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The lived experiences of being physically active when morbidly obese: A qualitative systematic review

The aim is to identify facilitators and barriers for physical activity (PA) experienced by morbidly obese adults in the Western world. Inactivity and a sedentary lifestyle have become a major challenge for health and well-being, particularly among persons with morbid obesity. Lifestyle changes may l...

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Autores principales: Toft, Bente Skovsby, Uhrenfeldt, Lisbeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580712/
https://www.ncbi.nlm.nih.gov/pubmed/26400462
http://dx.doi.org/10.3402/qhw.v10.28577
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author Toft, Bente Skovsby
Uhrenfeldt, Lisbeth
author_facet Toft, Bente Skovsby
Uhrenfeldt, Lisbeth
author_sort Toft, Bente Skovsby
collection PubMed
description The aim is to identify facilitators and barriers for physical activity (PA) experienced by morbidly obese adults in the Western world. Inactivity and a sedentary lifestyle have become a major challenge for health and well-being, particularly among persons with morbid obesity. Lifestyle changes may lead to long-term changes in activity level, if facilitators and barriers are approached in a holistic way by professionals. To develop lifestyle interventions, the perspective and experiences of this group of patients are essential for success. The methodology of the systematic review followed the seven-step procedure of the Joanna Briggs Institute and was published in a protocol. Six databases were searched using keywords and index terms. Manual searches were performed in reference lists and in cited citations up until March 2015. The selected studies underwent quality appraisal in the Joanna Briggs-Qualitative Assessment and Review Instrument. Data from primary studies were extracted and were subjected to a hermeneutic text interpretation and a data-driven coding in a five-step procedure focusing on meaning and constant targeted comparison through which they were categorized and subjected into a meta-synthesis. Eight papers were included for the systematic review, representing the experiences of PA among 212 participants. One main theme developed from the meta-data analysis: “Identity” with the three subthemes: “considering weight,” “being able to,” and “belonging with others.” The theme and subthemes were merged into a meta-synthesis: “Homecoming: a change in identity.” The experiences of either suffering or well-being during PA affected the identity of adults with morbid obesity either by challenging or motivating them. A change in identity may be needed to feel a sense of “homecoming” when active.
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spelling pubmed-45807122015-10-20 The lived experiences of being physically active when morbidly obese: A qualitative systematic review Toft, Bente Skovsby Uhrenfeldt, Lisbeth Int J Qual Stud Health Well-being Empirical Study The aim is to identify facilitators and barriers for physical activity (PA) experienced by morbidly obese adults in the Western world. Inactivity and a sedentary lifestyle have become a major challenge for health and well-being, particularly among persons with morbid obesity. Lifestyle changes may lead to long-term changes in activity level, if facilitators and barriers are approached in a holistic way by professionals. To develop lifestyle interventions, the perspective and experiences of this group of patients are essential for success. The methodology of the systematic review followed the seven-step procedure of the Joanna Briggs Institute and was published in a protocol. Six databases were searched using keywords and index terms. Manual searches were performed in reference lists and in cited citations up until March 2015. The selected studies underwent quality appraisal in the Joanna Briggs-Qualitative Assessment and Review Instrument. Data from primary studies were extracted and were subjected to a hermeneutic text interpretation and a data-driven coding in a five-step procedure focusing on meaning and constant targeted comparison through which they were categorized and subjected into a meta-synthesis. Eight papers were included for the systematic review, representing the experiences of PA among 212 participants. One main theme developed from the meta-data analysis: “Identity” with the three subthemes: “considering weight,” “being able to,” and “belonging with others.” The theme and subthemes were merged into a meta-synthesis: “Homecoming: a change in identity.” The experiences of either suffering or well-being during PA affected the identity of adults with morbid obesity either by challenging or motivating them. A change in identity may be needed to feel a sense of “homecoming” when active. Co-Action Publishing 2015-09-22 /pmc/articles/PMC4580712/ /pubmed/26400462 http://dx.doi.org/10.3402/qhw.v10.28577 Text en © 2015 B. S. Toft & L. Uhrenfeldt http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
spellingShingle Empirical Study
Toft, Bente Skovsby
Uhrenfeldt, Lisbeth
The lived experiences of being physically active when morbidly obese: A qualitative systematic review
title The lived experiences of being physically active when morbidly obese: A qualitative systematic review
title_full The lived experiences of being physically active when morbidly obese: A qualitative systematic review
title_fullStr The lived experiences of being physically active when morbidly obese: A qualitative systematic review
title_full_unstemmed The lived experiences of being physically active when morbidly obese: A qualitative systematic review
title_short The lived experiences of being physically active when morbidly obese: A qualitative systematic review
title_sort lived experiences of being physically active when morbidly obese: a qualitative systematic review
topic Empirical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4580712/
https://www.ncbi.nlm.nih.gov/pubmed/26400462
http://dx.doi.org/10.3402/qhw.v10.28577
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