This document provides an overview of a proposed study on obesity among housewives in Biratnagar, Nepal. It includes: 1) An introduction outlining the problem of obesity globally and need to study contributing factors among housewives. 2) Objectives to assess obesity prevalence, identify contributing factors, and analyze their association. 3) A description of the research methodology including a cross-sectional design, sampling methods, data collection tools, and statistical analysis plan. 4) An outline of chapters on literature review, methodology, and instruments as well as details of the study proposal, timeline, and budget.

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).

14. Chapter III: Research Methodology
 Study design: a descriptive cross sectional study
 Study area: Biratnagar metro politan city.
 Study population: housewives

15.  Sampling method: multistage sampling
Biratnagar
randomization
wards
randomization
house
randomization
housewife(one housewife again by
randomization if more than one)

16. 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.

17.  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.

18.  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.

19. 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.

20. 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.

21. Delimitations
 Sample will be selected only from one city
 Housewives between 30-50 years are only
included.
 Only the selected variables will be studied.

22. 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

23. 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

24. 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

25. Research Instrument








Part I
Demographic information
S.N/Code number
Age
Address
Religion
Caste
Marital status
Educational status
Economic status

26.  Part II
Prevalence of obesity
a) weight
b) height
c) Body Mass Index

27.  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

28. 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

29. 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

30. 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……..

31.  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.

32. 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