John Germov

Preventing weight gain: a population cohort study of the nature and effectiveness of mid-age women's weight control practices

Objective:To examine womens weight control practices and their effectiveness in preventing weight gain.Design:Retrospective cohort study of weight control practices and 2-year weight change among mid-age women participating in the Australian Longitudinal Study on Womens Health (ALSWH).Subjects:11 589 Australian women (aged 47–52 years).Measurements:The prevalence and types of self-reported weight control practices used were assessed by a nine-item instrument. Two-year weight change was self-reported and adjusted for baseline body mass index (BMI) and other potential confounders.Results:Seventy-four per cent of the cohort (N=8556) reported actively trying to control their weight. Dietary modification was used more frequently than exercise. Two-thirds of the weight-controlling women used a combination of practices, the two most common being ‘decreased food quantity, cut down on fats/sugars and exercise’ (32%, baseline BMI 25.87(0.10)), and ‘decreased food quantity and cut down on fats/sugars without exercise’ (15.6%, baseline BMI 27.04(0.14)). Potentially health-damaging practices (smoking, laxatives, fasting) were relatively uncommon, at 7.9%. Only one combination of practices (decreased food quantity, cut down on fats/sugars, use of a commercial weight loss programme and exercise) prevented mean weight gain (−0.03 kg), whereas the mean (s.d.) weight of the cohort increased (+1.19(4.78)) over the 2-year period.Conclusions:The majority of mid-age women attempting weight control used practices consistent with public health messages. Despite their efforts, the group was mostly unsuccessful in preventing weight gain. Public health authorities and health practitioners may need to make more quantitative recommendations and emphasize the importance of balancing physical activity with dietary intake to achieve successful weight control for women at this life stage.

Effectiveness of interventions targeting physical activity, nutrition and healthy weight for university and college students: A systematic review and meta-analysis

To examine the effectiveness of interventions aimed at improving physical activity, diet, and/or weight-related behaviors amongst university/college students. Five online databases were searched (January 1970 to April 2014). Experimental study designs were eligible for inclusion. Data extraction was performed by one reviewer using a standardized form developed by the researchers and checked by a second reviewer. Data were described in a narrative synthesis and meta-analyses were conducted when appropriate. Study quality was also established. Forty-one studies were included; of these, 34 reported significant improvements in one of the key outcomes. Of the studies examining physical activity 18/29 yielded significant results, with meta-analysis demonstrating significant increases in moderate physical activity in intervention groups compared to control. Of the studies examining nutrition, 12/24 reported significantly improved outcomes; only 4/12 assessing weight loss outcomes found significant weight reduction. This appears to be the first systematic review of physical activity, diet and weight loss interventions targeting university and college students. Tertiary institutions are appropriate settings for implementing and evaluating lifestyle interventions, however more research is needed to improve such strategies.

The sexual division of dieting: women's voices

This article reports the findings of focus group research on Australian women who have engaged in dieting practices to lose weight. There have been few qualitative sociological studies on dieting, despite it being a common practice among western women. From the empirical data in this study three distinct themes emerged: women participate in the perpetuation and reinforcement of the thin ideal; women clearly trade-off health in the pursuit of dieting to lose weight; and the dominant discourse of the thin ideal is not only mediated in various ways, but is also contested by a reverse discourse of size acceptance. A sociology of food and the body enables the discourses in the area of dieting women to be deconstructed, offering an insight into the gendered context of food, which has implications for the sociology of health and illness.

Portrayal of the Slow Food movement in the Australian print media: Conviviality, localism and romanticism

The Slow Food movement promotes itself as supporting ethical modes of food production and consumption. This article reports on research that investigated the representations of the movement in the Australian print media, exploring the discourses relating to Slow Food and examining whether the media exposure is positively or negatively framed. A content and discourse analysis was undertaken of articles on Slow Food over a three-month period. The analysis aimed to provide a contextual basis for how Slow Food is perceived, the messages it conveys, and the activities it undertakes. Major themes arising from the data were ‘conviviality’ (social pleasures of sharing ‘good food’), ‘localism’ (social, health and environmental benefits of local produce), and ‘romanticism’ (of idyllic rural lifestyles as an antidote to the time-poverty of urban life). The findings shed light on the role played by the print media in reproducing and creating public understandings of the Slow Food movement.

The effect of social class on mid-age women's weight control practices and weight gain ☆

The prevalence of obesity and weight gain is higher in the working class, but we know little about class differences in practices used to control weight. This study examined associations between self-reported measures of social class (upper, middle, or working class), weight control practices, and weight among a cohort of 11,589 mid-aged women (aged 47-52) participating in the Australian Longitudinal Study on Womens Health (ALSWH). A multivariate model tested whether mean weight change over a two-year period differed by social class after adjusting for area of residence, age, education, baseline BMI, and smoking. Working-class women gained significantly more weight at 1.27 (0.07) kg (95% CI: 1.12-1.42) over 2 years, compared with middle/upper-class women at 1.01 (0.07) kg (95% CI: 0.88-1.15). They were significantly more likely to use potentially harmful weight control practices than middle/upper-class women (8.9%) (Chi-squared test=30.65, p<0.0001), and less likely to meet physical activity recommendations. The study provides longitudinal evidence from a nationally representative sample of women that social class is related to weight gain, and to certain weight control practices. The findings have implications for the development of weight gain prevention programs for socially disadvantaged groups.

