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oai:mro.massey.ac.nz:10179/130032026-08-17T01:27:20Zcom_10179_294col_10179_296

Massey Research Online author Gibson, Greer 2018-04-05T01:25:29Z 2018-04-05T01:25:29Z 2017 http://hdl.handle.net/10179/13003 Q112933794 https://www.wikidata.org/wiki/Q112933794 𝗕𝗮𝗰𝗸𝗴𝗿𝗼𝘂𝗻𝗱: New Zealand has high rates (32%) of obesity amongst the adult population; Māori (50.2%) and Pacific (68.7%) populations are most affected. Lifestyle interventions are effective in achieving weight loss, but are often expensive, whilst group and online lifestyle interventions are more cost effective. 𝗢𝗯𝗷𝗲𝗰𝘁𝗶𝘃𝗲𝘀: To develop and assess a component of the nutrition education content for the Internet team-based, incentivised behaviour change Ka Mau Te WEHI weight loss intervention for Māori and Pacific adults BMI ≥30 kg/m² at risk of or with T2DM and/or cardiovascular disease. 𝗠𝗲𝘁𝗵𝗼𝗱𝘀: Three Internet team-based competitions were conducted in New Zealand’s North Island, with seven teams of up to seven participants (n=146) per region. The nutrition education was developed to address key eating behaviours associated with increased risk of weight gain and improve nutrition literacy. The education delivered through daily tips on the website and weekly challenges. Eating behaviours and nutrition literacy were assessed at baseline and six-months. 𝗥𝗲𝘀𝘂𝗹𝘁𝘀: Although 143 participants started the program; only 41.1% (n=60) completed it. Key eating behaviours changed; 18.3% decrease in drinking one or more sugar sweetened beverages/day, mean days eating fast food decreased by -1.7±2 days (𝘱<0.001); mean days eating fruit +1±1.8 (𝘱<0.001) and vegetables +0.8±2 (𝘱=0.006) increased significantly. Weight loss was not significant between baseline and six months [-4.5±17.3kg (𝘱=0.115)]. 𝗖𝗼𝗻𝗰𝗹𝘂𝘀𝗶𝗼𝗻: Although this program was attractive to the target population, a high dropout rate was evident and clinically significant weight loss was not achieved. Despite this, the innovative approach used for nutrition education led to significant dietary behaviour changes. Further research to improve retention and build on eating behaviour changes achieved in this at-risk population is warranted. 𝗞𝗲𝘆 𝘄𝗼𝗿𝗱𝘀: Māori, Pacific Islanders, weight loss, lifestyle intervention, obese. en The Author Patient education Nutrition Study and teaching Maori Pasific Islanders Overweight persons Health and hygiene New Zealand Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Domestic science and nutrition Weight loss Lifestyle intervention Obese Evaluating a nutrition education component of the Ka Mau Te WEHI program : a thesis presented in the partial fulfilment of the requirements for the degree of Masters of Science in Nutrition and Dietetics at Massey University, Albany, New Zealand Thesis 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