Cardel Michelle I, Szurek Sarah M, Dillard Julia R, Dilip Abhya, Miller Darci R, Theis Ryan, Bernier Angelina, Thompson Lindsay A, Dulin A, Janicke David M, Lee Alex M
Department of Health Outcomes and Biomedical Informatics, College of Medicine University of Florida Gainesville Florida USA.
Department of Pediatrics, College of Medicine University of Florida Gainesville Florida USA.
Obes Sci Pract. 2020 Aug 18;6(6):638-648. doi: 10.1002/osp4.448. eCollection 2020 Dec.
Effectiveness of behavioural obesity treatments in adolescents is modest. Thus, incorporating participant feedback may lead to improvement of intervention acceptability. This qualitative study's objective was to assess perceived barriers/facilitators to weight loss and healthy lifestyles among diverse adolescents with overweight/obesity (OW/OB).
Adolescents ages 14-19 with BMI ≥ 85th percentile participated in focus groups and identified perceived barriers/facilitators to weight loss and healthy lifestyles.
Ten sex-stratified focus groups ( = 41; = 13 males, = 28 females) were conducted in 2018 and 2019. Females reported experiencing weight struggles, whereas males often stated no struggles with weight, despite all participants meeting criterion for OW/OB. Barriers included eating behaviours, family members and internal motivation, with additional barriers of physical activity, friends, time and support cited in females. Facilitators included parental, familial and peer support of healthy eating and exercise, modelling behaviours, internal motivation and organized sports. Two additional findings regarding adolescents' perceived barriers/facilitators include substantial overlap and sex differences of perceived barriers/facilitators.
Adolescent males and females with OW/OB experience weight status differently, affecting their perceived barriers/facilitators to weight loss and healthy lifestyles. Tailoring weight management interventions to the unique needs of adolescent females versus adolescent males has the potential to improve intervention quality and effectiveness.
行为肥胖治疗对青少年的效果一般。因此，纳入参与者的反馈可能会提高干预的可接受性。这项定性研究的目的是评估不同超重/肥胖青少年在减肥和健康生活方式方面所感知到的障碍/促进因素。
年龄在14 - 19岁、BMI≥第85百分位数的青少年参加了焦点小组，并确定了在减肥和健康生活方式方面所感知到的障碍/促进因素。
2018年和2019年进行了10个按性别分层的焦点小组（n = 41；男性 = 13，女性 = 28）。尽管所有参与者都符合超重/肥胖标准，但女性报告称经历了体重问题，而男性则常表示没有体重问题。障碍包括饮食行为、家庭成员和内在动力，女性还提到了体育活动、朋友、时间和支持等额外障碍。促进因素包括父母、家庭和同伴对健康饮食和锻炼的支持、榜样行为、内在动力和有组织的体育运动。关于青少年所感知到的障碍/促进因素的另外两个发现包括所感知到的障碍/促进因素存在大量重叠和性别差异。
超重/肥胖的青少年男性和女性对体重状况的体验不同，这影响了他们对减肥和健康生活方式所感知到的障碍/促进因素。根据青少年女性与青少年男性的独特需求定制体重管理干预措施，有可能提高干预质量和效果。
