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Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

Motivation and obstacles for weight management among young women – a qualitative study with a public health focus - the Tromsø study: Fit Futures

Authors: Anne-Sofie Sand, Nina Emaus, Olaug S. Lian

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

Due to a worldwide increase in overweight and obesity, weight-management through lifestyle changes has become an important public health issue. Adolescents and young adults comprise a vulnerable group. The transition into adulthood represents a stage in life when establishing good lifestyle habits for the future is important. The aim of this study was to explore motivation and obstacles for weight reduction, weight maintenance and healthy lifestyle choices in young women.

Methods

We conducted semi-structured in depth interviews with 12 young women, both overweight and normal weight, recruited from a school-based population survey. By the use of thematic analysis we searched the interview text for relevant meaning units that emerged as topics that illuminated our research questions.

Results

A strong motivation for obtaining or keeping normal weight was clearly present among the participants. Independent of weight-group, the participants described increased levels of physical activity, better eating habits and regularity in daily life as desirable changes. Parents were described as important influencers regarding lifestyle habits. Several participants expressed a need for more information about healthy nutrition and eating. Their motivation for physical activity depended on a positive social setting and elements of joy. The participants described the transition into adulthood including moving out of their parents’ home and other structural changes in everyday life, as challenging. It affected their food choices and eating habits and other lifestyle issues. High costs of healthy food and sports activities were frequently mentioned among the obstacles they encountered.

