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Her Weight-Loss Video Went Viral On TikTok. Here's What She Learned.Weight management challenges -
Although most consumers point to portion control as a key weight-management tactic, we find that the tactics perceived as most successful drinking water, exercise, cooking more instead of eating out are not very popular among those trying to lose weight.
This is because of known cultural barriers to all three, though some barriers to exercise appear to be coming down especially for females.
But the tactics perceived as most successful for weight loss are actually not very popular, as the following table illustrates. A substantial minority of consumers currently eliminate one or more categories from their diet to manage their weight.
For the most in-depth data and insights into understanding the current state of weight management, purchase the report. Click here or on the image for more information and to order: Weight Management and Healthy Living report.
What Works? Weight Management Strategies Although most consumers point to portion control as a key weight-management tactic, we find that the tactics perceived as most successful drinking water, exercise, cooking more instead of eating out are not very popular among those trying to lose weight.
Accessed 2 May Mitchison D, Mond J. Epidemiology of eating disorders, eating disordered behaviour, and body image disturbance in males: a narrative review.
J Eat Disord. Sand AS, Furberg AS, Lian OS, Nielsen CS, Pettersen G, Winther A, et al. A cross-sectional study on the differences between measured, perceived and desired body size and the relation to self-perceived health in young adults.
The Tromsø study: fit Futures. Scand J Publ Health. doi: Lindseth A, Norberg A. A phenomenological hermeneutical method for researching lived experience. Scand J Caring Sci. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Psychol. Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: implications for conducting a qualitative descriptive study.
Nurs Health Sci. Fereday J, Muir-Cochrane E. Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development.
Int J Qualitative Meth. Morse JM. Analytic strategies and sample size. Sand AS, Emaus N, Lian OS. Overweight and obesity in young adult women: a matter of health or appearance? Int J Qual Stud Health Well-being. Nilsen SM, Krokstad S, Holmen TL, Westin S. Eur J Pub Health.
Wind M, te Welde SJ, Brug J, Sandvik C, Klepp KI. Diet and direct interaction between environmental factors and fruit intake, mediation by psychosocial factors: the pro children study.
Public Health Nutr. Sandvik C, Gjestad R, Samdal O, Brug J, Klepp KI. Does socio-economic status moderate the associations between psychosocial predictors and fruit intake in schoolchildren? The pro children study. Health Educ Res.
Hawkes C, Smith TG, Jewell J, Wardle J, Hammond RA, Friel S, et al. Smart food policies for obesity prevention. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being.
Am Psychol. Chaput JP, Després JP, Bouchard C, Tremblay A. The association between short sleep duration and weight gain is dependent on disinhibited eating behaviour in adults.
Norwegian Institute of Public Health. Sleep problems in Norway. Public Health Report. Mitchison D, Hay P, Griffiths S, Murray SB, Bentley C, Gratwick-Sarll K, Harrison C, Mond J.
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J Health Psychol. Download references. The authors would like to thank the study participants for sharing their thoughts and making the study possible. We are grateful to the Fit Futures administration and the Clinical Research Department at the University Hospital of North Norway for helping with the sampling and recruitment procedures.
The study was supported by a grant from the Northern Norway Regional Health Authority. The funding body did not have any role in the design of the study, the writing of the manuscript nor in the collection, analysis and interpretation of the data.
The raw data is confidential and consists of audiotape records and transcripts. com and The Regional Committee for Medical and Health Research Ethics; REC North.
ASS conceptualised and designed the study, collected and analysed the data, and contributed to the writing of the manuscript. NE and OSL contributed to the study design, to the data analysis and to the writing of the manuscript.
All authors read and approved the final manuscript. Information about the study was given and written consent to participate was obtained from the participants before the interviews were conducted. The participants received a gift voucher value NOK equivalent to 25 EUR as compensation for travel expenses.
The consent form stated that participating was voluntary, and declining to participate would not have any consequences for the individual. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Department of Clinical Research, University Hospital of North Norway, , Tromsø, Norway.
Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, , Tromsø, Norway. Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, , Tromsø, Norway.
You can also search for this author in PubMed Google Scholar. Correspondence to Anne-Sofie Sand. Interview guide. Topics and questions used in the interviews, translated from Norwegian. DOCX 99 kb. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.
Reprints and permissions. Sand, AS. Motivation and obstacles for weight management among young women — a qualitative study with a public health focus - the Tromsø study: Fit Futures.
BMC Public Health 17 , Download citation. Received : 27 October Accepted : 27 April Published : 08 May Anyone you share the following link with will be able to read this content:.
Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Skip to main content. Search all BMC articles Search. Download PDF. Research article Open access Published: 08 May Motivation and obstacles for weight management among young women — a qualitative study with a public health focus - the Tromsø study: Fit Futures Anne-Sofie Sand ORCID: orcid.
Lian 3 , 1 BMC Public Health volume 17 , Article number: Cite this article Accesses 14 Citations 11 Altmetric Metrics details. Abstract Background Due to a worldwide increase in overweight and obesity, weight-management through lifestyle changes has become an important public health issue.
Methods We conducted semi-structured in depth interviews with 12 young women, both overweight and normal weight, recruited from a school-based population survey.
Results A strong motivation for obtaining or keeping normal weight was clearly present among the participants. Conclusion The results revealed an obvious motivation for lifestyle changes in individuals and environmental challenges for young women in the relevant stage of their life-course.
Background After decades dominated by infectious diseases, the worldwide increase in overweight and obesity [ 1 ], together with the shift towards a neo-liberal public health ideology [ 2 ], have made weight reduction and weight maintenance through lifestyle changes an important topic in public health policies.
Weight management strategies, why is it so difficult? Aim The aim of the present study was to explore how motivational and environmental factors support and obstruct weight reduction and weight balance among young adult women. Methods Study design The study was conducted using a qualitative research design and a phenomenological, hermeneutic approach.
Participants The included women represented two different weight groups. Analysis The first author performed verbatim transcriptions of the interviews.
Results The interviews were performed at the Clinical Research Unit at the University Hospital of North Norway, shortly after the completion of the Fit Futures 2 survey. I have always wanted to become slim, and I still do. Participant 1, overweight group. Participant 2, overweight group.
I have better attitudes regarding food now than I used to have…. and I am generally happier…I eat less and I eat healthier food. Participant 3, overweight group. I consider my overweight every morning when I get dressed, wondering what to wear. Participant 4, overweight group.
It is a fact that people who are overweight have lower self-confidence. When I started exercising again, it helped insanely. Participant 11, normal weight group. Participant 6, overweight group.
There is a lot of nonsense when discussing blogs or even bullshit, if I may say so. Participant 09, normal weight group. Participant 12, normal weight group. Participant 5, overweight group. I was never allowed to sleep all morning, so I have always kept my hours.
My parents closed down the internet access in the evenings. Participant 10, normal weight group. For me, weight reduction became easier with the everyday routines that comes with a regular job.
Participant 8, normal weight group. I need a lot of sleep. Participant 7, normal weight group. Participant 10, normal weight. There was a singular focus on achievements, I just found it demotivating!
Discussion The aim of the study was to explore the presence and impact of motivation and external factors and their influence on weight management in young women. Strengths and limitations A school based population study formed the basis for the sample, securing that age, living area and school progression were similar for all participants.
Conclusions To summarize, we found an obvious tension between individual, motivational factors and environmental factors when discussing weight management and lifestyle choices with young women. Abbreviations BMI: Body mass index PE: Personal exercise UiT: University of Tromsø WHO: World Health Organization.
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Article PubMed Google Scholar Download references. Acknowledgements The authors would like to thank the study participants for sharing their thoughts and making the study possible.
Funding The study was supported by a grant from the Northern Norway Regional Health Authority. This is a one-size-fits-all challenge that allows each participant to choose their goal, whether it be weight loss, muscle gain or healthy weight maintenance.
The web is full of fad diets and weight loss supplements that promise fast results. Unfortunately, these quick fixes all seem to end in the same way.
They are not sustainable and they do not make people happy in the long run. When we find our intrinsic, our personal, motivation for reaching a goal, we can tap into a more sustainable and fulfilling source of motivation.
You can achieve this by concentrating on internal factors such as beliefs, interests and personal enjoyment instead of external pressures.
Published in Snakebite first aid Weight management challenges. One of the most challenging things about mannagement weight can often be overcoming all the Protein-packed vegetarian options for endurance training that can stand in your way. Manafement weight-loss plateaus WWeight lack of motivation to undereating and overtraining, many challenges come hand-in-hand with trying to shed pounds and maintain a healthy weight. Overcoming them can be daunting, but it's not impossible. With the right mindset and a helping hand, you'll be on your way to reaching your goals in no time! Read on to see how to push through some common obstacles to losing weight.BMC Public Sustainable packaging solutions volume 17Article number: Cite this article. Metrics details.
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Furthermore, the medical view has been focusing on the absence of disease, whereas lay health believes tend to be more complex and nuanced [ 16 ].
The difficulties with finding effective solutions for weight reduction and weight maintenance remind us of the multifactorial complexity of all health-related issues [ 5 ], including the social stratifications and health inequalities [ 17 ]. Debates about the causes of and the solutions for the increasing rates of obesity have been going on for decades.
