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Seeking an outgoing woman in bergen
The desired weight loss was highly appreciated, but nonetheless hard and crispy work to incorporate. Sedking sought a variety of rich and vivid rolls, and asked for men who were interested in participating in an interview and eel experiences with life after bariatric surgery. We sought a variety of densely and vivid descriptions, and asked for men who were interested in participating in an interview and mountain experiences with life after bariatric surgery. E, Meana M, Fisher B. It was never nervous this before…. In one man's words, I can tie my shoelaces, and I can go to the underlying without spilling down my pants.
Accepted Apr This article has been cited by other Seekiing in PMC. Abstract Fewer men brgen women with severe obesity undergo bariatric surgery for weight loss, and knowledge about men's situation after surgery, beyond medical status, is lacking. Our aim was Sdeking explore men's experiences with life after bariatric surgery from a long-term perspective. We conducted in-depth interviews with 13 men, aged 28—60 years, between 5 and 7 Seeking an outgoing woman in bergen after surgery. The analysis wonan inspired by Giorgi's phenomenological method. We found that agency was pivotal for how the men understood themselves and their lives after surgery.
Weight loss meant regaining opportunities for living and acting in unrestricted and independent daily lives, yet surgery remained a radical treatment with complex consequences. Turning to surgery iin involved conceptualizing their own body size as illness, which the men had resisted doing for years. After surgery, the rapid and major weight loss and the feelings of being exhausted, weak, and Seeking an outgoing woman in bergen were intertwined. The profound intensity of the weight loss process took the men by surprise. Embodying weight loss and change involved an inevitable renegotiating of experiences connected to the large body.
Having bariatric surgery was a long-term process that seemed unfinished 5 years after surgery. Restrictions and insecurity connected to health and illness persist, despite successful weight loss and embodied change. Bariatric surgery initiated a complex and long-lasting life-changing process, involving both increased capacity for agency and illness-like experiences. Bariatric surgery seems to be more efficient in terms of long-term weight loss and reduction of obesity-related comorbidities than other interventions for severe obesity Adams et al. Against this background, it is assumed that disproportionally few men compared to women are treated with bariatric surgery.
As men with severe obesity need the health benefits that are associated with sustainable weight loss just as much as women do, follow-up studies after bariatric surgery highlighting men's outcomes, perspectives, and experiences are important. Men who seek bariatric surgery are generally older and have a higher BMI and more obesity-related comorbidities, compared to women Arterburn et al. In this group of US veterans, bariatric surgery was not associated with reduced mortality or reduced healthcare expenditures. In one of the studies, male gender and non-Caucasian ethnicity were found to be predictors for not achieving significant weight loss 1 year after surgery, although most participants did Arterburn et al.
Few bariatric studies are explicit about gender and gender-related differences, and there are some inconsistencies in the findings that are reported. Some studies have shown that being a male bariatric patient seems related to more complications and adverse events Livingston et al. They suggested that gender-related differences on HRQOL can be one explanation of why women seek surgery far more often than men. Andersen and colleagues found that female gender, higher BMI at baseline, and nonsmoking predicted lower weight loss 2 years after surgery. Studies based on men's first-person experiences with severe obesity and bariatric surgery are currently lacking.
A few studies have investigated men's experiences with overweight or obesity. According to Lewis, Thomas, Hyde, Castle, and Komesaroffobese men felt responsible for their own body weight and Seeking an outgoing woman in bergen unwilling to seek help. Men understood sedentary lifestyles, stress, lack of work—life balance, and weight-based stigma as causes of weight gain and barriers to weight loss. Sabinsky, Toft, Raben, and Holm found men's lack of motivation and negative perception of a slimming diet to Women seeking sex in palu barriers to weight loss. The overweight men in their study had desired a lean body and wanted to avoid Seeking an outgoing woman in bergen, but their strongest Seeking an outgoing woman in bergen for weight loss was to become more efficient at work and a greater asset for their employers.
Taken together, studies based on self-reported data at the group level suggest that there are differences between men and women seeking bariatric surgery and their response to treatment, yet what the concrete differences are and what they mean are not clear. As such, new insights into men's bariatric surgery experiences and the meanings attached Seeking an outgoing woman in bergen needed. In the current study, we explore the research question: What are men's experiences with health and well-being like more than 5 years after bariatric surgery? The lived body means understanding oneself as an embodied subject and an objective body simultaneously and inseparably, and always connected to the world.
Perception and movement, embodiment and agency, are intertwined. This means that major changes to one's Seeking an outgoing woman in bergen related to illness might change one's sense of self and one's way Seeking an outgoing woman in bergen perceiving and inhabiting the lifeworld. Bodies expressing illness, dependence, passivity, Casual sex dating in kouts in 46347 deterioration might signal vulnerability and diminished longevity, and can be regarded as unwanted, unfortunate, or shameful, whereas bodies expressing fitness, function, and vitality are the most desired Carel, ; Lupton, ; Toombs, Inspired by a phenomenological Seeking an outgoing woman in bergen on bodily Seeking an outgoing woman in bergen, it is not this study's point of departure to split the meanings of gender into either biological or social ones, or add to that discussion.
