Article thumbnail

Dilemmas in the process of weight reduction: Exploring how women experience training as a means of losing weight

By Karen Synne Groven and Gunn Engelsrud

Abstract

Patients diagnosed with obesity are usually offered group-based behavior interventions which include dietary advice and exercise programs. In particular, high-intensity training—combining weight lifting with aerobic exercising—has been proven effective for losing weight. Moreover, recent studies have shown that persons participating in high-intensity training are more likely to maintain their weight loss compared to persons with lower levels of physical activity. However, most of the research in the field has made use of quantitative methods focusing on the measurable effect of such interventions. Therefore, the aim of this study was to show how the training is experienced from a first-person perspective, namely the patients themselves. Our hope was to shed some new light on the process of weight loss that concerns more than the measurable “impacts” of the training. A qualitative approach was used based on interviews with five women selected from a primary healthcare clinic in Norway. Our results show that experiences of training are connected to the participants' general experience of being overweight. Both relationships to other people and earlier experiences are important for how the training is carried out and perceived. Five themes were identified supporting this line of argument: (1) the gaze of others; (2) a common ground; (3) dependence of close-follow up; (4) bodily discomfort as painful; and (5) aiming for results—an ambivalent experience. The results highlight the importance of finding the proper context and support for each patient's needs

Topics: Empirical Studies
Publisher: CoAction Publishing
OAI identifier: oai:pubmedcentral.nih.gov:2875968
Provided by: PubMed Central

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.

Suggested articles

Citations

  1. (2006). An unwanted concept: Empowerment.
  2. (2004). Beyond the divide: Comparing and contrasting aspects of qualitative and quantitative research approaches.
  3. (2005). Cumulative disadvantages and health: Long-term consequences of obesity.
  4. (2000). Det annet kjønn [The second sex].
  5. (2000). Does physical activity prevent weight gain a systematic review.
  6. (2010). Engelsrud (page number not for citation purpose) Citation: Int J Qualitative Stud Health Well-being
  7. (2008). Exercise in the name of change.
  8. (2007). Exericse ambivalent experiences [Trening pa ˚ godt og vondt] In G. Engelsrud & K. Heggen (Eds.), Humanistisk sykdomslære. Tanker om helse, velvære, sykdom og diagnose [Humanistic approaches to illness]
  9. (2007). Feminism and the invisible fat man.
  10. (2005). Feminist sport studies: Sharing experiences of joy and pain.
  11. (2004). Forebygging og behandling av overvekt/fedme i helsetjenesten [Preventing and treating Obesity within the health service]. Sosial- og Helsedirektoratet, avdeling for ernæring.
  12. (1999). Gender trouble: Feminism and the subversion of identity (2nd ed.). London and
  13. (2008). Happy re-birthday: Weight loss surgery and the ‘‘New Me’’.
  14. (2008). How effective is exercise in producing fat loss? Systematic review.
  15. (2007). How to treat obesity. Tidsskrift for Den norske legeforening, 4,
  16. (2009). in press). ‘‘Norwegians fear fatness more than anythin else’’ a qualitative study of normative newspaper messages on obesity and health. Patient Education and Counceling.
  17. (2009). Interviews: Learning the craft of qualitative research interviewing.
  18. (2005). Is obesity stigmatizing? Body weight, perceived discrimination and psychological wellbeing in the United States.
  19. (2008). Merleau Ponty’s phenomenology of perception: A guide and commentary. Hampshire: Palgrave Macmillian.
  20. (2006). Na ˚r perspektivet endres: Fra fett til erfaring [When the perspective changes: From fatt to experience].
  21. (2008). Normative imperatives vs. pathological bodies. Constructing the ‘‘Fat Woman’’.
  22. outcomes: A systematic review and meta-analysis of weight loss clinical trials with a minimum of 1-year follow up.
  23. (2007). Overvekt blant ungdom i Oslo [Obesity among teenagers in Oslo]. Tidsskrift for Den norske legeforening,
  24. (2005). Overweight status and depressive symptoms during adolescence.
  25. (2002). Phenomenology of perception. London and
  26. (1994). Qualitative data analysis. Thousand Oaks,
  27. (2002). Qualitative research and evaluation of methods. Thousand Oaks,
  28. (2002). Resept for et sunnere Norge. Folkehelsepolitikken [Recipee for a healthier Norway: Public health policies]. Oslo: Det kongelige Helsedepartementet.
  29. (1998). Sex, gender and the body: The student edition of ‘‘What is a Woman’’.
  30. (2007). Sex’’ and the problem of the body: Reconstructing Judith Butler’s theory of sex/gender.
  31. (2003). The body and social theory (2nd Ed.).
  32. (2008). The effects of high-intensity intermittent exercise training on fat loss and fasting insulin levels of young women.
  33. (2006). The impact of obesity surgery and the paradox of control.
  34. (2005). The lived experience of choosing bariatric surgery to lose weight.
  35. (2005). The pain isn’t as disabling as it used to be’’: How can the patient experience empowerment instead of vulnerability in the consultation?
  36. (2005). The Renaissance in Simone de Beauvoir Studies.
  37. (2005). Treating obesity in individuals and populations clinical review.
  38. (1993). Unbearable weight. Feminism, western culture and the body.
  39. (2008). Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain.