Weight Management Experience of Women Living with Obesity: A Qualitative Study
Abstract
Background : Obese women are expected to have physical and psychosocial problems and need to modify their lifestyles. This study explored the factors that influenced weight management failure based on the experience of obese women in West Sumatra with Minangkabau culture.
Methods: Six-Focus Group Discussions were conducted with thirty-one women living with obesity, selected by purposive sampling. A qualitative descriptive study design was used and analyzed using qualitative content analysis
Results: Eight main themes emerged: difficulty moving and irregular periods as physical problems related to obesity; facing ostracization and psychological complaints due to obesity; restricting food intake but struggling with digestive complaints.; unable to avoid unhealthy food and eating in social settings; restricted outdoor activities due to other people's thoughts and judgments; barriers to participating in sports; family and environment support; and the desire that has not been fulfilled.
Conclusion: The results of this study indicate the existence of sociocultural influences for obese women in weight management programs. There is a need for culturally sensitive interventions to improve the role of community leaders and the social environment for women with obesity.
Downloads
References
Alleva, J. M., Karos, K., Meadows, A., Walden, M. I., Stutterheim, S. E., Lissandrello, F., & Atkinson, M. J. (2021). “What can her body do?” Reducing weight stigma by appreciating another person’s body functionality. PLoS ONE, 16(5 May). https://doi.org/10.1371/journal.pone.0251507
Amiri, P., Fazlollah Ghofranipour, ;, Jalali-Farahani, S., Ahmadi, ; Fazlollah, Hosseinpanah, F., Haidar, ;, Hooman, A., Parvin, P., & Ghasemi, M. (2015). Inventory of Determinants of Obesity-Related Behaviors in Adolescents: Development and Psychometric Characteristics. Int J Endocrinol Metab, 13(3), 24618. https://doi.org/10.5812/ijem.24618v2
Asniah. (2020). AKULTURASI ISLAM DAN HUKUM ADAT : AN EXPERIENCE OF MINANGKABAU , INDONESIA. Al-Adyan: Jurnal Studi Lintas Agama, 8(1), 131–160. https://doi.org/https://doi.org/10.24042/al-adyan.v18i1.15883 AKULTURASI
Aziz, E., Dzofir, M., & Widodo, A. (2020). The acculturation of islam and customary law: An experience of Minangkabau, Indonesia. Qudus International Journal of Islamic Studies, 8(1), 131–160. https://doi.org/10.21043/QIJIS.V8I1.7197
Back, I. R., Oliveira, R. R., Silva, E. S., & Marcon, S. S. (2018). Risk Factors Associated with Overweight and Obesity in Japanese-Brazilians. Journal of Nutrition and Metabolism, 2018. https://doi.org/10.1155/2018/5756726
Balhareth, A., Jafer, M., van der Borgh-Sleddens, E., Kremers, S., & Meertens, R. (2021). Determinants of weight-related behaviors in male saudi university students: A qualitative approach using focus group discussions. International Journal of Environmental Research and Public Health, 18(7). https://doi.org/10.3390/ijerph18073697
Barber, T. M., & Franks, S. (2021). Obesity and polycystic ovary syndrome. Clinical Endocrinology, 95(4), 531–541. https://doi.org/10.1111/cen.14421
Bhanbhro, S., Kamal, T., Diyo, R. W., Lipoeto, N. I., & Soltani, H. (2020). Factors affecting maternal nutrition and health: A qualitative study in a matrilineal community in Indonesia. PLoS ONE, 15(6 June), 1–16. https://doi.org/10.1371/journal.pone.0234545
Bradshaw, C., Atkinson, S., & Doody, O. (2017). Employing a Qualitative Description Approach in Health Care Research. Global Qualitative Nursing Research, 4. https://doi.org/10.1177/2333393617742282
