scholarly journals Perceived Barriers to Weight Management: A Qualitative Study on Overweight and Obese Women in Shiraz, Iran

2020 ◽  
Author(s):  
mohadese borazjani ◽  
maryam amini ◽  
Shiva Faghih

Abstract Background: Obesity is among the most important health challenge, with an increasing incidence in current century. It is considered as an important factor lead to social unacceptability. Almost in all societies women are more careful and sensitive about their beauty and appearance than men. The purpose of this study was to assess perceived barriers to weight- loss programs among women with obesity in Shiraz.Method: This qualitative study was conducted using eight semi-structured focus group discussions (FGDs) among 48 women and seven in-depth interviews with key informants. All eligible participants for FGDs were selected through a public call in Shiraz. Results: Dietary, socio-cultural, supportive- psychological and economic issues were identified as the main barriers to weight-loss programs.Conclusion: Data collected from the individual and group interviews provided extensive information on the strengths and weaknesses of dietary programs. The results of this study can be used to improve the services for obese and overweight people as well as expanding the knowledge of dietitians for developing more efficient weight-loss programs.

2017 ◽  
Vol 42 (2) ◽  
pp. 216-227 ◽  
Author(s):  
Claire Baetge ◽  
Conrad P. Earnest ◽  
Brittanie Lockard ◽  
Adriana M. Coletta ◽  
Elfego Galvan ◽  
...  

While commercial dietary weight-loss programs typically advise exercise, few provide actual programing. The goal of this study was to compare the Curves Complete 90-day Challenge (CC, n = 29), which incorporates exercising and diet, to programs advocating exercise (Weight Watchers Points Plus (WW, n = 29), Jenny Craig At Home (JC, n = 27), and Nutrisystem Advance Select (NS, n = 28)) or control (n = 20) on metabolic syndrome (MetS) and weight loss. We randomized 133 sedentary, overweight women (age, 47 ± 11 years; body mass, 86 ± 14 kg; body mass index, 35 ± 6 kg/m2) into respective treatment groups for 12 weeks. Data were analyzed using chi square and general linear models adjusted for age and respective baseline measures. Data are means ± SD or mean change ± 95% confidence intervals (CIs). We observed a significant trend for a reduction in energy intake for all treatment groups and significant weight loss for all groups except control: CC (−4.32 kg; 95% CI, −5.75, −2.88), WW (−4.31 kg; 95% CI, −5.82, −2.96), JC (−5.34 kg; 95% CI, −6.86, −3.90), NS (−5.03 kg; 95% CI, −6.49, −3.56), and control (0.16 kg, 95% CI, −1.56, 1.89). Reduced MetS prevalence was observed at follow-up for CC (35% vs. 14%, adjusted standardized residuals (adjres.) = 3.1), but not WW (31% vs. 28% adjres. = 0.5), JC (37% vs. 42%, adjres. = −0.7), NS (39% vs. 50% adjres. = −1.5), or control (45% vs. 55% adjres. = −1.7). While all groups improved relative fitness (mL·kg−1·min−1) because of weight loss, only the CC group improved absolute fitness (L/min). In conclusion, commercial programs offering concurrent diet and exercise programming appear to offer greater improvements in MetS prevalence and cardiovascular function after 12 weeks of intervention.


2021 ◽  
Vol 6 (3) ◽  
pp. 418-428
Author(s):  
Elif EMİROĞLU ◽  
Selen ŞAHİN ◽  
Esra ÖZTÜRK ◽  
Sinem KOÇ ◽  
Ezgi ÖZDEMİR ◽  
...  

Nutrition ◽  
2018 ◽  
Vol 46 ◽  
pp. 13-19 ◽  
Author(s):  
Federico Ponti ◽  
Valentina Soverini ◽  
Andrea Plazzi ◽  
Maria Pilar Aparisi Gómez ◽  
Daniele Mercatelli ◽  
...  

2019 ◽  
Vol 13 ◽  
pp. 117955811987477 ◽  
Author(s):  
Emma Nilsson-Condori ◽  
Stina Järvholm ◽  
Ann Thurin-Kjellberg ◽  
Ilona Sidlovskaja ◽  
Jan L Hedenbro ◽  
...  

Background: In Sweden, 4700 women seek bariatric surgery annually, many of those being nulliparous. Anovulation is common among obese women, but bariatric surgery is not considered a treatment for infertility. The aim of this study was to explore the motives of women in fertile age for seeking bariatric surgery and their expectations on future fertility. Materials and methods: A qualitative study with semi-structured interviews with childless women ( n = 12) aged 20 to 35 years. Interviews were conducted 1 to 3 weeks prior to surgery, transcribed verbatim, and analyzed with thematic analysis. Results: “To get back on track” was identified as a master theme with 3 underlying subthemes, with the following headings: “A better me,” “A fertile me,” and “A pregnant me.” The participants were hoping that weight-loss would make them feel more content with themselves, break isolation, and make it easier to find a partner. The participants considered fertility to improve after bariatric surgery, mainly based on stories from other patients of bariatric surgery. Having a child was expressed to be of great importance to them. Conclusions: Even though obese young women do not seek bariatric surgery for fertility reasons alone, there is a general perception of enhanced fertility after surgery, which is regarded as positive and important.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1614-1614
Author(s):  
Michelle Cardel ◽  
Alexandra Lee ◽  
Jackson Dillard ◽  
Abhaya Dilip ◽  
Darci Miller ◽  
...  

