A qualitative study on strategies to overcome demotivation, burnout, and boredom in weight loss among women in reproductive age

Fajriati Ramadhini Nur Mileniati -  Master of Science in Nutrition, Nutrition Department, Faculty of Health Science, Universitas Brawijaya, Indonesia
Fajar Ari Nugroho* -  Department of Nutrition, Faculty of Health Science, Universitas Brawijaya, Indonesia
Fuadiyah Nila Kurniasari -  Department of Nutrition, Faculty of Health Science, Universitas Brawijaya, Indonesia
DOI : 10.30867/action.v10i2.2332

The rising prevalence of obesity among adults, particularly women, highlights the need for effective weight management strategies. While previous studies have explored weight loss adherence, limited research has focused on the psychological strategies that reproductive-age women use to maintain their motivation in diet and physical activity. This qualitative study was conducted from September until October 2024 and employed a narrative approach, involving in-depth interviews with six key informants in Bandung City who had experienced or participated in a weight loss program. Additional informants were also included to support the triangulation method. Data were thematically analyzed using NVivo 12 for coding and Microsoft Excel for data tabulation. The study revealed five strategies for overcoming demotivation, burnout, and boredom. (1) Reflecting on Achievements, (2) taking a break for a while, (3) embracing the flexibility of diet and physical activity, (4) remembering the motivation they started to lose weight, and (5) adjusting the intensity of exercise. In conclusion, reflecting on achievement could be a strategy to overcome demotivation, burnout, or boredom during the weight loss journey. Nevertheless, the effectiveness of these strategies depends on individual characteristics. Personalized approaches to weight loss programs can be integrated into community-based initiatives and healthcare practices to enhance long-term adherence through group support, educational campaigns, coaching in healthier eating practices, and stress management.

Keywords : Behavioral intervention, motivational strategies, psychological challenges, weight loss

  1. Al Rahmad, A. H., Miko, A., Ichsan, I., & Fadillah, I. (2023). Pendapatan Keluarga serta Asupan Energi dan Protein sebagai Faktor Risiko Obesitas Masyarakat Perkotaan di Kota Banda Aceh. Ilmu Gizi Indonesia, 7(1), 73. https://doi.org/10.35842/ilgi.v7i1.424
  2. Appleton, K. M., & Adams, C. (2023). A role for enjoyment for encouraging fruit consumption. Appetite, 187(March). https://doi.org/10.1016/j.appet.2023.106609
  3. Aragaw, F. M., Teklu, R. E., Belay, D. G., Negash, W. D., Fetene, S. M., Alemu, T. G., Eshetu, H. B., Fentie, E. A., Shewarega, E. S., & Asmamaw, D. B. (2023). Individual and community level predictors of women’s autonomy in health care decision-making among youth in East African countries: A multilevel analysis. BMJ Open, 13(6), 6–9. https://doi.org/10.1136/bmjopen-2022-066975
  4. Bandur, A. (2014). Penelitian Kualitatif-Metodologi, Desain dan Teknik Analisis Data dengan NVivo 10 (1st ed.). Mitra Wacana Media.
