Obesity and Clinical Obesity Men's understandings of obesity and its relation to the risk of diabetes: a qualitative study

Sandgren, Emma; Sandgren, Sofia; Urazalin, Marat; Andersson, Rune
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p311
Academic Journal
Background: The 2007 Wanless report highlights the ever increasing problem of obesity and the consequent health problems. Obesity is a significant cause of diabetes. An increasing evidence base suggests that in terms of reducing diabetes and CVD risk, it is better to be "fit and fat" than unfit and of normal weight. There has been very little previous research into the understandings that men in the general population hold about the issues of weight, exercise and health; we therefore undertook this study in order to inform the process of health promotion and diabetes prevention in this group. Methods: A qualitative study in North East England General Practice using a purposive sample of men aged 25 and 45 years (selection process designed to include 'normal', 'overweight' and 'obese' men). One to one audio-recorded semi structured interviews focused on: overweight and obesity, diet, physical activity and diabetes. Transcripts were initially analysed using framework analysis. Emerging themes interlinked. Results: The men in this study (n = 17) understand the word obesity differently from the clinical definition; "obesity" was used as a description of those with fat in a central distribution, and understandings of the term commonly take into account fitness as well as weight. Men in their late 30s and early 40s described becoming more aware of health issues. Knowledge of what constitutes a 'healthy lifestyle' was generally good, but men described difficulty acting upon this knowledge for various reasons e.g. increasing responsibilities at home and at work. Knowledge of diabetes and the link between obesity and diabetes was poor. Conclusion: Men in this study had a complex understanding of the interlinked importance of weight and fitness in relation to health. Obesity is understood as a description of people with centrally distributed fat, in association with low fitness levels. There is a need to increase understanding of the causes and consequences of diabetes. Discussion of increased health awareness by men round the age of 40 may indicate a window of opportunity to intervene at this time.


Related Articles

  • Effectiveness of Lifestyle Interventions for Individuals With Severe Obesity and Type 2 Diabetes. UNICK, JESSICA L.; BEAVERS, DANIEL; JAKICIC, JOHN M.; KITABCHI, ABBAS E.; KNOWLER, WILLIAM C.; WADDEN, THOMAS A.; WING, RENA R. // Diabetes Care;Oct2011, Vol. 34 Issue 10, p2152 

    OBJECTIVE--Rates of severe obesity (BMI ≥40 kg/m²) are on the rise, and effective treatment options are needed. We examined the effect of an intensive lifestyle intervention (ILI) on weight loss, cardiovascular disease (CVD) risk, and program adherence in participants with type 2...

  • Supervised Exercise Training Counterbalances the Adverse Effects of Insulin Therapy in Overweight/Obese Subjects With Type 2 Diabetes. Balducci, Stefano; Zanuso, Silvano; Cardelli, Patrizia; Salerno, Gerardo; Fallucca, Sara; Nicolucci, Antonio; Pugliese, Giuseppe // Diabetes Care;Jan2012, Vol. 35 Issue 1, p39 

    OBJECTIVE--To examine the effect of supervised exercise on traditional and nontraditional cardiovascular risk factors in sedentary, overweight/obese insulin-treated subjects with type 2 diabetes from the Italian Diabetes Exercise Study (IDES). RESEARCH DESIGN AND METHODS--The study randomized 73...

  • 'Food Security' Summit takes on Obesity, Diabetes, Nutrition.  // Ascribe Newswire: Health;6/11/2004, p53 

    One in three Americans born today is predicted to develop diabetes as a consequence of obesity, according to a new report by the International Diabetes Federation and the International Obesity Task Force. This is one of the many trends that will be addressed at next week's summit, "Taking Back...

  • Self-reported diabetes mellitus and its association with overweight in older adults. Pelegrini, Andreia; da Silva Coqueiro, Raildo; Petroski, Edio Luis; Bertoldo Benedetti, Tania R. // Brazilian Journal of Kineanthropometry & Human Performance;2011, Vol. 13 Issue 6, p442 

    This study aimed to identify the prevalence of self-reported diabetes mellitus in the older adults in Florianópolis and its relationship with being overweight. 857 older adults took part in the study. Sociodemographic (sex, age group, schooling, monthly income), anthropometric (weight,...

  • Lose weight now. McGinnis, Marianne // Prevention;Aug2004, Vol. 56 Issue 8, p39 

    Discusses the increase of disability rates for adults, which parallels the United States' obesity epidemic. Back pain and diabetes as the leading disablers; Importance of managing one's weight.

  • Diet plan to achieve effective weight loss. Haslam, David // Independent Nurse;9/21/2009, p40 

    The article discusses effective weight loss intervention for people who suffer from obesity. Obesity is the main cause of type-2 diabetes and a major factor in cardiovascular diseases, cancer and other threatening conditions. Options for intervention include goal-setting approach, structured...

  • Central obesity associates with renal hyperfiltration in the non-diabetic general population: a cross-sectional study. Stefansson, Vidar Tor Nyborg; Schei, Jørgen; Jenssen, Trond Geir; Melsom, Toralf; Eriksen, Bjørn Odvar // BMC Nephrology;11/10/2016, Vol. 17, p1 

    Background: Obesity is a risk factor for end-stage renal disease. Renal hyperfiltration, defined as an abnormally high glomerular filtration rate (GFR), is a link in the causal chain between diabetes and chronic kidney disease. Whether obesity is associated with hyperfiltration in the...

  • A Better Index of Body Adiposity. Bergman, Richard N. // Obesity (19307381);Jun2012, Vol. 20 Issue 6, p1135 

    The author discusses various comments on their paper "A Better Index of Body Adiposity," which was published in the May 2011 issue.

  • Mapping geographical variation in obesity in Finland. Lahti-Koski, Marjaana; Taskinen, Olli; Similä, Minna; Männistä, Satu; Laatikainen, Tuna; Knekt, Paul; Valsta, Liisa M. // European Journal of Public Health;Dec2008, Vol. 18 Issue 6, p637 

    Background: The prevalence of obesity varies across countries. However, less is known about the geographical, within-country variation. This study investigated and visualized the geographical differences in general obesity defined by body mass index (BMI) and in abdominal obesity defined by...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics