Razi Journal of Medical Sciences

fa مدل ساختاری سبک زندگی سلامت محور در زنان مبتلا به چاقی بر اساس خوردن ذهن آگاهانه با نقش میانجی خودمهارگری A Structural Model of Health-Oriented Lifestyle in Obese Women Based on Mindful Eating with the Mediating Role of Self-Control روانشناسی بالینی Clinical Psychiatry پژوهشي Research <div style="text-align: justify;">زمینه و هدف: چاقی یکی از معضلات بهداشتی و اجتماعی مهم در جوامع مدرن است و در این راستا، سبک زندگی سلامت‌محور با تمرکز بر خوردن ذهن‌آگاهانه و تقویت خودمهارگری به عنوان دو عامل کلیدی مورد توجه قرار گرفته است. لذا هدف این مطالعه ارائه مدل ساختاری سبک زندگی سلامت محور در زنان مبتلا به چاقی بر اساس خوردن ذهن آگاهانه با نقش میانجی خودمهارگری بود. روش کار: در این مطالعه همبستگی از نوع مدلیابی معادلات ساختاری، جامعه آماری در برگیرنده کلیه زنان مبتلا به چاقی مراجعه کننده به کلینیکهای چاقی و زیبایی مناطق مختلف شهر تهران در سال 1402 بود و تعداد نمونه آماری از برآورد نمونه استیونس (1996) استفاده شد که تعداد 250 نفر در نظر گرفته شد. به منظور گردآور داده‌ها از پرسشنامه سبک زندگی سلامت محور واکر و همکاران (1987)، خوردن ذهن آگاهانه فرامسون و همکاران (2009)، خودمهارگری تانجی و همکاران (2004) استفاده گردید. در تحقیق حاضر تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری spss نسخه 26 و Amos  نسخه 24 انجام شد. یافته‌ها: نتایج همبستگی پیرسون نشان داد که بین خوردن ذهن آگاهانه با خودمهارگری و سبک زندگی سلامت محور در زنان مبتلا به چاقی رابطه منفی و معناداری وجود داشت (001/0P<). همچنین رابطه مثبت و معناداری بین خودمهارگری با سبک زندگی سلامت محور وجود داشت  (001/0P<). همچنین بین مؤلفههای خوردن ذهن آگاهانه و سبک زندگی سلامت محور با نمره کل سازه اصلی خود همبستگی متوسط تا قوی داشتند. همچنین نتایج نشان داد خودمهارگری در رابطه بین خوردن ذهن آگاهانه بر سبک زندگی سلامت محور زنان مبتلا به چاقی نقش میانجیگرانه دارد و میزان اثر غیرمستقیم آن برابر 0612/0 است. نتیجه‌گیری: به طور کلی، این مطالعه تأکید می‌کند که ترکیب خوردن ذهن‌آگاهانه و خودمهارگری می‌تواند به عنوان یک رویکرد موثر برای مقابله با چاقی در زنان و ترویج یک سبک زندگی سالم‌تر باشد.</div> <div style="text-align: justify;">Background & Aims: Women are the main pillar of development and the main axis of family health, the success, survival, and promotion of society depend on the health of women in society. Since a healthy lifestyle and psychological well-being are important determinants of health, the analysis of this issue is more prominent in women. Scientific evidence shows that choices and lifestyle patterns affect their health and longevity. A healthy lifestyle combines behavior patterns and individual habits throughout life, including nutrition, mobility, periodic examinations, etc. Many risk factors can be dealt with by improving lifestyle. According to the report of the World Health Organization, five types of diseases are known as the most important chronic diseases in the world, which are: obesity, heart attack, diabetes, cancer, and osteoporosis, all of which are directly related to lifestyle. Considering that many years of women's lives are spent with illness and disability, a health-oriented lifestyle is vital for maintaining health improving the quality of life, and reducing disability caused by chronic diseases causes a clear reduction in death and It will die. In this regard, it should be said that many obese and overweight people are not aware of their eating habits. This awareness can be measured through mindful eating as a complex process related to being aware of how food is consumed. Mindful eating is a new construct for researchers who tend to measure mindfulness exclusively in the realm of eating. Obesity is one of the important health and social problems in modern societies, and in this regard, a health-oriented lifestyle focusing on mindful eating and strengthening self-control has been considered as two key factors. Therefore, this study aimed to present a structural model of a health-oriented lifestyle in obese women based on mindful eating with the mediating role of self-control. Methods: In this structural equation modeling correlation study, the statistical population included all obese women who referred to obesity and beauty clinics in different areas of Tehran in 1402, and the statistical sample number was based on Stevens' sample estimation ( 1996) was used, where the number of 250 people was considered. To collect data, Walker et al.'s health-oriented lifestyle questionnaire (1987), Framson et al.'s mindful eating (2009), and