The term situation points to the body as the fundamental ground for being, and for experiencing oneself and the world. Accordingly, there is no fixed manly or womanly essence to unfold. Rather, it is down to the individuals and the cultures we shape and live in to define the meanings attached to the gendered body throughout life Moi, b. In other words, our freedom, choice, and responsibility are intertwined with the concrete situation, and the meanings of being a man or a woman vary and are in movement. The lifeworld is the immediate, pre-reflective, and ordinary world in which we live our everyday lives, a meaningful and common world shared through social practices and language Dahlberg et al.
The phenomenological lifeworld approach has implications for methodology, analysis, and description of findings in the current study Dahlberg et al. We aimed to stay aware of personal beliefs, theories, and assumptions, and to restrain them, because they otherwise could be misleading or limit the research openness toward the phenomenon. Bracketing does not mean that the researcher can or should forget everything about the phenomenon of investigation, but points to not letting past knowledge decide the present experience Giorgi, Participants and recruitment The participants were 13 men who had undergone bariatric surgery between 5 and 7 years before Seeking an outgoing woman in bergen were included in the study.
They were aged between 28 and 60 years, and the median age was Most of them were married or cohabiting and had children, and some lived alone. At the time they were included in the study, most of the men were employed, some were currently unemployed or were on disability leave, and one participant was a student. Some of the men were skilled workers, some had previously been craftsmen but had changed their field of work because of health issues, and a few had tertiary education. They lived in different types of communities, from small rural locations to larger cities in three counties in western and eastern parts of Norway.
All participants had undergone Duodenal Switch, which is a combined surgical procedure that restricts the amount of food possible to eat and limits the nutritional uptake from the food eaten. This bariatric procedure is recommended when substantial weight loss and metabolic control are necessary, but it is associated with higher nutritional risk Mechanick et al. Duodenal Switch is used in some clinics because of its effectiveness, especially in patients who have a BMI above or close to The men who participated in the study had lost between 49 and kg after surgery. We sought a variety of rich and vivid descriptions, and asked for men who were interested in participating in an interview and sharing experiences with life after bariatric surgery.
In this sense, the group of participants constituted what is often referred to as a purposive sample in qualitative research Dahlberg et al. We recruited participants with the assistance of an experienced nurse at a hospital clinic. The nurse selected men who were able to speak Norwegian and had at least 5 years of experience with life after bariatric surgery. Male bariatric patients who had NN first author as a physical therapist during treatment were not invited to participate in the study. We recruited participants in a stepwise manner, meaning that we analyzed portions of data before inviting more participants, until we considered that we had the variation and richness in data needed to gain insight and understanding of the phenomenon Dahlberg et al.
Interviews We conducted in-depth research interviews to access the experiential meanings of the men's lifeworld, and encouraged them to describe concrete situations as close to the lived-through events as possible, rather than conceptualizing them Giorgi, We developed an interview guide that included an introduction with simple questions about demographical information and the like, a main section covering the broad topics of interest, and some rounding-off questions Dahlberg et al. NN first asked an open question, and followed up by asking about concrete lived-through situations when necessary to obtain rich descriptions.
Can you describe the first situation you remember starting to consider yourself as being too big? All interviews were recorded and transcribed verbatim by NN the first author. In Giorgi's phenomenological method, the movement between the whole empirical material and the parts entails that the researcher first opens up and reads for an impression of the whole, before diving into a thorough analysis of the interviews, one by one, and then finally analyzing across the whole material. Here, we describe this process in further detail. Second, the researcher went into the interview and divided the empirical description into smaller parts related to the content's meaning. This was done by rereading the interview from the beginning, marking significant shifts of meaning as they appeared throughout the text.
In practice, this meant using colors and labeling meaning units with a word related to its meaning and numbers for interview, page, and line. The determination of meaning units was mainly driven by the researcher's spontaneity and lived experience meeting the participant's experience, rather than intellectual resources. This is connected to the phenomenological attitude, and it is one way of being open and sensitive to the empirical data Dahlberg et al. In this process, the researcher sought and tried out various understandings of the meanings by approaching data through asking different questions.
To our understanding, this process is what Giorgip. The researcher aimed to understand and describe the meaning structures of the investigated phenomenon by showing both its invariant meanings and its variations Dahlberg et al. Patients were informed about the study by telephone and received a letter of invitation, including an informed consent form. The participants gave written consent and sent it to NN, who scheduled the interviews. We stated clearly that data would be handled confidentially and that participation was voluntary. Results We present the findings as a phenomenological description Van Manen,meaning that we describe the structural features of the men's lived experiences, to show the essential meanings or deeper significance attached to undergoing bariatric surgery.
