Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA, 70808, United States.
Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, United States.
Maturitas. 2022 Mar;157:16-26. doi: 10.1016/j.maturitas.2021.11.005. Epub 2021 Nov 7.
A qualitative study was performed to characterize experiences of women going through menopause, as well as to identify barriers and facilitators for participating in a lifestyle program targeting weight management during menopause.
Perimenopausal and postmenopausal Black women with a self-reported desire to lose or maintain weight during menopause participated in a total of six focus groups.
Women were asked about their past experiences with diet, exercise, and weight management; their menopause experiences; as well as specific components and considerations for developing a lifestyle program for weight management. Thematic analysis was conducted on coded transcripts and four main themes emerged, each containing three to seven subthemes.
Twenty-seven Black women (age 54±4 years, BMI 35.1 ± 9.0 kg/m) were enrolled. Overall, women felt unprepared for the changes they experienced during menopause and had difficulty maintaining or losing weight. While women were receptive to trying different diets and exercises, they wanted a diet that was flexible with their lifestyle and exercises that considered their existing health status. Women were also interested in learning about menopause alongside other women, stating that medical professionals did not provide them with adequate information or help. Social support, accountability, and seeing results were perceived critical to achieve long-lasting behavioral change.
Women were interested in receiving menopause information and improving their overall health as part of a lifestyle program during menopause. Associating with other women affected by menopause will allow for the creation of more sustainable lifestyle programs during menopause. Clinicaltrials.gov identifier: NCT04487782.
本研究采用定性研究方法，旨在描述女性在经历更年期时的体验，并确定参与针对更年期体重管理的生活方式项目的障碍和促进因素。
本研究纳入了 27 名自我报告希望在更年期减肥或保持体重的绝经前期和绝经后黑人女性，共进行了 6 次焦点小组讨论。
女性被问及她们过去的饮食、运动和体重管理经验；她们的更年期经历；以及开发针对更年期体重管理的生活方式项目的具体内容和考虑因素。对编码后的转录本进行主题分析，得出了四个主要主题，每个主题包含 3 到 7 个子主题。
27 名黑人女性（年龄 54±4 岁，BMI 35.1±9.0kg/m²）参与了研究。总的来说，女性对她们在更年期经历的变化感到毫无准备，并且难以保持或减轻体重。虽然女性愿意尝试不同的饮食和运动，但她们希望有一种饮食方式能够灵活适应她们的生活方式，并且运动方式能够考虑到她们现有的健康状况。女性还对与其他女性一起了解更年期感兴趣，她们表示，医疗专业人员没有向她们提供足够的信息或帮助。社会支持、责任感和看到效果被认为是实现长期行为改变的关键。
女性有兴趣在更年期期间通过生活方式项目获得更年期信息并改善整体健康。与受更年期影响的其他女性交往将有助于在更年期期间创建更可持续的生活方式项目。临床试验注册号：NCT04487782。
