title: The struggle against fat: weight loss experiences of overweight adolescent girls in Taiwan.
abstract: BACKGROUND
  Weight loss is an important health issue for overweight girls. Understanding their subjective feelings and experiences regarding weight loss may help healthcare professionals and hospitals develop an appropriate intervention for this population. However, there have been few studies done on the subjective weight loss experiences of overweight adolescent girls.
  
  
  OBJECTIVE
  This study developed a descriptive theory framework to elicit the weight loss experiences of overweight adolescent girls in Taiwan.
  
  
  METHODS
  This qualitative study used grounded theory to conduct in-depth interviews with 20 overweight adolescent girls aged 16-20 years. Data were analyzed using the constant comparative method.
  
  
  RESULTS
  "Struggle against fat" was the core theme that described and guided the process of weight loss for participants. During this process, "obesity as a stigma" was identified as the antecedent condition with the subcategories: being teased, being blamed, being bullied, and lack of personal attractiveness. Participants struggled to practice a new lifestyle while continuing their previous lifestyle during the weight loss process. This process was categorized as "trying dieting shortcuts," "self-sabotage," "confronting weakness," and "adhere to a new life." During this process, some participants adhered to a new life by perceiving peer/family support, using incentive slogans, and sharing experiences. Finally, participants either continued to maintain their new lifestyle and gradually lost weight or resumed their previous lifestyle and regained weight by entering into a vicious cycle of combating fat through dieting shortcuts while practicing self-sabotage.
  
  
  CONCLUSIONS
  Weight loss is a difficult issue for most overweight and obese adolescent girls. Health providers should better understand adolescent psychology to provide this population with effective incentives to modify their lifestyles for health purposes. It is crucial that healthcare providers be good coaches to guide and positively support these girls in their struggle against fat.
authors: 1MSN, RN, Lecturer, Department of Nursing, Chang-Gung University Science and Technology, and Doctoral Candidate, Nursing Department and Graduate School, National Taipei University of Nursing and Health Sciences 2MD, Assistant to the President, Department of Obstetrics and Gynecology, Taiwan Adventist Hospital 3DNSc, RN, Professor and Dean, Department of Nursing, and Vice President, National Taipei University of Nursing and Health Sciences.
authors: Mei-Chen
authors: MC
authors: Su
authors: Hei-Jen
authors: HJ
authors: Jou
authors: Lee-Ing
authors: LI
authors: Tsao
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D015404:Nursing Methodology Research; D050177:Overweight / Q000523:psychology*; D011582:Psychological Theory; D036301:Qualitative Research; D013624:Taiwan; D015431:Weight Loss; D055815:Young Adult