Transformative Lifestyle Change: key to sustainable weight loss among women in a post-partum diet and exercise intervention
- 15 November 2013
- journal article
- research article
- Published by Wiley in Maternal & Child Nutrition
- Vol. 11 (4), 631-645
- https://doi.org/10.1111/mcn.12103
Abstract
The increase in overweight and obesity among women is a growing concern, and reproduction is associated with persistent weight gain. We have shown that dietary behavioural modification treatment, with or without exercise, results in weight loss and maintenance of weight loss. The aim of this study was to provide an explanatory model of how overweight and obese women achieve weight loss during, and after, participating in a post-partum diet and/or exercise intervention. Using Grounded Theory, we performed and analysed 29 interviews with 21 women in a 12-week Swedish post-partum lifestyle intervention with a 9-month follow-up. Interviews were made after the intervention and at the 9-month follow-up. To overcome initial barriers to weight loss, the women needed a Catalytic Interaction' (CI) from the care provider. It depended on individualised, concrete, specific and useful information, and an emotional bond through joint commitment, trust and accountability. Weight loss was underpinned by gradual introduction of conventional health behaviours. However, the implementation depended on the experience of the core category process Transformative Lifestyle Change' (TLC). This developed through a transformative process of reciprocal changes in cognitions, emotions, body, environment, behaviours and perceived self. Women accomplishing the stages of the TLC process were successful in weight loss, in contrast to those who did not. The TLC process, dependent on initiation through CI, led to implementation and integration of recognised health behaviours, resulting in sustainable weight loss. The TLC model, including the CI construct and definition of barriers, facilitators and strategies provides an explanatory model of this process.Keywords
Funding Information
- the Swedish Research Council (K2009-70X-21091-01-3)
- Swedish Council for Working Life and Social Research (2006-0339, 2007-1958)
This publication has 31 references indexed in Scilit:
- Parity and body mass index in US women: A prospective 25‐year studyObesity, 2013
- Diet and exercise weight-loss trial in lactating overweight and obese womenThe American Journal of Clinical Nutrition, 2012
- Multiparity is Associated With High Motivation to Change Diet Among Overweight and Obese Postpartum WomenWomen's Health Issues, 2010
- Barriers to adopting a healthy lifestyle: insight from postpartum womenBMC Research Notes, 2009
- Diet or exercise, or both, for weight reduction in women after childbirthPublished by Wiley ,2007
- An Emerging Model of Behavior Change in Women Maintaining Weight LossNursing Science Quarterly, 2004
- Health Promotion by Social Cognitive MeansHealth Education & Behavior, 2004
- Weight maintenance and relapse in obesity: a qualitative studyInternational Journal of Obesity, 2003
- The theory of planned behaviorOrganizational Behavior and Human Decision Processes, 1991
- The generalizability of the psychoanalytic concept of the working alliance.Psychotherapy, 1979