Flannery Caragh, Mtshede Mavis Nomsa, McHugh Sheena, Anaba Ann Ebere, Clifford Emma, O'Riordan Mairead, Kenny Louise C, McAuliffe Fionnuala M, Kearney Patricia M, Matvienko-Sikar Karen
Health Behaviour Change Research Group, National University of Ireland, Galway, Ireland.
School of Public Health, University College Cork, Cork, Ireland.
Matern Child Nutr. 2020 Oct;16(4):e13011. doi: 10.1111/mcn.13011. Epub 2020 Apr 30.
Maternal obesity is associated with increased risk of gestational diabetes and other complications. Although antenatal interventions to help prevent these complications are ongoing, an understanding of overweight and obese pregnant women's opinions and attitudes is lacking. Therefore, this study aims to explore these women's experiences and perceptions of dietary behaviours and weight management during pregnancy. Secondary analysis of qualitative data originally collected to examine lifestyle behaviours in pregnant women was conducted. The data were from a purposive sample of overweight and obese pregnant women attending a public antenatal clinic in Cork, Ireland. The data were explored using thematic analysis. Interviews with 30 overweight and obese pregnant women were analysed. Three themes were developed relating to overweight and obese women's dietary behaviours and weight management perceptions including 'pregnancy's influence on dietary behaviours', 'external influences on dietary behaviours' and 'perception of and preferences for weight related advice and resources'. Together these themes reveal women's experiences of diet and how pregnancy factors (physiological changes) and external factors (family and friends) can influence dietary behaviours. Furthermore, perceptions of weight management advice and lack thereof were highlighted with women drawing attention to potential resources for future use during pregnancy. This study provides important insights into overweight and obese pregnant women's dietary behaviours and perceptions of weight management. According to these findings, there is a need for clear and unambiguous information about weight management, acceptable weight gain, food safety and how to achieve a balanced diet.
孕妇肥胖与妊娠期糖尿病及其他并发症的风险增加有关。尽管旨在预防这些并发症的产前干预措施正在进行，但对于超重和肥胖孕妇的意见和态度仍缺乏了解。因此，本研究旨在探讨这些女性在孕期的饮食行为及体重管理经历和看法。对最初为研究孕妇生活方式行为而收集的定性数据进行了二次分析。数据来自爱尔兰科克一家公共产前诊所的超重和肥胖孕妇的目的抽样。采用主题分析法对数据进行探究。对30名超重和肥胖孕妇的访谈进行了分析。围绕超重和肥胖女性的饮食行为及体重管理认知形成了三个主题，包括“孕期对饮食行为的影响”、“饮食行为的外部影响”以及“对体重相关建议和资源的认知与偏好”。这些主题共同揭示了女性的饮食经历以及孕期因素（生理变化）和外部因素（家人和朋友）如何影响饮食行为。此外，女性对体重管理建议的认知以及缺乏此类建议的情况也得到了凸显，她们还提到了孕期未来可能使用的潜在资源。本研究为超重和肥胖孕妇的饮食行为及体重管理认知提供了重要见解。根据这些研究结果，需要提供关于体重管理、可接受的体重增加、食品安全以及如何实现均衡饮食的清晰明确的信息。
