A qualitative study of weight loss maintenance in obese Nigerians
Thesis (MFamMed)--Stellenbosch University, 2015.
ENGLISH SUMMARY : Abstract: The rising prevalence of overweight and obesity globally is a major public health concern. There are no simple solutions to obesity, weight management is a long term challenge influenced by behavioural, emotional and physical factors. In order to establish effective weight management strategies, overweight and obese people’s experiences with weight management need to be comprehensively understood. This study explores the experiences of adult Nigerians who have been successful at weight loss maintenance. Aim: To establish effective weight loss maintenance strategies used by overweight and obese adults in Abuja, Nigeria Method: Qualitative study with in-depth interviews of 7 successful weight losers in Abuja, Nigeria. Results: Participants employed a combination multiple dietary strategies and exercise to maintain their weight loss. They reported that they avoided certain meals, substituted meals, practiced portion control, skipped meals, counted calories, avoided eating out, ate many small meals, ate unprocessed foods, ate low calorie meal, and ate mainly fruits and vegetables. Most had a flexible eating restraint behaviour. For most, dancing was the favorite form of exercise. They viewed these changes as life goals. From their report, t a sustainable weight loss plan, setting weight loss goals, regular self -monitoring of weight, positive outcomes, positive thinking, positive feedback, self-encouragement and determination, helped them to maintain their weight loss. Conclusion: This study has helped us understand some of the factors that doctors should consider when giving advice to Nigerian women on maintenance of weight loss. The combination of multiple strategies is consistent with existing literature on successful weight loss maintenance.
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