在胡齐斯坦阿瓦士健康中心住院的成人减肥失败:现象学研究

F. F. Khiavi, K. Djafarian, Mahbubeh Afrashtabar
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摘要

背景:肥胖是当今世界最重要的公共卫生问题之一。影响肥胖的因素太多了,有必要对每个人群分别进行研究。虽然许多人可以通过低能量饮食减肥,但他们往往会回到原来的体重,甚至更高。本研究旨在确定在阿瓦士健康中心住院的成年人减肥失败的原因。方法:这是一项定性现象学研究,于2017年在阿瓦士西部的一个卫生中心进行。本研究的数据收集工具是半结构化的深度访谈,面对面和单独进行。采访被记录下来,并立即逐字转印在纸上。然后采用内容分析法对访谈进行分析。结果:从访谈内容中提取出7个主题和11个关键概念。以下项目导致无法保持饮食和达到适当的体重:基础疾病,药物对超重和肥胖的影响,身体特征,生活方式,影响超重和肥胖的行为,饮食习惯和心理因素。结论:生活方式、某些疾病和药物可导致超重和肥胖对抗计划的失败。向社会提供教育和信息方案,强调减肥药的副作用和生活方式的改变,特别是饮食习惯,同时考虑到心理健康方面可能会影响人们控制肥胖的成功。
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Unsuccessful Weight-Loss in Adults Admitted to Health Centers, Ahvaz, Khuzestan: A Phenomenological Study
Background: Nowadays, obesity is one of the most important public health problems worldwide. There are so many various factors interfering with obesity that it is necessary to be studied separately in each population. Although many people can lose weight by observing low-energy diets, they often return to the former weight and even higher. The present study aimed to identify the causes of unsuccessful weight-loss in adults admitted to health centers in Ahvaz. Methods: This was a qualitative phenomenological study carried out in one of the health centers in western Ahvaz, 2017. The data collection tool for this study was semi-structured in-depth interview conducted face-to-face and individually. The interviews were recorded and transferred word-by-word on paper immediately. Then interviews were analyzed using the content analysis method. Results: Seven themes and 11 key concepts were extracted from the contents of the interviews.The following items led to a failure of keeping the diet and achieving the proper weight: Underlying diseases, the effects of drugs on overweightness and obesity, physical characteristics, lifestyle, affecting overweight and obesity behaviors, food habits, and psychological factors. Conclusion: Lifestyle and some diseases and medications can lead to a failure of overweight and obesity confronting programs. Provision of the educational and informational programs to the society with emphasis on the side effects of weight loss medications and lifestyle changes, especially the dietary habits, together with a consideration of the mental health dimension may affect the success of people in controlling obesity.
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