How do overweight people dropout of a weight loss diet? A qualitative study
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...
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2021
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oai:doaj.org-article:9a347f75e69249fc9813e2e923bbf1822021-11-21T12:13:46ZHow do overweight people dropout of a weight loss diet? A qualitative study10.1186/s40795-021-00480-w2055-0928https://doaj.org/article/9a347f75e69249fc9813e2e923bbf1822021-11-01T00:00:00Zhttps://doi.org/10.1186/s40795-021-00480-whttps://doaj.org/toc/2055-0928Abstract 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.Leila BazrafkanMohammad Amin ChoobinehMehrnaz ShojaeiAlireza BozorgiMohammad Hossein SharifiBMCarticleOverweightObesityDropoutWeight-loss dietQualitative studyNutrition. Foods and food supplyTX341-641Food processing and manufactureTP368-456Medicine (General)R5-920ENBMC Nutrition, Vol 7, Iss 1, Pp 1-9 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
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EN |
| topic |
Overweight Obesity Dropout Weight-loss diet Qualitative study Nutrition. Foods and food supply TX341-641 Food processing and manufacture TP368-456 Medicine (General) R5-920 |
| spellingShingle |
Overweight Obesity Dropout Weight-loss diet Qualitative study Nutrition. Foods and food supply TX341-641 Food processing and manufacture TP368-456 Medicine (General) R5-920 Leila Bazrafkan Mohammad Amin Choobineh Mehrnaz Shojaei Alireza Bozorgi Mohammad Hossein Sharifi How do overweight people dropout of a weight loss diet? A qualitative study |
| description |
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. |
| format |
article |
| author |
Leila Bazrafkan Mohammad Amin Choobineh Mehrnaz Shojaei Alireza Bozorgi Mohammad Hossein Sharifi |
| author_facet |
Leila Bazrafkan Mohammad Amin Choobineh Mehrnaz Shojaei Alireza Bozorgi Mohammad Hossein Sharifi |
| author_sort |
Leila Bazrafkan |
| title |
How do overweight people dropout of a weight loss diet? A qualitative study |
| title_short |
How do overweight people dropout of a weight loss diet? A qualitative study |
| title_full |
How do overweight people dropout of a weight loss diet? A qualitative study |
| title_fullStr |
How do overweight people dropout of a weight loss diet? A qualitative study |
| title_full_unstemmed |
How do overweight people dropout of a weight loss diet? A qualitative study |
| title_sort |
how do overweight people dropout of a weight loss diet? a qualitative study |
| publisher |
BMC |
| publishDate |
2021 |
| url |
https://doaj.org/article/9a347f75e69249fc9813e2e923bbf182 |
| work_keys_str_mv |
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