Korean J Fam Med 2018; 39(1): 15-22  https://doi.org/10.4082/kjfm.2018.39.1.15
Understanding Dieting and Previous Weight Loss Attempts among Overweight and Obese Participants: Insights into My Body Is Fit and Fabulous at Work Program
Tengku Alina Tengku Ismail1,*, Rohana Abdul Jalil1, Wan Rosli Wan Ishak2, Noor Fadzlina Hamid2, Wan Suriati Wan Nik2, Hamid Jan Jan Mohamed2, Nor Haslina Mohd3, Wan Nor Arifin4, Wan Mohd Izani Wan Mohamed5, Mohd Ismail Ibrahim1, Rohaida Ismail6, Tengku Fatimatul Tengku Hassim6, Tahir Aris7, Wan Manan Wan Muda2
1Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
2Program of Nutrition and Dietetics, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
3Program of Environmental and Occupational Safety and Health, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
4Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
5Department of Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia
6Kelantan State Health Department, Ministry of Health Malaysia, Putrajaya, Malaysia
7Institute for Public Health, Ministry of Health Malaysia, Putrajaya, Malaysia
Tengku Alina Tengku Ismail https://orcid.org/0000-0001-6689-4527
Tel: +60-9-7676645, Fax: +60-9-7676654, E-mail: dralina@usm.my
Received: July 19, 2017; Revised: September 22, 2017; Accepted: October 12, 2017; Published online: January 20, 2018.
© Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: A qualitative study providing an in-depth exploration of people’s view and the increasing burden of overweight and obesity is required. This study aimed to explore the understanding of dieting and previous experiences on weight loss attempts among overweight and obese government employees in Kelantan, Malaysia, prior to recruitment into the intervention program.
Methods: Thirteen focus group discussions involving 129 participants from a weight-loss intervention program were conducted within the first 1 month of recruitment. These discussions were moderated by two trained researchers in the Malay language and assisted by an interview guide. They were audio-recorded and transcribed verbatim. A thematic analysis was performed, and codes and themes from each discussion were constructed.
Results: The participants understood dieting with various meanings, including skipping meals and removing rice from daily diets. They applied numerous methods to lose weight and achieved various outcomes. Health and appearance, social support, and compliance with current trends were the factors motivating these participants to lose weight. Their determination to lose weight was limited by lack of self-control and motivation, experiences of unpleasant effects, influence on weight, and environmental and health factors.
Conclusion: Real-life weight loss experiences and perceptions provided relevant insights into current weight loss management strategies. Some of these issues and misunderstandings should be emphasized in weight loss strategies during health promotion.
Keywords: Diet; Weight Loss; Overweight; Obesity; Qualitative Research


This Article

e-submission

Archives