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Follow me Subscribe to RSS feed. The objective of this study was therefore to elucidate information on the weight loss practices and reasons why methods were abandoned before the achievement of desired weight goal from clients of a commercial weight loss program.
Nutriline is a privately-owned company in Accra, Ghana with the mission of improving the health of the public through the provision of quality nutrition and weight loss services to both individuals and corporate bodies. This was a cross-sectional study of new clients enrolling in the Nutriline weight loss programme and the willingness to complete the study questionnaire was the criterion for inclusion into study.
A total of 50 clients were consecutively selected between October and November A verbal consent was sought from all clients during enrollment and study participants could withdraw from the study at any stage of questionnaire administration.
A pre-tested questionnaire was used to collect data on demography, the weight loss methods that had previously been practiced before enrolling in Nutriline, whether they abandoned the program or not before achieving their desired weight goal, and reasons for abandoning the method if they did. Weight loss accelerer pousse cheveux nourrisson uvesterol was defined as any effort made in an attempt to lose weight and included commercial weight loss programs, exercises, meal replacements programs like Forever Living and Herbal Life, diet programs either learnt from dieting literature or the internet, drugs, any substance like teas, laxatives, used to try to lose weight or actually lose weight before enrolment into the study.
These were not pre-listed for subjects to choose from, they had to list these methods by themselves.
Anthropometric weight and height measurements were also taken. Responses to questions were coded and the Body Mass Index BMI was calculated by dividing the weight by the square of the height measured in metres.
All data were entered and analysed using simple frequency and descriptive tests in Microsoft Excel. The mean age of the subjects was The study sample was mainly obese Table 1 with a mean BMI of Only three subjects had a normal BMI at the time of enrolling in the Nutriline program with the aim of maintaining a healthy weight.
Anthropometric parameters of study participants 1. The three main weight loss methods followed in the past by participants were internet based programs Of those who had used a weight loss method prior to enrolment in the study, However, majority The weight loss strategies used by participants prior to enrollment into Nutriline program.
Weight loss practices among newly enrolling clients in a commercial weightloss program in Ghana
Several reasons were given for abandoning weight loss programs prior to the achievement of goals Figure 2. Half of the subjects reported abandoning program because it lacked sustainability. They could not for instance stay off carbohydrates for a long time. Majority of subjects in this study were females giving credence to the suggestion that females are more likely participate in weight loss programs more than men, similar to findings from earlier studies.
In the United States, more females than males reported that they had tried to lose weight during the previous 12 months. Among obese patients seeking treatment in Italian medical centres, the two main motivations for weight loss were concern for health problems and women's desire to improve their appearance. Similarly, majority of women who were attending clinic at the Korle-Bu Teaching Hospital indicated that they would reduce their current body weight to achieve an overall healthier life.
These studies show the high level of dissatisfaction among obese women with regards to body weight, which may then motivate them to attempt various weight loss strategies.
With the exception of three subjects who were normal weight, the rest of subjects were either overweight or obese despite the fact that majority of them had previously participated in a weight loss program before.
This is not surprising, considering that our study observed a high attrition rate The observed attrition rate is higher than that reported by Dalle et al. Previous studies indicate that people of younger age are more likely to drop out of weight loss programs and this may partly explain the high attrition rate for previous weight loss programs reported by subjects in our study.
Most of the weight loss programs observed in this study were diet or exercised based. This agrees with earlier studies in the United States of America and Brazil which reported diet and exercise as the weight loss practises most frequently used. Fundamentally, overweight and obesity reflects positive energy balance WHO factsheetand physical activity and dietary habits are two components of this balance that can be modified in a population.
The use of drugs and starvation as methods used to lose weight need further investigation to assess how widespread these practices are. Although certain drugs are accepted for use as part of a holistic treatment for obesity in cases of morbid obesity, the safety of the drug is of concern and professional management is very important.
Starvation or skipping meals was found to be one of the less common practices as found in a previous study. There are possibilities of nutrient deficiencies, low energy intakes with resultant hypoglycaemia, slowing down of the body's metabolism, overeating tendencies at the next meal and other negative side effects which come as a result of skipping meals or starving oneself.
No mention was made of using the conventional dietetic professionals available at private and public hospitals. Most of the commonly used strategies reported in this study were unlikely to be supervised by professionals with the exception of exercise programs. The lack of professional involvement in these programs may partly account for the high attrition and failure rates. The lack of professional guidance can result in overweight and obese subjects having unrealistic weight loss expectations at the beginning of a program, a factor that has been associated with high attrition rates.
This will help reduce risk of pregnancy complications that come as a result of excessive weight gain during pregnancy. The limitations of this study are the use of a small sample size sampling only from enrolling clients of a commercial weight loss programme. Study results cannot be generalised to the general Ghanaian population due to the sampling style which made the results skewed to that of weight conscious individuals. This study identified internet-based diet programs, commercial shake-based programs such as Herbal Life and Forever Living, and exercises as the common ma pousse de cheveux m pokora nous loss methods that were previously practised by subjects who enrolled in the Nutriline weight loss program.
Although majority of weight conscious individuals pursued a weight loss method, they abandoned the method before the achievement of their desired weight goal. Future weight loss programs must focus on making weight loss program more practical to ensure sustainability and need to include the professional supervision provided by nutritionists and dieticians. A cross sectional population study with larger sample size that also assesses factors that are associated with the choice of weight loss methods and drop-out from weight loss programs will help give better insight into the weight loss practices of the general Ghanaian population.
The authors wish to express their sincere thanks to Mr. Fui Acolatse for data entry and summaries of data inputs, as well as to all the clients who participated in the study.
National Center for Biotechnology InformationU. Journal List Ghana Med J v. Ghana Med J. Author information Copyright and License information Disclaimer. Corresponding author: Mrs Sandra Ayisi-Addo moc. Summary Background In Ghana, obesity is showing a rising trend and there are weight loss initiatives being practised by individuals. Methods This was a cross-sectional study involving 50 subjects conveniently selected from people who were enrolling into a commercial weight loss program.
Conclusions The findings suggest that future weight loss programs can be effective and have reduced attrition rates if they are designed to achieve sustainable dietary and other lifestyle changes, as well as boost motivation for weight loss. Keywords: weight loss, practices, diet, exercises, Ghana. Methods Nutriline is a privately-owned company in Accra, Ghana with the mission of improving the health of the public through the provision of quality nutrition and weight loss services to both individuals and corporate bodies.
Results Demography and anthropometry The mean age of the subjects was Table 1 Anthropometric parameters of study participants 1.
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Overweight and obese values are presented as percentages. Figure 1. Figure 2. Reasons for not completing previous weight loss strategies in Accra, Ghana. Discussion Majority of subjects in this study were females giving credence to the suggestion that females are more likely participate in weight loss programs more than men, similar to findings from earlier studies. Conclusion This study identified internet-based diet programs, commercial shake-based programs such as Herbal Life and Forever Living, and exercises as the common weight loss methods that were previously practised by subjects who enrolled in the Nutriline weight loss program.