代谢正常型肥胖症患者放牧饮食行为的影响因素分析：一项质性研究

Background  In the context of rising obesity ratesmetabolically healthy obesityMHOcan achieve favorable outcomes through early intervention. Howevergrazing behavior in this population poses a significant barrier to weight management. Understanding the factors influencing grazing behavior is essential to improve dietary compliance in obesity management. Currentlythere is a lack of qualitative research on this topic. Objective  To explore the influencing factors of grazing behavior in metabolically healthy obese individuals. Methods  Based on the capacity opportunity motivation-behavior COM-Bmodel and the theoretical domains frameworkTDFthe interview guide was developed. 17 cases of metabolically healthy obese were selected from a grade A general hospital in Jiangsu province for semi-structured interviews. The interview data were coded using the COM-B and TDF frameworks and analyzed through both inductive thematic analysis and deductive framework methods. Results  Six core themes were identifiedincluding lack of dietary management knowledgeinsufficient cognitive resourcesperceptual and practical influencesmaladaptive coping strategiesabsence of reflection/self-motivation environmental and social influences. Conclusion  Grazing behavior in individuals with MHO are shaped by a multifaceted interplay of personalhealthcare-related and societal factors. Appropriate intervention measures should be taken according to the multidimensional needs of patients and help them establish healthy eating habits and behaviors.