College of Human & Health Sciences, Swansea University, Swansea SA1 8PP, UK.
BMC Pregnancy Childbirth. 2012 Apr 11;12:27. doi: 10.1186/1471-2393-12-27.
Eating a diet that is high in fat and sugar and having a sedentary lifestyle during pregnancy is understood to increase the risk of excessive gestational weight gain and obesity following the birth of the baby. However, there are no clinical guidelines in the UK on what is considered to be appropriate gestational weight gain. Indeed, clinical recommendations discourage the routine re-weighing of pregnant women, stating instead that women should be advised regarding their diet and activity levels, in order to prevent excessive weight gain. Pregnancy is seen as a time when many women may have an increased motivation to improve their lifestyle behaviours for the benefit of the fetus. However, it is evident that many women have difficulty in both maintaining a healthy balanced diet and remaining active through pregnancy. It would seem that midwives may be ideally placed to assist women to make and maintain healthier lifestyle choices during pregnancy.
METHODS/DESIGN: This study will look at the feasibility and acceptability of a newly devised intervention programme called 'Eat Well Keep Active'. Participants will complete a questionnaire prior to the programme to obtain baseline data on food frequency, physical activity and to gauge their perception of personal ability to improve/maintain healthy lifestyle. The programme comprises client centred techniques; motivational interviewing and goal setting delivered early in pregnancy (12-16 weeks) with the aim of supporting a healthy well balanced diet and either continuing or commencing appropriate levels of physical activity. Participants will then be followed up six weeks following the intervention with a one-to-one interview, and a further brief questionnaire. The interview will provide preliminary data regarding perceived effectiveness and acceptability of the 'Eat Well Keep Active' programme whilst the questionnaire will provide data regarding changes in the confidence of participants to lead a healthy lifestyle.
There is an identified need for effective interventions that assist pregnant women in managing their diet and activity levels. Results from this study will demonstrate whether women find this programme of intervention, designed to elicit healthy behaviours in pregnancy, acceptable and whether they perceive it to be effective.
怀孕期间饮食中脂肪和糖分含量高，生活方式久坐不动，据了解会增加胎儿出生后过度妊娠体重增加和肥胖的风险。然而，在英国，对于什么是适当的妊娠体重增加，没有临床指南。事实上，临床建议不鼓励常规重新称重孕妇，而是建议孕妇注意饮食和活动水平，以防止体重过度增加。怀孕被视为许多女性可能会增加动力来改善生活方式行为，以利于胎儿的时期。然而，显然许多女性在怀孕期间都难以保持健康均衡的饮食和保持活跃。似乎助产士是最适合在怀孕期间帮助女性做出并维持更健康的生活方式选择的人。
方法/设计：本研究将探讨一项名为“吃得好保持活跃”的新设计干预计划的可行性和可接受性。参与者将在计划开始前完成一份问卷，以获得关于食物频率、体力活动的基线数据，并评估他们改善/维持健康生活方式的个人能力的看法。该计划包括以客户为中心的技术；在怀孕早期（12-16 周）进行动机访谈和目标设定，旨在支持健康均衡的饮食，要么继续进行，要么开始进行适当水平的体力活动。然后，在干预后六周，参与者将进行一对一访谈，并进行简短的问卷调查。访谈将提供有关“吃得好保持活跃”计划的有效性和可接受性的初步数据，而问卷将提供有关参与者对领导健康生活方式的信心变化的数据。
有明确的需要有效的干预措施，帮助孕妇管理饮食和活动水平。这项研究的结果将表明，女性是否认为这种旨在引发怀孕期间健康行为的干预计划是可以接受的，以及她们是否认为它是有效的。
