Article

Obesity is a major risk factor for obstructive sleep apnoea syndrome, a
condition known causing lack of sleep continuity and daytime sleepiness. Weight
loss interventions are recommended, however knowledge on what facilitate and
impede eating behaviour change is lacking for this particular population. The aim
of this study was to identify personal conceptions of prerequisites for eating
behaviour change. METHOD: A qualitative study on 15 patients with obstructive
sleep apnoea syndrome (OSAS; apnoea-hypopnoea index >15) and obesity (Mean body
mass index 38.2). Semi-structured interviews were conducted and data were
transcribed and analysed using qualitative content analysis with researcher
triangulation for trustworthiness. RESULTS: Data were organised according to
barriers and facilitators for changing eating behaviour. Identified barriers were
desire and reward, cravings and emotional control, low self-confidence,
insufficient support, taxing behaviours, cost, lack of knowledge about healthy
eating strategies, perceived helplessness and low susceptibility. Identified
facilitators were positive expectations, fear of negative consequences,
experience of success, support and follow-up, accessibility, applied skills for
healthy eating, personal involvement and challenged self-image. CONCLUSION: This
study adds knowledge on important barriers and facilitators of eating behaviour
change according to individuals with obesity and OSAS. Information used to inform
a tailored behavioural medicine intervention targeting eating behaviours.
IMPLICATIONS FOR REHABILITATION: Patients with obstructive sleep apnoea syndrome
(OSAS) benefit from weight loss and eating behaviour changes are recommended.
Patients' views on prerequisites for eating behaviour change are important to
plan, conduct and tailor behaviour change interventions. These aspects have
hitherto not been elaborated in patients with OSAS. Considerations on patient's
self-image and perceived susceptibility along with providing strategies for
controlling the desire and rewarding feeling associated with eating are
emphasised.

Langue : ANGLAIS