Bretschneider, M. P., Klásek, J., Karbanová, M., Timpel, P., Herrmann, S., & Schwarz, P. E. H. (2022). Impact of a Digital Lifestyle Intervention on Diabetes Self-Management: A Pilot Study. Nutrients, 14(9), 1–17. https://doi.org/10.3390/nu14091810
Broughton, D. E., & Moley, K. H. (2017). Obesity and female infertility: potential mediators of obesity’s impact. Fertility and Sterility, 107(4), 840–847. https://doi.org/10.1016/j.fertnstert.2017.01.017
Cheng, F. W., Garay, J. L., & Handu, D. (2020). FROM THE ACADEMY Evidence Analysis Center Weight Management Interventions for Adults With Overweight or Obesity: An Evidence Analysis Center Scoping Review. J Acad Nutr Diet. https://doi.org/10.1016/j.jand.2020.07.022
Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Grossman, D. C., Kemper, A. R., Kubik, M., Landefeld, C. S., Mangione, C. M., Phipps, M. G., Silverstein, M., Simon, M. A., Tseng, C. W., & Wong, J. B. (2018). Behavioral weight loss interventions to prevent obesity-relatedmorbidity and mortality in adults US preventive services task force recommendation statement. In JAMA - Journal of the American Medical Association (Vol. 320, Issue 11, pp. 1163–1171). American Medical Association. https://doi.org/10.1001/jama.2018.13022
Deswita, D., Lipoeto, N., Mudjiran, M., & Abdullah, K. B. (2021). Relationship of eating behavior, knowledge, attitudes, physical activities, and parent support with obesity events in adolescents in Padang city. Open Access Macedonian Journal of Medical Sciences, 9(E), 999–1004. https://doi.org/10.3889/oamjms.2021.5740
Emmer, C., Bosnjak, M., & Mata, J. (2020). The association between weight stigma and mental health: A meta-analysis. Obesity Reviews, 21(1), 1–13. https://doi.org/10.1111/obr.12935
Genoni, G., Menegon, V., Monzani, A., Archero, F., Tagliaferri, F., Mancioppi, V., Peri, C., Bellone, S., & Prodam, F. (2021). Healthy lifestyle intervention and weight loss improve cardiovascular dysfunction in children with obesity. Nutrients, 13(4), 1–10. https://doi.org/10.3390/nu13041301
Gusnedi, G., Fahmida, U., Djuwita, R., Witjaksono, F., & Abdullah, M. (2019). Food-based recommendations for Minangkabau women of reproductive age with dyslipidemia. Asia Pacific Journal of Clinical Nutrition, 28(2), 310–320. https://doi.org/10.6133/apjcn.201906_28(2).0013
Harbuwono, D. S., Pramono, L. A., Yunir, E., & Subekti, I. (2018). Obesity and central obesity in Indonesia: evidence from a national health survey. Medical Journal of Indonesia, 27(2), 114–120. https://doi.org/https://doi.org/10.13181/mji.v27i2.1512
Hennegan, J., Shannon, A. K., Rubli, J., Schwab, K. J., & Melendez-Torres, G. J. (2019). Women’s and girls’ experiences of menstruation in low-and middle-income countries: A systematic review and qualitative metasynthesis. In PLoS Medicine (Vol. 16, Issue 5). https://doi.org/10.1371/journal.pmed.1002803
Indrasukma, A. (2021). PENGELOLAAN HARTA PUSAKA TINGGI DI MINANGKABAU: Studi Kasus di Kubang Putiah Kecamatan Banuhampu Kabupaten Agam Sumatra Barat. Al-Ahwal: Jurnal Hukum Keluarga Islam, 14(1), 99. https://doi.org/10.14421/ahwal.2021.14108
Karsten, M. D. A., van Oers, A. M., Groen, H., Mutsaerts, M. A. Q., van Poppel, M. N. M., Geelen, A., van de Beek, C., Painter, R. C., Mol, B. W. J., Roseboom, T. J., Hoek, A., Burggraaff, J. M., Kuchenbecker, W. K. H., Perquin, D. A. M., Koks, C. A. M., van Golde, R., Kaaijk, E. M., Schierbeek, J. M., Oosterhuis, G. J. E., … de Bruin, J. P. (2019). Determinants of successful lifestyle change during a 6-month preconception lifestyle intervention in women with obesity and infertility. European Journal of Nutrition, 58(6), 2463–2475. https://doi.org/10.1007/s00394-018-1798-7
