Department of Nutrition, Dietetics and Food, Monash University, Notting Hill, VIC, Australia.
J Hum Nutr Diet. 2018 Aug;31(4):486-495. doi: 10.1111/jhn.12554. Epub 2018 Apr 16.
Pregnancy can motivate individuals to adopt lifestyle behaviours that protect the health of their offspring. The aims of the present study were to explore men's and women's beliefs about lifestyle, fertility and pregnancy, as well as where they seek advice.
Participants (2185 women and 221 men, six unspecified) from 104 countries completed a questionnaire that explored their beliefs about what was important for a healthy pregnancy and their advice-seeking behaviours. Recruitment was via a Massive Open Online Course entitled 'Food as Medicine', with food, nutrient and health content. Comparisons of categorical data were performed using a chi-squared test (P = 0.05).
Eating a variety of fruits and vegetables and not smoking (both 93.7%) were the most frequently and equally ranked in the top-five factors for a healthy pregnancy. Taking prenatal supplements (26.8%) was considered to be less important. Participants in Westernised countries ranked not smoking or drinking alcohol as being significantly more important than those in other countries. Overall, doctors (47.7%) were the most common source of fertility and pregnancy advice. Larger proportions of those aged <40 years used the Internet (<40 years 44.1%, >40 years 18.2% χ = 152.7, P < 0.01) and social media (<40 years 16.1%, >40 years 3.6%; χ = 110.18, P < 0.01) for health information.
There is disconnection between beliefs and actions regarding the lifestyle behaviours considered to be important for a healthy pregnancy, particularly nutrition. Pregnancy advice-seeking has evolved, with younger men and women utilising the Internet and social media. Health professionals must consider new communication strategies to deliver evidence-based lifestyle advice, particularly for younger men and women and where access to healthcare is limited.
怀孕可以促使个人采取保护后代健康的生活方式行为。本研究的目的是探讨男性和女性对生活方式、生育和怀孕的信念，以及他们寻求建议的地方。
来自 104 个国家的 2185 名女性和 221 名男性（6 名未指定）参与者完成了一份问卷，该问卷探讨了他们对健康怀孕重要因素的信念以及他们的咨询行为。招募是通过一门名为“食物即药物”的大规模开放式在线课程进行的，该课程提供有关食物、营养和健康的内容。使用卡方检验（P=0.05）比较分类数据。
吃各种水果和蔬菜以及不吸烟（均为 93.7%）是健康怀孕的前五个最重要因素中最常被提及且排名相同的因素。服用产前补充剂（26.8%）被认为不太重要。来自西方国家的参与者认为不吸烟或饮酒比其他国家的参与者更重要。总体而言，医生（47.7%）是最常见的生育和怀孕建议来源。年龄<40 岁的参与者更多地使用互联网（<40 岁者 44.1%，>40 岁者 18.2%，χ=152.7，P<0.01）和社交媒体（<40 岁者 16.1%，>40 岁者 3.6%，χ=110.18，P<0.01）获取健康信息。
关于被认为对健康怀孕重要的生活方式行为，存在信念和行为之间的脱节，特别是营养。怀孕咨询已经发生演变，年轻男性和女性利用互联网和社交媒体。医疗保健专业人员必须考虑新的沟通策略来提供基于证据的生活方式建议，特别是针对年轻男性和女性以及医疗保健有限的地方。
