Chi-Jane Wang is Assistant Professor working in Department of Nursing, College of Medicine, of National Chen-Kung University of Taiwan. She has completed her MPH at 1991 from Yang-Ming Medical University of Taiwan and Ed.D. at 2000 from Special Education Institute of Changhua University of Taiwan. Her specialty is in minority nursing. Furthermore, she also promotes population health in community, especially focusing on issues of obese prevention.
The aims were to examine the effects of applying partnership-groups and exercise e-maps to support fitness-walking in a weight management program to promote cardiorespiratory fitness and weight loss. A community-based intervention using a pretest and repeated tests design was conducted. A total of 116 adults with a body mass index between 24 and 32 with a minimum educational level of junior high school were recruited from urban areas of southern Taiwan, but only 72.4% participants completed. Using residential clusters randomly assigned participants to an intervention group (IG) or a control group (CN). IG additionally used exercise e-maps which were by mobile Apps as a reminder to keep tracks of their fitness-walking. Cardiorespiratory fitness was measured by the 3-minute step test. In addition, body weight was repeated measured at week 1th , 4th, 7th, 10th, 13th and 16th. Data were analyzed by Chi-square test for cardiorespiratory fitness changes and one-way ANOVA repeated measures for weight loss. The results show that cardiorespiratory fitness improved in both groups with the IG showing a higher percentage of positive change. Adjusting confounding factors, the IG showed significantly greater weight loss than CN at week 10th, 13th and 16th (F(df=1, 80)=34.4, p < .001). Furthermore, the IG had greater mean of weight loss (-2.9 kg; 95 % CI=-3.3~-2.5) compared to CN (-1.1 kg; 95 % CI=-1.5~-.7) over 16-week. Study shows that using partnership-group and exercise e-maps in a weight management program has significant impacts on promoting cardiovascular fitness and weight loss in individuals of urban communities.
Ioanna Galatianou is a graduate of Technological Educational Institute of Nursing and Technological Educational Institute of Aesthetics and Cosmetology. She has also received a post-graduate Master in Science degree on Cardiopulmonary Resuscitation, as well as the Basic Life Support, Advanced Life Support and Trauma Nursing Core Course certificates. She currently works at the General Hospital of Nikaia-Piraeus “Agios Panteleimon” in Athens (Greece) and she has a 24-year experience at various departments (ICU, Emergencies, Anesthesiology, Neurosurgery).
Over the last decades numerous studies have confirmed that obesity is an aggravating factor on human\'s health. The risk of cardiovascular events (acute myocardial infarction/heart attack, cardiac arrest) seems to correlate with increased body mass index (BMI). However, we have conducted a single-center study at the Cardiology ICU of our hospital and our findings were somewhat unexpected. Our study included 84 patients (age: 59,3±12,4 years), 61 men (age: 59,3±12,6 years) and 23 women (age: 59,3±12,3 years). Sixteen patients (19,3%) had normal BMI, 30 patients (36,1%) were overweight, 26 (30,2%) were obese and 12 (14,4%) were morbidly obese. 36,9% of patients were admitted to the hospital during the morning shift, 41,7% during the evening shift and 21,4% during the night shift. Most of the patients (n=61) were admitted on weekdays and less (n=23) on weekends. We have observed increased rates of survival after cardiac arrest among obese patients compared to patients with normal BMI. Particularly, 16% of patients with BMI>25 were alive on admission to the ICU, while only 12.5% of patients with BMI<25 were alive on admission. Survival rates at discharge were 6,2% for BMI<25 patients and 7,3% for BMI>25 patients. Although, this difference was not statistically significant, it still remains a paradox and further larger studies are needed to clarify these findings.