Exploring the Perceptions of Women from Under-Resourced South African Communities about Participating in a Low-Carbohydrate High-Fat Nutrition and Health Education Program: A Qualitative Focus Group Study

Pujol-Busquets, Georgina; Smith, James; Larmuth, Kate; Fàbregues, Sergi; Bach-Faig, Anna

doi:10.3390/nu12040894

Cited by 3 publications

(25 citation statements)

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“…Additionally, after completing the JBI critical appraisal on the remaining articles, the reviewers determined all studies had low to moderate risk of bias and decided to move forward with the eligible studies (see Appendix B for detailed summary of appraisal results). Therefore, the present review is based on the results of 13 articles: eight cross sectional studies (Allen et al, 2018; Ambwani et al, 2020; Condon et al, 2007; Eisenberg et al, 2005; Grigg et al, 1996; Marquez et al, 2018; Maxwell et al, 2017; Worsley and Skrzypiec, 1997), three qualitative studies (Poirier et al, 2016; Pujol-Busquets et al, 2020; Rydén and Sydner, 2011), one cohort study (Bonaccio et al, 2012), and one non-randomized experimental study (Paxton et al, 2002).…”

Section: Resultsmentioning

confidence: 99%

“…The sample sizes ranged from 14 participants to 2337 with eight of the studies consisting solely of female participants (e.g. Eisenberg et al, 2005; Pujol-Busquets et al, 2020) and only one study had a majority of male participants (Maxwell et al, 2017). There was a large distribution of mean age ranges among studies.…”

Section: Resultsmentioning

confidence: 99%

“…Fad diets are categorized due to their short-lived trend, short-term results, and often short-term use; however, social influence is not frequently associated with the termination or short-term adherence to the diet. Results of this review indicate participants may be encouraged by peers to start a fad diet (Pujol-Busquets et al, 2020), but a lack of reinforcement of behaviour and an increased burden on users (e.g. having to cook multiple meals for family; Rydén and Sydner, 2011) may ultimately be the reason for stopping fad diets regardless of individual preference or weight-loss success (Poirier et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Although these diets have occasionally been used for clinical purposes in certain populations (e.g. to improve glucose metabolism for those at risk for or diagnosed with type 2 diabetes mellitus; D'Souza et al, 2020; Pujol-Busquets et al, 2020), people often utilize fad diets for weight loss (Johnston et al, 2014), stemming from societal and/or peer pressure (Khawandanah and Tewfik, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Social Influence on Fad Diet Use: A Systematic Literature Review

Spadine

Patterson

2022

Nutr Health

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Background: A fad diet is a broad term used to describe dieting methods that recommend altering the intake of macronutrients to specific proportions or instruct people to intake or avoid particular foods, often with the goal of rapid weight loss. Previous literature reviews report social influence impacts general diet behaviour, but have yet to examine fad diets, specifically. Therefore, the purpose of this systematic review was to synthesize literature related to social influence on an individual's fad diet use and understand the sociocultural factors related to diet use. Methods: Using PRISMA guidelines, Medline, PsycInfo, Embase, CINAHL, and CENTRAL databases were searched to identify articles investigating the impact of social on fad diet use. Covidence was used to manage the review process and Garrard's Matrix Method was used to extract data from reviewed articles (n = 13). Results: A majority of reviewed studies examined interpersonal influence (62%) and reported social influence impacting a variety of fad diet behaviours (92%). Interpersonal and media influence were highlighted as motivating factors for adopting unhealthy dieting methods (54%), and studies showed interpersonal support impacted adoption and maintenance of fad diet use (23%). Also, social norms were reported to influence unhealthy weight control behaviours (15%). Discussion: This review revealed social influence is associated with the adoption, adherence, and termination of fad diets. The prevalence of fad diets in society and the lack of research on this topic warrants further examination of factors related to fad diets use and the spread among interpersonal networks.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Social Influence on Fad Diet Use: A Systematic Literature Review

