Multiple steps of biomedical, psychological, and behavioral outcomes and measures will be used to assess the intervention effectiveness; these are discussed below. All the biomedical outcome methods will be conducted at baseline, week periods unless given in any other case 6 and 12. The measure will be studied 3 x and the average reading will be used.
Body composition including bone mass, body fat percentage, and muscle mass will be measured using the complete-body dual-energy X-ray absorptiometry (DEXA, Lunar Prodigy; Lunar, Madison, WI, USA). Individuals will be asked to lie on the bed through the DEXA scanning without metal or jewelry clothing. DEXA scans will be performed at baseline and 12 weeks. The dual-energy X-ray absorptiometry machine will be calibrated and a phantom scan undertaken daily.
A variety of behavioural outcome actions will be studied at baseline, 6 and 12 weeks, unless specified otherwise. The 24-item Bailey Dietary Screening Questionnaire will be utilizing to recognize nutritional risk. Three degrees of nutritional risk include: in danger, possible risk, and not in danger. Sensitively measures indicate that 83% of individuals were correctly categorized as positive by the screening tool. Specificity measures indicated 75% of individuals correctly classified as negative by the screening tool.
An example item from the questionnaire is: “how often do you usually eat fruits as a snack? ” Participants are asked to respond on a Likert scale ranging from 0 (never) to 4 (3 or even more times a week). An 18-item version of the Three-Factor Eating Questionnaire, (TFEQ-R18), …