Judging taste and creating value: The cultural consecration of Australian wines

This research examines the procedural and substantive legitimacy of the Australian capital city wine show system as a cultural consecration project. The analysis is based on the ratings of 5654 wines by judges at four capital city wine shows in 2007. Large wineries are more likely to enter wines into these competitions than small wineries. In general, there is a moderate degree of agreement between judges in terms of the medals awarded to wines entered into multiple competitions. Disagreement among the judges was most pronounced in the distinctions between different medal classes and much less pronounced between wines that received medals and those that did not. The analysis confirms that wines that won medals, especially gold and silver, commanded higher release prices than other wines. The results generally confirm the legitimacy of the capital city wine show system as a means of assigning symbolic as well as economic value to premium wines.

‘Just choose the easy option’: students talk about alcohol use and social influence

Previous research into young people’s drinking behaviour has studied how social practices influence their actions and how they negotiate drinking-related identities. Here, adopting the perspective of discursive psychology we examine how, for young people, social influences are bound up with issues of drinking and of identity. We conducted 19 focus groups with undergraduate students in Australia aged between 18 and 24 years. Thematic analysis of participants’ accounts for why they drink or do not drink was used to identify passages of talk that referred to social influence, paying particular attention to terms such as ‘pressure’ and ‘choice’. These passages were then analysed in fine-grained detail, using discourse analysis, to study how participants accounted for social influence. Participants treated their behaviour as accountable and produced three forms of account that: (1) minimised the choice available to them, (2) explained drinking as culture and (3) described resisting peer pressure. They also negotiated gendered social dynamics related to drinking. These forms of account allowed the participants to avoid individual responsibility for drinking or not drinking. These findings demonstrate that the effects of social influence on young people’s drinking behaviour cannot be assumed, as social influence itself becomes negotiable within local contexts of talk about drinking.

Effectiveness of Interventions Targeting Health Behaviors in University and College Staff: A Systematic Review

Objective. Evaluate the literature on interventions targeting tertiary education staff within colleges and universities for improvements in health behaviors such as physical activity, dietary intake, and weight loss. Data Source. One online database, Medline, was searched for literature published between January 1970 and February 2013. Study Inclusion and Exclusion Criteria. All quantitative study designs, including but not limited to randomized controlled trials, quasi-experimental studies, nonrandomized experimental trials, cohort studies, and case-control studies, were eligible. Data Extraction. Data extraction was performed by one reviewer using a standardized form developed by the researchers. Extraction was checked for accuracy and consistency by a second reviewer. Data Synthesis. Data in relation to the above objective were extracted and described in a narrative synthesis. Results. Seventeen studies were identified that focused on staff within the tertiary education setting. The review yielded overall positive results with 13 reporting significant health-related improvements. Weight loss, physical activity and fitness, and/or nutrition were the focus in more than half (n = 9) of the studies. Conclusion. This appears to be the first review to examine health interventions for tertiary education staff. There is scope to enhance cross-disciplinary collaboration in the development and implementation of a “Healthy University” settings–based approach to health promotion in tertiary education workplaces. Universities or colleges could serve as a research platform to evaluate such intervention strategies.

Indonesian Men’s Perceptions of Violence Against Women

This article explores male perceptions and attitudes toward violence against women in Indonesia. It analyzes interview data from Indonesian men collected as part of a large multimethod Australian government–funded project on masculinities and violence in two Asian countries. Reluctance to talk about violence against women was evident, and the accounts of those men who did respond referred to three justificatory discourses: denial, blaming the victim, and exonerating the male perpetrator. The findings support continuation of government and nongovernmental organization (NGO) projects aimed at both empowering women and reeducating men.

“Social stuff” and institutional micro-processes: alcohol use by students in Australian university residential colleges

The literature on alcohol consumption among university and residential college students in Australia and comparable countries shows a high incidence of heavy and/or frequent drinking. In this article, we report the findings from a study on alcohol consumption among undergraduate university students living in residential colleges in Australia. The aim of the study was to examine residents’ alcohol use as part of a broader set of institutional practices in higher education that are constructed as central to the student experience. The data were collected through in-depth semistructured interviews with 29 students from seven residential colleges. We found that inclusion of alcohol in many students’ social and extracurricular activities while residing in college is associated with heavy and/or frequent drinking. We suggest that the use of alcohol among students is shaped by the colleges’ institutional micro-processes, leading to a tension between college managements’ aim to foster alcohol citizenship and students’ liberty to engage in frequent and/or heavy drinking.