The essential structure includes four constituents, and each constituent is introduced by a short condensed description displaying both the depth and variation in the rich empirical material. Translating weight loss into embodied agency Embodied agency was deeply meaningful and pivotal for the men's experience of a good life. Action and capability to act were existential, meaning that agency and self-understanding converged. Turning to surgery had been a passable way to secure or take back one's own capacity to act, yet weight loss had not spontaneously translated into agency. Navigating tension, thoughts and feelings, altering bodies, and encounters with others was essential for long-term weight loss and change after surgery.
Becoming a bariatric patient: They had fought to stay fit for work, maintain family life, and, most importantly, stay independent. Although they had downplayed ill health and disability, the weight-related problems had escalated over time and inevitably demanded attention. To get access to bariatric surgery, the men had to adopt the perspective that their size was excessive to such an extent that it showed illness. Maintaining autonomy and independence was crucial, but to lose weight for the long term, they felt forced to take action, and their option was bariatric surgery. Consequentially, surgery was eventually considered necessary, life-saving, and thus legitimate, yet imbued with ambivalence from the very beginning.
Most of the men had experienced illness before bariatric surgery. Some had suffered acute illness, such as stroke and myocardial infarction. Others had lived with emotional distress and depression, musculoskeletal pain, chronic cardiovascular diseases, or long-term complications of diabetes. Because they had been ill, their physicians had addressed body weight as a serious health risk and encouraged them to lose weight for years. One man said it like this: Already back at that time, I should've opened my eyes.
It's easy to say [short pause], yet it's not being done [laughing]. In hindsight, he could not really understand how having a stroke in his early 40s had not made him realize that losing weight was crucial to his health. According to the men, this was a common experience, yet most of them had made effort to lose weight on their own, guided by healthcare professionals or following commercial weight loss programs several times. So you had to continue trying everything, right. I have no idea how many times I have tried those things, but it didn't work out. I have tried everything [short pause]. I went to many courses and all, but it wasn't a success.
That's why I wanted the surgery so much. It took me 5—6 years before I got it. Not being able to lose weight had left the men feeling somewhat powerless in the situation. They expressed that feeling powerless had accompanied the emerging realization that they needed help from health care, and considered the physician's introduction to surgery as their chance to accept a new and viable option. According to most of the men, healthcare professionals, friends, or next of kin had initiated their decision about seeking surgical treatment. One man described it like this: No, I was not really aware that guys did such a thing [having bariatric surgery]….
I don't think of it as cosmetic, because the cosmetic means nothing to me. I know that the people around me think it is all right, no matter how I look. It [surgery] was most for my own well-being…. My God, I cannot continue like this, it does not work out! We [doctor and man] made a plan and fulfilled it…. I think that it was rather cowardly of me to do. Some men had given up on weight loss attempts because they knew from childhood experience that such efforts had been futile. One man had been very large all his life and had extensive experience of being admonished to eat less and exercise more. He had tried to avoid contact with healthcare professionals and had suppressed his serious weight problems for years.
When someone addressed him and his weight differently, he had been taken by surprise, and said, No one dared to bring up my weight problems before….
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Not until some friends talked to a local health care professional, Xxx sex in higuey he came to me and asked me about it. I was at work that day, and then he just came and asked how I was doing. And he started it, talking to my physician and so on. I think that was great Sdeking he came]. Eventually, the Seeklng had understood bariatric surgery as their only option and last chance to improve their own health, and they decided that having surgery was the right thing to do. To be introduced to a credible treatment strategy meant being fully recognized as suffering, and it was an essential turning point.
The men described bariatric surgery as an unheroic, inevitable, and necessary strategy to lose weight. They believed that without surgery, they would not be alive at present, or they would live in suffering, Seekung to disability, Seeking an outgoing woman in bergen, and unhappiness. The men had had to re-view and understand the large body wmoan pathological in order to qualify for bariatric surgery. As such, becoming Sdeking for surgery meant a shift from considering and expressing themselves as large and neglecting health risks, to understanding themselves as seriously ill, risking a shortened life. This was described as an unforeseen collapse. The men had lost vital energy and the mental and emotional strength that they had held on to for so long.
Most of them had experienced this temporarily after surgery, but for some that was their current situation 5 years after surgery. Weight loss involved radically changed bodies and appearances coupled with profound confusion and feelings of weakness and helplessness. I accept the same from others. I generally know what I want and I know the quickest route to getting it. I live in the moment and try to get the most out of each and everything. I listen to my instincts that generally gets thing done. Don't asume what I am doing. Porsgrunn, Telemark, Norway Seeking: Male 30 - 40 for Friendship Nice and kind to most people, and want to be there for the ones i don't care about.
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