Tanji et al.'s self-control (2004) were used. In this research, data analysis was done using statistical software spss version 26 and Amos version 24. Results: Pearson correlation results showed that there was a negative and significant relationship between mindful eating, self-control, and health-oriented lifestyle in obese women (P<0.001). Also, there was a positive and significant relationship between self-control and a health-oriented lifestyle (P<0.001). Also, there was a moderate to strong correlation between the components of mindful eating and a health-oriented lifestyle with the total score of the main construct. Also, the results showed that self-control has a mediating role in the relationship between mindful eating and the health-oriented lifestyle of obese women, and its indirect effect is equal to 0.0612. Pearson correlation data showed that there was a negative and significant relationship between conscious eating with self-control and a health-oriented lifestyle in women with obesity (P<0.001). Also, there was a positive and significant relationship between self-control and a health-oriented lifestyle (P<0.001). Also, there was a moderate to strong correlation between the components of mindful eating and a health-oriented lifestyle with the total score of the main construct. Table 3 shows the standard factor loadings of the indicators in the measurement model. Standardized coefficients, standardized error, and significance levels for each of the obvious variables in the measurement model are reported in Table 3. All coefficients are significant at the P<0.001 level. Conclusion: Overall, this study emphasizes that the combination of mindful eating and self-restraint can be an effective approach to combat obesity in women and promote a healthier lifestyle. Health-based lifestyle is the process of empowering people to increase the control of health-related factors and as a result, increase their health. A health-promoting lifestyle is a combination of six dimensions stress management, responsibility for health, interpersonal relationships, spiritual growth, nutrition and physical activity. Therefore, choosing the type of lifestyle and the behaviors related to it, not only has a fundamental role in people's health, but it will have consequences and results that can affect their performance, well-being, and physical, mental, and social health. In general, learning to eat consciously has a positive effect on the health-oriented lifestyle in women with obesity. This method helps to lose weight, increase self-efficacy, regulate emotions, and eat healthy. Mindful eating can indirectly affect the health-oriented lifestyle of women with obesity, and this effect is done through self-restraint. Mindful eating helps women pay more attention to their body's feelings and needs and avoid emotional and indiscriminate eating. This method can help to reduce weight and improve the quality of life. Self-restraint as a mediator has an important role in this process. By increasing self-control, women can better deal with food temptations and make healthier choices. This, in turn, can lead to improved health-oriented lifestyle and weight loss. Overall, mindful eating and self-restraint can work together to help women lead a healthier lifestyle and achieve their weight loss goals.  </div> خوردن ذهن‌آگاهانه, خودمهارگری, سبک زندگی سلامت محور, چاقی Conscious Eating, Self-Control, Health-Oriented Lifestyle, Obesity 1 12 http://rjms.iums.ac.ir/browse.php?a_code=A-10-8311-1&slc_lang=fa&sid=1 Bita Hajiebrahim Araghi بیتا حاجی ابراهیم عراقی 3900319475328460090122 3900319475328460090122 No PhD Student of Health Psychology, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran. دانشجوی دکتری روانشناسی سلامت، گروه روانشناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران Mohammad Alii Rahmani محمدعلی رحمانی Rahmanima20@gmail.com 3900319475328460090123 3900319475328460090123 Yes Assistant Professor Department of Clinical and Counseling Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran استادیار گروه روانشناسی بالینی و مشاوره، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران Flora Rahimaghaee فلورا رحیم آقائی 3900319475328460090124 3900319475328460090124 No Associate Professor, Medical Science Faculty, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran. دانشیار دانشکده علوم پزشکی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران