top of page

IMPLEMENTING A HOLISTIC WELLNESS PROGRAM TO OVERWEIGHT STUDENTS AND WORKING PEOPLE THROUGH TRAINING IN THE METHODOLOGY

Updated: Aug 18

PhD. Irina Nesheva, Assoc. Prof. 

Olga Bozhkova - Master in SPA Culture 

National Sports Academy "V. Levski"



Abstract. Health Wellness is an approach to health that encompasses maintaining and  improving physical, mental and emotional well-being through proactive, positive and  holistic wellness practices. In view of the relevance of this contemporary global issue, the  research is committed to the creation and validation of a wellness holistic methodology  targeting overweight students and working people. Based on the analysis of current  research and the application of a competency-based approach, the aim is to create a  comprehensive Wellness Yoga training program in individual or group classes. This  holistic wellness program aims to provide a positive effect and highlight its importance in  applying an interdisciplinary principle that brings together knowledge and methodologies  from different fields. A positive effect was found at the end of the programmе. 

 Keywords: health wellness, wellness yoga practice, training, interdisciplinary holistic   approach. 

Introduction 

 The Global Wellness Institute defines wellness as the active pursuit of activities, choices  and lifestyles that lead to a state of holistic (whole) health1. Wellness is a state of happiness,  health, or success that can be defined in one word as well-being or well-being2.  The evolution of the wellness concept is a complex and multi-layered process that traces the  changing understandings of health and well-being over the centuries. From magical and religious  practices to modern scientific approaches, wellness continues to evolve, responding to the needs  and challenges of each era (Dimitrova 2016; Dimitrova 2019). 

 Wellness is an approach to health that encompasses the maintenance and improvement of  physical, mental and emotional well-being through proactive, positive and holistic wellness  practices. 

The genesis of the wellness concept is seen as the result of the symbiosis and evolution of  science and human culture refracted through the prism of the new millennium. It is accepted that  the transition from achieving a purely therapeutic effect to the purposeful creation of well-being,  comfort and care for the health of the individual continues its evolutionary development, to reach  the modern form of understanding the wellness concept, the basis of which is "Health Promotion  and Disease Prevention" (Vassileva 2012), and authors in their work consider health wellness in  a multi-component way (Dimitrova et al. 2023). 

Dr. Roger Smith adopts the following definition according to which "Wellness is a  conscious, purposeful and responsible approach that modifies an individual's lifestyle to optimize  personal health and achieve well-being, understood as a multidimensional dimension that  includes physical, emotional, intellectual, social and spiritual health. In order to achieve it,  various conventional and holistic practices, techniques and teachings are applied that have an  impact on the physical, emotional, intellectual, spiritual, social and occupational spheres of an  individual's life'. 

The author Ivkov, (2012) justifies that "Promotion of personal health, is an organized  effort of professionals and society to educate the individual on issues of personal health and the  development of a social system that provides each person with a standard of living adequate to  maintain and improve health". 

Statement of the problem 

The stress adaptive response of humans is something necessary for survival and coping  with life's difficulties, but prolonged stress leads to chronically elevated cortisol levels. As a  consequence, a rapid depletion of glucose stores occurs, which serves as a signal for the body to  quickly replenish them. Cortisol causes an increase in appetite and a desire to immediately and in  larger quantities the body to accept food, mostly sweet and fatty. On the other hand, it promotes  the accumulation of fat in the cells with consequent obesity, reduces muscle mass, impedes the  functioning of memory and hence of accompanying health problems. For a general adaptation  syndrome and the effect of cortisol under stress gives one of the pioneers on this topic Hans  Celier (2018), which stress nowadays is the number one enemy for people and its consequences - rapid weight gain. 

It has been found that there is a link between emotional stress and obesity. Stress  contributes to weight gain and the development of obesity according to the authors (Derya 2023;  Dimitrova 2020) who recommend educational interventions among youth (presentations, lecture  courses and discussions). 

Naturopathy is focused on the body's ability to heal itself through diet and lifestyle  changes, herbs, massage, and wellness practices for healthy aging (Tomova and Angelov 2023). In this regard, the author (Ilinova 2014) argues that various sports and physical activities  "increase a girl's/woman's physical fitness and strength potentially increasing individual  attractiveness to the opposite sex, increasing self-esteem and sense of one's own attractiveness,  so sport is also essential" not only for the female reproductive system but also for increasing the  Wellbeing Index.

Body mass index (BMI) is a medical and biological indicator that is used to determine  normal, healthy weight in people of different heights and serves to diagnose obesity or  malnutrition. To determine the limits of overweight and obesity, the so-called body mass index  (BMI), also known as the Quetelet index, is most commonly used. The following formula is  used: 

 BMI = weight (kg) / height (m) ² 

Women with body fat > 30% and men with body fat > 25% are defined as obese. In children and  adolescents, the amount of adipose tissue changes with age, according to WHO (World Health  Organization)3criteria. 

Methodology 

In view of the relevance of the contemporary global problem, the research is devoted to  the creation and validation of a wellness holistic methodology aimed at overweight students and  working people. 

According to Dimitrova (2016, 2023), different methodologies are used globally to  measure healthy recreational exercise practices to achieve a healthy lifestyle according to Eastern  or national traditions and culture as long as they are effective. Health-enhancing physical  activities have a wide range of impacts when applied in a comprehensive manner. 

The study focused on the application of an eastern practice (yoga) that is a convenient  and effective method of exercise not only for weight loss, but also for improving the components  of physical fitness, leading to a reduction in the health risk factors of overweight people and the  process of obesity. In recent decades, yoga asanas (exercises) have become an alternative and  beneficial program with a rehabilitative nature for fitness concerning people who have physical  difficulties or obesity (Yogananda 1998). 

Developing a holistic wellness methodology to reduce weight and increase the Wellness  Index through yoga asana, breathing and meditation practices, diet, and outdoor nature hikes can  impact emotional stress reduction and can have a significant positive effect on the overall health  of individuals with elevated body mass index (Eknoyan 2008). 

The aim of the study was to develop a model of a specialized holistic yoga methodology  to reduce weight in overweight people and increase their global happiness index. The task we set  ourselves was to establish the level of obesity (BMI) and the difference of individual weight of  the participants at the beginning and at the end of the experiment. 

The study group consisted of 30 persons aged (18±34) years. As applied yoga  methodology was conducted 2 times in natural conditions (yoga studio) and 3 times in online  home conditions. 

In this context, the present study aims to analyze on a group of individuals the body mass,  BMI-s and the effect of hatha yoga practice (5p per week) combined with meditative stress  control techniques and a nutritional weekly regimen. The research paper proposes an original  Wellness Holistic Model for obesity presented in Table 1. 

3 Health Conference, New York, 19-22 June – https://www.who.int/about/governance/constitution

Table 1. Wellness holistic weekly program for overweight people (by Olga Bozhkova

WELLNESS WEEKLY PROGRAM 

FOR OVERWEIGHT YOUNG AND WORKING PEOPLE



 SCHEDULE: 8:00 am 1:00 pm 7:00 pm 10:30 pm

Monday

 Food plan  

Breakfast Lunch Dinner 

Yoga class 

60 min + 15 min - meditation  

Positive Phrase Positive Phrase Weight control beautiful body 

Tuesday

 Food plan  

Breakfast Lunch Dinner 

Yoga class 

60 min + 15 min - meditation  

Positive Phrase Positive Phrase Weight control beautiful body 

Wednesday

 Food plan  

Breakfast Lunch Dinner 

Yoga class 

60 min + 15 min - meditation  

Positive Phrase Positive Phrase Weight control beautiful body 

Thursday

 Food plan  

Breakfast Lunch Dinner 

Yoga class 

60 min + 15 min - meditation  

Positive Phrase Positive Phrase Weight control beautiful body 

Friday

 Food plan  

Breakfast Lunch Dinner 

Yoga class 

60 min + 15 min - meditation  

Positive Phrase Positive Phrase Weight control beautiful body 

Saturday

 Food plan  

Breakfast Lunch Dinner 

Mountain hike 

Positive Phrase Positive Phrase  Weight control beautiful body 

Sunday

 Food plan  

Breakfast Lunch Dinner 

Positive Phrase 

 beautiful body 

HOLIDAY 


Data and analysis of results 

The changes in body mass composition indices under the influence of the holistic yoga  methodology and the integrated application of the eastern movement practice with the additional  approaches described in Table 1 can be considered as positive when the % TM was reduced within the short period of three months of the conducted experiment. 

Prior to the implementation of the Holistic Wellness Methodology, participants in the  study group were tested on two indicators of body mass index and participant weight, and after  its three-month implementation. The results obtained were processed using analysis of variance on the variable of body mass index (BMI) presented on Table 2. 


Table 2. Mean levels of variability Wilcoxon t-criterion
Table 2. Mean levels of variability Wilcoxon t-criterion

Figure 1. Mean BMI values at the beginning and at the end of the experiment 
Figure 1. Mean BMI values at the beginning and at the end of the experiment 


Фигура 1. Средно-артиметична стойност на BMI индекс в началото и в края на експеримента.
Фигура 1. Средно-артиметична стойност на BMI индекс в началото и в края на експеримента.

The table reveals the average levels of body mass index (BMI), at the beginning of the  measurement period it was 36.6%, total for all study subjects, after its completion the BMI  decreased by 2.65% - 33.95%. Although, at first glance the profit is not large for the short study  period there is a significant progress of the study group. The difference is statistically significant.

A visualization of individual baseline and endpoint BMI data for the entire study group is  presented in Figure 1.




Figure 2. Individual BMI values - start and end data 
Figure 2. Individual BMI values - start and end data 


Figure 1 shows that almost all participants made significant progress following the  holistic methodology. The greatest difference was observed in the subject with initials M.I (М.И) where the body mass index of 39.3% had not decreased to 31%, with a difference of 8.3%, which  is an exceptional achievement of any of the subjects in the short period of time. 


Table 3 presents the mean levels of variability according to the Student's t-criterion for  dependent excerpts by weight indicator (kg).
Table 3 presents the mean levels of variability according to the Student's t-criterion for  dependent excerpts by weight indicator (kg).

The mean values of the indicator - weight are presented, at the beginning of the study  period the average weight was 103.16 kg, at the end of the experiment it decreased by 6.1 kg in  total for the target group - 97.06 kg. Standard deviation and coefficient of variation, asymmetry  and excess are presented and presented graphically in Figure 3.


 Figure 3. Graphical representation of the average values of the weight indicator at the   beginning and end of the study
 Figure 3. Graphical representation of the average values of the weight indicator at the   beginning and end of the study

The biggest difference in measured weight was observed in S.M (С.М) who had reduced  his body weight by 9 kg at the end of the experiment. Significant progress was also observed in  two other subjects S.I (С.И) had reduced his weight by 8 kg and J.S (Й.С) where a weight  reduction of 7.4 kg was observed after the end of the holistic methodology. The individual values  obtained are due to the more rapid metabolic process, being 20±22 years of age.  


In conclusion 


The results of the experiment show a very good impact on the subjects for the short  period of three months in terms of BMI, weight index and indices of mental well-being and  balance, which will be presented in another paper. 

With a focus on evidence-based practices, the Wellness Holistic Methodology for Health,  Weight Loss, Overall Benefits and Mental Well-Being serves as an invaluable resource for  individuals who wish to improve their health status and wellness by implementing meditation  techniques and stress management exercises. 

Overall, holistic wellness methodology plays a critical role in educating and motivating  individuals to prioritize their health and psycho-emotional well-being.  



