Abstract
BackgroundThe incidence of overweight is increasing amongst adolescents in many countries around the world. Healthy and unhealthy weight control practices are common amongst overweight and non-overweight adolescents.AimThe aim of this study was to explore factors influencing weight control practices amongst adolescent girls.SettingThe study was conducted at selected secondary schools of Vhembe District of Limpopo Province, South Africa.MethodsA qualitative, exploratory, descriptive and contextual design was used. Non-probability, purposive sampling was used to select adolescents who are practicing weight control. In-depth interviews were conducted with 30 participants. Data were analysed according to Tesch’s open-coding method.ResultsThis study revealed that adolescent girls are influenced by a variety of factors to control their weights. These included individual factors, such as body image dissatisfaction; family factors, caused by parental criticism about adolescent weight; and environmental factors, which contain peer group endorsement of dieting.ConclusionAdolescents are exposed to many unhealthy weight control practices, as a way of controlling excess weight. So it is of importance for healthcare providers to make them aware of healthy practices.
Highlights
There is a global concern about weight control amongst adolescents
The study findings confirmed that adolescent girls are influenced by a variety of factors to unhealthy weight control practice, including individual, family and environmental factors
This study revealed that adolescent girls are dissatisfied about their body image, and as a result, they practise many unhealthy practices to control their weights as they link thinness with beauty
Summary
Adolescent girls are mostly exposed to the unrealistically thin beauty ideal that is portrayed in the media. This overemphasis on the importance of being thin is internalised by youth who equate thinness with beauty, success and health. Adolescents are exposed to a number of ways to lose weight and achieve this thin ideal. Authors indicated that unhealthy weight control practices include fasting, eating small amounts of food, using a food substitute (powdered substitutes or a special drink), skipping meals and excessive smoking. Healthy and unhealthy weight control practices are common amongst overweight and non-overweight adolescents
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