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Culturally adapted exercise program for postmenopausal women with excess weight gain: A modified international/local
Isaac Mensah Bonsu1,2, Corlia Brandt1, Adedayo Tunde Ajidahun1
1Department of Physiotherapy, School of Therapeutic Sciences, University of The Witwatersrand, Johannesburg, South Africa.
PLOS Global Public Health
|September 11, 2025
Summary
This study developed and validated a culturally adapted exercise program for weight loss in obese postmenopausal women. The program achieved expert consensus, offering evidence-based guidance for improved health outcomes.
Area of Science:
- Exercise Physiology
- Public Health
- Gerontology
Background:
- Obesity is a significant concern for postmenopausal women, impacting health outcomes.
- Existing exercise interventions lack international and local consensus for weight management in this demographic.
- Culturally specific programs are needed to enhance adherence and effectiveness.
Purpose of the Study:
- To validate a culturally adapted exercise program for weight loss in postmenopausal women using Delphi consensus.
- To establish evidence-based recommendations for exercise interventions in Ghanaian postmenopausal women.
- To incorporate culturally relevant exercises, such as Ampe, into the weight loss program.
Main Methods:
- Utilized the Delphi consensus methodology with three rounds of expert feedback.
- Recruited 33 experts (physiotherapists, exercise physiologists, etc.) through purposive sampling.
- Achieved consensus on health assessment, pre-exercise parameters, exercise dosage, and physician referrals.
Main Results:
- A high response rate (78%) ensured robust consensus among experts.
- Consensus was reached across four key domains of the exercise program.
- The program was culturally adapted, including the innovative inclusion of Ampe.
Conclusions:
- The validated program provides clinicians with evidence-based recommendations for weight loss in postmenopausal women.
- Cultural adaptation is crucial for effective exercise interventions in diverse populations.
- The inclusion of Ampe represents an innovative approach to culturally relevant exercise for health.
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