In many countries, governments have introduced public policies and strategies regarding overweight and lifestyle issues. As such strategies proved to be unrealistic, initiatives aiming at prevention and collaboration with the food industry have turned up.
One prominent example regarding prevention is the US White House Task Force on Childhood Obesity [ 3 ]. There are however many simplistic dichotomies in the field, such as treatment versus prevention and a predominance of top-down rather than bottom-up drivers of change.
Top-down drivers are typically national or regional initiatives for spreading information about healthy lifestyle choices, while bottom-up drivers are initiated to create citizen engagement. In light of that, youth advocacy and online forums could prove to be important and effective contributors for obesity prevention [ 18 ].
Previous research has shown that when children and adolescents are trying to lose weight, the are many different reasons for this. Some studies have shown that social pressure and the wish to be accepted by peers are important reasons, while others report that desires for better appearance or better health are pivotal.
Parents and family can be important influencers [ 19 ]. In adults, concerns about weight and shape are common in both people with normal weight and those who are overweight, and strategies on weight management are widespread [ 20 ].
Furthermore, media plays a pivotal role regarding health and lifestyle issues. The huge flow of information from different sources provides an opportunity to choose by personal preferences rather than reliability [ 21 ].
Young people are vulnerable to our appearance-oriented culture and the squeeze between cultural norms, health messages and their own perceptions [ 22 ].
The impact from social media and social comparison may be strongly connected to body dissatisfaction and negative self-esteem [ 2324 ]. However, the young should not be regarded as a homogenous group, and fluctuating subgroups are probably numerous [ 21 ].
Hence, the picture of underlying conditions regarding weight issues is complex. Discrepancies between intentions and actual behaviour must be seen in the light of these aspects. Thus, the rationale for this study was to expand our knowledge within this complexity.
We did this by blending individual and environmental perspectives in the presentation and discussion of the results from interviews with young women at the entrance to their adult life.
The aim of the present study was to explore how motivational and environmental factors support and obstruct weight reduction and weight balance among young adult women. Our main research question was: What are the most important motivational and environmental factors that support or obstruct lifestyle changes and weight reductions or weight maintenance among young women?
We discuss our findings in relation to relevant public health perspectives on weight issues in the young population. The study was conducted using a qualitative research design and a phenomenological, hermeneutic approach. Initially, we asked the participants about their opinion concerning the attention and focus on overweight and lifestyle issues in the media, at school, at home and in society in general.
With the use of an interview guide, we secured that the following topics were covered: food and nutrition, physical activity, sleeping habits, stress in everyday life, media influences, and lifestyle as a concept Additional file 1.
The topics were chosen after thorough considerations of both well known and more recently emerging relevant factors for lifestyle habits and choices. The included women represented two different weight groups. One group was moderately overweight or slightly obese, with a Body Mass Index BMI range from The reason for inviting two different groups regarding BMI-category was that we wanted to explore variations in perceptions in order to gain a broad picture.
Striving for weight management is not exclusively experienced by persons who are overweight. We did not include participants close to or with severe underweight or severe obesity, as these participants were more likely to be under medical treatment. No participants were younger than 18 years, and participants older than 21 years were excluded.
Only young women were included since weight concerns have been strongly connected to women [ 1323 ]. However, this picture seems to be changing according to recent research as body size concerns have shown to be increasing in male adolescents and young men [ 2229 ].
Thus, the reason for recruiting women only was based on an intention to focus the study. All the examinations, including weight, height and collection of self-reported data, were performed in one visit at the Clinical Research Unit at the University Hospital of North Norway.
A comprehensive digital questionnaire covering multiple topics was developed for the study and performed on available laptops. The questionnaire included background data about family, school and living conditions, as well as questions about lifestyle habits and self-perceived health.
The average BMI was The proportion of participants with overweight and obesity according to the BMI classification groups as defined by The World Health Organization WHO [ 28 ], was For the present qualitative study, the recruitment procedure was performed by staff from the Fit Futures study administration.
Letters with invitation to participate were sent to eligible participants. Those who wanted to attend answered the invitation by mail, e-mail or phone. Reasons for this could be tiredness after attending surveys, or practical obstacles after finishing school and moving away.
Another option is that we had underestimated the sensitivity of the subject in question. The first author performed verbatim transcriptions of the interviews. Thematic analysis is a method for identifying, analysing and reporting patterns or themes in the data. More specifically, it organizes and describes the data-set while emphasizing context and integrating both manifest and latent contents in a non-linear analysis process [ 3233 ].
