http://mfuir.mfu.ac.th:80/xmlui/handle/123456789/1757 Health Promotion Through Integrative Medicine 2026-07-25T19:42:12Z http://mfuir.mfu.ac.th:80/xmlui/handle/123456789/1793 Effects of whole food plant bbased program on body composition, pain, disability and physical capacity in overweight patient with osteoarthritis Khwansirin Chantawat Donlaya Promkeaw Knee osteoarthritis is a chronic musculoskeletal disorder commonly found among overweight patients. In 2019, it was reported that the prevalence exceeded 50% of the global population, and in Thailand, approximately 46% of the population is affected. Overweight and obesity are important risk factors associated with disease progression. Increased body weight leads to greater mechanical loading on the knee joint, while excess adipose tissue is associated with chronic low-grade inflammation, which may accelerate cartilage degeneration and increase pain severity. Lifestyle modification, particularly dietary intervention, has therefore gained attention as a non-pharmacological strategy for disease management. However, randomized controlled trials evaluating the effects of a Whole-Food Plant-Based (WFPB) diet on clinical and functional outcomes in patients with knee osteoarthritis remain limited. To evaluate the effects of a Whole-Food Plant-Based dietary program on body composition, pain severity, disability, and physical capacity in overweight patients with knee osteoarthritis. This randomized controlled trial included 38 overweight older adults diagnosed with knee osteoarthritis in Chiang Rai Province, Thailand. Participants were randomly assigned to either a WFPB diet intervention group (n = 19) or a control group receiving dietary advice based on the Thailand Dietary Guidelines (n = 19) for 12 weeks. Body composition was assessed using bioelectrical impedance analysis. Pain severity and disability were evaluated using the Visual Analog Scale (VAS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), respectively. Physical capacity was assessed using the Five-Times Sit-to-Stand Test (FTSST). Data were analyzed using descriptive statistics, repeated-measures ANOVA, and ANCOVA. The intervention group showed significant reductions in body weight, body mass index, body fat percentage, and visceral fat compared with the control group (p < 0.001). In addition, VAS pain scores and WOMAC scores decreased significantly in the intervention group, whereas the control group showed a tendency toward worsening symptoms. Physical capacity also improved significantly in the intervention group, as indicated by reduced completion time in the FTSST (p < 0.001). A Whole-Food Plant-Based dietary program significantly improved body composition, reduced pain and disability, and enhanced physical capacity in overweight older adults with knee osteoarthritis. These findings suggest that a plant-based dietary approach may serve as a promising non-pharmacological strategy for managing knee osteoarthritis in community settings. Thesis (M.Sc.) -- Health Promotion Through Integrative Medicine, School of Integrative Medicine. Mae Fah Luang University, 2025 2025-01-01T00:00:00Z http://mfuir.mfu.ac.th:80/xmlui/handle/123456789/1763 Effect of language therapy with essential oil inhalation program on language skills, attention and behavior in children with attention deficit hyperactive disorders Preeyaporm Kiatisakulkate Donlaya Promkeaw Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity, which can interfere with learning, communication, and daily functioning. Children with ADHD often present with speech and language difficulties; however, attentional deficits and behavioral dysregulation may limit engagement and reduce the effectiveness of language training. This study aimed to examine the effectiveness of a language training program combined with essential oil inhalation on language skills, attention, and behavior in children with ADHD. A mixed-methods design was employed, consisting of a quasi-experimental phase to examine immediate effects during training and a four-week randomized controlled trial. Twenty children aged 6–13 years with mild to moderate ADHD were randomly assigned to either an experimental group receiving language training with vetiver essential oil inhalation or a control group receiving language training with a water-only diffuser. Both groups participated in structured language training sessions for 30 minutes, twice weekly for four weeks. Language outcomes were assessed using the Thai articulation test and the Utah Test of Language Development (UTAH), attention was measured through video-based observation of attention time during tasks, and behavior was evaluated using the SNAP-IV scale. The results demonstrated that both groups showed significant improvements in language outcomes after four weeks; however, the experimental group exhibited significantly greater improvements in articulation and language scores. Attention time increased significantly only in the experimental group, while no significant change was observed in the control group. Additionally, SNAP-IV scores in the experimental group decreased significantly, indicating improvements in inattention, hyperactivity, and oppositional behaviors. In conclusion, language training improved language abilities in children with ADHD, and the addition of essential oil inhalation further enhanced outcomes by increasing attention and improving behavioral regulation during training, suggesting that olfactory stimulation may serve as a complementary approach to optimize language therapy effectiveness in this population. Thesis (M.Sc.) -- Health Promotion Through Integrative Medicine, School of Integrative Medicine. Mae Fah Luang University, 2025 2025-01-01T00:00:00Z http://mfuir.mfu.ac.th:80/xmlui/handle/123456789/1762 Effect of nine square exercise on functional ability and cognitive function in adults with intellectual disability Juthamart Kohkaew Donlaya Promkeaw This study aimed to examine the effects of Nine square exercise (NSE) using an Illuminated Nine-Square Dance Pad (INSP) on functional ability and cognitive function in adults with intellectual disability (ID). A randomized controlled trial with assessor blinding was conducted at Rajanukul Institute, Bangkok, Thailand. Forty-six adults with mild to moderate ID were randomly assigned to an experimental group (n = 23) or a control group (n = 23). Both groups participated in 60-minute training sessions, twice a week, for 4 weeks. Functional ability was assessed using the 10-Meter Walk Test (10MWT), Timed Up and Go Test (TUG), Five Times Sit-to-Stand Test (FTSST) and Six-Minute Walk Test (6MWT). Cognitive function was assessed using Simple Reaction Time (SRT), Choice Reaction Time (CRT) and Trail Making Test Part A (TMT-A). After 4 weeks of training, the experimental group showed significant improvement in all functional outcomes and in SRT, SRT accuracy, CRT, CRT accuracy, and TMT-A, while the control group improved only in FTSST, 6MWT, SRT accuracy, and CRT accuracy. Between-group comparisons showed greater improvement in 10MWT, TUG, and SRT in the experimental group. The findings suggest that this program may improve functional ability and cognitive function in adults with ID. Thesis (M.Sc.) -- Health Promotion Through Integrative Medicine, School of Integrative Medicine. Mae Fah Luang University, 2025 2025-01-01T00:00:00Z