  5. Berg, A. C., Johnson, K. B., Straight, C. R., Reed, R. A., O’Connor, P. J., Evans, E. M., & johnson, M. A. (2018). Flexible Eating Behavior Predicts Greater Weigh Loss Following a Diet and Exercise Intervention in Older Women. Journal of Nutrition in Gerontology and Geriatics, 37(1), 14–29. https://doi.org/10.1080/21551197.2018.1435433
  6. Binsaeed, B., Aljohani, F. G., Alsobiai, F. F., Alraddadi, M., Alrehaili, A. A., Alnahdi, B. S., Almotairi, F. S., Jumah, M. A., & Alrehaili, A. T. (2023). Barriers and Motivators to Weight Loss in People With Obesity. Cureus, 15(11). https://doi.org/10.7759/cureus.49040
  7. Carrillo, A., Feig, E. H., Harnedy, L. E., Huffman, J. C., Park, E. R., Thorndike, A. N., Kim, S., & Millstein, R. A. (2022). The role of positive psychological constructs in diet and eating behavior among people with metabolic syndrome: A qualitative study. Health Psychology Open, 9(1), 1–8. https://doi.org/10.1177/20551029211055264
  8. Carter, S., Carter, A. J., Hill, A. M., Do, V., Buckley, J. D., Dorrian, J., Tan, S.-Y., Rogers, G. B., & Coates, A. M. (2024). Changes in psychological outcomes and sleep quality following energy restriction with and without almonds. Proceedings of the Nutrition Society, 83(OCE1), 2088. https://doi.org/10.1017/s0029665124000946
  9. Conlin, L. A., Aguilar, D. T., Rogers, G. E., & Campbell, B. I. (2021). Flexible vs. rigid dieting in resistance-trained individuals seeking to optimize their physiques: A randomized controlled trial. Journal of the International Society of Sports Nutrition, 18(1), 52. https://doi.org/10.1186/s12970-021-00452-2
  10. Cummings, M. L., Gao, F., & Thornburg, K. M. (2016). Boredom in the Workplace: A new Look at an Old Problem. Human Factors: The Journal of the Human Factors and Ergonomics Society, 58(2), 279–300. https://doi.org/https://doi.org/10.1177/0018720815609503
  11. Devereux-Fitzgerald, A., Powell, R., Dewhurst, A., & French, D. P. (2016). The acceptability of physical activity interventions to older adults: A systematic review and meta-synthesis. Social Science and Medicine, 158, 14–23. https://doi.org/10.1016/j.socscimed.2016.04.006
  12. Dicker, D., Alfadda, A. A., Coutinho, W., Cuevas, A., Halford, J. C. G., Hughes, C. A., Iwabu, M., Kang, J. H., Nawar, R., Reynoso, R., Rhee, N., Rigas, G., Salvador, J., Sbraccia, P., Vázquez-Velázquez, V., & Caterson, I. D. (2021). Patient motivation to lose weight: Importance of healthcare professional support, goals and self-efficacy. European Journal of Internal Medicine, 91(February), 10–16. https://doi.org/10.1016/j.ejim.2021.01.019
  13. Feig, E. H., Harnedy, L. E., Golden, J., Thorndike, A. N., Huffman, J. C., & Psaros, C. (2022). A Qualitative Examination of Emotional Experiences During Physical Activity Post-metabolic/Bariatric Surgery. Obesity Surgery, 32(3), 660–670. https://doi.org/10.1007/s11695-021-05807-x
  14. Gangitano, E., Martinez-sanchez, N., Bellini, M. I., Urciuoli, I., Monterisi, S., Mariani, S., Ray, D., & Gnessi, L. (2023). Weight Loss and Sleep, Current Evidence in Animal Models and Humans Elena. Nutrients, 15, 1–20. https://doi.org/https://doi.org/10.3390/ nu15153431 Academic
  15. Hagerman, C. J., Onu, M. C., Crane, N. T., Butryn, M. L., & Forman, E. M. (2024). Psychological and behavioral responses to daily weight gain during behavioral weight loss treatment. Journal of Behavioral Medicine, 47(3), 492–503. https://doi.org/10.1007/s10865-024-00476-4
  16. Hamidi, S., Gholamnezhad, Z., Kasraie, N., & Sahebkar, A. (2022). The Effects of Self-Efficacy and Physical Activity Improving Methods on the Quality of Life in Patients with Diabetes: A Systematic Review. Journal of Diabetes Research, 2022. https://doi.org/10.1155/2022/2884933
  17. Hansen, T. (2024). Indulging in Tempting Yet Unhealthy Delights: Exploring the Moderating Influence of Gender and Motivation for Healthy and Sustainable Eating. Sustainability (Switzerland), 16(21). https://doi.org/10.3390/su16219550
  18. Heiland, E. G., Tarassova, O., Fernström, M., English, C., Ekblom, Ö., & Ekblom, M. M. (2021). Frequent, Short Physical Activity Breaks Reduce Prefrontal Cortex Activation but Preserve Working Memory in Middle-Aged Adults: ABBaH Study. Frontiers in Human Neuroscience, 15(September), 1–14. https://doi.org/10.3389/fnhum.2021.719509
  19. Hennink, M., & Kaiser, B. N. (2022). Social Science & Medicine Sample sizes for saturation in qualitative research : A systematic review of empirical tests. Social Science & Medicine, 292, 114523. https://doi.org/10.1016/j.socscimed.2021.114523
  20. Isaacs, S. D. (2019). Physical Activity for Weight Management. Bariatric Endocrinology, 379–393. https://doi.org/https://doi.org/10.1007/978-3-319-95655-8_20
  21. Kabir, R., Alradie-Mohamed, A., Ferdous, N., Vinnakota, D., Arafat, S. M. Y., & Mahmud, I. (2022). Exploring Women’s Decision-Making Power and HIV/AIDS Prevention Practices in South Africa. International Journal of Environmental Research and Public Health, 19(24). https://doi.org/10.3390/ijerph192416626
  22. Kaiser, B., Gemesi, K., Holzmann, S. L., Wintergerst, M., Lurz, M., Hauner, H., Groh, G., Böhm, M., Krcmar, H., Holzapfel, C., & Gedrich, K. (2022). Stress-induced hyperphagia: empirical characterization of stress-overeaters. BMC Public Health, 22(1), 1–11. https://doi.org/10.1186/s12889-021-12488-9
