Weight‐loss strategies used by baby boomer men: a mixed methods approach

James, Delores C.S.; Wirth, Christopher K.; Harville, Cedric; Efunbumi, Orisatalabi

doi:10.1111/jhn.12305

Cited by 3 publications

(1 citation statement)

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“…Mixed methods studies of multiple health behaviors have mainly focused on weight management among non-disabled children and adults. Such studies have documented circumstances in which people can increase physical activity levels and/or develop healthy eating habits (Abildso et al, 2010; James et al, 2016; Sliwa et al, 2014). …”

Section: Discussionmentioning

confidence: 99%

A mixed methods study of multiple health behaviors among individuals with stroke

Plow

Moore

Sajatovic

et al. 2017

PeerJ

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BackgroundIndividuals with stroke often have multiple cardiovascular risk factors that necessitate promoting engagement in multiple health behaviors. However, observational studies of individuals with stroke have typically focused on promoting a single health behavior. Thus, there is a poor understanding of linkages between healthy behaviors and the circumstances in which factors, such as stroke impairments, may influence a single or multiple health behaviors.MethodsWe conducted a mixed methods convergent parallel study of 25 individuals with stroke to examine the relationships between stroke impairments and physical activity, sleep, and nutrition. Our goal was to gain further insight into possible strategies to promote multiple health behaviors among individuals with stroke. This study focused on physical activity, sleep, and nutrition because of their importance in achieving energy balance, maintaining a healthy weight, and reducing cardiovascular risks. Qualitative and quantitative data were collected concurrently, with the former being prioritized over the latter. Qualitative data was prioritized in order to develop a conceptual model of engagement in multiple health behaviors among individuals with stroke. Qualitative and quantitative data were analyzed independently and then were integrated during the inference stage to develop meta-inferences. The 25 individuals with stroke completed closed-ended questionnaires on healthy behaviors and physical function. They also participated in face-to-face focus groups and one-to-one phone interviews.ResultsWe found statistically significant and moderate correlations between hand function and healthy eating habits (r = 0.45), sleep disturbances and limitations in activities of daily living (r = − 0.55), BMI and limitations in activities of daily living (r = − 0.49), physical activity and limitations in activities of daily living (r = 0.41), mobility impairments and BMI (r = − 0.41), sleep disturbances and physical activity (r = − 0.48), sleep disturbances and BMI (r = 0.48), and physical activity and BMI (r = − 0.45). We identified five qualitative themes: (1) Impairments: reduced autonomy, (2) Environmental forces: caregivers and information, (3) Re-evaluation: priorities and attributions, (4) Resiliency: finding motivation and solutions, and (5) Negative affectivity: stress and self-consciousness. Three meta-inferences and a conceptual model described circumstances in which factors could influence single or multiple health behaviors.DiscussionThis is the first mixed methods study of individuals with stroke to elaborate on relationships between multiple health behaviors, BMI, and physical function. A conceptual model illustrates addressing sleep disturbances, activity limitations, self-image, and emotions to promote multiple health behaviors. We discuss the relevance of the meta-inferences in designing multiple behavior change interventions for individuals with stroke.

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Section: Discussionmentioning

confidence: 99%

A mixed methods study of multiple health behaviors among individuals with stroke

Plow

Moore

Sajatovic

et al. 2017

PeerJ

View full text Add to dashboard Cite

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Health benefits associated with the Hockey Fans in Training® program for overweight men who are university hockey fans

et al. 2022

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Experiences of Reframing during Self‐Directed Weight Loss and Weight Loss Maintenance: Systematic Review of Qualitative Studies

Hartmann‐Boyce

Nourse

Boylan

et al. 2018

Applied Psych Health & Well

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BackgroundReframing means changing the way that a person thinks or feels about a weight loss attempt or weight loss maintenance to enhance its experience or facilitate its success. Although participants have described this, it has not been explored in the academic literature. Here, we set out to systematically review qualitative studies to examine the ways in which people use and experience reframing in self‐directed weight loss.MethodsSeven electronic databases were searched to January 2017 for qualitative studies of adults with overweight or obesity attempting to lose weight or maintain weight loss through self‐directed behavior change. Studies must have contained some information pertinent to reframing. Thematic synthesis was used to identify descriptive and analytical themes from the available data.ResultsWe included 23 studies, representing 723 participants. No study focused specifically on reframing. Most studies involved people who had tried to lose weight previously. In the most common examples of reframing, participants spoke of construing previous weight management attempts as “dieting”, whereas in current attempts they used reframing to move away from this concept. Participants spoke of finding reframing helpful because it removed the sense of depriving themselves and instead allowed them to construe the food choices as healthful. Likewise, the language of dieting created a sense of temporary effort, while construing this as a way of life allowed continuation of conscious control over energy balance without the feeling of undue effort. In some cases, these changes were bolstered by change in self‐identity.ConclusionsSome people construe deliberate weight loss as a form of deprivation and cognitively reframe to avoid the negative emotions this creates and to prevent relapse. Reframing the dietary regimen as about healthy eating and a new way of life made weight control seem less burdensome for these participants and they felt able to maintain their efforts.

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Weight‐loss strategies used by baby boomer men: a mixed methods approach

Abstract: Men used a do-it-yourself weight-loss approach using both healthy and unhealthy strategies. Obese men were more likely to use unhealthy practices than overweight men.

Cited by 3 publications

References 36 publications

A mixed methods study of multiple health behaviors among individuals with stroke

A mixed methods study of multiple health behaviors among individuals with stroke

Health benefits associated with the Hockey Fans in Training® program for overweight men who are university hockey fans

Experiences of Reframing during Self‐Directed Weight Loss and Weight Loss Maintenance: Systematic Review of Qualitative Studies

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