Exploring the Interconnected Pathways of Intermittent Fasting, Weight, and Education on Basal Metabolic Index:A Structural Equation Model
Downloads
This study investigates the correlation between Intermittent Fasting (IF), Weight Efficacy Lifestyle (WEL) scores, and weight, with education considered as a potential mediating variable, and their combined impact on the Basal Metabolic Index (BMI) among Filipinos. Intermittent fasting has gained popularity as a weight management strategy, yet its effects may vary depending on individual factors such as educational attainment, lifestyle, and health awareness. To explore these relationships, data were collected from 200 respondents across Region X, Philippines, utilizing the standardized Weight Efficacy Lifestyle (WEL) Survey Questionnaire. Descriptive and correlational analyses were performed to determine the consistency and variability among educational level, BMI, weight, and WEL scores. The findings revealed a notable relationship between educational attainment and adherence to intermittent fasting practices, which in turn influenced BMI outcomes. Higher educational levels were associated with improved self-regulation in dietary habits and a more consistent application of IF protocols, contributing to healthier BMI levels. Conversely, participants with lower educational backgrounds demonstrated greater variability in WEL scores and BMI results, suggesting that educational interventions could enhance the safe and effective practice of IF. These results provide a strong basis for further investigation using Structural Equation Modeling (SEM) to assess the mediating role of education more comprehensively. From a public health perspective, this study highlights the importance of integrating nutritional education and behavioral support into fasting programs to promote sustainable and safe weight management among Filipinos, thereby fostering overall metabolic health and well-being.
Downloads
1. Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhl & J. Beckman (Eds.), Action-control: From cognition to behavior (pp. 11–39), Heidelberg, Germany: Springer. Cited. Ajzen, I. (2020). The Theory of Planned Behavior: A Bibliography. https://people.umass.edu/aizen/tpbrefs.html
2. Steinmetz, H., Knappstein, M., Ajzen, I., Schmidt, P., & Kabst, R. (2016). How effective are behavior change interventions based on the theory of planned behavior? A three-level meta-analysis. Zeitschrift für Psychologie, 224(3), 216–233.
3. Chen WW, Freinkman E, Wang T, Birsoy K, Sabatini DM. Absolute quantification of matrix metabolites reveals the dynamics of mitochondrial metabolism. Cell. 1324–1337.
4. De Souza, “Alternatives For Macronutrient Intake and Chronic Disease,” The American Journal of Clinical Nutrition, July 2018.
5. Thirteenth general program of work, 2019–2023: promote health, keep the world safe, and serve the vulnerable. Geneva: World Health Organization; 2019 (WHO/PRP/18.1; https://iris.who.int/handle/10665/324775). License: CC BY-NC-SA 3.0 IGO.
6. Eric R. Eide, Mark H. Showalter, Estimating the relation between health and education: What do we know and what do we need to know?, Economics of Education Review, Volume 30, Issue 5, 2021, Pages 778-791, ISSN 0272-7757, https://doi.org/10.1016/j.econedurev.2011.03.009.
7. Arendt, J.N. 2015. “Does Education Cause Better Health? A panel data analysis using school reform for identification.” Economics of Education Review 24:149-160.
8. Raghupathi, V., Raghupathi, W. The influence of education on health: an empirical assessment of OECD countries for the period 1995–2015. Arch Public Health 78, 20 (2020). https://doi.org/10.1186/s13690-020-00402-5
9. Wim Groot, Henriëtte Maassen van den Brink, The health effects of education, Economics of Education Review, Volume 26, Issue 2, 2017, Pages 186-200, ISSN 0272-7757, https://doi.org/10.1016/j.econedurev
10. Nuttall, Frank Q., MD, PhD. Body Mass Index: Obesity, BMI, and Health. Nutrition Today 50(3):p 117-128, May/June 2015. | DOI: 10.1097/NT.0000000000000092
11. Khanna D, Peltzer C, Kahar P, Parmar MS. Body Mass Index (BMI): A Screening Tool Analysis. Cureus. 2022 Feb 11;14(2):e22119. doi: 10.7759/cureus.22119. PMID: 35308730; PMCID: PMC8920809.
12. Twig G, Yaniv G, Levine H, et al.: Body-mass index in 2.3 million adolescents and cardiovascular death in adulthood. N Engl J Med. 2016, 374:2430-40. 10.1056/NEJMoa150384
13. Satman I, Omer B, Tutuncu Y, et al.: Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013, 28:169-80. 10.1007/s10654-013-9771-5
14. Khanna D, Mutter CM, Kahar P: Perception of overall health, weight status, and gaining weight in relationship with self-reported BMI among high school students. Cureus. 2021, 13:e19637.10.7759/cureus.19637
15. Markowitz, J.S. (2018). Body Mass Index (BMI). In: Mortality and Its Risk Factors Among Professional Athletes. SpringerBriefs in Public Health. Springer, Cham. https://doi.org/10.1007/978-3-319-77203-5_5
16. Nyholm, M.; Gullberg, B.; Merlo, J.; Lundqvist-Persson, C.; Råstam, L.; Lindblad, U. The validity of obesity based on self-reported weight and height: Implications for population studies. Obesity 2017, 15, 197.