  23. Kemenkes. (2023). Survei Kesehatan Indonesia Tahun 2023.
  24. Keweloh, B., Terenzi, D., Froehlich, E., Coricelli, C., Stürmer, P., Rohmann, N., Wietzke-Braun, P., Beckmann, A., Laudes, M., & Park, S. Q. (2024). Weight loss impacts risky decisions in obesity. Clinical Nutrition, 43(6), 1270–1277. https://doi.org/10.1016/j.clnu.2024.04.002
  25. Kline, C. E., Chasens, E. R., Bizhanova, Z., Sereika, S. M., Buysse, D. J., Imes, C. C., Kariuki, J. K., Mendez, D. D., Cajita, M. I., Rathbun, S. L., & Burke, L. E. (2021). The association between sleep health and weight change during a 12-month behavioral weight loss intervention. International Journal of Obesity, 45, 639–649. https://doi.org/https://doi.org/10.1038/s41366-020-00728-8
  26. Knowlden, A. P., Ottati, M., McCallum, M., & Allegrante, J. P. (2023). The Relationship Between Sleep Quantity, Sleep Quality and Weight Loss in Adults: A scoping Review. Clinical Obesity. https://doi.org/https://doi.org/10.1111/cob.12634
  27. Mocanasu, D. R. (2020). MCDSARE: 2020 - International Multidisciplinary Scientific Conference on the Dialogue between Sciences & Arts, Religion & Education. International Multidisciplinary Scientific Conferences on the Dialogue between Sciences & Arts, Religion & Education, 4(4), 181–187. https://doi.org/10.26520/mcdsare.2020.4.9-10
  28. Muslihah, N., Habibie, I. yusuf, Rahmawati, W., Nugroho, F. A., & Wilujeng, C. S. (2022). Penelitian Kualitatif Gizi. UB Press.
  29. Myre, M., Glenn, N. M., & Berry, T. R. (2021). Exploring the impact of physical activity-related weight stigma among women with self-identified obesity. Qualitative Research in Sport, Exercise and Health, 13(4), 586–603. https://doi.org/10.1080/2159676X.2020.1751690
  30. Nabawiyah, N., Arneliwati Arneliwati, & Yesi Hasneli N. (2023). Hubungan Tingkat Aktivitas Fisik Dengan Kejadian Obesitas Pada Remaja. Detector: Jurnal Inovasi Riset Ilmu Kesehatan, 1(1), 14–26. https://doi.org/10.55606/detector.v1i1.1022
  31. Nancy Fugate, W., Ellen Sullivan, M., Nina, C., & Marcie K., R. (2021). Transitioning to the Menopausal Transition: A Scoping Review of Research on the Late Reproductive Stage in Reproductive Aging. The Journal of The Menopause Society, 28(4), 447–466. https://doi.org/10.1097/GME.0000000000001707
  32. Parlakyıldız, S. (2024). Therapeutic Effect of Exercise on Mental Health. Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry, 17(3), 429–444. https://doi.org/https://doi.org/10.18863/pgy.1458867
  33. Peos, J. J., Helms, E. R., Fournier, P. A., Krieger, J., & Sainsbury, A. (2021). A 1-week diet break improves muscle endurance during an intermittent dieting regime in adult athletes: A pre-specified secondary analysis of the ICECAP trial. PLoS ONE, 16(2 February), 1–16. https://doi.org/10.1371/journal.pone.0247292
  34. Phelan, S., Halfman, T., Pinto, A. M., & Foster, G. D. (2020). Behavioral and Psychological Strategies of Long-Term Weight Loss Maintainers in a Widely Available Weight Management Program. Obesity Journal, 28(2), 421–428. https://doi.org/10.1002/oby.22685
