Rigaud Marion, Sevalho Corçao Camila, Perrier Erica T, Boesen-Mariani Sabine
Danone Research, Palaiseau, France.
Ann Nutr Metab. 2017;70 Suppl 1:23-29. doi: 10.1159/000463000. Epub 2017 Jun 15.
Pregnant and breastfeeding women experience great changes in their total body water content and water dynamics. To support the accretion of total body water during pregnancy and compensate for the water lost through breast milk during breastfeeding, increased adequate intakes (AI) for total water have been established by various health authorities. Despite this widespread advice, several studies suggest that pregnant and breastfeeding women do not meet the AI for total water, suggesting the need to raise women's awareness on the importance of adequate water intake, particularly during pregnancy and breastfeeding, as well as to provide them with a simple means of monitoring their hydration on a day-to-day basis. A urine color (UC) scale recently has been validated for hydration monitoring in pregnant and breastfeeding women.
We sought to develop a version of a tool based on the UC scale, using only images or illustrations, which could be understood by users of various nationalities and spoken languages. Pregnant and breastfeeding women (n = 1,275) from Brazil, Mexico, and Poland were shown 3 versions of the tool. Understanding, appreciation, simplicity and intent to use were evaluated using a questionnaire consisting of 26 items. Key Messages: Among the 3 versions tested, one tool emerged as the most highly understood (88% spontaneous understanding) and was highly appreciated by users (mean [SD]: 8.40 [2.20] out of 10). There were no differences between countries. Furthermore, 83% reported being very likely to use the tool daily. These results suggest that a simple tool based on the UC scale will help pregnant and breastfeeding women meet the AI for total water.
怀孕和哺乳期妇女的全身水分含量和水分动态会发生很大变化。为了支持孕期全身水分的增加，并补偿哺乳期通过母乳流失的水分，各卫生当局已确定了增加的总水分适宜摄入量（AI）。尽管有这一广泛的建议，但多项研究表明，怀孕和哺乳期妇女并未达到总水分的AI，这表明有必要提高女性对充足水分摄入重要性的认识，尤其是在怀孕和哺乳期，并为她们提供一种日常监测水合状态的简单方法。最近，一种尿液颜色（UC）量表已被验证可用于监测怀孕和哺乳期妇女的水合状态。
我们试图开发一种基于UC量表的工具版本，仅使用图像或插图，以便不同国籍和语言的用户都能理解。向来自巴西、墨西哥和波兰的1275名怀孕和哺乳期妇女展示了该工具的3个版本。使用一份包含26个项目的问卷对理解程度、认可度、简单程度和使用意愿进行了评估。关键信息：在测试的3个版本中，有一种工具的理解程度最高（自发理解率为88%），且受到用户的高度认可（平均[标准差]：10分制中为8.40[2.20]）。各国之间没有差异。此外，83%的人表示很可能每天使用该工具。这些结果表明，一种基于UC量表的简单工具将有助于怀孕和哺乳期妇女达到总水分的AI。
