The Effectiveness of The 10 on 10 Program Mohd Azemir Bin Mustafa - - PowerPoint PPT Presentation

The Effectiveness of The 10 on 10 Program

Mohd Azemir Bin Mustafa Health Education Division Ministry of Health Malaysia

Msc Health Education, Universiti Kebangsaan Malaysia Msc Sports Science, Universiti Teknologi MARA BA Hons (Sports Science), Universiti Teknologi MARA Health Education Division Ministry of Health Malaysia

Prevalence of obesity & overweight ≥18 years old (NHMS 1996, 2006, 2011, 2015)

“ A reasonable timeline for 5% to 10% weight loss is 3 to 6 months with a safe weight loss of ½ to 1kg per week ”

Page 24

• Systematic exercise intervention program lasts for 10 weeks

aim to achieve 10 kg weight loss among overweight and obese participants in Health Promotion Centre for Community (PPKK)

• Combine elements of “Practise & Compete” involving

evaluation, training with and without trainer

• Complete module with schedule and microcycle every weeks
• Nutrition lecture given on the first week of intervention and

weekly nutritional diary monitored each weeks

10 on 10

PPKK Management Meeting No. 1/2015 in Penang had decided 4 PPKK initiated Program 10 on 10 in 2015

PPKK Seberang Jaya Penang PPKK Bangi Selangor PPKK Kertih Terengganu PPKK Masjid Tanah Melaka

2016 2016

PPKK Bangi PPKK Kota Setar PPKK Sabak Bernam PPKK Purun PPKK Kuala Sawah PPKK Masjid Tanah PPKK Seberang Jaya PPKK Sungai Dua PPKK Teluk Datok

2015 2015

Champion 15 kg in PPKK Seberang Jaya First Runner Up 14.8 kg in PPKK Seberang Jaya > 10 kg 6 peoples (4 men, 2 women) 10 kg 3 peoples (1 man, 2 women) > 7 kg 9 peoples > 5kg 3 peoples > 3 kg 9 peoples < 3 kg 18 peoples Total 48 peoples

9 participants achieved reduction of 10 kg in 10 weeks

2016 2016

Champion 17.8 kg in PPKK Seberang Jaya 1st Runner Up 17.6 kg in PPKK Seberang Jaya 2nd Runner Up 17.5 kg in PPKK Masjid Tanah > 10 kg 15 peoples 6-9 kg 30 peoples < 5kg 55 peoples Static 3 peoples Increased 4 peoples Total 107 peoples

15 participants achieved reduction of 10 kg in 10 weeks

Research study

Vanhees et al. (2005) Physical fitness lead to health benefits and important to be measured in order to evaluate the effectiveness of intervention Wing et al. (2011) Although with 5% weight reduction, it will enhance health benefits related with blood pressure, cholesterol level and blood glucose

“ Only 12.5 % participants achieve targeted weight reduction”

(10 on 10 Program Report 2015)

PPKK Seberang Jaya, Penang

Justification

Support and

• ptimise 10 on

10 Program plan

• f action in

future Avoid misunderstanding of the common perception that weight reduction is the only important indicator to be monitored in weight reduction program

General Objective

To identify the effectiveness of 10 on 10 Program on weight reduction, physical fitness, cardiovascular risk factors, and physical activity among overweight and obese participants

1) To identify weight reduction before and after intervention Paired Samples t Test 2) To identify physical fitness before and after intervention Paired Samples t Test 3) To identify cardiovascular risk factors before and after intervention Paired Samples t Test & Wilcoxon Signed Rank Test 4) To identify physical activity before and after intervention Paired Samples t Test 5) To identify correlation between physical fitness changes and cardiovascular risk factors changes Spearman Correlation

Specific Objective

Importance

 Identify other measurement beside weight reduction  Addition to the literature review  Improve effectiveness of the intervention  Confirmed relationship between variables in conceptual framework  Find solution to the problem

METH THODO ODOLOGY OGY

Study Technique - Pre & Post Study Location – Health Promotion Centre for

Community (PPKK) Seberang Jaya, Penang

Sampling – Universal Sampling Sample - 10 on 10 Program Participants Data Collection Period – 12 weeks

(23rd July 2016 – 14th October 2016)

1) Open to all Malaysian citizens age 25-40 years

• ld

2) BMI 25 ≥

Participant Recruitment

3) Not having any physical injury 4) Not involve in

• ther exercise

program 5) Not pregnant 6) Not have health problems

Inclusion & Exclusion Criteria

• 1. Voluntarily join this

program

• 2. Completed 10

weeks intervention

• 1. Having heart problem
• 2. Refuse to engaged in

pre and post test

Inclusion Exclusion

1

• Briefing and Preliminary

2

• Pre-test (Fill up IPAQ-M form, Anthropometry & Physical Fitness tests)

3

• Pre-test (Fasting Blood Sugar & Fasting Serum Lipids)

4

• Intervention (Preparation, Transition & Specific)

5

• Post-test (Fill up IPAQ-M form, Anthropometry & Physical Fitness tests)

6

• Post-test (Fasting Blood Sugar & Fasting Serum Lipids)

Data Collection Flow Chart

Week 1 – Aerobic Interval & Peripheral Heart Action

Intervention

Week 2 – Aerobic interval & pre-exhaustion compound set

Week 3 – Fartleks & post-exhaustion compound set

Week 4 – Cross fit & circuit training

Week 5 – Fartleks & pre-exhaustion superset

Week 6 – Crossfit & antagonist superset

Week 7 – Cardio & post-exhaustion superset combination

Week 8 – Hiking in Bukit Cherok Tok Kun (Cross fit, antagonist superset & maximum repetition)