17. Minohara, S. M., & Musni, R. V. (2025). Impact of Motivation and Social Support in Online Distance Learning among Freshmen. International Journal of Research and Innovation in Social Science, VIII(XII), 3294–3302. https://doi.org/10.47772/ijriss.2024.8120273
18. Schulze, M.B. Metabolic health in normal-weight and obese individuals. Diabetologia 62, 558–566 (2019). https://doi.org/10.1007/s00125-018-4787-8
19. Ancel Keys, Flaminio Fidanza, Martti J Karvonen, Noburu Kimura, Henry L Taylor, Indices of relative weight and obesity, International Journal of Epidemiology, Volume 43, Issue 3, June 2014, Pages 655–665, https://doi.org/10.1093/ije/dyu058
20. Courtney M Peterson, Diana M Thomas, George L Blackburn, Steven B Heymsfield, Universal equation for estimating ideal body weight and body weight at any BMI1, The American Journal of Clinical Nutrition, Volume 103, Issue 5, 2016, Pages 1197-1203, ISSN 0002-9165, https://doi.org/10.3945/ajcn.115.121178.
21. Quick, V.; Byrd-Bredbenner, C.; Shoff, S.; White, A.A.; Lohse, B.; Horacek, T.; Kattelmann, K.; Phillips, B.; Hoerr, S.L.; Greene, G.; et al. Concordance of self-report and measured height and weight of college students. J. Nutr. Educ. Behav. 2015, 47, 94–98.
22. Cho, Y., Hong, N., Kim, K.-w., Cho, S. j., Lee, M., Lee, Y.-h., Lee, Y.-h., Kang, E. S., Cha, B.-S., & Lee, B.-W. (2019). The Effectiveness of Intermittent Fasting to Reduce Body Mass Index and Glucose Metabolism: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 8(10), 1645. https://doi.org/10.3390/jcm8101645
23. Bragazzi, N.L.; Sellami, M.; Salem, I.; Conic, R.; Kimak, M.; Pigatto, P.D.M.; Damiani, G. Fasting and its impact on skin anatomy, physiology, and physiopathology: A comprehensive review of the literature. Nutrients 2019, 11, 249.
24. Rebecca Benson, Paul T. von Hippel, Jamie L. Lynch, Does more education cause lower BMI, or do lower-BMI individuals become more educated? Evidence from the National Longitudinal Survey of Youth 1979, Social Science & Medicine, Volume 211, 2018, Pages 370-377, ISSN 0277-9536, https://doi.org/10.1016/j.socscimed.2017.03.042.
25. Jacob Nielsen Arendt, Does education cause better health? A panel data analysis using school reforms for identification, 5, Pages 149-160, ISSN 0272-7757, https://doi.org/10.1016/j.econedurev.2014.04.008. Economics of Education Review, Volume 24, Issue 2, 200 (https://www.sciencedirect.com/science/article/pii/S0272775704000688)
26. Yu Aoki, Lualhati Santiago, Speak better, do better? Education and health of migrants in the UK, Labour Economics, Volume 52, 2018, Pages 1-17, ISSN 0927-5371, https://doi.org/10.1016/j.labeco.2018.03.003.
27. Sina Sharifi, Fatemeh Rostami, Kimia Babaei Khorzoughi, and Mahmoud Rahmati, Effect of time-restricted eating and intermittent fasting on cognitive function and mental health in older adults: A systematic review, Preventive Medicine Reports, Volume 42, 2024, 102757, ISSN 2211-3355, https://doi.org/10.1016/j.pmedr.2024.102757.
28. Gouda, T., & Aljuhani, H. (2023). The effectiveness of a suggested indicative program to measure cognitive experiences towards the importance of intermittent fasting diets and their impact on endemic diseases in the Najran Region. J. Stat. Appl. Pro, 12(1), 215-221.
29. Welton, S., Minty, R., O’Driscoll, T., Willms, H., Poirier, D., Madden, S., & Kelly, L. (2020). Intermittent fasting and weight loss: A systematic review. Canadian Family Physician, 66(2), 117-125.
30. Varady, K.A., Cienfuegos, S., Ezpeleta, M. et al. Clinical application of intermittent fasting for weight loss: progress and future directions. Nat Rev Endocrinol 18, 309–321 (2022). https://doi.org/10.1038/s41574-022-00638-x
31. Medalla, E.J. & Musni, R.V. (2025). Exploring the roles and Challenges of guidance designates in the preparation of homeroom guidance Programs: A Qualitative study. The International Journal of Social Sciences and Humanities Invention, 12(07), 8644–8648. https://doi.org/10.18535/ijsshi/v12i07.01
32. Stockman, MC., Thomas, D., Burke, J., et al. Intermittent Fasting: Is the Wait Worth the Weight?. Curr Obes Rep 7, 172–185 (2018). https://doi.org/10.1007/s13679-018-0308-9
33. Molarius A, Seidell JC, Sans S, Tuomilehto J, Kuulasmaa K. Educational level, relative body weight, and changes in their association over 10 years: an international perspective from the WHO MONICA Project. Am J Public Health. 2020 Aug;90(8):1260-8. doi: 10.2105/ajph.90.8.1260. PMID: 10937007; PMCID: PMC1446346.
Copyright (c) 2025 Ralph Vendel Musni

This work is licensed under a Creative Commons Attribution 4.0 International License.