Effectiveness of a slimming program for the public

1. Hong Kong Tuberculosis, Chest and Heart Diseases Association Hong Kong Centre for Health Promotion and Disease Prevention Effectiveness of a slimming program for the public Symposium on Community Engagement II “Building a Successful Partnership in Community Care” Mr. Ho Kam Pui Program Officer Hong Kong Centre for Health Promotion and Disease Prevention Hong Kong Tuberculosis, Chest and Heart Diseases Association

2. 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.

3. 3 classes of Workshops of Getting Slim in a Healthy Way

4. Purpose • To increase the awareness of the knowledge in dietary intake, exercise, and pharmacological knowledge for the participants • To assess the change of the health belief and self-efficacy after a year of structured education program on weight reduction and • 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.

5. 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)

6. 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.

7. 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

8. Programs • In each module, the content included: Stretching Exercises (醒神活力操) Health Talk (專題講座)

9. Programs Aerobic Exercises (纖型活力操) Games (遊戲)

10. Programs Diet Advisory Section (食得健康、吃得有“營”) Health Tests (健康測試)

11. Programs and Methods Group Discussion and Sharing (小組討論及分享)

12. Exercise & Sharing Session 20/8/2006 & 27/8/2006

13. Programs Exercise & Sharing Session 運動與分享 20/8/2006 & 27/8/2006

14. Walk for Health 8/10/2006 & 18/11/2006

15. Programs and Methods Wanchai – Peak (灣仔-山頂) 8/10/2006 Wanchai – Aberdeen (灣仔-香港仔) 19/11/2006 Activity – Walk for Health 活動 – 輕輕鬆鬆健步行

16. Cooking Competition 18/2/2006

17. Programs Presentation by participants參賽者介紹自己之作品 Champion dish冠軍作品 Cooking Competition 健康美食比賽

18. Programs 2+3 Health Booth 衞生署「日日2+3」健康攤位 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 Cooking Competition 健康美食比賽

19. 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.

20. 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.

21. Fitness Merit Award Ceremony 29/4/2006

22. Programs Guests of the Ceremony 典禮嘉賓合照 Aerobic Exercise 纖型伸展操 Fitness Merit Award Ceremony 至fit頒獎典禮

23. Programs and Methods Winners of the Health Ambassador Awards 「健康大使」得獎者 Fitness Merit Award Ceremony 至fit頒獎典禮

24. 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.

25. 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.

26. 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

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