Background: Visceral adipose tissue is a hormonally active component of total body fat. Abnormally high deposition of visceral adipose tissue is known as visceral obesity. Various physiological, psychosocial and clinical factors influence the amount and distribution of the adipose tissue throughout the human body. Much research has reveals that stress can affect lifestyle choices and health behavior leading to overweight and obesity.

Aim: The main aim of the current study was to assess the effectiveness of Multicomponent Intervention on Visceral Adiposity (BMI, Hip Waist Ratio) among employees with Hypertension in NLC India Hospital, Neyveli, Tamil Nadu.

Materials and methods: Quantitative research approach was used for this study. The experimental study design was used for this study. Total 25 samples were selected using Simple random Sampling Technique.

Conclusion: The effectiveness of multicomponent intervention was implicated with findings of body weight which was 71.1 with the standard deviation of 11.8, body mass index was 30.6 with the standard deviation of 2.4 and the waist hip ratio was 0.81 with the standard deviation of 0.06 and the improvement was statistically tested by “z” test. The result found to be significant at P<0.0001, because of intervention.

Keywords: Multicomponent, Intervention, Visceral adiposity, BMI

OBJECTIVES OF THE STUDY

•          To assess the effectiveness of multicomponent intervention on visceral adiposity (BMI, Hip Waist Ratio) among employees with hypertension.

•          To evaluate the effectiveness of administration of cherry juice, stress management and Sleep hygiene among employees with hypertension.

•          To find out the association between BMI and Hip Waist Ratio with multicomponent intervention.

METHODOLOGY

Research approach

Quantitative approach was adopted for the study.

Research design

The design used was experimental research design.

Study setting

The study was conducted in General Hospital of NLC, Tamil Nadu.

Study population

The population of the study includes employees with hypertension in General Hospital of NLC Ltd., who met the inclusion criteria.

Sample and sample size

Patient admitted in General Hospital of NLC Ltd. and those who fulfill the criteria, where selected as sample. The Sample Size was 25.

Sampling technique

The samples who met the inclusion criteria during the data collection were selected Simple Random Sampling Technique.

Data collection procedure

The permission was obtained from the concerned authorities conduct the study. Complete information regarding the study was explained to the Subjects and consent form was obtained. The sample was selected according to inclusion and exclusion criteria. The personal data was collected from the sample and the pretest value was obtained from control and experimental group, which includes (BMI, Hip Waist Ratio). Multi component intervention included the following: Administration of cherry juice, stress management and Sleep hygiene. MCI was carried out for 3 month in experimental group. During this period the investigator in person was constantly monitoring the participants for following of the intervention. After 3 month the post-test values was obtained from control and experimental group. The investigator will use descriptive and inferential statistics to analyze the data.

RESULTS

The distribution of nature of work among employees with hypertension is shown elaborately via a pie-chart in Figure 1. And, Table 1 shows the frequency and percentage wise distribution of the demographic variables among obese employees. 

Table 2 reveals that average score of weight is 75.9 with the standard deviation of 11.9, were as in body mass index score is 32.2 with the standard deviation of 1.8, were as in waist hip ratio score is 0.84 with the standard deviation of 0.05, after implementation of focused dietary patter and stress management training was improved with the weight is 71.1 with the standard deviation of 11.8, were as in body mass index is 30.6 with the standard deviation of 2.4, were as in waist hip ratio is 0.81 with the standard deviation of 0.06 and the improvement was statistically tested by “Z” test. The result found to be significant at P<0.0001, because of intervention [2].

DISCUSSION

The results revealed that the average score of weight was75.9 with the standard deviation of 11.9 and BMI average score was 32.2 with the standard deviation of 1.8. Regarding waist hip ratio the average score was 0.84 with the standard deviation of 0.05. The effectiveness of multicomponent intervention was implicated with findings of body weight which was 71.1 with the standard deviation of 11.8, BMI was 30.6 with the standard deviation of 2.4 and the waist hip ratio was 0.81 with the standard deviation of 0.06 and the improvement was statistically tested by “z” test. The result found to be significant at P<0.0001 because of intervention [3].

CONCLUSION

Hence visceral obesity is associated with increased adipocytokine production, pro-inflammatory activity and deterioration of insulin sensitivity, increased risk of developing diabetes, hypertension, atherosclerosis and higher mortality rate. In India, World's obese population hits 640 million among 2.3% are men versus 5% are as severely obese (BMI-35 kg/m²). This places an individual at significantly increased risk of conditions such as diabetes, heart disease and cancer. Tart cherries are clearly a potent tool for inhibiting the chronic, often obesity-related, low-level inflammation that can lead to many disorders. Stress management can facilitate weight loss in overweight and obese women. With an 8 week stress management programme, this study implies that the multi component intervention which includes cherry juice, stress management, sleep hygiene was very effective in reducing the weight among obese hypertensive employees [4].

1.       Shuster A, Patlas M, Pinthus JH, Mourtzakis M (2012) The clinical importance of visceral adiposity: A critical review of methods for visceral adipose tissue analysis. Br J Radiol 85: 1-10.

2.       Chinedu SN, Ogunlana OO, Azuh DE, Iweala EE, Afolabi IS, et al. (2013) Correlation between body mass index and waist circumference in Nigerian adults: Implication as indicators of health status. J Public Health Res 2: e16.

3.       Mouchacca J, Abbott GR, Ball K (2013) Associations between psychological stress, eating, physical activity, sedentary behaviors and body weight among women: A longitudinal study. BMC Public Health 13: 828.

4.       Kurniawan LB, Bahrun U, Hatta M, Arif M (2018) Body mass, total body fat percentage and visceral fat level predict insulin resistance better than waist circumference and body mass index in healthy young male adults in Indonesia. J Clin Med 7: pii: E96.