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Experiences of barriers and facilitators to weight-loss in a diet intervention : a qualitative study of women in Northern Sweden

Hammarström, Anne, (författare)
Umeå universitet, Allmänmedicin
Fjellman-Wiklund, Anncristine, (författare)
Umeå universitet, Umeå centrum för genusstudier (UCGS)
Lindahl, Bernt, (författare)
Umeå universitet, Yrkes- och miljömedicin
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Larsson, Christel, (författare)
Umeå universitet, Institutionen för kostvetenskap
Ahlgren, Christina, (författare)
Umeå universitet, Umeå centrum för genusstudier (UCGS)
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Ingår i: BMC Women's Health. - BioMed Central. - 1472-6874 .- 1472-6874. ; 14, s. 59
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
  • <p><strong>BACKGROUND</strong>: There is a lack of research about the experiences of participating in weight-reducing interventions. The aim of this study was to explore barriers and facilitators to weight-loss experienced by participants in a diet intervention for middle-aged to older women in the general population in Northern Sweden.</p><p><strong>METHOD</strong>: In the intervention the women were randomised to eat either a Palaeolithic-type diet or a diet according to Nordic Nutrition recommendations for 24 months. A strategic selection was made of women from the two intervention groups as well as from the drop-outs in relation to social class, civil status and age. Thematic structured interviews were performed with twelve women and analysed with qualitative content analyses.</p><p><strong>RESULTS</strong>: The results showed that the women in the dietary intervention experienced two main barriers - struggling with self (related to difficulties in changing food habits, health problems, lack of self-control and insecurity) and struggling with implementing the diet (related to social relations and project-related difficulties) - and two main facilitators- striving for self-determination (related to having clear goals) and receiving support (from family/friends as well as from the project) - for weight-loss. There was a greater emphasis on barriers than on facilitators.</p><p><strong>CONCLUSION</strong>: It is important to also include drop-outs from diet interventions in order to fully understand barriers to weight-loss. A gender-relational approach can bring new insights into understanding experiences of barriers to weight-loss.</p>


MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Miljömedicin och yrkesmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Environmental Health and Occupational Health (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Obstetrics, Gynecology and Reproductive Medicine (hsv//eng)


behavior change
weight management
intervention programmes
qualitative analysis
health behavior
women's health/midlife

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