This research was carried out on 27 overweight individuals, together with 25 females (92.6%) and two males (7.4%). The individuals’ ages ranged from 18 to 56 years, with a imply age of 33.4 ± 8.4 years. Based mostly on the outcomes, 18 individuals (66.7%) had a historical past of dropout of 1 weight-loss eating regimen, and 9 individuals (33.3%) had a historical past of dropout of extra weight-loss diets. Accordingly, 4 individuals (14.8%) had a historical past of dropout of two diets, and 5 individuals (18.5%) had a historical past of dropout of weight-loss diets thrice. Moreover, 9 individuals (33%) have been single, and 18 (66.7%) have been married. The explanations for happening weight-loss diets included dissatisfaction with physique form (66.6%), affected by illnesses (14.8%), and enchancment of well being standing (18.5%) (Desk 1).
Tables 2 and 3 describe quantitative interview data, reminiscent of who prescribed or really useful the eating regimen for them. And what their eating regimen included and the variety of themes, and their repetition. (Tables 2,3).
After finishing 27 interviews, 391 preliminary codes on dietary issues and causes for dropout have been extracted. Ultimately, 181 codes have been obtained, which have been within the first ten classes. Subsequently, by merging the codes with comparable ideas, roughly 28 remaining codes have been extracted that have been categorised into 15 classes and three normal themes (Tables 4,5,6).
*Since some individuals talked about a number of causes for eating regimen dropout, a few of them have been put in separate classes that have been concurrently related to 2 completely different themes
The primary theme for eating regimen dropout included private causes, categorized into six components: eating regimen misunderstanding, lack of motivation, stress and hormonal impairment, having the texture of “being dangerous to well being”, lack of psychological and psychological preparation, and private style. Then, 17 codes have been generated from the categorized subsets. Additional particulars on the codes and examples have been introduced in Desk 4.
The second theme included familial and social causes divided into two classes and two codes. On this context, two essential codes have been “being busy and having issues at work and faculty” and “lack of cooperation on the a part of household and associates”. Additional particulars on the codes and examples have been proven in Desk 5.
The third theme was associated to eating regimen traits categorized into six components: the eating regimen’s ineffectiveness, expensiveness of eating regimen meals and dietary dietary supplements, unavailability of meals, unscientific and unconventional diets, feeling dangerous in regards to the eating regimen, and unpalatable eating regimen meals. Additional particulars on the codes and examples have been introduced in Desk 6.
Theme 1. Private causes for dropout of eating regimen
The primary theme was private causes for eating regimen dropout, categorized into six components: eating regimen misunderstanding, lack of motivation, stress and hormonal impairment, feeling of “being dangerous to well being”, lack of psychological and psychological preparation, and private style. Then, 17 codes have been generated from the categorized subsets. What follows consists of the main points of the codes and examples.
Among the many individuals, the time period “dropout” was used to explain withdrawal from weight-reduction plan, such that overeating may happen. In different phrases, “untimely termination of eating regimen and gradual overeating” was usually used to explain this phenomenon. On this theme, the explanations for the dropout of eating regimen have been defined.
Misunderstanding of eating regimen: On this sub-theme, there have been a number of ideas reminiscent of “the concept we will keep weight with out happening a eating regimen” and “creativeness of fast weight reduction”. Concerning the upkeep of weight with out happening a eating regimen, one of many individuals said:
“After reducing weight, I believed I now not wanted to be on a eating regimen” (participant No. 3).
Not having sufficient motivation
On this sub-theme, one essential idea was “lack of motivation”. One of many individuals stated:
“I did not adhere to my eating regimen at a celebration. We all the time had a celebration. Repeating this made me lose my eating regimen, and my urge for food elevated once more. So, I might now not proceed my eating regimen program. An important consider my eating regimen dropout was not motivated” (participant No. 8).
Stress and hormonal dysfunction
On this sub-theme, there have been a number of ideas reminiscent of “stress and hormonal dysfunction” and “taking hormonal medicine”. On this context, two individuals maintained:
“I skilled hormonal imbalance and weight acquire just a few years in the past. I used to be provided a eating regimen. I adhered to the eating regimen for seven or eight months, and I went to a health club, as effectively. I skilled an excellent weight reduction, and I used to be delighted. Nevertheless, as a consequence of stress circumstances and thyroid hormone issues, I regained my weight. This was repeated two or three years later … ” (Participant No. 11).
“ … After my weight was mounted, the physician gave me a upkeep eating regimen, however I uncared for it. Moreover, due to hormonal issues, my weight elevated quickly. I didn’t go to the physician once more to pursue this drawback. I used to be additionally concerned in melancholy. My urge for food elevated due to the hormonal disturbance and consumption of anti-depression medicine … ’ (Participant No. 5).
Having the sensation of “being dangerous to well being
On this sub-theme, there have been a number of ideas reminiscent of “having complications,” “having abdomen burning,” and “having brittle nails.” On this regard, eight individuals stated:
“ … The issue was that I used to be weak within the early days, and it was arduous for me. I turned very skinny throughout the eating regimen, however I had extreme complications, and my face had deteriorated. So, I dropped out of my eating regimen. The issue with my eating regimen was that it had some results on my pores and skin, and it did not have an effect on my physique as a result of I exercised. Due to my cussed eating regimen, my face and pores and skin have been flaky. I had hair loss and abdomen burning. On account of this eating regimen, I had extreme hair loss and had quite a lot of bodily weak spot, and my nails have been damaged. I referred to as them and stated I had hair loss, however they stated it was OK … ” (Participant No. 1).
