The experiences of women with polycystic ovary syndrome on a very low-calorie diet

Love, John G; McKenzie, John; Nikokavoura, Efsevia Anastasia; Broom, John; Rolland, Catherine; Johnston, Kelly L.

doi:10.2147/ijwh.s100385

Cited by 23 publications

(70 citation statements)

References 27 publications

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“…Focus groups and one‐on‐one interviews were used in the three studies that informed this review. One study collected both pre‐intervention and post‐intervention qualitative data , with the other two conducting focus groups or one‐on‐one interviews post‐intervention only, with one of these being at an unspecified time after intervention , and the other one being at around 9 months after cessation of the VLED . The duration of the VLED phase was reported as 8 weeks , 3 months and of unspecified duration .…”

Section: Resultsmentioning

confidence: 99%

“…All three studies investigated the experiences of using VLEDs as a treatment for overweight or obesity, and two studies included the weight maintenance experience in their investigation . In one study, the participants had polycystic ovarian syndrome (PCOS) in addition to obesity , and in another study, the participants had type 2 diabetes as well as obesity . Themes and subthemes identified through analysis are documented in Table and will be described in detail below.…”

Section: Resultsmentioning

confidence: 99%

“…The negative aspects of having obesity were reported in these three articles as the main motivators for wanting to lose weight and join a weight loss programme. These included current poor health, particularly among people with PCOS or type 2 diabetes , with these conditions providing the added incentive of wanting to lose weight in order to increase fertility or discontinue use of medications. The expected positive outcomes of losing weight were improvements in health, fitness and longevity, as well as increased quality of life.…”

Section: Resultsmentioning

confidence: 99%

“…Across all three studies, being on a VLED was generally reported by participants to be a positive experience . The VLED was described as being easier to follow and adhere to than expected prior to commencing the diet.…”

Section: Resultsmentioning

confidence: 99%

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Experiences of using very low energy diets for weight loss by people with overweight or obesity: a review of qualitative research

et al. 2018

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Although very low energy diets (VLEDs) are the most successful non-surgical, non-pharmacological treatment for obesity, they are underutilized, and little is known about experiences of people using VLEDs for weight loss. This systematic review synthesizes qualitative studies investigating participants' experiences of undertaking a VLED composed of total meal replacement products to lose weight. Of the 4,911 articles screened, three studies met criteria for inclusion. Thematic synthesis was used to analyse the study findings. Health and appearance were the main motivators to use a VLED for weight loss. Adherence was facilitated by group support meetings, rapid weight loss and ease of use of the diet. Being part of a clinical trial gave a sense of accountability and further reason to adhere to a VLED, and the VLED itself was well accepted by users. Barriers to adherence, such as temptations and social occasions, were overcome by avoidance and distraction strategies. In conclusion, this qualitative synthesis of users' experiences of VLEDs shows that VLEDs are well accepted and positively viewed by users. More in-depth research could facilitate understanding of how this weight loss strategy influences the weight maintenance period, in order to facilitate better long-term results.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Experiences of using very low energy diets for weight loss by people with overweight or obesity: a review of qualitative research

et al. 2018

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“…; Love et al . ; Rehackova et al . ) that explored in‐depth, subjects’ experiences following a VLED (Harper et al .…”

Section: Patient Views and Experiences Of Formula Dietsmentioning

confidence: 99%

Very low‐energy and low‐energy formula diets: Effects on weight loss, obesity co‐morbidities and type 2 diabetes remission – an update on the evidence for their use in clinical practice

Brown

Leeds

2019

Nutrition Bulletin

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The role of formula very low‐energy diets (VLEDs, <800 kcal/day) and low‐energy diets (LEDs, 800–1200 kcal/day) within clinical practice has regained attention over the last few years. Formula diets can achieve clinically significant weight reduction in the short‐term (3–5 months) and new evidence demonstrates that long‐term weight loss maintenance (up to 4 years) is achievable. Weight reductions of between 10% and 15% bodyweight have been reported, which is associated with clinically meaningful health outcomes in a number of obesity‐related co‐morbidities including type 2 diabetes (T2D), obstructive sleep apnoea and osteoarthritis. Recent evidence indicates that using a formula LED with a weight loss maintenance programme can help people with overweight or obesity and T2D achieve remission. Despite this, few healthcare professionals in the UK routinely use LEDs. Concerns about adherence, risk of precipitating eating disorders, safety, cost and long‐term efficacy may, in part, contribute to their under use. To help inform healthcare professionals on the use of formula diets within clinical practice, this review examines the current evidence for the use of VLEDs and LEDs for weight loss and weight loss maintenance, and in the treatment of obesity‐related co‐morbidities, including T2D, osteoarthritis, psoriasis, obstructive sleep apnoea and secondary coronary prevention, with a particular focus on T2D remission.

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Postmenopausal women's experiences of weight maintenance following a very low energy diet

Harper

Maher

Hsu

et al. 2023

Obesity Science & Practice

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Introduction Very low energy diets (VLEDs) effectively induce substantial weight loss in people with obesity, yet they are rarely used as a first line treatment. There is a belief that such diets do not teach the lifestyle behavior changes needed for long‐term weight maintenance. However, little is known about the lived experiences of people who have lost weight on a VLED in the long term. Methods This study aimed to explore the behaviors and experiences of postmenopausal women who had followed a 4‐month VLED (using total meal replacement products [MRPs]), followed by a food‐based, moderately energy‐restricted diet for an additional 8 months, as part of the TEMPO Diet Trial. Qualitative in‐depth semi‐structured interviews were conducted with 15 participants at 12 or 24 months (i.e., at 8 or 20 months post diet completion). Transcribed interviews were analyzed thematically using an inductive approach. Results Undertaking a VLED was reported by participants to confer advantages in weight maintenance that previous weight loss attempts had not been able to do for them. Firstly, the rapid and significant weight loss, in conjunction with ease of use, was motivational and helped instill confidence in the participants. Secondly, the cessation of a normal diet during the VLED was reported by participants to break weight gain‐inducing habits, allowing them to abandon unhelpful habits and to introduce in their place more appropriate attitudes toward weight maintenance. Lastly, the new identity, helpful habits and increased self‐efficacy around weight loss supported participants during weight maintenance. Additionally, participants reported that ongoing occasional use of MRPs provided a useful and easy new strategy for countering weight regain and supporting their weight maintenance regimen. Conclusion Among the participants in this qualitative study, most of whom had maintained a loss of over 10% of their baseline body weight at the time of interview, using a VLED in the context of a clinical weight loss trial conferred confidence, motivation and skills for weight maintenance. These findings indicate that VLEDs with clinical support could be successfully leveraged to set up behaviors that will support weight maintenance in the long term.

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The experiences of women with polycystic ovary syndrome on a very low-calorie diet

Cited by 23 publications

References 27 publications

Experiences of using very low energy diets for weight loss by people with overweight or obesity: a review of qualitative research

Experiences of using very low energy diets for weight loss by people with overweight or obesity: a review of qualitative research

Very low‐energy and low‐energy formula diets: Effects on weight loss, obesity co‐morbidities and type 2 diabetes remission – an update on the evidence for their use in clinical practice

Postmenopausal women's experiences of weight maintenance following a very low energy diet

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