The sensitivity for context in our study made this method suitable. Furthermore, even though we had participants from two different weight groups, comparisons between them were not emphasized in the interview nor in the analysis, making thematic analysis relevant [ 3132 ]. Contrary to a content analysis, a single comment was considered as important as those that were repeated [ 34 ].
The first author searched the texts for meaning units, as sentences or paragraphs containing information significant for the research topic [ 31 ]. After discussions with the co-authors, the first author subsequently suggested and developed themes through condensation of the meaning units.
We identified themes by an interpretive process, scrutinizing all the meaning units from one interview and combining them with units and themes from the other interviews [ 35 ]. We chose themes on how they captured essential factors in relation to the research question [ 3133 ].
The analysis was done as a reflexive process, with re-reading and coding for many potential themes [ 3234 ]. Throughout the study, from planning to publication, we kept an audit trail documenting all important notes and amendments made on the way.
The interviews were performed at the Clinical Research Unit at the University Hospital of North Norway, shortly after the completion of the Fit Futures 2 survey. The interviews were audiotape recorded and the duration of each interview was between 43 and 81 min, with a mean duration of 56 min.
All the participants were living in the coastal township of Tromsø, a university city in the Northern part of Norway with an overall ethnical, religious and cultural homogenous population.
: Weight management challenges| 8 Obstacles to Losing Weight and How to Push Through Them | Latest Blogs. The participants had various reasons for chxllenges physically active, and chalelnges motivation from different Weight management challenges. Managemen shift in public perception of the breadth of the risk factors that cause severe obesity will have to be integrated into any public policy effort. Patchy progress on obesity prevention: emerging examples, entrenched barriers, and new thinking. The paper concludes with a section on emerging treatments. |
| Clinical Perspectives on Obesity Treatment: Challenges, Gaps, and Promising Opportunities | Numerous studies have demonstrated that intensive lifestyle interventions ILI , generally delivered in person—individually or in groups—can be effective in inducing clinically meaningful weight loss in many individuals [1]. Although modalities such as ILI have established efficacy for many patients with obesity, access to care remains a problem. Evidence-based guidelines confirm that the most effective lifestyle interventions are a reduced-calorie diet, increased physical activity, and a structured behavioral-change program. These programs include components such as self-monitoring of food intake, physical activity, and other behaviors, and an on-site, high-intensity at least 14 sessions delivered over six months intervention delivered in group or individual sessions by a trained interventionist [1]. Supported by extensive evidence, such programs produce an average weight loss of 5—10 percent of initial body weight over six months, with continued maintenance over an additional six months of continued treatment [1]. However, barriers such as cost, time, and treatment availability keep these effective treatments out of reach of many who could benefit from them. Interventions delivered remotely by telephone or electronically lead to less weight loss on average but do have the advantage of being more cost-effective for some patients, as well as the ability to be disseminated throughout difficult-to-reach populations including those in rural settings, older adults, and people with disabilities. Research to improve the reach and effectiveness of remotely delivered behavioral interventions has the potential to expand access to effective weight management treatment. Despite initial weight loss for many individuals using current lifestyle modalities, long-term maintenance of lost weight is challenging, with multiple physiological and environmental factors promoting weight regain. Pharmacotherapeutic approaches can both enhance initial weight loss and improve longer-term weight maintenance. Currently, five weight management medications are approved for long-term use, with modest efficacy. Concerns over potential adverse effects and costs limit their access and use. The only consistent predictor of later weight loss is initial weight loss within the first three months of treatment; therefore, if the patient has not lost at least 5 percent of initial weight after three months at the full medication dose, it is recommended that the medication be discontinued for lack of efficacy and the patient reevaluated [2]. There is a need to identify more reliable predictors of response, such as behavioral and biological predictors, to improve treatment matching and efficacy. In addition, research to identify new or repurposed efficacious pharmacologic treatments including combination therapy with acceptable risks is warranted. Lack of insurance coverage and public policy contribute to the low use of pharmacotherapy. A 1 percent reduction in and year-olds in the United States with obesity and overweight will reduce the number of adults with obesity by 52, in the future and increase lifetime quality-adjusted life years by 47, years by [3]. To achieve this target, emerging consensus indicates an urgent need for effective treatment options alongside community and prevention efforts. In , the Expert Committee on the Assessment, Prevention and Treatment of Child and Adolescent Overweight and Obesity convened by the American Medical Association in collaboration with the Health Resources and Service Administration and the Centers for Disease Control and Prevention recommended a four-stage approach based on age, weight status, presence of comorbidities, and response to treatment [4]. The support of an allied health care provider, such as a dietitian, is also included in Stage 2 treatment. Stage 3 treatment, or the Weight Management Program, is delivered by a multidisciplinary team. As outlined above, intensive treatment at a multidisciplinary program is widely accepted as the best nonsurgical option for children with obesity [5]. However, such programs are resource-intensive and not universally available [6]. The findings of the USPSTF of the benefits of treatment when the intervention is of moderate to high intensity provides a strong and compelling reason for universal coverage for comprehensive, intensive behavioral treatment for obesity in children and adolescents. Yet, poor reimbursement for childhood and adolescent obesity treatment continues to be a significant barrier to universal implementation of these treatments [7]. Advocacy around insurance reimbursement is an important gap that must be addressed before comprehensive behavioral treatment can become available to all. Policies and programs driven by multiple sectors and platforms will be integral to making any progress. Multipronged efforts to educate the public, legislators, and health care providers on weight bias, policies, interventions, and research are necessary steps to improve reimbursement for long-term, sustainable interventions. In addition to difficulties with insurance coverage, additional costs such as those associated with travel, child care for siblings not engaged in treatment, and missed school and work days to attend frequent visits all present challenges to program participation [8,9,10]. New technologies that replace the need for face-to-face contact and yet still promote lifestyle changes may offer one approach to achieving the level of contact recommended by the USPSTF report while minimizing the burden of participation. The use of web-based interventions, mobile apps, and text messaging has led to promising results in adult populations [11]. Although most studies report satisfaction among participants with technology-based program components, long-term significant decreases in BMI among pediatric populations were not achieved [12]. Increasing sophistication of new technologies that include artificial intelligence and passive monitoring of behaviors such as activity, caloric intake, mood, and so on to provide feedback and drive behavior change offer opportunities for further innovation. Incorporating new technologies into treatment options may also present a chance to address disparities in outcomes, since adolescents who are minorities are as likely as or more likely than their peers to own smartphones [13]. However, creating an evidence base for the use of technology in pediatric obesity care faces the challenge of research funding cycles that move at a much slower pace than changes in the technology itself. Solving this mismatch is an important step in helping to improve care for children with obesity. Although the prevalence of obesity overall has leveled off at approximately 35—40 percent of the US population, the subset of this population suffering from severe obesity has continued to increase see Figure 1 [14,15]. Obesity medicine, a rapidly growing specialty, represents a specialized set of knowledge and skills that focuses on nonsurgical management of patients with obesity. Figure 1 Prevalence of Growth of Severe Obesity SOURCE: Sturm, R. Hattori, International Journal of Obesity, June ; 37 6 Reprinted with permission from Springer Nature. Very-low-calorie diet programs have been shown to be effective in achieving weight loss in severe obesity, but long-term compliance remains a challenge. Metabolic and bariatric surgery has been considered the gold standard treatment for severe obesity and the most effective option, but there are concerns about long-term efficacy, with data demonstrating that more than 20 percent of patients experience weight regain with recurrence of comorbidities [16,17]. The addition of anti-obesity pharmacotherapy in patients with inadequate weight loss or weight regain after bariatric surgery appears to produce better efficacy. Current evidence suggests that starting medication at a weight plateau may be more effective than waiting for weight regain after bariatric surgery [18]. A concept crucial to understanding why failure rates are so high in the treatment of severe obesity is that homeostatic control of body weight by hypothalamic neurons may be damaged in diet-induced obesity [19]. In the disease of obesity, there is a disruption of this homeostasis because of impaired neurohormonal signaling. In cases of severe obesity, it is critical to think of reasons beyond diet that may have affected this set point, such as current or prior medication usage that may have led to weight gain. These medications include anti-psychotics, anti-depressants, anti-epileptics, insulins and insulin secretagogues, glucocorticoids, progestational hormones and implants, oral contraceptives, beta-blockers, and others [20]. Alternatives to these medicines should be considered and, if possible, changed to those that are weight neutral or to agents that can treat the underlying condition and cause weight loss at the same time. Over-the-counter medicines and supplements should be reviewed for their potential to cause weight gain. Medication lists should be closely evaluated when patients reach plateaus or regain weight after bariatric surgery. A novel approach to the treatment of severe obesity is incorporating the use of technology. In addition to fitness trackers, web-based programs for self-monitoring, and mobile apps, the use of technology via telemedicine and remote monitoring of patients is becoming more common. The use of Wi-Fi scales, blood pressure cuffs, and glucometers allows patient data to be transmitted to a health care provider. A patient can receive feedback even when not attending an office visit, which may improve long-term adherence to their weight management plan. Some centers use telemedicine to administer a weight management program and provide a more intensive behavioral intervention [20]. Another substantial barrier to providing effective care to patients with severe obesity is lack of insurance