Korom, B., Malloy, M., Remmers, C., Cevilla, M., Dione, K., Papanek, P., Condit, J., & Nelson, D. (2023). “It’s about being healthy”; a novel approach to the socio-ecological model using family perspectives within the Latinx community. BMC Public Health, 23(1), 1–10. https://doi.org/10.1186/s12889-023-15005-2
Kunto, Y. S., & Bras, H. (2019). Ethnic Group Differences in Dietary Diversity of School-Aged Children in Indonesia: The Roles of Gender and Household SES. Food and Nutrition Bulletin, 40(2), 182–201. https://doi.org/10.1177/0379572119842993
Lee, J. J. K., Shin, A., Cho, S., Choi, J. Y., Kang, D., & Lee, J. J. K. (2020). Marital status and the prevalence of obesity in a Korean population. Obesity Research and Clinical Practice, 14(3), 217–224. https://doi.org/10.1016/j.orcp.2020.04.003
Ling, H., Chen, J. H., Tong, K. K., Dang, L., & Wu, A. M. S. (2022). Addiction-like Eating in Chinese Adults: An Assessment Tool and Its Associations with Modern Eating-Related Habits. Nutrients, 14(22), 1–12. https://doi.org/10.3390/nu14224836
Mayer, S. B., Graybill, S., Raffa, S. D., Tracy, C., Gaar, E., Wisbach, G., Goldstein, M. G., & Sall, J. (2021). Synopsis of the 2020 U.S. VA/DoD Clinical Practice Guideline for the Management of Adult Overweight and Obesity. Military Medicine, 186(9), 884–896. https://doi.org/10.1093/milmed/usab114
Mirkarimi, K., Kabir, M. J., Honarvar, M. R., Ozouni-Davaji, R. B., & Eri, M. (2017). Effect of motivational interviewing on weight efficacy lifestyle among women with overweight and obesity: A randomized controlled trial. Iranian Journal of Medical Sciences, 42(2), 187–193.
Moeis, I., Febriani, R., Sandra, I., & Pabbajah, M. (2022). Intercultural values in local wisdom: A global treasure of Minangkabau ethnic in Indonesia. Cogent Arts and Humanities, 9(1). https://doi.org/10.1080/23311983.2022.2116841
Morgan, P. J., Warren, J. M., Lubans, D. R., Collins, C. E., & Callister, R. (2011). Engaging men in weight loss: Experiences of men who participated in the male only SHED-IT pilot study. Obesity Research and Clinical Practice, 5(3), e239–e248. https://doi.org/10.1016/j.orcp.2011.03.002
Mosha, D., Paulo, H. A., Mwanyika-Sando, M., Mboya, I. B., Madzorera, I., Leyna, G. H., Msuya, S. E., Bärnighausen, T. W., Killewo, J., & Fawzi, W. W. (2021). Risk factors for overweight and obesity among women of reproductive age in Dar es Salaam, Tanzania. BMC Nutrition, 7(1). https://doi.org/10.1186/s40795-021-00445-z
Mulugeta, W. M. (2020). Obesity Management in Primary Care During and Beyond the COVID-19 Pandemic. https://doi.org/10.1016/j.nurpra.2020.11.007
Murni, I. K., Sulistyoningrum, D. C., Susilowati, R., Julia, M., & Dickinson, K. M. (2022). The association between dietary intake and cardiometabolic risk factors among obese adolescents in Indonesia. BMC Pediatrics, 22(1), 1–9. https://doi.org/10.1186/s12887-022-03341-y
Nho, J.-H., & Chae, S.-W. (2021). Effects of a Lifestyle Intervention on Health-Promoting Behavior, Psychological Distress and Reproductive Health of Overweight and Obese Female College Students. Healthcare Article, 9, 309. https://doi.org/10.3390/healthcare9030309
Nurwanti, E., Hadi, H., Chang, J.-S., Paramashati, B. A., & Gittelson, J. (2019). Rural – Urban Differences in Dietary Behavior and Obesity: Result of the Riskesdas Study in 10-18 Year Old Indonesian Children and Adolescent. Nutrients, 11(2813), 1–14.
Pawera, L., Khomsan, A., Zuhud, E. A. M., Hunter, D., Ickowitz, A., & Polesny, Z. (2020). Wild food plants and trends in their use: From knowledge and perceptions to drivers of change in West Sumatra, Indonesia. Foods, 9(9), 1–22. https://doi.org/10.3390/foods9091240
Public Health England. (2015). Making the case for tackling obesity – why invest? February, 1–13.
