Effectiveness of a slimming program for the public Hong Kong Tuberculosis, Chest and Heart Diseases Association Hong Kong Centre for Health Promotion and.

Effectiveness of a slimming Effectiveness of a slimming program for the publicprogram for the public

Hong Kong Tuberculosis, Chest and Heart Diseases Association Hong Kong Tuberculosis, Chest and Heart Diseases Association Hong Kong Centre for Health Promotion and Disease PreventionHong Kong Centre for Health Promotion and Disease Prevention

Symposium onCommunity Engagement II

“Building a Successful Partnership in Community Care”

Symposium onCommunity Engagement II

“Building a Successful Partnership in Community Care”

Mr. Ho Kam PuiProgram Officer

Hong Kong Centre for Health Promotion and Disease PreventionHong Kong Tuberculosis, Chest and Heart Diseases Association

Mr. Ho Kam PuiProgram Officer

Hong Kong Centre for Health Promotion and Disease PreventionHong Kong Tuberculosis, Chest and Heart Diseases Association

Introduction

Recent studies show that in Hong Kong, 20.1% of men and 15.9% of women are overweight, and 22.3% of men and 20.0% of women are obese.

Lifestyles like dietary intake and physical exercise have direct bearing on body fitness.

However, many people have a misconception about obesity management. Thus, education should be provided.

Purpose

1. To increase the awareness of the knowledge in dietary intake, exercise, and pharmacological knowledge for the participants

2. To assess the change of the health belief and self-efficacy after a year of structured education program on weight reduction and

3. To promote the concept of self care in four behavioral patterns including regular exercise, regular weight watching, low-fat, low-calorie diet and monitoring of food intake.

Methods

Participants were all general public

Each program was composed of 3 modules Module 1 – Diet and Weight Management (瘦身與營養 )

Module 2 – Understanding Drugs and Food Supplements for Weight Management (認識瘦身藥物及食物補充劑 )

Module 3 – Obesity and Diseases, Exercises and Weight Management (肥胖與疾病、運動與體重 )

Methods

Health check including fat analysis, BMI, waist-hip ratio and blood pressure were measured at each lecture and activities.

Dietary follow-up, exercise class, cooking competition and trail walking were organized.

Ongoing contact with health professionals including nurses, doctors, dietitian and pharmacists helped monitoring changes and lapses, provided opportunities to adjust strategy.

“Pre-test” and “Post-test” questionnaire survey was employed. After the completion of the program, a self-reported current weight was obtained.

Programs

Class A Module 1 – 30/4/2006 Module 2 – 21/5/2006 Module 3 – 25/6/2006

Class B Module 1 – 14/5/2006 Module 2 – 18/6/2006 Module 3 – 9/7/2006

Class C Module 1 – 13/8/2006 Module 2 – 3/9/2006 Module 3 – 15/10/2006

Programs

In each module, the content included:

Stretching Exercises ( 醒神活力操 )Stretching Exercises ( 醒神活力操 )Health Talk ( 專題講座 )Health Talk ( 專題講座 )

Programs

Aerobic Exercises ( 纖型活力操 )Aerobic Exercises ( 纖型活力操 )

Games ( 遊戲 )Games ( 遊戲 )

Programs

Diet Advisory Section ( 食得健康、吃得有“營” )

Diet Advisory Section ( 食得健康、吃得有“營” )

Health Tests ( 健康測試 )Health Tests ( 健康測試 )

Programs and Methods

Group Discussion and Sharing ( 小組討論及分享 )Group Discussion and Sharing ( 小組討論及分享 )

