Factors behind nonadherence to diet regimens among obese adults in Tanta, Egypt: a case-control study.
BACKGROUND
Nonadherence to diet regimens is a major cause of treatment failure in the field of obesity management. It varies according to the study design and the type of intervention. In weight loss clinical trials, nonadherence rates range from 10 to 80%. Strategies to reduce dropout rates rely on precise identification of factors leading to premature program termination. The aim of this research was to study factors behind nonadherence to diet regimens among obese adults in Tanta, Egypt.


METHODS
A retrospective, case-control study was carried out during the year 2014 in an obesity management private clinic in Tanta, Gharbia Governorate, Egypt. The study included two groups of 150 participants each (adherents and nonadherents) matched for sex and BMI. Self-administered questionnaires were used to collect data concerning sociodemographic characteristics, weight changes, dieting, and behavioral, psychological, and medical factors. Personal perspectives on potential factors contributing to nonadherence to diet regimens were also investigated.


RESULTS
Factors significantly associated with probabilities high probability of to loss of adherence to diet regimens were as follows: younger age, urban residence, higher educational levels, obesity of grades I and III, a higher frequency of previous weight loss trials, consumption of fruits and vegetables less than that recommended (<5 times/day), higher weight loss expectations, and binge eating. The most common personal perspectives on causes limiting adherence to diet regimens were as follows: unsatisfactory results (37.3%), difficulties in dieting practices (33.3%), logistics (30.0%), and fading of motives (27.3%).


CONCLUSIONS
Obese individuals seeking weight reduction with young age, urban residence, higher educational levels, a higher frequency of previous weight loss trials, higher weight loss expectations, and those with perceived unsatisfactory results are more prone to lose their adherence to diet regimens. Individuals with factors of nonadherence should receive extra care to avoid their withdrawal from diet programs and to improve clinical outcomes.
Departments of aPublic Health and Community Medicine bPsychiatry, Faculty of Medicine, Tanta University, Tanta, Egypt.
Ehab A
EA
Abo Ali
Salwa A
SA
Atlam
Wessam A
WA
Ghareeb
D000328:Adult; D000367:Age Factors; D016022:Case-Control Studies; D004038:Diet, Reducing / Q000523:psychology*; D004534:Egypt; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D006266:Health Education; D006801:Humans; D008297:Male; D009042:Motivation; D009765:Obesity / Q000178:diet therapy / Q000523:psychology*; D010349:Patient Compliance / Q000523:psychology*; D020377:Self Efficacy; D016896:Treatment Outcome; D015431:Weight Loss