Conclusion

The results revealed an obvious motivation for lifestyle changes in individuals and environmental challenges for young women in the relevant stage of their life-course. There seems to be a need for health strategies that strengthens individuals’ capacity to overcome the environmental challenges in the transition to adulthood. This should include reliable and accessible health education/information regarding healthy nutrition, eating habits, food choices and preparation of meals. Structural initiatives such as easier access to affordable healthy food and less expensive opportunities for physical activity and sports should be considered.
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Literature
1.
go back to reference NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2015: a pooled analysis of 1698 population-based measurements studies with 19.2 million participants. Lancet. 2016;387:1377–96.CrossRef NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2015: a pooled analysis of 1698 population-based measurements studies with 19.2 million participants. Lancet. 2016;387:1377–96.CrossRef
2.
go back to reference LeBesco K. Neoliberalism, public health, and the moral perils of fatness. Critical Public Health. 2011;21:153–64.CrossRef LeBesco K. Neoliberalism, public health, and the moral perils of fatness. Critical Public Health. 2011;21:153–64.CrossRef
3.
go back to reference Roberto CA, Swinburn B, Hawkes C, Huang TT-K, Costa SA, Ashe M, et al. Patchy progress on obesity prevention: emerging examples, entrenched barriers, and new thinking. Lancet. 2015;385:2400–9.CrossRefPubMed Roberto CA, Swinburn B, Hawkes C, Huang TT-K, Costa SA, Ashe M, et al. Patchy progress on obesity prevention: emerging examples, entrenched barriers, and new thinking. Lancet. 2015;385:2400–9.CrossRefPubMed
4.
go back to reference Ferraro ZM, Patterson S, Chaput JP. Unhealthy weight control practices: culprits and clinical recommendations. Clin Med Insights Endocrinol Diabetes. 2015;8:7–11.CrossRefPubMedPubMedCentral Ferraro ZM, Patterson S, Chaput JP. Unhealthy weight control practices: culprits and clinical recommendations. Clin Med Insights Endocrinol Diabetes. 2015;8:7–11.CrossRefPubMedPubMedCentral
5.
go back to reference Brown BJ, Baker S. Responsible citizens. Individuals, Health and policy under Neoliberalism. London: Anthem Press; 2013. Brown BJ, Baker S. Responsible citizens. Individuals, Health and policy under Neoliberalism. London: Anthem Press; 2013.
7.
go back to reference Bacon L. Health at every size. The surprising truth about your weight. Dallas: Benbella Books, Inc; 2008. Bacon L. Health at every size. The surprising truth about your weight. Dallas: Benbella Books, Inc; 2008.
8.
go back to reference Campos P, Saguy A, Ernsberger P, Oliver E, Gaesser G. The epidemiology of overweight and obesity: public health crisis or moral panic? Int J Epidemiol. 2006;35(1):55–60.CrossRefPubMed Campos P, Saguy A, Ernsberger P, Oliver E, Gaesser G. The epidemiology of overweight and obesity: public health crisis or moral panic? Int J Epidemiol. 2006;35(1):55–60.CrossRefPubMed
9.
go back to reference Gortmaker SL, Swinburn BA, Levy D, Carter R, Mabry PL, Finegood DT, et al. Changing the future of obesity: science, policy, and action. Lancet. 2011;378:838–47.CrossRefPubMedPubMedCentral Gortmaker SL, Swinburn BA, Levy D, Carter R, Mabry PL, Finegood DT, et al. Changing the future of obesity: science, policy, and action. Lancet. 2011;378:838–47.CrossRefPubMedPubMedCentral
10.
go back to reference Swinburn BA, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie ML, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378:804–14.CrossRefPubMed Swinburn BA, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie ML, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378:804–14.CrossRefPubMed
11.
go back to reference Lupton D. Food, the body and the self. London: SAGE Publications; 1996. Lupton D. Food, the body and the self. London: SAGE Publications; 1996.
12.
go back to reference Faw MH. Young adults’ strategies for managing social support during weight-loss attempts. Qual Health Res. 2014;24:267–78.CrossRefPubMed Faw MH. Young adults’ strategies for managing social support during weight-loss attempts. Qual Health Res. 2014;24:267–78.CrossRefPubMed
13.
go back to reference Wane S, van Uffelen JG, Brown W. Determinants of weight gain in young women: a review of the literature. J Women’s Health (Larchmt). 2010;19:1327–40.CrossRef Wane S, van Uffelen JG, Brown W. Determinants of weight gain in young women: a review of the literature. J Women’s Health (Larchmt). 2010;19:1327–40.CrossRef
14.
go back to reference Neumark-Sztainer D, Paxton SJ, Hannan PJ, Haines J, Story M. Does body Satisfation matter? Five-year longitudinal associations between body satisfaction and Health Behaviours in adolescent females and males. J Adolesc Health. 2006;39:244–51.CrossRefPubMed Neumark-Sztainer D, Paxton SJ, Hannan PJ, Haines J, Story M. Does body Satisfation matter? Five-year longitudinal associations between body satisfaction and Health Behaviours in adolescent females and males. J Adolesc Health. 2006;39:244–51.CrossRefPubMed
15.
