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做出妥协:一项关于孕期糖消费行为的定性研究。

Making compromises: a qualitative study of sugar consumption behaviors during pregnancy.

机构信息

Department of Agricultural, Food, and Nutritional Science, University of Alberta, Edmonton, Alberta, Canada.

出版信息

J Nutr Educ Behav. 2013 Nov-Dec;45(6):578-85. doi: 10.1016/j.jneb.2013.03.011. Epub 2013 Jul 19.

DOI:10.1016/j.jneb.2013.03.011
PMID:23877052
Abstract

OBJECTIVE

To explore influences on women's sugar consumption behaviors during pregnancy.

DESIGN

Focused ethnography guided this qualitative study. Contrasting experiences between women with varying sugar intakes were investigated using semi-structured interviews.

SETTING

Metropolitan area, Canada.

PARTICIPANTS

Fifteen women with varying intakes of added sugar, who were in the third trimester of their first pregnancy, participated in this study.

PHENOMENON OF INTEREST

Sugar consumption behaviors during pregnancy.

ANALYSIS

Interviews were audio-recorded, transcribed, and analyzed using qualitative content analysis to inductively derive themes.

RESULTS

Pregnant women increased their intake of sugars in an effort to achieve a compromise between meeting nutrition recommendations, lifestyle adjustments, physical symptoms, and cultural norms. Physical symptoms, lack of nutritional guidance, and social pressures were identified as barriers to achieving a diet low in sugars, whereas implementing dietary strategies guided by nutritional knowledge was a facilitator.

CONCLUSIONS AND IMPLICATIONS

This research provides insights that may be used to design effective interventions to improve maternal health. Strategies to help pregnant women achieve a healthy diet and limit sugar intake should be guided by nutritional knowledge, dietary awareness, and internal motivations to engage in healthy dietary changes.

摘要

目的

探讨影响女性孕期糖摄入量的因素。

设计

本研究采用聚焦民族志方法,通过半结构式访谈,对不同糖摄入量女性的经历进行对比,以此对其进行定性研究。

地点

加拿大市区。

参与者

15 名孕妇参加了此项研究,这些孕妇均处于首次妊娠的第三个三个月阶段,且她们的糖摄入量各不相同。

关注现象

孕期糖摄入量行为。

分析

对访谈内容进行了音频记录、转录,并采用定性内容分析法进行分析,以归纳主题。

结果

孕妇为了在满足营养建议、生活方式调整、身体症状和文化规范之间取得平衡,增加了糖的摄入量。身体症状、缺乏营养指导和社会压力被确定为实现低糖饮食的障碍,而实施基于营养知识的饮食策略则是一种促进因素。

结论和意义

这项研究提供了一些可能有助于设计有效干预措施以改善产妇健康的见解。帮助孕妇实现健康饮食和限制糖摄入量的策略应基于营养知识、饮食意识和参与健康饮食改变的内在动机。

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