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Experiences of Dieting among Korean Middle School Boys

남자 중학생의 다이어트 경험

  • Jin, Juhye (Department of Nursing, University of Ulsan)
  • Received : 2017.01.05
  • Accepted : 2017.01.20
  • Published : 2017.01.31

Abstract

Purpose: Little is known about the dieting experiences of obese adolescent boys, as the majority of studies on obesity in children and adolescents have included only girls. This qualitative study was designed to explore the ways in which male middle school boys attach subjective meanings to their obese bodies, and experience dieting practices in their everyday lives. Methods: Fifteen obese boys aged 14 to 16 were interviewed via in-depth, face-to-face interviews. All interview data were audiotaped, transcribed, and analyzed using thematic analysis. Results: Having a large build and increased strength that prevented bullying by peers had positive meanings participants attributed to their obese bodies. However, negative meanings existed as well, including feeling heavy and having no physical endurance, having a clammy and odorous body, and being bullied and vulnerable to disease. With respect to dieting experiences, multiple positive and negative subthemes were identified. Conclusion: The findings of this study show the intersection between adolescence and everyday life challenges for obese middle school boys in the Korean culture. Further, recommendations for healthcare professionals include a gender-specific approaches when intervening and planning programs for obese adolescents.

Keywords

References

  1. Ministry of Health and Welfare, Centers for Disease Control & Prevention. 2015 Korea national health and nutrition examination survey I: Phase # 6 (2015). Health Survey Report. Seoul: Ministry of Health and Welfare; 2016 December. Report No.: 11-1351159-000027-10.
  2. An JS, Kim HJ. A study on the determinants of children and adolescents' health inequality in Korea. Studies on Korean Youth. 2013;24(2):205-231.
  3. Richardson SM, Paxton SJ, Thomson JS. Is body think an efficacious body image and self-esteem program? A controlled evaluation with adolescents. Body Image. 2009;6(2):75-82. http://dx.doi.org/10.1016/j.bodyim.2008.11.001
  4. Kim EY, Kim SH. Relevance of the personal characteristics of adolescents using a BMI study. Journal of Korea Academia-Industrial cooperation Society. 2014;15(10):6150-6157. http://dx.doi.org/ 10.5762/KAIS.2014.15.10.6150
  5. Choi PS, Min IS, Kim WK. The effect of obesity on educational achievement in the adolescence. Korean Journal of Education Research. 2009;47(3):73-92.
  6. Bae HJ, Ryou B. The effects of obesity on school adjustment and academic achievement among middle school students. Studies on Korean Youth. 2015;26(1):79-109. https://doi.org/10.14816/sky.2015.26.1.79
  7. Kim JM, Lee SJ. Developmental changes in the effect of sociocultural factors towards appearance, body mass index and self-esteem on body image. Journal of Korean Home Management Association. 2009;27(6):1-12.
  8. Cohane GH, Pope HG. Body image in boys: A review of the literature. International Journal of Eating Disorders. 2001;29(4):373-379. http://dx.doi.org/10.1002/eat.1033
  9. Chun CG, Lee MO. The effect of adolescent body-related variables, self-esteem on eating disorder behavior. Korean Journal of Human Ecology. 2007;16(5):1041-1050. https://doi.org/10.5934/KJHE.2007.16.5.1041
  10. French SA, Story M, Downes B, Resnick MD, Blum RW. Frequent dieting among adolescents: Psychosocial and health behavior correlates. American Journal of Public Health. 1995;85(5):695-701. http://dx.doi.org/10.2105/AJPH.85.5.695
  11. Doosan DongA Editorial Department. Dong-A new Korean language dictionary. 5th ed. Seoul: Dong-A Publishing Co.; 2011. p. 528.
  12. Patton GC, Carlin JB, Shao Q, Hibbert ME, Rosier M, Selzer R, et al. Adolescent dieting: Healthy weight control or borderline eating disor der? Journal of Child Psychology and Psychiatry. 1997;38(3):299-306. http://dx.doi.org/10.1111/j.1469-7610.1997.tb01514.x
  13. Emmons L. Dieting and purging behavior in black and white high school students. Journal of the American Dietetic Association. 1992;92(3):306-312.
  14. Lee JS, Kim BH, Jung HC, Lee SE. A grounded approach to dietary experiences in college women. Korean Journal of Women Health Nursing. 2001;7(4):596-609.
  15. Kim JS. The process of female university students' experiences in healthy dieting. J Korean Acad of Community Health Nurs. 2012;23(3):244-255. https://doi.org/10.12799/jkachn.2012.23.3.244
  16. Jun MK, Ha JY. Failure experience in losing weight among obese highschool girls. Journal of Qualitative Research. 2014;15(2):89-99. https://doi.org/10.22284/qr.2014.15.2.89
  17. Kim JS. Experiences in self-dieting program of obese male college students. Korean Journal of Adult Nursing. 2013;25(5):504-514. https://doi.org/10.7475/kjan.2013.25.5.504
  18. Park ES, Im YJ, Im HS. Perceptions of obesity and management behaviors of obese adolescents and their families in Korea. Journal of Korean Academy of Nursing. 2003;33(7):1028-1037. https://doi.org/10.4040/jkan.2003.33.7.1028
  19. Kim EY, Rho YI, Yang ES, Park SK, Park YB, Moon KR, et al. Six year follow-up of childhood obesity. Korean Journal of Pediatrics. 2001;44(11):1295-1300.
  20. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77-101. http://dx.doi.org/ 10.1191/1478088706qp063oa
  21. Guba EG. Criteria for assessing the trustworthiness of naturalistic inquiries. Educational Communication and Technology Journal. 1981;29(2):75-92. http://dx.doi/org/10.1007/BF02766777
  22. Shenton AK. Strategies for ensuring trustworthiness in qualitative research projects. Education for Information. 2004;22(2):63-75. https://doi.org/10.3233/EFI-2004-22201
  23. Lee JH, Yi KH. An analysis of the determinants of adolescents' health inequality in Korea: A view from the students' self-rated health condition and obesity. The Korea Educational Review. 2015;21(2):217-243.
  24. Su MC, Jou HJ, Tsao LI. The struggle against fat: Weight loss experiences of overweight adolescent girls in Taiwan. The Journal of Nursing Research. 2014;22(1):28-36. http://dx.doi.org/10.1097/jnr.0000000000000017
  25. Wills WJ, Backett-Milburn K, Gregory S, Lawton J. Young teenagers' perceptions of their own and others' bodies: A qualitative study of obese, overweight and 'normal' weight young people in Scotland. Social Science and Medicine. 2006;62(2):396-406. http://dx.doi.org/10.1016/j.socscimed.2005.06.014
  26. Elkind D. Egocentrism in adolescence. Child Development. 1967;38(4):1025-1034. http://dx.doi.org/10.2307/1127100
  27. Lemon SC, Rosal MC, Zapka J, Borg A, Andersen V. Contributions of weight perceptions to weight loss attempts: Differences by body mass index and gender. Body Image. 2009;6(2):90-96. http://dx.doi.org/10.1016/j.bodyim.2008.11.004
  28. Lovejoy JC, Sainsbury A, Stock Conference 2008 Working Group. Sex differences in obesity and the regulation of energy homeostasis. Obesity Review. 2009;10(2):154-167. http://dx.doi.org/10.1111/j.1467-789X.2008.00529.x
  29. Gough B, Conner MT. Barriers to healthy eating among men: A qualitative analysis. Social Science and Medicine. 2006;62(2):387-395. http://dx.doi.org/10.1016/j.socscimed.2005.05.032