JHSM
Journal of Health Sciences and Medicine

Journal of Health Sciences and Medicine (JHSM) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

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Original Article
Voices from a healthy life centre: a qualitative investigation of clients’ nutrition and physical activity experiences
Abstract
Aims: This study aimed to investigate the perceptions and experiences of clients attending a healthy life centre in Amasya for weight management and physical activity counselling.
Methods: This qualitative study was conducted through telephone interviews with 23 individuals who had attended weight management counseling. Participants were adults aged 18 years and over who attended the healthy life centre in Amasya for weight management and were randomly selected from those who received weight management services. Semi-structured interviews were conducted to explore participants’ experiences with the healthy life centre, including their reasons for applying, their access to and satisfaction with the services, and changes in their wellbeing. Using NVivo12, transcripts were analysed thematically based on grounded theory.
Results: The mean age of participants was 32.57 years (±6.1), with weight loss being a common reason for attending. The majority of participants attended a single session (n=9), and the primary sources of awareness about the center were friends (n=6) and family (n=3).The thematic analysis revealed five major themes: 1) impact on healthy living, 2) lack of promotion, 3) satisfaction, 4) reason for ceasing, and 5) suggestions for the future.
Conclusion: This study emphasises the positive impact of healthy life centres on clients’ health and lifestyle behaviors, with patients reporting significant improvements in their nutritional habits and increased physical activity levels due to the counseling they received. However, the study also showed that people are unaware of the existence of healthy life centres, and that these services are not sufficiently promoted. Therefore, there is a need for the greater promotion of healthy life centres in Turkiye to improve public health.

Keywords : Health promotion, healthy life centre, qualitative research, weight management

