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Obesity proposal

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  • 1. WELCOME TO THE PROPOSAL PRESENTATION GROUP 4 Ruby Sharma Karishma Khadgi Kabita Acharya Prisha Kc Bhagwati Kalikoty Indu Singh
  • 2. Title of the study PREVALENCE AND FACTORS CONTRIBUTING TO OBESITY AMONG THE HOUSEWIVES OF BIRATNAGAR SUBMETRO POLITAN CITY.
  • 3. Introduction Obesity is a major public health problem and becomes an important epidemic in both developed and developing countries since an increase in the risky lifestyles . Obesity is a global problem, affecting an estimated 300 million people worldwide and its prevalence in the recent decade had a rapid increase (178%) . Obesity substantially increases the risk of several major cancers especially postmenopausal breast cancer and endometrial cancer . Moreover, studies indicated that overweigh and obesity are associated with an increase in mortality and a considerable reduction in life expectancy.
  • 4. Obesity is a multi factorial phenomena and associates with age, gender, ethnicity, levels of leisure time, physical activity, education, parity, economical and marital statuses, smoking habits, alcohol consumption, family history of obesity and dietary habits in both men and women. In compare to men, such determinant factors of obesity were frequently accumulated in women; the findings of several studies have shown that the incidence and the prevalence of obesity in women in many countries are higher than men.
  • 5. Need of the study  Obesity is the main cause of chronic illness and risk of being obese is incresing in housewives so this study will help to find out the prevalence and contributing factors about obesity so that problems will be addressed.
  • 6. Significance of the study This study will help to find out the prevalence and contributing factors of obesity among the housewives which will be significant as  it will help the housewives and the other members of the society to adopt healthy lifestyle.  It will help the nation to minimize obesity and thus helps in reducing chronic illness.  It will help different NGO’s and INGO’s working in health sectors to plan a progrramme related to healthy life style.
  • 7. Objectives  To assess the prevalence of obesity among the housewives.  To identify the contributing factors of obesity among the housewives .  To find out the association between the selected contributing factors and obesity.
  • 8. Research question  What is the prevalence of obesity among the housewives?  What are the contributing factors of obesity among the housewives?  What is the association between the selected variables and obesity?
  • 9. Variables  Dependent variables  obesity: BMI(continuous)  Independent variables  age :in completed years(continuous)  number of children: 1,2,3…..discrete Exercise: daily, twice a day, once a week, twice a week.(discrete)  availability of housework assisstance: yes, no…..nominal
  • 10. Contd….. Economic status: per capita income(continuous) Dietary pattern: frequency of meal per day(discrete) Sleep/rest:(continuous) Education: primary, secondary,higher secondary, bachelors,masters(ordinal) contraceptives: types of contraceptives(nominal)  Watching television: duration in hours(continuous)
  • 11. Conceptual framework Socio demographic characteristics •Age •Education •Economic status •No of children Obesity Increased risk for chronic diseases Life style •Dietary pattern •Exercise •Housework assistance •Sleep/rest •Contraceptives use •Duration of watching television •General health check up
  • 12. Chapter II: LITERATURE REVIEW  Body weight alone is not a very sensitive indicator for defining obesity (Atkinson, 1993). Factors such as age, sex, height, lean muscle mass and body fat percentage are all unaccounted for when using weight alone to measure healthy body weight on an individual level. Thus, weight alone should be avoided as a standard for assessing a person’s relative risk for overweight and obesity. Ideal body weight is an unscientific measure, and can provide only an estimate of appropriate weight. A simple way to calculate ideal body weight for women is as follows: 100 lbs for the first 60 in (5 ft) + 5 lbs for every additional inch (Davis & Sherer, 1994, p.292).
  • 13. Chapter III: Research Methodology  Study design: a descriptive cross sectional study  Study area: Biratnagar metro politan city.  Study population: housewives
  • 14.  Sampling method: multistage sampling Biratnagar randomization wards randomization house randomization housewife(one housewife again by randomization if more than one)
  • 15. Contd…..  Sample size: sample size will be determined by literature review and by statistical calculation.  Sampling frame: sampling frame will be obtained from submetropolitan office.  Inclusion criteria: a) housewives between the age group of 30-50 years. b) only the women giving consent and willing to participate will be included.