  35. Razani, A. R. (2024). Hubungan Citra Tubuh dan Dukungan Sosial dengan Penerimaan Diri Perempuan Pengguna Instagram The Relationship between Body Image and Social Support with Self- Acceptance of Female Instagram Users. Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan, 5(3), 483–489. https://doi.org/https://doi.org/10.51849/j-p3k.v5i3.402 Rekomendasi
  36. Rihm, J. S., Menz, M. M., Schultz, H., Bruder, L., Schilbach, L., Schmid, S. M., & Peters, J. (2019). Sleep deprivation selectively upregulates an amygdala–hypothalamic circuit involved in food reward. Journal of Neuroscience, 39(5), 888–899. https://doi.org/10.1523/JNEUROSCI.0250-18.2018
  37. Rogers, N. T., Waterlow, N. R., Brindle, H., Enria, L., Eggo, R. M., Lees, S., & Roberts, C. h. (2020). Behavioral Change Towards Reduced Intensity Physical Activity Is Disproportionately Prevalent Among Adults With Serious Health Issues or Self-Perception of High Risk During the UK COVID-19 Lockdown. Frontiers in Public Health, 8(September), 1–12. https://doi.org/10.3389/fpubh.2020.575091
  38. Rolls, B. J., Roe, L. S., James, B. L., & Sanchez, C. E. (2017). Does the incorporation of portion-control strategies in a behavioral program improve weight loss in a one-year randomized controlled trial? International Journal of Obesity, 41(3), 434–442. https://doi.org/10.1038/ijo.2016.217
  39. Rui, J., Inês, S., Rita, T., Silva, M. N., Carraça, E. V., Teixeira, V. H., & Teixeira, P. J. (2020). Behavioural and psychological pretreatment predictors of short- and long-term weight loss among women with overweight and obesity. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 25, 1377–1385. https://doi.org/https://doi.org/10.1007/s40519-019-00775-9
  40. Schumacher, L. M., Martinelli, M. K., Convertino, A. D., Forman, E. M., & Butryn, M. L. (2021). Weight-Related Information Avoidance Prospectively Predicts Poorer Self-Monitoring and Engagement in a Behavioral Weight Loss Intervention. Annals of Behavioral Medicine, 55(2), 103–111. https://doi.org/10.1093/abm/kaaa034
  41. Schunk, D. H., & DiBenedetto, M. K. (2021). Self-efficacy and Human Motivation. Advances in Motivation Science, 8, 153–179. https://doi.org/https://doi.org/10.1016/bs.adms.2020.10.001
  42. Spreckley, M., Seidell, J., & Halberstadt, J. (2021). Perspectives into the experience of successful, substantial long-term weight-loss maintenance: a systematic review. International Journal of Qualitative Studies on Health and Well-Being, 16(1). https://doi.org/10.1080/17482631.2020.1862481
  43. Utari, N. P. A., Retnoningtias, D. W., & Septiarly, Y. L. (2024). Keterkaitan Self-Acceptance dan Body Image pada Perempuan yang Telah Melahirkan. Journal of Psychological Science and Profession, 8(1), 16. https://doi.org/10.24198/jpsp.v8i1.53111
  44. Yang, Y. J. (2019). An Overview of Current Physical Activity Recommendations in Primary Care. Korean Journal of Family Medicine, 40(3), 135–142. https://doi.org/10.4082/kjfm.19.0038
  45. Young, I. E., Crino, N., Steinbeck, K. S., & Parker, H. M. (2023). Eating Patterns of Young Women (18-25 y) with Overweight and Obesity: A Preliminary Investigation. Nutrient, 15.

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