Riani, N. Z., Taifur, W. D., Elfindri, & Muharja, F. (2021). Gender Bias in Intergenerational Transfer Patterns: Focusing on a Patrilineal and a Matrilineal Ethnic Group in Indonesia. Webology, 18(SpecialIssue3), 160–176. https://doi.org/10.14704/WEB/V18SI03/WEB18032
Singh, K. N., Sendall, M. C., & Crane, P. (2022). Understanding Sociocultural Influences on Physical Activity in Relation to Overweight and Obesity in a Rural Indigenous Community of Fiji Islands. Journal of Racial and Ethnic Health Disparities, 1508–1517. https://doi.org/10.1007/s40615-022-01336-0
Stefani, S., Ngatidjan, S., Paotiana, M., Sitompul, K. A., Abdullah, M., Sulistianingsih, D. P., Shankar, A. H., & Id, R. A. (2018). Dietary quality of predominantly traditional diets is associated with blood glucose profiles , but not with total fecal Bifidobacterium in Indonesian women. 1–18.
Täuber, S., Gausel, N., & Flint, S. W. (2018). Weight bias internalization: The maladaptive effects of moral condemnation on intrinsic motivation. Frontiers in Psychology, 9(SEP). https://doi.org/10.3389/fpsyg.2018.01836
Tucker, J. M., Howard, K., Guseman, E. H., Yee, K. E., Saturley, H., & Eisenmann, J. C. (2017). Association between the Family Nutrition and Physical Activity Screening Tool and obesity severity in youth referred to weight management. Obesity Research and Clinical Practice, 11(3), 268–275. https://doi.org/10.1016/j.orcp.2016.09.007
Weir, C. B., & Jan, A. (2019). BMI Classification Percentile And Cut Off Points. In StatPearls. StatPearls Publishing.
WHO. (2019). WHO Health Statistik 2019: Monitoring Health For the SDGs, sustainable development goals. In WHO (Vol. 11, Issue 1).
Young, D. R., Sidell, M. A., Fitzpatrick, S., Koebnick, C., Nau, C. L., Oshiro, C., & Horberg, M. (2020). Characteristics of adults with overweight and obesity who have not attempted weight loss in the prior 12 months. Obesity Research and Clinical Practice, 14(5), 449–455. https://doi.org/10.1016/j.orcp.2020.08.002
Zhang, L., Wang, Z., Wang, X., Chen, Z., Shao, L., Tian, Y., Zheng, C., Li, S., Zhu, M., & Gao, R. (2020). Prevalence of overweight and obesity in China: Results from a cross-sectional study of 441 thousand adults, 2012–2015. Obesity Research and Clinical Practice, 14(2), 119–126. https://doi.org/10.1016/j.orcp.2020.02.005
Copyright (c) 2025 Sri Dewi

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright and License Statement
By submitting a manuscript to the Journal of Applied Holistic Nursing Science, the author agrees to this policy. No specific document approval is required.
Copyright:
Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional
The copyright for any article in the Journal of Applied Holistic Nursing Science is fully held by the author under the Creative Commons CC BY-NC-SA 4.0 license.
1. The copyright of each article belongs to the author.
2. Authors retain all rights to their published work, including but not limited to the rights outlined on this page.
3. The author acknowledges that Journal of Applied Holistic Nursing Science is the first publisher under the Creative Commons Attribution 4.0 International License (CC BY-NC-SA-4.0).
4. Authors may separately submit their work, arrange for non-exclusive distribution of the manuscript previously published in this journal into other versions (e.g., submission to the author's institutional repository, publication in books, etc.), with acknowledgment that the manuscript was first published in Journal of Applied Holistic Nursing Science
5. The author guarantees that the original article, written by the authors named, has not been previously published, does not contain statements that are illegal, does not infringe upon the rights of others, and is subject to copyright exclusively held by the authors.
6. If the article is co-authored by more than one author, each submitting author guarantees that they have been authorized by all co-authors to agree to the copyright and licensing notice (agreement) on their behalf and agrees to inform co-authors of the terms of this policy.Journal of Applied Holistic Nursing Science will not be held liable for any issues arising from internal disputes between authors.
License:
Journal of Applied Holistic Nursing Science is published under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0). This license allows anyone to:
Copy and redistribute the material in any medium or format, and remix, transform, and build upon the material, even for commercial purposes, as long as they credit the author for the original creation.