Lack of psychological and psychological preparation
On this sub-theme, there have been a number of ideas reminiscent of “partner’s lack of cooperation for adherence to the eating regimen,” “associates’ feedback about facial ageing,” and “lack of companionship to keep up a eating regimen.” On this respect, six individuals talked about:
“ … I dropped out of the eating regimen as a result of my spouse stated that my face was shrinking and that I used to be getting outdated and damaged. I misplaced somewhat weight, however weight reduction affected my face lots, and other people round me stored saying that I appeared too outdated. My eating regimen did not trigger any issues, and it was good. Most troubles have been associated to these round us who insisted on consuming wherever we went…” (Participant No. 19).
Private style
On this sub-theme, there have been a number of ideas reminiscent of “dislike for eating regimen meals,” “nice curiosity in sure meals gadgets,” “excessive tendency in direction of sweets,” “lack of eating regimen based mostly on one’s pursuits and urge for food,” and “too many restrictions within the eating regimen.” On this regard, 5 individuals stated:
“ … The issue with my eating regimen was that there have been plenty of meals gadgets that I did not like. I used to be keen on pizza and soda and could not take away them from my eating regimen. In the course of the eating regimen, I discovered myself craving quite a lot of sweets. All my favourite meals gadgets have been eradicated from the eating regimen, and the quantity of meals was inadequate for my urge for food. It was difficult for me to limit starchy meals and fats within the eating regimen, and I did not be ok with it…” (Participant No. 2).
Theme 2. Familial and social causes for dropout of eating regimen
The research findings mirrored the connection between personals in addition to their backgrounds and social and familial elements. This theme included two classes and two codes. The main points of the codes and examples have been introduced under.
Social issues
This sub-theme consisted of 1 idea; i.e., “being busy and having issues at work and faculty.” On this regard, two individuals stated:
“ … My important drawback was my work. I turned hungry throughout the nights as a result of I used to be on shift work and had woken up within the morning. I did not know what to do, and I used to be ravenous. Because of the cramped college lessons and lack of time, I could not adhere to my eating regimen schedule. Moreover, I could not train … ” (Participant No. 6).
Familial issues
This sub-theme consisted of 1 idea; i.e., “lack of cooperation on the a part of household and associates.” On this context, three individuals maintained:
“ … My daughter bought married. We had plenty of events. My son-in-law’s household insisted on consuming each time. After that, I regularly dropped out of my eating regimen that was happening effectively … ” (Participant No. 7).
Theme 3. Causes associated to eating regimen traits
The third theme included the explanations associated to eating regimen traits and was categorized into six components: the ineffectiveness of eating regimen, the expensiveness of eating regimen meals and dietary dietary supplements, unavailability of meals, unscientific and unconventional diets, and feeling dangerous in regards to the eating regimen, and unpalatable eating regimen meals. Additional particulars in regards to the codes and examples have been offered under:
Ineffectiveness of eating regimen
This sub-theme consisted of 1 idea; i.e., “no weight reduction.” Two individuals stated:
“ … I used to be very motivated for the primary couple of months. Nevertheless, when my weight didn’t change, I misplaced my motivation … ” (Participant No. 5).
Costly eating regimen meals and dietary dietary supplements
This sub-theme included two ideas, specifically “costly eating regimen meals” and “costly weight reduction dietary supplements.” On this regard, two individuals said:
“ … The issue with my eating regimen was that it wasn’t economical, and it was very troublesome to get eating regimen meals. So, I couldn’t adapt to the eating regimen, and I misplaced my motivation regularly. Weight-loss dietary supplements are typically costly, and they aren’t worthy for long-term utilization … ” (Participant No. 13).
Unavailability of meals
This sub-theme consisted of two ideas, specifically “unavailability of sure meals gadgets” and “unavailability of meals in numerous conditions.” On this respect, two individuals stated:
“ … The issue with my eating regimen was that it was difficult to get meals. So, I couldn’t adapt to the eating regimen, regularly left, and didn’t attend the remedy periods. My lunch and dinner meals have been virtually simply meat, poultry, and grilled fish in my eating regimen. Usually, the sort of meals was not all the time out there to me since I used to be at work or due to attending events and household gatherings or another restrictions … ” (Participant No. 18).
Unscientific and unconventional diets
This sub-theme consisted of two ideas, specifically “unavailability of sure meals gadgets” and “unavailability of meals in numerous conditions.” On this regard, 5 individuals maintained:
“ … I used completely different diets. Some have been easy diets that had every little thing, and a few have been starchy and sugar-free. Nevertheless, some have been particular diets that solely had espresso or bananas. I attempted completely different diets with non permanent results. I had no rice in my eating regimen for the primary month. I solely had lentils or egg white for breakfast. Lunch and dinner included hen breast or steamed fish and greens … ” (Participant No. 22).
Feeling dangerous in regards to the eating regimen
This sub-theme included one idea; i.e., “not listening to the sturdy tendency in direction of sure meals gadgets.” On this regard, two individuals talked about:
“ … At the moment, I had a powerful tendency in direction of chocolate and cocoa, which was restricted, and my blood stress dropped. As well as, I had complications and felt weak virtually on a regular basis. I used to be very bothered and didn’t really feel effectively … ” (Participant No. 24).
Unpalatable eating regimen meals
This sub-theme consisted of 1 idea; i.e., “not listening to private unpalatable meals gadgets.” On this context, two individuals stated:
“ … My earlier eating regimen constantly made me eat beans or lentils, cooked greens, coconut, hen, and boiled fish, which I did not like in any respect. There have been plenty of meals gadgets in my eating regimen that I did not like … ” (Contributors No. 14 and 10).