loss Maintainers in a Widely Available Weight Management Program. Obesity. 2020 Feb;28(2):421–8.

Drywień ME, Hamulka J, Zielinska-Pukos MA, Jeruszka-Bielak M, Górnicka M. The COVID-19 Pandemic Lockdowns and Changes in Body Weight among Polish Women. A Cross-Sectional Online Survey PLifeCOVID-19 Study. Sustainability. 2020 Sep 20;12(18):7768.

Choudakis M, Matos L, Bischoff S. Nutritional support in obese patients. In: Basic in Clinical Nutrition [Internet]. 5th ed. Prague: House Galen; 2019 [cited 2018 Dec 13]. p. 542–50. Available from: http://linkinghub.elsevier.com/retrieve/pii/S1751499109000596

lysen L, Israel DA, editors. Nutrition in Weight Management. In: Krause’s food & the nutrition care process. Fourteenth edition. St. Louis, Missouri: Elsevier; 2017. p. 383–403.

Amti E, Prayitno. Layanan bimbingan dan konseling kelompok. Padang: Jurusan Bimbingan dan Konseling Fakultas Ilmu Pendidikan Universitas Negeri Padang; 2004.

Bennell KL, Lawford BJ, Keating C, Brown C, Kasza J, Mackenzie D, et al. Comparing Video-Based, Telehealth-Delivered Exercise and Weight Loss Programs With Online Education on Outcomes of Knee Osteoarthritis: A Randomized Trial. Ann Intern Med. 2022 Feb;175(2):198–209.

Yumuk V, Tsigos C, Fried M, Schindler K, Busetto L, Micic D, et al. European Guidelines for Obesity Management in Adults. Obes Facts. 2015;8(6):402–24.

Yannakoulia M, Poulimeneas D, Mamalaki E, Anastasiou CA. Dietary modifications for weight loss and weight loss maintenance. Metabolism. 2019 Mar;92:153–62.

Wu T, Gao X, Chen M, Van Dam RM. Long‐term effectiveness of diet‐plus‐exercise interventions vs. diet‐only interventions for weight loss: a meta‐analysis. Obes Rev. 2009 May;10(3):313–23.

Ryan DH, Kahan S. Guideline Recommendations for Obesity Management. Med Clin North Am. 2018 Jan;102(1):49–63.




DOI: https://doi.org/10.30596/amj.v7i1.15161

DOI (PDF): https://doi.org/10.30596/amj.v7i1.15161.g10793

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Jurnal Kedokteran Anatomica/ Anatomica Medical Journal (AMJ)

Fakultas Kedokteran
Universitas Muhammadiyah Sumatera Utara, Indonesia
Kampus 1 Lantai II Laboratorium Anatomi
Jl. Gedung Arca No 53 Medan-Sumatera Utara, Indonesia.
E-mail: amj_fk@umsu.ac.id || Editorial Contact: 081375150018

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