Abstract Objectives Obesity in adolescence has reached epidemic proportions around the world, with the prevalence of severe obesity increasing at least four-fold over the last 35 years. Provision of evidence-based treatment options that are tailored and relevant to the needs of adolescents is paramount, yet difficult to tailor because little is known regarding barriers and facilitators to adolescent weight loss. Thus, identification of barriers and facilitators to weight loss among adolescents with overweight/obesity (OW/OB) is needed. The objective of this qualitative study was to assess perceived barriers and facilitators to a healthy lifestyle and weight loss among adolescents with OW/OB. Methods Using 2018–2019 data from eleven focus groups among adolescents aged 14–19 with OW/OB (n = 41; n = 11 boys and n = 30 girls), a moderated, semi-structured focus group guide was used to identify perceived barriers and facilitators to a healthy lifestyle and weight loss. Results Adolescents reported time, access to healthful foods, food cravings, stress, and weight stigma/shaming as barriers to weight loss. Themes around internal and external psychosocial states (support, motivation) and behaviors including modeling, sports, and other physical activities were identified as both barriers and facilitators. Parents were recognized by teens as both helping and hindering weight loss, but overall teens felt their parents were more so facilitators than barriers, particularly as it related to modeling behaviors. Differences were noted by sex, among which girls reported experiencing weight struggles, whereas boys generally stated they did not struggle with weight, despite all participants meeting criterion for OW/OB. Conclusions Adolescent boys and girls with OW/OB perceive their weight status differently and identify a variety of barriers and facilitators to a healthy lifestyle and weight loss. Tailoring adolescent weight management interventions to address these perceived barriers and facilitators, along with noted sex differences, has the potential to improve the quality and effectiveness of adolescent obesity interventions. Funding Sources National Heart, Lung, and Blood Institute, National Institute of Health, WellCare Health Plans.


2007 ◽  
Vol 12 (1) ◽  
pp. 119-127 ◽  
Author(s):  
Rosanna Setse ◽  
Ruby Grogan ◽  
Lisa A. Cooper ◽  
Donna Strobino ◽  
Neil R. Powe ◽  
...  

2010 ◽  
Vol 5 (2) ◽  
pp. 180-181
Author(s):  
N. Tagik ◽  
A. Keshavarz ◽  
M. Jalali ◽  
H. Sadrzadeh Yeganeh ◽  
M. Chamari ◽  
...  

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Leila Bazrafkan ◽  
Mohammad Amin Choobineh ◽  
Mehrnaz Shojaei ◽  
Alireza Bozorgi ◽  
Mohammad Hossein Sharifi

Abstract Background The growing trend of overweight and obesity in many developed and developing countries in recent years has made obesity one of the most significant health problems in the world. The treatment of overweight and obese people is challenging, as patients have difficulty adhering to a weight-loss diet. Thus, the present study aimed to identify the reasons for the dropout of weight-loss diets. Methods This qualitative study using content analysis was conducted in a comprehensive health center in Shiraz, southern Iran, between April and October 2020. The study was performed on 27 participants with a history of obesity and diet dropout selected via purposive and theoretical sampling. The data were gathered through semi-structured interviews and were thematically analyzed. Results The participants included 25 females (92.6%) and two males (7.4%) with a mean age of 33.4 ± 8.4 years. Data analysis resulted in the emergence of three themes and 14 sub-themes. The first theme was personal reasons for diet dropout, which included six sub-themes; i.e., misunderstanding of diet, not having enough motivation, stress and hormonal disorder, having the feel of “being harmful to health”, lack of mental and psychological preparation, and personal taste. The second theme was familial and social reasons for diet dropout, including two sub-themes, i.e., social and familial problems. Finally, the third theme was the reasons related to diet characteristics, including six sub-themes: ineffectiveness of diet, expensiveness of diet food and dietary supplements, family problems, unavailability of food, unscientific and unconventional diets feeling bad about the diet, and unpalatable diet food. All the concepts were related to each other and resulted in a pattern revealing the experiences of overweight people and who had dropped out of weight-loss diets. Conclusion The reasons for diet dropout were divided into three levels: personal reasons, familial and social reasons, and diet characteristics. Overall, clinicians should pay attention to the complexity of diets to increase the success rate of weight management. Based on the current study findings, a guideline is recommended to guide patients who dropout of weight-loss diets.


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