Korean J Fam Med.
2018 Jan;39(1):15-22. 10.4082/kjfm.2018.39.1.15.
Understanding Dieting and Previous Weight Loss Attempts among Overweight and Obese Participants: Insights into My Body Is Fit and Fabulous at Work Program
- Ismail TA
- Jalil RA
- Wan Ishak
- Hamid NF
- Wan Nik WS
- Jan Mohamed HJ
- Mohd NH
- Arifin WN
- Mohamed WM
- Ibrahim MI
- Ismail R
- Hassim TF
- Aris T
- Wan Muda W
- Affiliations
-
- 1Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia. dralina@usm.my
- 2Program of Nutrition and Dietetics, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
- 3Program of Environmental and Occupational Safety and Health, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
- 4Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
- 5Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
- 6Kelantan State Health Department, Ministry of Health Malaysia, Putrajaya, Malaysia.
- 7Institute for Public Health, Ministry of Health Malaysia, Putrajaya, Malaysia.
- KMID: 2401719
- DOI: http://doi.org/10.4082/kjfm.2018.39.1.15
Abstract
- BACKGROUND
A qualitative study providing an in-depth exploration of people's view and the increasing burden of overweight and obesity is required. This study aimed to explore the understanding of dieting and previous experiences on weight loss attempts among overweight and obese government employees in Kelantan, Malaysia, prior to recruitment into the intervention program.
METHODS
Thirteen focus group discussions involving 129 participants from a weight-loss intervention program were conducted within the first 1 month of recruitment. These discussions were moderated by two trained researchers in the Malay language and assisted by an interview guide. They were audio-recorded and transcribed verbatim. A thematic analysis was performed, and codes and themes from each discussion were constructed.
RESULTS
The participants understood dieting with various meanings, including skipping meals and removing rice from daily diets. They applied numerous methods to lose weight and achieved various outcomes. Health and appearance, social support, and compliance with current trends were the factors motivating these participants to lose weight. Their determination to lose weight was limited by lack of self-control and motivation, experiences of unpleasant effects, influence on weight, and environmental and health factors.
CONCLUSION
Real-life weight loss experiences and perceptions provided relevant insights into current weight loss management strategies. Some of these issues and misunderstandings should be emphasized in weight loss strategies during health promotion.
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