Ernersson Asa, Lindström Torbjörn, Nyström Fredrik H, Frisman Gunilla Hollman
Division of Nursing Sciences, Department of Medical and Health Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
Scand J Caring Sci. 2010 Sep;24(3):565-71. doi: 10.1111/j.1471-6712.2009.00750.x.
During the past 20 years, a sedentary lifestyle has become more common and simultaneously the consumption of energy-dense food has increased. These are two major risk factors associated with the increase of overweight and obesity, which is found in all ages over the world. The low well-being reported by obese individuals could be associated with increased food intake or it might be a specific consequence of obesity and lack of physical fitness. The aim of this study was to describe the experience of the phenomenon, adopting an obesity provoking behaviour, by increasing energy intake and simultaneously having a sedentary lifestyle for 4 weeks in healthy, normal-weight individuals of both genders. Eighteen healthy individuals (12 men and 6 women; median age 23, range 21-44 years) were included in an intervention, with a doubled energy intake and a maximum physical activity of 5000 steps per day during 4 weeks. After completing this intervention the participants were interviewed and asked to describe their experience during the past 4 weeks. A phenomenological approach was used to gain understanding of the phenomenon and analyses of the transcripts were performed in four steps according to Giorgis' method. The main essence of the phenomenon, adopting an obesity provoking behaviour, was found to be lack of energy, related to emotional life, relations and life habits. Lack of energy emerged from five structures: influenced self-confidence, commitment to oneself and others, managing eating, feelings of tiredness and physical impact. These five structures were manifested through 12 constituents. These lifestyle changes decreased the sense of well-being in nonobese healthy individuals of both genders.
在过去20年里,久坐不动的生活方式变得越来越普遍,与此同时,高能量食品的消费量也在增加。这是与超重和肥胖增加相关的两个主要风险因素,全球各年龄段都存在超重和肥胖问题。肥胖个体报告的幸福感较低可能与食物摄入量增加有关,也可能是肥胖和缺乏身体素质的特定后果。本研究的目的是通过增加能量摄入并同时让健康的正常体重男女个体保持4周久坐不动的生活方式,来描述采取诱发肥胖行为这一现象的体验。18名健康个体(12名男性和6名女性;年龄中位数23岁,范围21 - 44岁)参与了一项干预措施,在4周内能量摄入量翻倍且每天最大身体活动量为5000步。完成该干预后,对参与者进行了访谈,要求他们描述过去4周的体验。采用现象学方法来理解这一现象,并根据 Giorgis 的方法分四个步骤对访谈记录进行分析。发现采取诱发肥胖行为这一现象的主要本质是缺乏能量,这与情感生活、人际关系和生活习惯有关。缺乏能量从五个结构中显现出来:影响自信心、对自己和他人的承诺、饮食管理、疲劳感和身体影响。这五个结构通过12个要素表现出来。这些生活方式的改变降低了非肥胖健康男女个体的幸福感。