Weight Reduction for Overweight and Obese Adults: Challenges Experienced in a Nigerian Community
Parole chiave:
Challenges, overweight, obesity, motivation, knowledge, supportAbstract
Prevalence of overweight and obesity in low/medium income countries is on the increase with associated co-morbidities. This qualitative study was carried out to explore various challenges and barriers experienced by overweight and obese individuals in a sub-Saharan Africa setting. Focus group discussions were conducted in 13 census enumeration areas with a purposive sample size of 83 overweight and obese individuals. The data collected was subjected to thematic analysis after going through rigorous transcriptions from the tape recorder. The three main emerging themes were lack of knowledge about the need to reduce weight and health consequences of overweight, lack of money for consultation and dietary regimen as well as lack of support and motivation from immediate family and friends. This study was able to explore various challenges that impair weight reduction among overweight and obese persons from a low income country. These challenges need to be seriously considered if the increasing tide in the prevalence of overweight and obesity is to be reduced and checked.
Riferimenti bibliografici
Ajzen, I.&Fishbein, M. (1980): Understanding attitudes and predicting social behaviour, Prentice-Hall, Englewood Cliffs, New Jersey.
Akindele M.O., Phillips J., & Igumbor U.E. (2016): The relationship between body fat percentage and body mass index in overweight and obese individuals in an urban African setting. Journal of Public Health in Africa, 7, 515
Ali, H.I., Bernsen, R.N.,&Baynouna, L.M. (2009): Barriers to weight management among Emirati women: a qualitative investigation of health professionals’ perspectives. InternationalQuarterlyof Community Health Education, 29(2), 143-159.
Andajani-Sutjahjo, S., Ball, K., Warren, N., Inglis, V., &Crawford, D. (2004): Perceived Personal, social and environmental barriers to weight maintenance among young women: A community survey. International Journal of Behavioural Nutrition and Physical Activity, 1,15.
Booth, M.L., Bauman, A., Owen, N., & Bore, C.J. (1997): Physical activity preferences, preferred sources of assistance, and perceived barriers to increased physical activity among physically inactive Australians. Preventive Medicine, 26,131-137.
Brislin, R.W. (1970): Back-Translation for Cross-Cultural Research.Journal of cross-Cultural Psychology, 1(3), 185-216.
Carter, N., Bryant-Lukosius, D., DiCenso, A., Blythe, J. and Neville, A.J. (2014): The use of Triangulation in Qualitative Research.Oncology Nursing Forum, 41(5): 545.
Catlin, T. K., Simoes, E. J., &Brownson, R. C. (2003): Environmental and policy factors associated with overweightamong adults in Missouri. American Journal of Health Promotion, 17(4), 249–258.
Daddario, D.K. (2007): A review of the use of the health belief model for weight management. Medical Surgical Nursing,16, 363-366.
Dietz, W.H., Baur, L.A., Hall, K., Puhl, R.M., Taveras, E.M., Uauy, R., et al., (2015): Management of obesity: improvement of health-care training and systems for prevention and care. Lancet; published online Feb 18.http://dx.doi.org/10.1016/S0140-6736(14)61748-7.
DiLillo, V., Gore, S., Jones, J., Balentine, C., & West, D. S. (2004). Body image dissatisfaction among Black and White women enrolled in a weight loss program. Annals of Behavioural Medicine, 27(Suppl.), S83.
Dinsa, G.D., Goryakin, Y., Fumagalli, E., &Suhrcke, M. (2012). Obesity and socioeconomic status in developing countries: a systematic review. Obesity Reviews, 13, 1067-1079.
Edell, B.H., Edington, S., Herd, B., O’Brien, R.M., Witkin, G. (1987). Self-efficacy and self-motivation as predictors of weight loss. Addictive Behaviour,12, 63–66.
Ferrante, J.M., Piasecki, A.K., Ohman-Strickland, P.A., &Crabtree, B.F. (2009). Family physicians’ practices and attitudes regarding care of extremely obese patients. Obesity, 17, 1710–1716.
Fitzgibbon, M. L., Blackman, L. R., & Avellone, M. E. (2000). The relationship between body image discrepancy and body mass index across ethnic groups. Obesity Research, 8(8), 582-589.
Foster, G.D., Sarwer, D.B., & Wadden, T.A. (1997). Psychological effects of weight cycling in obese persons: a review and research agenda. Obesity Research, 5(5), 474–488.
Giles-Corti, B., Macintyre, S., Clarkson, J., Pikora, T., &Donovan, R. J. (2003). Environmental and lifestyle factors associated with overweight and obesity in Perth, Australia.American Journal of Health Promotion, 18(1), 93–102.
Greaney, M.L., Less, F.D., White, A.A., Dayton, S.F., Riebe, D., Blissmer, B., et al., (2009): College students’ barriers and enablers for healthful weight management: a qualitative study. Journal of Nutrition Education and Behaviour, 41(4), 281-286.