Week 9 – Combination of cardio & load, aerobic continuous & triset

Week 10 – Fast & slow cross fit & antagonist superset & triset

FIN INDING DING

5 7

Male Female

Sociodemography

9 2 1

Malay Chinese Indian

Race Gender

WEIGHT HT REDUCT UCTION ION

88 90 92 94 96 98 100 102

100.4 93.2

Weight Reduction (kg)

Mean Before Mean After

7.2 kg reduction

• Successful weight reduction depending on the

commitment of the participants (Garner & Wooley, 1991)

PHY HYSIC ICAL AL FITNESS TNESS

Mean Before Mean After

36 37 38 39 40

39.9 37.3

Body Fat Percentage (%)

1) BODY COMPOSITION

Daniels et al. (2014) – Body fat percentage is an important factor in determining the cardiovascular risk factors

Mean Before Mean After

18.5 19 19.5 20 20.5

19.3 20.2

Shuttle Run/VO2max (ml/kg/min)

2) CARDIOVASCULAR ENDURANCE

Miller (2002) – Reduce risk of having an obesity and obesity related problems

5 10 15 20

10 18

Sit Up Test (Repetition/Minute)

3) MUSCULAR STRENGTH & ENDURANCE Mean Before Mean After

20 40 60

20.4 42.8

Plank Test (Second)

3) MUSCULAR STRENGTH & ENDURANCE Mean Before Mean After Miller (2002) – Enable to maintain good body posture, protecting joints and doing daily chores effectively

Mean Before Mean After

10 20 30 40 50

27.6 43.1

Sit & Reach Test (cm)

4) FLEXIBILITY Chan et al. (2011) – Without good flexibility, the body will not have maximum strength and endurance

Suni et al. (2006) – Physical fitness enhance health potential for weight reduction’s program participants due to physical activity and exercise intervention

CARDIOVA VASCULAR LAR RISK FACTOR TORS

90 95 100 105 110

109.9 99.8

Waist Circumference (cm)

Mean Before Mean After

1) Janssen et al. (2004) – Individual with fat around waist have high risk to get cardiovascular diseases and diabetes

34 35 36 37 38

37.6 35.2

Body Mass Index (kg/m2)

Mean Before Mean After

Dudina et al. (2011) – Those with BMI > 25 are related with deaths because of cardiovascular disease

110 115 120 125 130

127.8 117.9 Blood Pressure (mmHg)

Mean Before Mean After

Kannel (1996) – Reduction of blood pressure decreasing in linear fashion (direct) with body weight reduction

1 2 3 4 5 6 7 8

7.27 5.22 1.11 3.34 1.65 5.89 4.9 1.13 3.19 1.34 Fasting Blood Sugar & Fasting Serum Lipids (mmol/L)

Mean Before Mean After

BG TC HDL LDL TG Gordon et al. (2008) – Inverse relationship between HDL & CHD: Increasing 0.026 mmol HDL = Decreasing 2-3 % risk

• f CHD

Qazi & Malik (2013) – BG reduction decreasing CVD risks Nordestgaard & Varbo (2014) – Adding too much chalories; > risk

• f hypertriglyceridemia

PHYSICAL AL ACTIVI VITY

Mean Before Mean After

1000 2000 3000

731.5 2826.9

Physical Activity (MET-minutes/weeks)

IPAQ-M QUESTIONNAIRE

Shepard (1995) – Other than healthy diet, active in doing physical activity and exercise can decrease body weight in a long term

RELATIO IONSH NSHIP IP BETWEEN EEN CHANGES GES IN WEIG IGHT HT REDUCT CTIO ION N AND CHANGES GES IN CARDIOV IOVASC ASCUL ULAR AR RISK K FACTOR ORS

Spearman Correlation Variables Value p ∆ WC Value p ∆ VO2max Value p ∆ Body Weight ∆ BG 0.625 0.930 0.485

∆ TC

0.278 0.784

0.016* (r =0.68)

∆ HDL 0.718 0.770 0.57 ∆ LDL 0.219 0.322 0.08 ∆ TG 0.752 0.346 0.346

Discussion

• 1. Longer duration of the program

 Brokaw et al. (2013) – 18 weeks intervention decreasing 9.9 kg body weight  2018 – 6 months (3 months - intervention & after 3 months - follow up study

• 2. Prevention of regain increasing

body weight

 Saris et al. (2003) – Prevention of increasing body weight for former individual obese is 60-90 minutes physical activity & moderate exercise every day  Very important to be monitor

• 3. Combination of nutrition and

physical activity

 Ayiesah et al. (2013) – In her 6 months study, it is effective in lowering body fat percentage, build muscular strength and endurance also lessening cardiovascular risk factor  2018 - My Nutri Apps

• 4. Qualitative research to explore

about self-regulation, motivation and social support towards participants compliance

 Wing et al. (2011) – Effectiveness of body weight reduction will be achieved when more focus toward diet, physical activity dan social support are given  Still have participants with inactive level and minimal active level of physical activity & same participant not achieve <5% body weight reduction

 Effectiveness of intervention in body weight reduction  Physical fitness show tremendous increased after intervention  Physical activity level of participants increased after intervention  Positive correlation found between body weight reduction with decreasing Total Cholesterol (TC) with r value shows strong positive correlation  Result of blood test shows decreasing blood glucose, TC, LDL, Triglycerides and HDL improvement  This program will be carried out again in 2017  The reviewed program will be implemented in 2018

Summary

CHAMPION 2015

CHAMPION 2016