Healthcare Worker, Low Physical Activity Level, Obesity & Overweight
Conditions
Keywords
Weight Loss Program, Healthcare Worker, Obesity, Overweight, Hospital, BMI, Physical Activity, Energy Intake, Waist Circumference, Body Fat Percentage, Weight, Nutrition Coaching, Personalized Nutrition
Brief summary
Obesity among healthcare workers has become an increasing public health concern, with potential consequences for work productivity, quality of care, and long-term health outcomes. Despite their role in promoting health, healthcare workers often face demanding schedules, high stress levels, and limited access to structured health promotion programs, placing them at elevated risk for overweight and obesity. In the absence of targeted workplace interventions, these conditions may persist and worsen over time, highlighting the need for effective, sustainable, and context-specific strategies to support healthier lifestyles among healthcare workers. This study aims to assess the effectiveness of personalized nutrition coaching as part of a weight loss program for Nurses in Indonesian Hospital. Participants who receive the intervention are expected to demonstrate improvements in nutritional status, including weight-related outcomes, reduction in body fat percentage, reduction in waist circumference. The intervention is also anticipated to promote healthier dietary intake, characterized by more balanced eating patterns, and higher levels of physical activity. Delivered through individualized online guidance, this program is intended to encourage sustainable lifestyle changes and improve overall health. The study will involve an 8-week intervention conducted among overweight and obese healthcare workers at Dr. Hasan Sadikin General Hospital, Bandung.
Interventions
BEHAVIORALPersonalized Nutrition Coaching
The intervention arm received 8 weeks of personalized nutrition coaching. During the intervention period, participants were provided with frequent follow-up through the WhatsApp application to discuss progress with a dietitian. In addition, scheduled follow-up counseling sessions were conducted via Zoom in week 3 and week 6 to evaluate the progress Participants in the intervention group were also provided with a personalized meal plan, tailored to individual daily energy requirements, food preferences, and recommended menu options. Throughout the monitoring period, body weight was assessed weekly, while dietary intake was monitored three times per week on nonconsecutive days to evaluate adherence to the meal plan. Physical activity was monitored weekly using self reported physical activity using Standford 7 days Physical Activity Recall Questionnaire
OTHERControl (placebo) group
The control group will receive nutrition education in the form of a booklet. The booklet provides information on balanced nutrition guidelines, recognizing hunger and satiety cues, mindful eating practices, and recommendations for physical activity.
Sponsors
Fakultas Kedokteran Universitas Padjadjaran
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Masking description
Blinding or Masking in behavioral intervention studies is limited and often not fully feasible
Intervention model description
A total of participants will be recruited from the total eligible population using simple random sampling. All individuals who meet the inclusion criteria will be listed in a sampling frame, and participants will be randomly selected from this population. From the sampling process, 44 participants will be recruited into the study. Following recruitment, the 44 selected participants will undergo random allocation into two study arms using a random generated with Microsoft excel. Participants will be assigned in a 1:1 ratio to either the intervention group or the control group. Participants allocated to the intervention group will receive a personalized nutrition coaching program delivered through structured counseling sessions designed to improve dietary intake, physical activity, and health-related behaviors. The coaching program will include individualized guidance, goal setting, monitoring, and follow-up support. Participants assigned to the control group will r
Eligibility
Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* A Shift Nurse in Dr. Hasan Sadikin General Hospital Bandung * Male and Female, Aged 18-35 years (Young Adult) * Overweight (body mass index 23.0-24.99 kg/m²) or obese (body mass index ≥25.0 kg/m²) * Willing to participate in the study and provide written informed consent * Ownership of a smartphone and access to the internet
Exclusion criteria
* Being pregnant and/or breastfeeding. * Currently participating in a calorie-restricted diet program * Having special conditions such as food allergies, sensitivities, or intolerances, or following a specific dietary pattern (e.g., vegan diet or carbohydrate-restricted diet) * Having a recent diagnosis or condition that may interfere with study outcomes (body weight, body fat percentage, waist circumference), such as edema or smoking cessation within the past 3 months * Taking medications that may affect the study outcomes * Having diseases requiring dietary restriction or specialized Medical Nutrition Therapy (MNT), such as diabetes mellitus, kidney disease, or stroke
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Body weight (BW) | 8 weeks | Body mass of the participant measured in kilograms. (i.e., at least 5% of baseline body weight) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Height | 8 weeks | Height in centimeters, measured using stadiometer |
| Waist circumference (WC) | 8 weeks | Circumference of the waist measured in centimeters. |
| Body fat percentage | 8 weeks | Percentage of fat mass relative to total body mass. |
| Dietary intake | 8 weeks | Amount of energy and macronutrients consumed by the participant. Estimated 3×24-hour food record. Energy (kcal), protein (g), fat (g), carbohydrates (g), fiber (g) |
| Physical activity | 8 weeks | Total METs (Metabolic Equivalent) in minutes per week of Moderate-Vigorous Physical Activity (MVPA) performed by the participant. Method: self reported using 7-Day Physical Activity Recall Questionnaire (PAR-Q) |
Countries
Indonesia
Outcome results
None listed