go back to reference Friscoe ML, Houle JN, Lippert AM. Weight change and depression among US young women during the transition to adulthood. Am J Epidemiol. 2013;178:22–30.CrossRef Friscoe ML, Houle JN, Lippert AM. Weight change and depression among US young women during the transition to adulthood. Am J Epidemiol. 2013;178:22–30.CrossRef
16.
go back to reference Nettleton S. The sociology of Health and illness. 3rd ed. Cambridge: Polity Press; 2013. Nettleton S. The sociology of Health and illness. 3rd ed. Cambridge: Polity Press; 2013.
17.
go back to reference Lahelma E. Health and Social Stratification. In: Cockerham WC, editor. The Blackwell Companion to Medical Sociology. Oxford: Blackwell Publishing Ltd; 2005. p. 64-93. Lahelma E. Health and Social Stratification. In: Cockerham WC, editor. The Blackwell Companion to Medical Sociology. Oxford: Blackwell Publishing Ltd; 2005. p. 64-93.
18.
go back to reference Huang TT, Cawley JH, Ashe M, Costa SA, Frerichs LM, Zwicker L, et al. Mobilisation of public support for policy actions to prevent obesity. Lancet. 2015;385:2422–31.CrossRefPubMed Huang TT, Cawley JH, Ashe M, Costa SA, Frerichs LM, Zwicker L, et al. Mobilisation of public support for policy actions to prevent obesity. Lancet. 2015;385:2422–31.CrossRefPubMed
19.
go back to reference Braden AL, Crow S, Boutelle K. Child self-reported motivations for weight loss: impact of personal vs. social/familial motives on family-based behavioural weight loss treatment outcomes. Eat Weight Disord. 2015;20:205–13.CrossRefPubMed Braden AL, Crow S, Boutelle K. Child self-reported motivations for weight loss: impact of personal vs. social/familial motives on family-based behavioural weight loss treatment outcomes. Eat Weight Disord. 2015;20:205–13.CrossRefPubMed
20.
go back to reference Nissen NK, Holm L. Literature review: perceptions and management of body size among normal weight and moderately overweight people. Obes Rev. 2015;16:150–60.CrossRefPubMed Nissen NK, Holm L. Literature review: perceptions and management of body size among normal weight and moderately overweight people. Obes Rev. 2015;16:150–60.CrossRefPubMed
21.
go back to reference Green J, Tones K. Health promotion. Planning and strategies. London: SAGE; 2010. Green J, Tones K. Health promotion. Planning and strategies. London: SAGE; 2010.
22.
go back to reference Voelker DK, Reel JJ, Greenleaf C. Weight status and body image perceptions in adolescents: current perspectives. Adolesc Health Med Ther. 2015;6:149–58.PubMedPubMedCentral Voelker DK, Reel JJ, Greenleaf C. Weight status and body image perceptions in adolescents: current perspectives. Adolesc Health Med Ther. 2015;6:149–58.PubMedPubMedCentral
23.
go back to reference Tiggeman M, Zaccardo M. ”Exercise to be fit, not skinny”: the effect of fitspiration imagery on women’s body image. Body Image. 2015;15:61-7. Tiggeman M, Zaccardo M. ”Exercise to be fit, not skinny”: the effect of fitspiration imagery on women’s body image. Body Image. 2015;15:61-7.
24.
go back to reference Fardouly J, Deidrichs PC, Vartanian LR, Halliwell E. Social comparisons on the social media: the impact of Facebook on young women’s body image concerns and mood. Body Image. 2015;13:38–45.CrossRefPubMed Fardouly J, Deidrichs PC, Vartanian LR, Halliwell E. Social comparisons on the social media: the impact of Facebook on young women’s body image concerns and mood. Body Image. 2015;13:38–45.CrossRefPubMed
25.
go back to reference Dahlberg K, Drew N, Nyström M. Reflective Lifeworld research. Studentlitteratur: Lund; 2008. Dahlberg K, Drew N, Nyström M. Reflective Lifeworld research. Studentlitteratur: Lund; 2008.
26.
go back to reference Polit DF, Beck CT. Nursing research. Generating and assessing evidence for nursing practice. 8th ed. Philadelphia: Wolters Kluwer. Lippincote Williams & Wilkins; 2008. Polit DF, Beck CT. Nursing research. Generating and assessing evidence for nursing practice. 8th ed. Philadelphia: Wolters Kluwer. Lippincote Williams & Wilkins; 2008.
27.
go back to reference Kvale S, Brinkmann S. Interviews. Learning the craft of qualitative research interviewing. London: SAGE; 2009. Kvale S, Brinkmann S. Interviews. Learning the craft of qualitative research interviewing. London: SAGE; 2009.
29.
go back to reference Mitchison D, Mond J. Epidemiology of eating disorders, eating disordered behaviour, and body image disturbance in males: a narrative review. J Eat Disord. 2015;3:20.CrossRefPubMedPubMedCentral Mitchison D, Mond J. Epidemiology of eating disorders, eating disordered behaviour, and body image disturbance in males: a narrative review. J Eat Disord. 2015;3:20.CrossRefPubMedPubMedCentral
30.
go back to reference Sand AS, Furberg AS, Lian OS, Nielsen CS, Pettersen G, Winther A, et al. A cross-sectional study on the differences between measured, perceived and desired body size and the relation to self-perceived health in young adults. The Tromsø study: fit Futures. Scand J Publ Health. 2017;1:1403494817690941. doi:10.1177/1403494817690941. [Epub ahead of print] Sand AS, Furberg AS, Lian OS, Nielsen CS, Pettersen G, Winther A, et al. A cross-sectional study on the differences between measured, perceived and desired body size and the relation to self-perceived health in young adults. The Tromsø study: fit Futures. Scand J Publ Health. 2017;1:1403494817690941. doi:10.​1177/​1403494817690941​. [Epub ahead of print]
31.
