Obesity Prevention Program, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA 02215, USA.
Matern Child Health J. 2012 Feb;16(2):439-47. doi: 10.1007/s10995-011-0746-4.
Our objective was to examine mothers' perspectives of obesity-related health behavior recommendations for themselves and their 0-6 month old infants. A health educator conducted 4 motivational counseling calls with 60 mothers of infants during the first 6 months postpartum. Calls addressed 5 behaviors for infants (breastfeeding, introduction of solid foods, sleep, TV, hunger cues), and 4 for mothers (eating, physical activity, sleep, TV). We recorded detailed notes from each call, capturing responsiveness to recommendations and barriers to change. Two independent coders analyzed the notes to identify themes. Mothers in our study were more interested in focusing on their infants' health behaviors than on their own. While most were receptive to eliminating their infants' TV exposure, they resisted limiting TV for themselves. There was some resistance to following infant feeding guidelines, and contrary to advice to avoid nursing or rocking babies to sleep, mothers commonly relied on these techniques. Return to work emerged as a barrier to breastfeeding, yet facilitated healthier eating, increased activity, and reduced TV time for mothers. The early postpartum period is a challenging time for mothers to focus on their own health behaviors, but returning to work appears to offer an opportunity for positive changes in this regard. To improve weight-related infant behaviors, interventions should consider mothers' perceptions of nutrition and physical activity recommendations and barriers to adherence.
我们的目的是研究母亲对自身和 0-6 个月大婴儿的肥胖相关健康行为建议的看法。在产后的头 6 个月里，一名健康教育家与 60 名婴儿的母亲进行了 4 次动机咨询电话。电话中涉及 5 项针对婴儿的行为（母乳喂养、固体食物引入、睡眠、电视、饥饿信号）和 4 项针对母亲的行为（饮食、身体活动、睡眠、电视）。我们从每次通话中记录了详细的笔记，记录了对建议的反应和改变的障碍。两名独立的编码员分析了这些笔记，以确定主题。我们研究中的母亲更感兴趣的是关注婴儿的健康行为，而不是自己的健康行为。虽然大多数母亲愿意让婴儿不看电视，但她们拒绝限制自己看电视。遵循婴儿喂养指南存在一些阻力，而且与建议避免母乳喂养或摇晃婴儿入睡相反，母亲们经常依赖这些方法。重返工作岗位成为母乳喂养的障碍，但却促进了母亲更健康的饮食、增加了活动量，并减少了她们看电视的时间。产后早期对母亲来说是一个专注于自身健康行为的挑战时期，但重返工作岗位似乎为这方面的积极变化提供了机会。为了改善与体重相关的婴儿行为，干预措施应考虑母亲对营养和身体活动建议的看法以及坚持的障碍。