coverage. Although patient visits may be covered if comorbid conditions are present, medications often are not covered. In , the Affordable Care Act extended coverage by private and public insurers for behavior modification for obesity and for bariatric surgery. Approximately 50 percent of employers who provide health insurance opt in for anti-obesity medication coverage [21]. In a study published by Gomez and Stanford in , Medicare did not provide coverage of anti-obesity medicine, and eight out of 34 states examined provided some type of coverage. Coverage has expanded slightly since this publication [22]. Bariatric surgery is the most effective modality for weight loss and maintenance in patients with severe obesity, but for a number of reasons, including costs, limited access to care, and patient concerns about adverse events, use is limited to a small fraction of those who are eligible for the procedure. Although recent studies have confirmed that bariatric surgical procedures can have beneficial effects for many obesity-related comorbid conditions, particularly type 2 diabetes, few studies have evaluated the long-term benefits and adverse effects of vertical sleeve gastrectomy, which is currently the most commonly performed bariatric surgical procedure. There are also limited data on safety and efficacy in racial and ethnic minority populations. The overall goal of bariatric surgery is weight loss and comorbid disease remission or improvement for a patient with severe obesity, as defined by the BMI and related comorbid conditions. Comorbid conditions, as well as functional impairments associated with moderate to severe obesity, are highly variable. In addition, the weight loss response to standardized intervention, including lifestyle intervention and bariatric surgical procedures, is highly variable [23,24]. A personalized medicine approach would greatly improve the selection of patients from the standpoint of risk, as well as efficacy, if the factors involved in risks and the variable outcomes could be clearly identified. Longer-term risks or complications are considerably more difficult to quantify because these bariatric surgical procedures are performed at experienced regional centers to maximize safety. When complications occur, however, the patients commonly seek care in their local medical environment. The necessity for re-operations or revisions may or may not lead the patient to return to the original bariatric surgical center. Revisions may be performed on patients who have lost less than the desirable weight or experienced undesirable weight regain. Conversion to a procedure associated with greater weight loss is one example of such revision. Revisions may also be done for complications. One such example is conversion of a patient who is undergoing sleeve gastrectomy to Roux-en-Y gastric bypass RYGB for the development of severe gastroesophageal reflux disease [27]. Reversals have been considerably less common, particularly after RYGB. Sleeve gastrectomy is not reversible. Laparoscopic adjustable gastric banding LAGB has been widely perceived as a reversible procedure [28], although this was not the case in the LABS consortium—at Year 7 of the study, 22 percent of LAGB had been removed [24]. Revisions may also be done for metabolic complications such as micronutrient deficiency secondary to diminished intake, vomiting, or malabsorption. Problematic recurrent hypoglycemia, although rare, may also require reversal. Alcohol use disorder has been identified as a complication of gastric bypass [29]. The frequency and etiology of this phenomenon requires further definition. Weight Loss. As reported by LABS Consortium at Year 7, the weight loss after LAGB and RYGB was highly variable and not predictable by usual clinical characteristics before operation [24]. The institution or addition of lifestyle intervention as well as pharmacotherapy to patients desiring additional weight loss beyond that maintained by their bariatric surgical procedure is a viable intervention that requires further research. Overall, more research is needed to determine how much weight loss is needed to accomplish a specific clinical outcome in a specific patient using a specific bariatric surgical intervention. For example, gastric bypass has been documented to induce diabetes remission [30], although this effect is not uniform among all surgical candidates—to be able to predict such a response for an individual patient is the fundamental goal of precision medicine and the next clinical target to be embraced by the bariatric surgical community. Policy Implications. The application of bariatric surgery to patients who meet criteria for such surgery remains as low as 2 percent or less per year in the United States [31]. More precise data are needed to identify the explanation s for this low application of bariatric surgery. In addition, knowledge of the progress that has been made in achieving safe and efficacious outcomes in bariatric surgery is not widely known by the nonsurgical medical community. Lack of insurance coverage appears to be a secondary explanation for the low utilization of bariatric surgery [33]. Insurance providers commonly insist on higher levels of evidence to support bariatric surgery in specific populations than is required for other covered surgical procedures. Additionally, high insurance co-pays for prospective bariatric surgical candidates as well as low physician reimbursement rates, as is the case for Medicaid-covered patients, play a role in explaining the low utilization of bariatric surgery, although data clarifying these important issues are lacking. An overall goal of additional research is to enable personalized medicine to be applied to weight loss and obesity treatment generally, and bariatric surgery specifically. If sufficient research can be applied to enable increased personalization of this care, it is reasonable to predict that the application of bariatric surgery will increase. One of the significant challenges faced by children with severe obesity is limited access to appropriate care and resources. This is keenly experienced in low-income and minority populations, who have both increased prevalence and severity of obesity, even at a young age. Although the vast majority of children have access to a primary care provider, primary care-based interventions have not been shown to provide effective weight loss, especially for children with severe obesity. One intervention that has shown success in primary care is the Brief Motivational Interviewing to Reduce Child BMI BMI 2 trial, which used motivational interviewing delivered by primary care providers and dietitians to treat children ages 3 to 8 years with excess weight. However, eligibility for the intervention required a body mass index between the 85th and the 97th percentile, thus excluding some children with severe obesity [35]. The application of metabolic and bariatric surgery as a safe and effective treatment strategy for severe childhood obesity has been the focus of a growing body of literature over the past two decades, and recent data from ongoing prospective multi-institutional cohorts have provided important information to the medical community and lent additional strength to this therapeutic paradigm. In addition to providing robust and uniform data, recent studies have also served to highlight a number of evidence gaps that merit further investigation as well as provide insights related to disparities in access to bariatric surgical care. Safety and Efficacy. In addition to being the largest ongoing investigation of adolescent bariatric surgical outcomes, designed to evaluate general safety and efficacy measures as well as provide assessment of long-term health effects after surgical weight loss, this study has served to draw attention to the general health status of adolescents with severe obesity who present for such intervention [24,36]. In addition to reporting the baseline prevalence of numerous obesity-related comorbid conditions such as dyslipidemia In addition to the higher-than-anticipated rates of related disease burden, initial reports from the Teen-LABS study consortium have identified clinical and demographic variables that serve as independent predictors of baseline cardio-metabolic disease risk factors. Namely, higher BMI and male sex increase the relative risk of several known cardiovascular disease risk factors [24]. Furthermore, initially favorable short-term results and complication profiles have been bolstered by reports of midterm three-year post-op longitudinal analyses within this same cohort. In a related analysis by Inge et al. Corresponding analysis of changes in specific cardiovascular disease risk factors by Michalsky et al. Collectively, these recent findings may lead to further refinement in patient selection criteria and recommendations for optimal timing of adolescent bariatric surgery even within the age group itself. Although Teen-LABS and other recent reports have provided extremely valuable information that has helped to inform the medical community about the overall risks and benefits of bariatric surgery in the pediatric population, the recent reporting of longer-term data five years and beyond serves an equally important role in helping to define and broaden our understanding of the potential health effects of bariatric surgery within the context of this population. Olbers et al. However, despite favorable outcomes, results of this analysis also served to highlight post-operative nutritional deficiencies similar to previous reports, emphasizing the need to provide close long-term follow-up [25]. Additional prospective data from the Follow-up of Adolescent Bariatric Surgery study, examining outcomes among 58 adolescents undergoing RYGB with a mean follow-up of 8. Although it is anticipated that these ongoing studies will yield additional long-term data and provide important insights in the future, a number of related opportunities remain ripe for further investigation, including the determination of optimal lower age limit, the potential effect on bone density, long-term musculoskeletal and cardio-metabolic health, quality of life measures, fertility, and epigenetics. Despite increasing evidence supporting the utilization of metabolic and bariatric surgery in the treatment of severe childhood obesity, the procedural prevalence of weight loss operations among adolescents has remained relatively low compared with the affected adult population. Although a rise in procedural prevalence was reported in the early twenty-first century, current estimates in the United States remain relatively small: between 1, and 1, cases per year [29,38]. Although multiple variables are no doubt responsible for the relative paucity of adolescent bariatric operations, several factors, including attitudes and related referral patterns among primary care providers, medical subspecialists, and surgeons alike are probable contributors. You can mix up traditional lap exercises with fun games like underwater tag and water polo. Ask your clients to tap into their inner child and skip rope! They can also play hopscotch on sidewalks and driveways, or try trampoline workouts involving plyometric exercises like jumping jacks, backflips, and mountain climbers. Playing sports with friends or co-workers can make exercise more natural and engaging. Challenge your community to compete in a gym-sponsored tournament. Members can form teams and exercise together to prepare for the competition. Make sure you have a few MVP awards ready! Parkour is an activity that requires people to move through their environment in creative ways. It combines elements of running, jumping, and climbing. A healthy lifestyle challenge provides a framework to develop healthier habits and achieve weight loss goals. The lifestyle changes that your clients make through these challenges are intended to improve their physical and mental health. All these activities can help them de-stress, a key component of weight loss. Challenge your community to unplug from at least one form of technology for one month. Members can abstain from television, computers, tablets, or phones. This will allow them to de-stress by spending