Spadine

Patterson

2022

Nutr Health

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“…Qualitative and survey research has shown that adults consuming a low-carbohydrate eating pattern have positive health outcomes such as less hunger, greater energy, and improved health, but that lack of support from family and physicians can be a barrier to adherence [161,162]. Qualitative surveys of healthcare providers reveals that many practitioners have found low-carbohydrate diets to be helpful for their patients and as a consequence, have changed the way they view and practice healthcare [163].…”

Section: Qualitative Researchmentioning

confidence: 99%

Alternative Dietary Patterns for Americans: Low-Carbohydrate Diets

et al. 2021

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The decades-long dietary experiment embodied in the Dietary Guidelines for Americans (DGA) focused on limiting fat, especially saturated fat, and higher carbohydrate intake has coincided with rapidly escalating epidemics of obesity and type 2 diabetes (T2D) that are contributing to the progression of cardiovascular disease (CVD) and other diet-related chronic diseases. Moreover, the lack of flexibility in the DGA as it pertains to low carbohydrate approaches does not align with the contemporary trend toward precision nutrition. We argue that personalizing the level of dietary carbohydrate should be a high priority based on evidence that Americans have a wide spectrum of metabolic variability in their tolerance to high carbohydrate loads. Obesity, metabolic syndrome, and T2D are conditions strongly associated with insulin resistance, a condition exacerbated by increased dietary carbohydrate and improved by restricting carbohydrate. Low-carbohydrate diets are grounded across the time-span of human evolution, have well-established biochemical principles, and are now supported by multiple clinical trials in humans that demonstrate consistent improvements in multiple established risk factors associated with insulin resistance and cardiovascular disease. The American Diabetes Association (ADA) recently recognized a low carbohydrate eating pattern as an effective approach for patients with diabetes. Despite this evidence base, low-carbohydrate diets are not reflected in the DGA. As the DGA Dietary Patterns have not been demonstrated to be universally effective in addressing the needs of many Americans and recognizing the lack of widely available treatments for obesity, metabolic syndrome, and T2D that are safe, effective, and sustainable, the argument for an alternative, low-carbohydrate Dietary Pattern is all the more compelling.

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Community Assessment for a Low-Carbohydrate Nutrition Education Program in South Africa

et al. 2022

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Eat Better South Africa (EBSA) is an organization that provides low-carbohydrate, high-fat (LCHF) nutrition and health education programs for women from under-resourced South African communities. Community assessments are essential to explore participants’ potential facilitators and challenges of adhering to new dietary behaviours and should be implemented before any dietary interventions. This study is a qualitative community assessment to enable the EBSA program to better meet potential participants’ needs and explore their willingness to enrol in the EBSA program. Sixty women from two communities in the Western Cape were interviewed through six focus group discussions. A thematic analysis was conducted using NVivo 12 software, and four themes were developed around the women’s (1) role within the households; (2) dietary behaviour; (3) health perceptions; and (4) willingness to participate in an LCHF program. Women mentioned that they were responsible for cooking and shopping for their households. They expressed their understanding of healthy and unhealthy behaviours and their dietary patterns. Some women showed concerns about LCHF diets, but others wanted to learn more due to their knowledge of other people’s positive experiences with the diet. There was a general desire to become healthy. However, the women anticipated dietary behaviour change to be challenging. Those challenges mostly revolved around their socioeconomic environments. The findings are intended to inform EBSA (or other nutrition interventions) on what to consider when implementing their interventions in these communities.

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Exploring the Perceptions of Women from Under-Resourced South African Communities about Participating in a Low-Carbohydrate High-Fat Nutrition and Health Education Program: A Qualitative Focus Group Study

Cited by 3 publications

References 43 publications

Social Influence on Fad Diet Use: A Systematic Literature Review

Social Influence on Fad Diet Use: A Systematic Literature Review

Alternative Dietary Patterns for Americans: Low-Carbohydrate Diets

Community Assessment for a Low-Carbohydrate Nutrition Education Program in South Africa

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