Experiences of living with overweight/obesity and early type 2 diabetes in Singapore-a qualitative interview study.

Autor:	Lee M; Health Services & Outcomes Research, National Healthcare Group, Singapore marycllee1808@gmail.com., Khoo HS; Group Clinical Education, National Healthcare Group, Singapore., Krishnasamy C; Health Services & Outcomes Research, National Healthcare Group, Singapore., Loo ME; Health Services & Outcomes Research, National Healthcare Group, Singapore., Wong SKW; Clinical Services, National Healthcare Group Polyclinics, Singapore., Cheng SC; Health Services & Outcomes Research, National Healthcare Group, Singapore., Bei E; Group Clinical Education, National Healthcare Group, Singapore., Tan SY; Clinical Research Unit, National Healthcare Group Polyclinics, Singapore., Xie P; National Healthcare Group Polyclinics, Singapore., Lee ES; Clinical Research Unit, National Healthcare Group Polyclinics, Singapore., Tang WE; Clinical Research Unit, National Healthcare Group Polyclinics, Singapore.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 May 07; Vol. 14 (5), pp. e079082. Date of Electronic Publication: 2024 May 07.
DOI:	10.1136/bmjopen-2023-079082
Abstrakt:	Objectives: To understand the lived experience of adults with overweight/obesity and early type 2 diabetes in a modern urban environment, and the interrelations among the various aspects of these experiences and participants' attitudes to weight management. Design: Qualitative inductive approach to analysing data thematically from semistructured interviews and interpreted from a socioecological perspective. Setting: Primary care clinics located in northern and central Singapore. Participants: 21 patients between 29 and 59 years old who are living with overweight/obese (Body Mass Index of 25.3-44.0kg/m 2 ) and type 2 diabetes for 6 years or less. Results: The main themes - everyday life, people around me and within me - pointed to a combination of barriers to weight and health management for participants. These included environmental factors such as easy physical and digital access to unhealthy food, and high-stress work environments; social factors such as ambiguous family support and dietary practices of peers; and individual factors such as challenges with self-regulation, prioritising work, dealing with co-existing medical conditions and the emotional significance of food. While lack of motivation and cultural dietary practices are hard to change, a problem-solving attitude, and presence of role models, may enable behaviour change. Conclusion: An exploration of the lifeworld of patients with overweight/obese and early type 2 diabetes revealed that work demands, dietary practices in the workplace and at home, and the easy availability of calorie-dense foods afforded by a technology-infused environment hindered the individual's efforts at maintaining a healthy weight and lifestyle. Policy and initiatives promoting work-life balance as well as individualised interventions can support participants' stress management, and problem-solving capability for behaviour change. These barriers stemmed from the various domains of the environmental, interpersonal and intrapersonal but were interrelated. They underscored the need for an integrated approach to weight and diabetes management. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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