Programs

Exercise & Sharing Session運動與分享

20/8/2006 & 27/8/2006

Exercise & Sharing Session運動與分享

20/8/2006 & 27/8/2006

Programs and Methods

Activity – Walk for Health 活動 – 輕輕鬆鬆健步行

Activity – Walk for Health 活動 – 輕輕鬆鬆健步行

Wanchai – Peak ( 灣仔 -山頂 )8/10/2006

Wanchai – Peak ( 灣仔 -山頂 )8/10/2006

Wanchai – Aberdeen ( 灣仔 -香港仔 )19/11/2006

Wanchai – Aberdeen ( 灣仔 -香港仔 )19/11/2006

Programs

Cooking Competition 健康美食比賽Cooking Competition 健康美食比賽

Presentation by participants參賽者介紹自己之作品

Presentation by participants參賽者介紹自己之作品

Champion dish冠軍作品

Champion dish冠軍作品

Programs

Cooking Competition 健康美食比賽

Cooking Competition 健康美食比賽

2+3 Health Booth衞生署「日日 2+3 」健康攤位

2+3 Health Booth衞生署「日日 2+3 」健康攤位Mr. Pang Yuk Ling,

Chairman of our Associationpresented the awards to the winners

本會主席彭玉陵太平紳士頒獎給比賽得獎者

Mr. Pang Yuk Ling,Chairman of our Association

presented the awards to the winners本會主席彭玉陵太平紳士

頒獎給比賽得獎者

Results

From April 2005 to April 2006, 123 subjects were

studied, 95% of whom were female.

Participants included nurses, teachers, social

workers, chefs, housewives, administrative staff etc.

A majority, of 78 participants (56 of them had BMI over

23), had attended all three lectures.

65% of the participants had reduced fat percentage,

62% had lower BMI and 41% had reduced waist-hip

ratio after attending the three lectures and dietary

follow-up.

Results

The mean weight (kg) fell from (65.5+/- 8.6)kg at the baseline to (62.2+/- 8.0)kg after one year.

Significant correlation was found between support by family members and the successful weight maintenance.

Programs

Fitness Merit Award Ceremony至 fit 頒獎典禮

Fitness Merit Award Ceremony至 fit 頒獎典禮

Guests of the Ceremony典禮嘉賓合照

Guests of the Ceremony典禮嘉賓合照

Aerobic Exercise纖型伸展操

Aerobic Exercise纖型伸展操

Programs and Methods

Winners of the Health Ambassador Awards「健康大使」得獎者

Winners of the Health Ambassador Awards「健康大使」得獎者

Fitness Merit Award Ceremony 至 fit 頒獎典禮Fitness Merit Award Ceremony 至 fit 頒獎典禮

Conclusion

This structured education program with the collaboration of different health care professionals or support group could increase their awareness on weight reduction

It can modify the behavior of the participants with a significant amount of lost weight, maintaining motivation for the continuity of self care, providing encouragement and protecting against relapse.

Conclusion

In long term, more people change the attitude and behavior on weight reduction would prevent the many diseases

It can lower the medical burden from the government.

This program was successful and it will be re-organized from September 2006 to January 2007.

Acknowledgement Mr. Stanley Au, Senior Nursing Officer, Grantham Hospital

Ms. Babe Chan, Director, Hong Kong Centre for Health Promotion and Disease Prevention, Hong Kong Tuberculosis, Chest and Heart Diseases Association

Mr. Eva Cheng, Senior Hospital Manager, Ruttonjee and Tang Shiu Kin Hospitals

Ms. Jenny Chan, Nurse, Grantham Hospital

Mr. Peter Lee, Nursing Officer, Central Health Education Unit, Department of Health

Mr. Henry Cheung, Senior Consultant, Occupational Safety & Health Council.

Mr. Alky Yung, Manager,   Hong Kong Centre for Health Promotion and Disease Prevention, Hong Kong Tuberculosis, Chest and Heart Diseases Association

Mr. Tommy Ho, Program Officer,  Hong Kong Centre for Health Promotion and Disease Prevention, Hong Kong Tuberculosis, Chest and Heart Diseases Association

Ms. Eva Leung, Assistant Manager,  Hong Kong Centre for Health Promotion and Disease Prevention, Hong Kong Tuberculosis, Chest and Heart Diseases Association

Thank you﹗Thank you﹗

266 Queen’s Road East, Wanchai, Hong Kong電話： (852) 2572 3466 E-mail : [email protected] 傳真： (852) 2834 0711 Web Site : www.ha.org.hk/org/antitb