go back to reference Lindseth A, Norberg A. A phenomenological hermeneutical method for researching lived experience. Scand J Caring Sci. 2004;18:145–53.CrossRefPubMed Lindseth A, Norberg A. A phenomenological hermeneutical method for researching lived experience. Scand J Caring Sci. 2004;18:145–53.CrossRefPubMed
32.
go back to reference Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Psychol. 2008;3:77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Psychol. 2008;3:77–101.CrossRef
33.
go back to reference Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nurs Health Sci. 2013;15:398–405.CrossRefPubMed Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nurs Health Sci. 2013;15:398–405.CrossRefPubMed
34.
go back to reference Fereday J, Muir-Cochrane E. Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. Int J Qualitative Meth. 2006;5:80–92. Fereday J, Muir-Cochrane E. Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. Int J Qualitative Meth. 2006;5:80–92.
36.
go back to reference Sand AS, Emaus N, Lian OS. Overweight and obesity in young adult women: a matter of health or appearance? The Tromsø study: fit Futures. Int J Qual Stud Health Well-being. 2015;10:29026.CrossRef Sand AS, Emaus N, Lian OS. Overweight and obesity in young adult women: a matter of health or appearance? The Tromsø study: fit Futures. Int J Qual Stud Health Well-being. 2015;10:29026.CrossRef
37.
go back to reference Nilsen SM, Krokstad S, Holmen TL, Westin S. Adolescents’ health-related dietary patterns by parental socio-economic position, the Nord-Trøndelag Health study (HUNT). Eur J Pub Health. 2010;20:299–305.CrossRef Nilsen SM, Krokstad S, Holmen TL, Westin S. Adolescents’ health-related dietary patterns by parental socio-economic position, the Nord-Trøndelag Health study (HUNT). Eur J Pub Health. 2010;20:299–305.CrossRef
38.
go back to reference Wind M, te Welde SJ, Brug J, Sandvik C, Klepp KI. Diet and direct interaction between environmental factors and fruit intake, mediation by psychosocial factors: the pro children study. Public Health Nutr. 2010;13:1736–45.CrossRefPubMed Wind M, te Welde SJ, Brug J, Sandvik C, Klepp KI. Diet and direct interaction between environmental factors and fruit intake, mediation by psychosocial factors: the pro children study. Public Health Nutr. 2010;13:1736–45.CrossRefPubMed
39.
go back to reference Sandvik C, Gjestad R, Samdal O, Brug J, Klepp KI. Does socio-economic status moderate the associations between psychosocial predictors and fruit intake in schoolchildren? The pro children study. Health Educ Res. 2010;25:121–34.CrossRefPubMed Sandvik C, Gjestad R, Samdal O, Brug J, Klepp KI. Does socio-economic status moderate the associations between psychosocial predictors and fruit intake in schoolchildren? The pro children study. Health Educ Res. 2010;25:121–34.CrossRefPubMed
40.
go back to reference Hawkes C, Smith TG, Jewell J, Wardle J, Hammond RA, Friel S, et al. Smart food policies for obesity prevention. Lancet. 2015;385:2410–21.CrossRefPubMed Hawkes C, Smith TG, Jewell J, Wardle J, Hammond RA, Friel S, et al. Smart food policies for obesity prevention. Lancet. 2015;385:2410–21.CrossRefPubMed
41.
go back to reference Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55:68–78.CrossRefPubMed Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55:68–78.CrossRefPubMed
42.
go back to reference Chaput JP, Després JP, Bouchard C, Tremblay A. The association between short sleep duration and weight gain is dependent on disinhibited eating behaviour in adults. Sleep. 2011;34:1291–7.CrossRefPubMedPubMedCentral Chaput JP, Després JP, Bouchard C, Tremblay A. The association between short sleep duration and weight gain is dependent on disinhibited eating behaviour in adults. Sleep. 2011;34:1291–7.CrossRefPubMedPubMedCentral
44.
go back to reference Mitchison D, Hay P, Griffiths S, Murray SB, Bentley C, Gratwick-Sarll K, Harrison C, Mond J. Disentangling body image: the relative associations of overvaluation, dissatisfaction, and preoccupation with psychological distress and eating disorder behaviors in male and female adolescents. Int J Eat Disord. 2017;50(2):118–26.CrossRefPubMed Mitchison D, Hay P, Griffiths S, Murray SB, Bentley C, Gratwick-Sarll K, Harrison C, Mond J. Disentangling body image: the relative associations of overvaluation, dissatisfaction, and preoccupation with psychological distress and eating disorder behaviors in male and female adolescents. Int J Eat Disord. 2017;50(2):118–26.CrossRefPubMed
45.
go back to reference Fredrickson J, Kremer P, Swinburn B, de Silva A, McCabe M. Weight perception in overweight adolescents: associations with body change intentions, diet and physical activity. J Health Psychol. 2015;20(6):774–84.CrossRefPubMed Fredrickson J, Kremer P, Swinburn B, de Silva A, McCabe M. Weight perception in overweight adolescents: associations with body change intentions, diet and physical activity. J Health Psychol. 2015;20(6):774–84.CrossRefPubMed
Metadata
Title
Motivation and obstacles for weight management among young women – a qualitative study with a public health focus - the Tromsø study: Fit Futures
Authors
Anne-Sofie Sand
Nina Emaus
Olaug S. Lian
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4321-9

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