  • 16.  Tools and techniques of data collection: semi structured questionnaires will be used. data will be collected by interview and measurement.  Weighing scale and measuring tape will be used to calculate BMI.  Pretesting: pretesting will be done in 10% of the sample size for the feasibility and practicability of the tool.  Reliability: reliability of tool will be done by taking150 sample and calculated by using cronbach’s alpha.
  • 17.  Validity the content Validity of the research tool for its completeness and clarity will be maintained through literature review and consultation with concerned advisor , subject teacher, guides and experts.
  • 18. Statistical analysis  Data will be analyzed using statistical package for social science(SPSS) 16.0 version.  Chi squre test and binary logistic regression with categorical variable will be used.
  • 19. Ethical issues  Formal approval will be obtained from the concerned authorities  Informed verbal consent will be obtained from each respondent before giving the questionnaire  Confidentiality will be maintained throughout the study and will be maintained later.
  • 20. Delimitations  Sample will be selected only from one city  Housewives between 30-50 years are only included.  Only the selected variables will be studied.
  • 21. Budget  Personal cost Transportation Communication Refreshment 10,000 5,000 12,000  Material cost Stationary 2,000 Literature review Photocopy ii) Printing iii) Internet i) 5,000 5,000 5,000
  • 22. Contd…… Report preparation cost 10,000  Expert cost Statistician Translator Editor Principle investigator Co-investigator Enumerator(data collector) Miscellaneous total budget 10,000 3,000 5,000 20,000 15,000 10,000 5,000 two lakhs
  • 23. WORK PLAN 1st month Finaliz ation of the propos al Pilot study Data collecti on Data analysi s Report writing 2nd month 3rd month 4th month 5th month 6th month
  • 24. Research Instrument         Part I Demographic information S.N/Code number Age Address Religion Caste Marital status Educational status Economic status
  • 25.  Part II Prevalence of obesity a) weight b) height c) Body Mass Index
  • 26.  Part III Questionnaires related to contributing factors 1) how many times do you take your meal in a day? a) 2 b) 3 c) 4 d) more than 4 times 2) are you vegeterian or non vegeterian? a) vegeterian b) non vegeterian specify….. 3) if veg……. if non veg…….. 4) what are the constituents that are most commonly available in your meal. a) rice b) pulses c) meat d) milk and milk products
  • 27. 5) Do you perform exercise? a) yes b) no 6) if yes then how often a) once a day b) twice a day c) sometimes 7) what types of exercise do you perform?(multiple response) a) morning walk b) yoga c) aerobics d) swimming e) skipping f) others specify…… 8) do you have helper for your house work?(above 15) a) yes b) no
  • 28. 9) If yes what type of helper? a) Full time b) part time 10) How long do you sleep? …………hours 11) Do you sleep during day time? a) yes b) no 12) if yes …….hours 13) do you watch television? a) yes b) no 14) do you use contraceptives? a) yes b) no
  • 29. 15) If yes which method? a) depo provera b) pills c) implant d) condom e) IUCD 16) duration of contraceptive use…….years 17) do you go for a general health check up? a) yes b) no 18) if yes how often……..
  • 30.  Dear Respondent, Research topic:prevalence and factors contributing to obesity among the housewives of biratnagar submetro politan city:community Based Study. I am in the process of completing the M.Sc Nursing degree at BPKIHS. I therefore invite you to participate in my research study. All that is expected from you is to complete the questionnaire attached. The contents of the questionnaire are about obesity. The aim of the research is to determine the prevalence and to identify the contributing factors of obesity. It would be appreciated if you could participate in the study. All information will be treated as confidential and anonymity will be ensured at all times. Permission for conducting this study has been granted by the relevant authorities.
  • 31. Participation in this study is voluntary and you are free to refuse to participate or withdraw your consent and discontinue participation at any time. In order to ensure anonymity, you are requested not to write your name on this questionnaire. The implication of completing the questionnaire is that informed consent has been obtained from you. Data obtained from the questionnaire will be treated as strictly confidential. Findings from the research study that may be reported in scientific journals will not include any data that could identify you or any other participants in the study. The information given by you will not be traceable and you will therefore not be able to recall your consent. Thank You

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