Bazrafkan Leila, Choobineh Mohammad Amin, Shojaei Mehrnaz, Bozorgi Alireza, Sharifi Mohammad Hossein
Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Community Nutrition, School of Nutrition & Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.
BMC Nutr. 2021 Nov 19;7(1):76. doi: 10.1186/s40795-021-00480-w.
The growing trend of overweight and obesity in many developed and developing countries in recent years has made obesity one of the most significant health problems in the world. The treatment of overweight and obese people is challenging, as patients have difficulty adhering to a weight-loss diet. Thus, the present study aimed to identify the reasons for the dropout of weight-loss diets.
This qualitative study using content analysis was conducted in a comprehensive health center in Shiraz, southern Iran, between April and October 2020. The study was performed on 27 participants with a history of obesity and diet dropout selected via purposive and theoretical sampling. The data were gathered through semi-structured interviews and were thematically analyzed.
The participants included 25 females (92.6%) and two males (7.4%) with a mean age of 33.4 ± 8.4 years. Data analysis resulted in the emergence of three themes and 14 sub-themes. The first theme was personal reasons for diet dropout, which included six sub-themes; i.e., misunderstanding of diet, not having enough motivation, stress and hormonal disorder, having the feel of "being harmful to health", lack of mental and psychological preparation, and personal taste. The second theme was familial and social reasons for diet dropout, including two sub-themes, i.e., social and familial problems. Finally, the third theme was the reasons related to diet characteristics, including six sub-themes: ineffectiveness of diet, expensiveness of diet food and dietary supplements, family problems, unavailability of food, unscientific and unconventional diets feeling bad about the diet, and unpalatable diet food. All the concepts were related to each other and resulted in a pattern revealing the experiences of overweight people and who had dropped out of weight-loss diets.
The reasons for diet dropout were divided into three levels: personal reasons, familial and social reasons, and diet characteristics. Overall, clinicians should pay attention to the complexity of diets to increase the success rate of weight management. Based on the current study findings, a guideline is recommended to guide patients who dropout of weight-loss diets.
近年来，许多发达国家和发展中国家超重和肥胖的趋势日益增长，使肥胖成为世界上最严重的健康问题之一。超重和肥胖人群的治疗具有挑战性，因为患者难以坚持减肥饮食。因此，本研究旨在确定减肥饮食中断的原因。
本定性研究采用内容分析法，于2020年4月至10月在伊朗南部设拉子的一家综合健康中心进行。该研究对27名有肥胖病史且中断饮食的参与者进行，通过目的抽样和理论抽样选取。数据通过半结构化访谈收集，并进行主题分析。
参与者包括25名女性（92.6%）和2名男性（7.4%），平均年龄为33.4±8.4岁。数据分析得出三个主题和14个子主题。第一个主题是饮食中断的个人原因，包括六个子主题，即对饮食的误解、动力不足、压力和激素紊乱、感觉“对健康有害”、缺乏心理和精神准备以及个人口味。第二个主题是饮食中断的家庭和社会原因，包括两个子主题，即社会和家庭问题。最后，第三个主题是与饮食特征相关的原因，包括六个子主题：饮食无效、减肥食品和膳食补充剂昂贵、家庭问题、食物不可得、不科学和非常规饮食、对饮食感觉不好以及减肥食品难吃。所有概念相互关联，形成了一种模式，揭示了超重且中断减肥饮食者的经历。
饮食中断的原因分为三个层面：个人原因、家庭和社会原因以及饮食特征。总体而言，临床医生应注意饮食的复杂性，以提高体重管理的成功率。基于当前研究结果，建议制定一项指南，以指导中断减肥饮食的患者。
