Jessen-Winge Christina, Ilvig Pia Marie, Thilsing Trine, Lee Kim, Fritz Heather, Christensen Jeanette Reffstrup
Department of Public Health, University of Southern Denmark Faculty of Health Sciences, Odense, Denmark
Department of Health, University College Copenhagen, Kobenhavn, Denmark.
BMJ Open. 2020 Nov 18;10(11):e039667. doi: 10.1136/bmjopen-2020-039667.
Obesity is an increasing public health challenge and most weight loss programmes are still inadequate to support sustainable weight loss. One reason for the continued lack of success might be the dominant biomedical, individualised approach to weight loss. Holistic approaches that focus on overall health and well-being in addition to weight loss are increasingly recommended. In Denmark, health professionals in the municipalities are responsible for developing and conducting weight loss programmes. The objective of this study was to explore what health professional's perceived as an ideal, holistic weight loss programme that could be feasibly implemented in the municipalities.
A phenomenological-hermeneutical qualitative study was performed using semistructured interviews.
Thirty-two Danish municipalities were weight loss programmes are developed and conducted.
Thirty-five health professionals with experience conducting weight loss programmes.
Three themes emerged from the analysis: Support from the social network are important both during and after a weight loss, Changing the self-belief by positive discussions and doing activities, Maintaining changes through daily life.
Future municipal weight loss programmes should emphasise overall health and well-being instead of weight loss and adopt a holistic approach including a focus on social relationships, meaningful activities and successes as part of a balanced daily life.
肥胖是一个日益严峻的公共卫生挑战，大多数减肥计划仍不足以支持可持续的体重减轻。持续缺乏成效的一个原因可能是占主导地位的生物医学、个体化减肥方法。越来越多的人推荐采用整体方法，这种方法除了关注体重减轻外，还注重整体健康和幸福。在丹麦，市政当局的卫生专业人员负责制定和开展减肥计划。本研究的目的是探索卫生专业人员认为理想的、可在市政当局切实实施的整体减肥计划。
采用半结构化访谈进行现象学 - 诠释学定性研究。
开展减肥计划的32个丹麦市政当局。
35名有开展减肥计划经验的卫生专业人员。
分析得出三个主题：减肥期间及之后社交网络的支持很重要；通过积极讨论和开展活动改变自我认知；通过日常生活维持改变。
未来市政减肥计划应强调整体健康和幸福而非体重减轻，并采用整体方法，包括关注社会关系、有意义的活动以及作为平衡日常生活一部分的成功经验。