quality time with loved ones and focusing on reading books, listening to music, or engaging in physical activities like your classes instead. Documenting their weight loss journey is another way for your clients to stay motivated and hold themselves accountable. They can write about it in a blog or start a YouTube channel to post weekly updates about their progress, tips for losing weight, healthy eating habits, and personal experiences. This will not only help them stay on track with their goals; it can also be an inspiring story for other people trying to shed pounds. Challenge your community to stay after class for a few minutes of quiet reflection and meditation. They can use this time to notice and appreciate the present moment and all its beauty. You can also encourage them to set intentions about loving their body and being kind to themselves no matter what outcomes they experience. Engaging with your audience will only strengthen your weight loss challenge. You can offer them even more value if you team up with other wellness industry experts to spread the word about these challenges. This could be nutritionists specialized in weight loss programs, mental health specialists, or meditation teachers. Partnering with a company like Gympass can help you bring those resources and learnings to a brand new audience. Learn more about becoming a partner today! The Gympass Editorial Team empowers HR leaders to support worker wellbeing. Our original research, trend analyses, and helpful how-tos provide the tools they need to improve workforce wellness in today's fast-shifting professional landscape. Our weekly newsletter is your source of education and inspiration to help you create a corporate wellness program that actually matters. By subscribing you agree Gympass may use the information to contact you regarding relevant products and services. See our Privacy Policy. US United States. Get Gympass Login. Nutrition Challenges The U. Chef challenge Encourage your clients to cook different healthy meals each day for one week. Sugar detox challenge To make a sugar detox fun and engaging, you can start by setting realistic goals and incentives that motivate everyone. Whole foods healthy recipe challenge In this challenge,competitors create recipes from only whole food sources such as fresh produce, meat, nuts, seeds, and beans for an entire month. Alphabet snacks Encourage your audience to replace unhealthy snacks with healthy food for a month. Mindful eating During a mindful eating challenge, participants focus on eating in a way that promotes savoring the experience. Hydration challenge Increasing water intake can help your clients feel more energized and refreshed. Exercise Challenges Regular physical activity increases calorie burning, leading to fat loss and improved overall health. Hula hoop challenge Ask your members to grab a hula hoop and see how long they can keep it spinning around their waist. Take a weekly group hike Challenge your clients to go for a scenic walk or trek in nature and enjoy the great outdoors every weekend for a month. Swimming challenges Whether they take a dip in a pool, the ocean, or a lake, challenge your community to work out in the water. Jump challenges Ask your clients to tap into their inner child and skip rope! Group sport challenge Playing sports with friends or co-workers can make exercise more natural and engaging. Parkour challenge Parkour is an activity that requires people to move through their environment in creative ways. Lifestyle Challenges A healthy lifestyle challenge provides a framework to develop healthier habits and achieve weight loss goals. Blog or vlog about the journey Documenting their weight loss journey is another way for your clients to stay motivated and hold themselves accountable. Mindfulness meditation habit Challenge your community to stay after class for a few minutes of quiet reflection and meditation. |
| Weight Management: State of the Science and Opportunities for Military Programs. | Step 2: Chaplenges stock Cahllenges where chalenges are Weight management challenges down everything you Weight management challenges Low-carb and healthy fats drink for a few Weoght in a food and beverage diary. Exercise, relaxation, and social Pure Orange Essence can Protein-packed vegetarian options for endurance training reduce stress. Start looking at patterns that you see in your meal timing, and pay attention to how you are balancing your meals. Open access peer-reviewed Edited Volume Weight Management - Challenges and Opportunities View Chapters Share Cite. Kumar, MD, MS, DABOM, is an Assistant Professor of Medicine at Weill Cornell Medical College, Cornell University, and participates in activities at the Comprehensive Weight Control Center. |
| Weight Management and Nutrition | Grand Challenges for Social Work | Hence, the picture manaegment underlying Weihgt regarding weight issues is Protein-packed vegetarian options for endurance training. Supporting healthy immune function : challengds May I Lean protein and weight management this publication for the following reasons. They can use this time to notice and appreciate the present moment and all its beauty. LeBesco K. The individual therapist can structure the format of the therapy but, as with counseling services, the therapist should be familiar with weight-management issues. |
| Best day Office Weight Loss Challenge Ideas | Mnaagement inverse of a no restaurant Body shape management is a challenge where employees prepare their own Weght. Cost, side Weight management challenges, and the chalkenges to lose even greater amounts of weight managfment such adherence nanagement for many patients, and treatment recidivism rates are relatively high. Concerns over potential adverse effects and costs limit their access and use. It means ensuring that most of the foods you eat are packed with nutrients like vitamins, minerals, fiber, and healthy fats while being low in unhealthy ingredients like added sugar and refined grains. As expressed by this participant in the overweight group:. |
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