REFERENCES 

ANGELCHEVA, M. 2023. Complex SPA program effect on overweight women’s physical  condition and Well-being. Trakia Journal of Sciences, Vol. 21, Suppl. 3, 2023 (Available online  at: http://www.uni-sz.bg), ISSN 1313-3551 

EKNOYAN G. 2008. Adolphe Quetelet (1796-1874)--the average man and indices of obesity. Nephrol Dial Transplant. Jan;23(1):47-51. doi: 10.1093/ndt/gfm517. Epub 2007 Sep  22.PMID: 17890752

VASILEVA, M. 2012. Kontseptualna ramka na Spa i Uelnes turizma v Bulgaria, Disertatsia, str.  6 [In Bulgarian]. 

DERYA, E. 2023. Relationship between healthy life awareness, emotional eating, obesity  awareness, and coping stress in adolescents. Psychology in the Schools, research article, Vol. 60,  Iss 6, pp1898-1917, https://doi.org/10.1002/pits.22834 

DIMITROVA B. 2016. Research impact through the scientific publications in Wellness culture. Monografia. Sofia, 1-140. Izd. Avangard Prima. ISBN - 978-619-160-666-5 

DIMITROVA, B. 2019. Quality assessment about standards for wellness services and certified  skills of specialized staff. DOI: 10.15547 / tjs.2019.02.007. Trakia Journal of Sciences, Vol. 17,  No 2, рp.143-149, ISSN: 1313-3551 (online) / http://tru.uni-sz.bg/tsj/Vol.17 / http://tru.uni sz.bg/tsj/Vol.17  

DIMITROVA, B. 2020. Relationships between education and innovations in the recreational  Industry in Bulgaria. DOI:10.15547/tjs.2020.03.003 Trakia Journal of Sciences, Vol. 3, pp194- 202, ISSN: 1313-3551 (online), (uni-sz.bg) / http://tru.uni-sz.bg/tsj/Vol.3 

DIMITROVA B. 2023. Ikonomichesko vazdeystvie na iztichaneto na mozatsi varhu razvitieto na  uelnes i spa turizma v Bulgaria. Trakia Journal of Sciences, Vol. 21, Suppl. 3, 2023 (Dostapno  onlayn na adres: http://www.uni-sz.bg), ISSN 1313-35511 [In Bulgarian] 

DIMITROVA, ALEKSANDROVA, NESHEVA, DONEV, YOSIFOV, ANGELCHEVA,  TOMOVA, TRENDAFILOV. 2023. Uelnes kultura, indeksi, destinatsii i uslugi. Izd. NSA Pres, Sofia, parvo izdanie (1-199 s.) [In Bulgarian], ISBN: 978-954-718-731-3 

HANS SELYE 2018. Founder of the stress theory. Singapore Med J, Apr; 59(4):170–171. PMID: 29748693 doi: 10.11622/smedj.2018043 

ILINOVA, B. 2014. Zhenata i sporta. Monografia. Izd. Avangard Prima. Sofia. ISBN 978-619- 160-381-7 [In Bulgarian] 

IVKOV, B. 2012. Promotsia na zdraveto - osnovni ponyatia i definitsii,  v:http://bojidarivkov.wordpress.com//11/01/ [In Bulgarian] 

SMITH, R. 2017. The believe in Wellness concept, Michigan University, art., p.2, ISSN 1314- 9113 (print), ISSN 2535-0609 (on-line) https://www.science.uard.bg/index.php/yearbook/article/view/286 

TOMOVA, T., B. ANGELOV (2023). Wellness practices for healthy ageing. Trakia Journal of  Sciences, Vol. 21, Suppl. 3, 2023 (Available online at: http://www.uni-sz.bg), ISSN 1313-3551 

YOGANANDA, PARAMAHANSA. 1998. Avtobiografia na edin yogin, izd. Lik, ISBN 954- 607-171-4 [In Bulgarian]


 
 
 

Comments


Follow Nottagram!

  • TikTok
  • Instagram
  • Facebook
  • Youtube
nottagram dot com with logo white flat.png

Contact us

bottom of page