Johnson, C.A., Corrigan, S.A., Dubbert, P.M., & Gramling, S.E. (1990): Perceivedbarriers to exercise and weight control practices in community women. Women Health, 16,177–191.
Kamadjeu, R.M., Edwards, R., Atanga, J.S., Kiawi, E.C., Unwin, N., Mbanya, J.C. (2006).
Anthropometry measures and prevalence of obesity in urban adult population of Cameroon: an update from the Cameroon Burden of Diabetes Baseline Survey. BMC Public Health, 6,228.
Kearney, J.M., &McElhone, S. (1999). Perceived barriers in trying to eat healthier: Results of a pan-EU consumer attitudinal survey. British Journal of Nutrition, 81(suppl 2), S133-137.
Kleinman, A., Eisenberg, L. & Good, B. (1978). Culture, illness and care: clinical lessons from anthropologic and cross-cultural research. Annals of Internal Medicine, 88(2), 251–258.
Kenkel, D.S. (1991). Health behaviour, health knowledge, and schooling. Journal of Political Economy, 99(2), 287-305.
Kreuter, M., Lukwago, S., Bucholtz, D., Clark, E. & Sanders-Thompson, V. (2003).Achieving cultural appropriateness in health promotion programs: targeted and tailored approaches. Health Education and Behaviour, 30(2), 133-146.
López-Azpiazu, I., Martínez-González, M.A., Kearney, J., Gibney, M., & Martínez, J.A. (1999). Perceived barriers of, and benefits to, healthy eating reported by a Spanish national sample. Public Health Nutrition, 2, 209–215.
Loureiro, M.L., & Nayga, R.M. Jr. (2006).Obesity, weight loss, and physician’s advice. Social Science & Medicine, 62, 2458–2468.
Marshall, C., & Rossman, G.B. (1999).Designing Qualitative Research. Sage Publications, London.
Maynard, M.J., Baker, G., Rawlins, E., Anderson, A. & Harding, S. (2009). Developing obesity prevention interventions among minority ethnic children in schools and places of worship: The DEAL (DiEt and Active Living) study. BMC Public Health, 9, 480.
Ng, M., Fleming, T., Robinson, M., Thomson, B., Gratez, N., Margono, C., et al., (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during1980–2013: a systematic analysis for the Global Burden of Disease Study2013. Lancet, 384,766–781.
Nikolaou, C.K., Hankey, C.R. & Lean, M.E.J. (2014): Weight changes in young adults: a mixed-methods study. International Journal of Obesity,39(3), 508-513.
Poortinga, W. (2006): Perceptions of the environment, physical activity, and obesity. Social Science & Medicine, 63, 2835–2846.
Sharifi, N. Mahdavi, R. & Ebrahimi-Mameghani, M. (2013). Perceived barriers to weight loss programmes for overweight or obese women. Health Promotion Perspectives, 3(1), 11-22.
Sit, C.H.P., Kerr, J.H., & Wong, I.T.F. (2008). Motives for and barriers to physical activity participation in middle-aged Chinese women. Psychology of Sport and Exercise, 9, 266-283.
Sodjinou, R., Agueh, V., Fayomi, B., & Delisle, H. (2008). Obesity and cardio-metabolic risk factors in urban adults of Benin: relationship with socio-economic status, urbanisation, and lifestyle patterns. BMC Public Health, 8, 84.
Teixeira, P.J., Palmeira, A.L., Branco, T.L., Martins, S.S., Minderico, C.S., Barata, J.T., et al., (2004).Who will lose weight? A re-examination of predictors of weight loss in women. International Journal of Behavioural Nutrition and Physical Activity, 1, 12.doi:10.1186/1479-5868-1-12
Wadden, T. A., Womble, L. G., Stunkard, A. J., & Anderson, D.A. (2002). Psychosocial consequences of obesity and weightloss. In T. A. Wadden, & J. Stundards (Eds.), Handbook of obesity treatment (pp. 144–169). New York: Guildford Press.
Welsh, E.M., Jeffery, R.W., Levy, R.L., Langer, S.L., Flood, A.P., Jaeb, M.A., et al., (2012). Measuring Perceived Barriers to Healthful Eating in Obese, Treatment-seeking Adults. Journal of Nutrition Education and Behaviour, 44, 507-512.
World Health Organization (WHO) (2000): Obesity: preventing and managing the global epidemic. Report of a WHO consultation. Geneva: World Health Organization; 2000 (WHO Technical Report Series, No. 894; http://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/, accessed 5November 2014).
World Health Organization (WHO).(2004).Guidelines for conducting community surveys on injuries and violence. In: Sethi D, Habibula S, McGee K, Peden M, Bennet S, Hyder AA, et al. editors. World Health Organization. Geneva: World Health Organisation; 2004.
WHO (2005): Preventing chronic diseases, a vital investment. Geneva: World Health Organization, 2005.World Health Organization (WHO). Global status report on non-communicable diseases 2014. (http://www.who.int/nmh /publications/ncd-status-report-2014/en/, accessed 1 April 2015).
