Korean J Adult Nurs.  2019 Dec;31(6):663-676. 10.7475/kjan.2019.31.6.663.

Effects of Multidisciplinary Lifestyle Modification Program on Health-promoting Behavior, Psychological Distress, Body Composition and Reproductive Symptoms among Overweight and Obese Middle-aged Women

  • 1Associate Professor, College of Nursing, Jeonbuk National University, Jeonju, Korea. jhnho@jbnu.ac.kr
  • 2Assistant Professor, Kunsan College of Nursing, Gunsan, Korea.


This study aimed to examine the effect of multidisciplinary lifestyle modification program in overweight or obese middle-aged women.
This study was conducted from January 2 to June 5, 2018 at Jeonju city in South Korea. A non-equivalent control group quasi-experimental design was used. A total of 46 women were assigned to the experiment group (n=22) or the control group (n=24). The multidisciplinary lifestyle modification program for this study consisted of physical activity, nutritional management, stress management, health counseling, lifestyle monitoring, and affective support based on King's goal attainment theory, which was implemented for eight weeks.
Significant group differences were found in health- promoting behavior (p<.001), depression (p<.001), anxiety (p=.018), stress (p=.001), weight loss (p=.002) and reproductive symptoms (p=.020) among over-weight and obese middle-aged women.
Multidisciplinary lifestyle modification program is effective in improving health-promoting behavior, depression, anxiety, stress, weight loss and reproductive symptoms. Therefore, healthcare providers should develop strategies to expand and provide multidisciplinary lifestyle modification program through interaction and transaction for overweight or obese middle-aged women.

MeSH Terms

Body Composition*
Health Personnel
Life Style*
Middle Aged
Motor Activity
Weight Loss


  • Figure 1 Conceptual framework.

  • Figure 2 Flow chart of the enrollment of the participants.

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