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Walking as a feasible means of effecting positive changes in BMI, waist, and blood pressure in black South African women.

African health sciences
December 1, 2018
Philippe Jean-Luc Gradidge et al. (2 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether a structured walking intervention could reduce obesity-related metrics (BMI, waist circumference, blood pressure) in women in sub-Saharan Africa.

Results Summary

The walking intervention group showed significant improvements in BMI, waist circumference, and blood pressure compared to the control group, which experienced increases in these metrics. The study suggests that walking can be an effective intervention for obesity-related outcomes.

Population

115 women employed at the University of Venda, Limpopo province, South Africa.

Effective Dosage

30 minutes, 3 days per week on treadmills.

Duration

12 weeks.

Interactions

None mentioned.

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
walking for 30 minutes, 3 days per week for a period of 12 weeks on treadmills
decrease
BMI
115 women employed at the University of Venda, Limpopo province
-0.80
absolute changes in BMI
#1
walking for 30 minutes, 3 days per week for a period of 12 weeks on treadmills
decrease
waist circumference
115 women employed at the University of Venda, Limpopo province
-1.50
absolute changes in waist
#2
walking for 30 minutes, 3 days per week for a period of 12 weeks on treadmills
decrease
systolic blood pressure
115 women employed at the University of Venda, Limpopo province
-4.02
absolute changes in systolic BP
#3
walking for 30 minutes, 3 days per week for a period of 12 weeks on treadmills
decrease
diastolic blood pressure
115 women employed at the University of Venda, Limpopo province
-2.37
absolute changes in diastolic BP
#4
continue with usual activities
increase
BMI
115 women employed at the University of Venda, Limpopo province
+1.05
absolute changes in BMI
#5
continue with usual activities
increase
waist circumference
115 women employed at the University of Venda, Limpopo province
+1.73
absolute changes in waist
#6
continue with usual activities
increase
systolic blood pressure
115 women employed at the University of Venda, Limpopo province
+4.64
absolute changes in systolic BP
#7
continue with usual activities
increase
diastolic blood pressure
115 women employed at the University of Venda, Limpopo province
+4.94
absolute changes in diastolic BP
#8
-
neutral
body size discrepancy
115 women employed at the University of Venda, Limpopo province
most had a desire for thinness
results of the FID analysis showed
#9
Abstract

BACKGROUND: In the context of a growing obesity pandemic in sub-Saharan African countries little is known on how to address the problem /disease in the region. METHODS: A randomised controlled trial of walking to decrease obesity was conducted using 115 women employed at the University of Venda, Limpopo province. 49 of these participants were randomly selected into an intervention group, which walked for 30 minutes, 3 days per week for a period of 12 weeks on treadmills located in the university gym. The control group were instructed to continue with usual activities. Baseline and follow-up body mass index (BMI), waist circumference, blood pressure (BP), body size discrepancy (measured by a feel-minus-ideal (FID) index), and physical activity were collected on all participants. RESULTS: The absolute changes in BMI, waist, systolic and diastolic BP in the intervention group was -0.80, -1.50, -4.02 and -2.37, respectively. In contrast, the absolute changes for these were +1.05, +1.73, +4.64 and +4.94, respectively in the control group. The results of the FID analysis showed that most had a desire for thinness. CONCLUSION: Our data demonstrates that positive changes in BMI, waist, and BP were observed in the intervention group, indicating the potential scalability of the intervention.

Medical Subject Headings (MeSH)
Academic Medical CentersAdultBlack PeopleBlood PressureBody Mass IndexBody Weights and MeasuresExerciseFemaleHumansMiddle AgedObesityRisk FactorsRural PopulationSocioeconomic FactorsSouth AfricaWaist CircumferenceWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations8
Citations/Year1.1
Relative Citation Ratio0.66
NIH Percentile35.5%
Research Impact Scores
APT Score0.25
Weight Score1.91
Normalized Score0.69
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