Should We Discuss Weight and Calories in Adolescent Obesity Prevention and Weight-Management Programs? Perspectives of Adolescent Girls

The purpose of this pilot study was to explore adolescent girls’ perspectives on potentially sensitive topics related to weight management. Data were collected using individual semistructured interviews. Thirty high school–aged girls, who were at risk for overweight and had participated in a school-based obesity prevention program, were interviewed. Data were analyzed using qualitative methodology. Girls were mixed on whether nutrition-related information and messages should emphasize weight control or health. Although girls expressed interest in weight-related issues, some had concerns that overemphasizing weight control might lead to unhealthful and excessive weight preoccupation. Whereas many girls want to receive information on weight and calories to guide their decision making about food choices, care must be taken to avoid unintended harmful consequences.