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1. World Health Organization. Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013-2020. Geneva, Switzerland: World Health Organization; 2013.
2. Rechel B, Mladovsky P, Ingleby D, Mackenbach JP, McKee M. Migration and health in an increasingly diverse Europe. Lancet. 2013;381(9873): 1235-1245.
3. World Health Organization. Noncommunicable diseases. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases? utm_medium=email&utm_source=transaction. Accessed April 2024.
4. World Health Organization. Noncommunicable diseases Turkiye 2018 country profile. https://www.who.int/publications/m/item/noncommunicable-diseases-tur-country-profile-2018 Accessed April 2023.
5. Abbate M, Gallardo-Alfaro L, del Mar Bibiloni M, Tur JA. Efficacy of dietary intervention or in combination with exercise on primary prevention of cardiovascular disease: a systematic review. Nutrit Metabol Cardiovas Dis. 2020;30(7):1080-1093.
6. Iglesies-Grau J, Dionne V, Latour É, et al. Impact of multiple lifestyle interventions on metabolic health and remission of prediabetes and type 2 diabetes: a two-year clinical experience. Am J Prevent Cardiol. 2023;13:100397.
7. World Health Organization. Noncommunicable diseases country profiles 2018. https://www.who.int/publications/i/item/9789241514620?utm_medium=email&utm_source=transaction. Accessed April 2022.
8. Anand P, Kunnumakara AB, Sundaram C, et al. Cancer is a preventable disease that requires major lifestyle changes. Pharmaceut Res. 2008; 25(9):2097-2116.
9. Galaviz KI, Narayan KV, Lobelo F, Weber MB. Lifestyle and the prevention of type 2 diabetes: a status report. Am J Lifestyle Med. 2018; 12(1):4-20.
10. Uusitupa M, Khan TA, Viguiliouk E, et al. Prevention of type 2 diabetes by lifestyle changes: a systematic review and meta-analysis. Nutrients. 2019;11(11):2611.
11. Katz DL, Frates EP, Bonnet JP, Gupta SK, Vartiainen E, Carmona RH. Lifestyle as medicine: the case for a true health initiative. Am J Health Promot. 2018;32(6):1452-1458.
12. Lianov L, Johnson M. Physician competencies for prescribing lifestyle medicine. JAMA. 2010;304(2):202-203.
13. Tsai AG, Wadden TA. Treatment of obesity in primary care practice in the United States: a systematic review. Obesity (Silver Spring). 2009; 24(9):1073-1079.
14. Dysinger WS. Lifestyle medicine competencies for primary care physicians. Am J Epidemiol. 2013;15(4):306-310.
15. Swift JA, Glazebrook C, Macdonald I. Obesity-related knowledge and beliefs in obese adults attending a specialist weight-management service: implications for weight loss over 1 year. Obes Facts. 2009;74(1):70-76.
16. Mulderij LS, Geboers C, Boeije HR, Molleman GR, van Weeghel J, Bohlmeijer ET. Citizen preferences regarding the public funding of projects promoting a healthy body weight among people with a low income. Soc Sci Med. 2021;280:114015.
17. McKinley MC, Allen-Walker V, McGirr C, Rooney C, Woodside JV. Weight loss after pregnancy: challenges and opportunities. Proc Nutr Soc. 2018;31(2):225-238.
18. Ministry of Health SB. Sağlıklı Hayat Merkezleri. https://shm.saglik.gov.tr/shm-nedir.html. Accessed April 2022.
19. Hamilton AB, Finley EP. Qualitative methods in implementation research: an introduction. Psychiatry Res. 2019;280:112516.
20. VanderKaay S, Moll SE, Gewurtz RE, et al. Qualitative research in rehabilitation science: opportunities, challenges, and future directions. Disabil Rehabil. 2018;40(6):705-713.
21. Denny E, Weckesser A. How to do qualitative research?: Qualitative research methods. Br J Obstetr Gynaecol. 2022;129(7):1166.
22. Turkish Statistical Institute. Address Based Population Registration System Results. https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali- Nufus-Kayit-Sistemi-Sonuclari-2023-49684 Accessed Oct 2024.
23. Grossoehme DH. Overview of qualitative research. J Health Care Chaplaincy. 2014;20(3):109-122.
24. Znyk M, Zajdel R, Kaleta D. Consulting obese and overweight patients for nutrition and physical activity in primary healthcare in Poland. Int J Environ Res Public Health. 2022;19(13):7694.
25. Reynolds R, Dennis S, Hasan I, et al. A systematic review of chronic disease management interventions in primary care. BMC Fam Pract. 2018;19(1):1-13.
26. Moynihan R, Sanders S, Michaleff ZA, et al. Impact of COVID-19 pandemic on utilisation of healthcare services: a systematic review. BMJ Open. 2021;11(3):e045343.
27. Aktaş P. Chronic and rare disease patients’ access to healthcare services during a health crisis: the example of the COVID-19 pandemic in Turkiye. Health Expect. 2021;24(5):1812-1820.
28. Dhillon RS, Bonds MH, Fraden M, Ndahiro D, Ruxin J. The impact of reducing financial barriers on utilisation of a primary health care facility in Rwanda. Glob Public Health. 2012;7(1):71-86.
29. Murayama H, Takahashi Y, Shimada S. Effectiveness of an out-of-pocket cost removal intervention on health check attendance in Japan. Int J Environ Res Public Health. 2021;18(11):5612.
30. McPake B, Witter S, Ensor T, et al. Removing financial barriers to access reproductive, maternal, and newborn health services: challenges and policy implications for human resources for health. Hum Resour Health. 2013;11(1):46.
31. Alghamdi K, Aljohani A, Taha J, Almohammed A. Public awareness and utilization of the primary health care services in Al-Madinah, Saudi Arabia. Middle East J Fam Med. 2020;18(2):33-41.
32. Dhyani T, Nageshwar V, Singh A. Awareness and utilization of primary health centre services among rural population: a review based on available literature. Indian J Public Health Res Dev. 2021;12(2):389-392.
33. Dürsch H, Boltenhagen U, Mahler C, Schultz B, Berghöfer A. A qualitative analysis of cancer patients’ perceptions of an interprofessional counseling service on complementary and integrative healthcare. Qual Health Res. 2024;10497323241231530.
34. Mäkelä K, Rajala M, Kivelä K, Kankainen A, Närhi U. Patient evaluations of asthma counselling quality in primary health care-a cross-sectional survey. J Public Health (Oxf). 2020;1-8.
35. Heale R, Pilon R. An exploration of patient satisfaction in a nurse practitioner-led clinic. Nurs Leadersh (Tor Ont). 2012;25(3):43-56.
Article available in :
Volume 8, Issue 1, 2025
Page : 97-102
https://doi.org/10.32322/jhsm.1588026
Article Information
Received : 19 Kas 2024
Accepted : 21 Ara 2024
Published : 12 Oca 2025
Corresponding Author :

Hüsna Kaya Kaçar: Department of Nutrition and Dietetics, Faculty of Health Sciences, Amasya University, Amasya, Turkiye

[email protected]
Citation : Kaya Kaçar H, Köse ED, Okuyucu K. Voices from a healthy life centre: a qualitative investigation of clients’ nutrition and physical activity experiences. J Health Sci Med. 2025;8(1):97-102.

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