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孕期营养筛查:女性对体重监测作为该过程一部分的看法。

Nutritional Screening During Pregnancy: Women's Views of Weight Monitoring as Part of This Process.

作者信息

Knight-Agarwal Catherine R, Munro Lorna, Morgan Stacy, Gschwend Ashley, Fekete Cassie, Minehan Michelle

机构信息

Faculty of Health, The University of Canberra, 11 Kirinari Street, Bruce, Canberra, ACT 2617, Australia.

出版信息

Nutrients. 2025 Apr 29;17(9):1516. doi: 10.3390/nu17091516.

Abstract

: Worldwide, appropriate weight maintenance is one of the most important elements of human health, and this is especially true for pregnancy. Gestational weight gain below or above the recommended range is associated with numerous adverse outcomes. In addition, it may induce epigenetic changes leading to an increased risk of developing future chronic disease, such as obesity and type 2 diabetes, in both the woman and her offspring. Despite this, little is known of the views and experiences of pregnant women regarding weight monitoring and advice during the antenatal period. : A qualitative study using individual interviews was undertaken in south-eastern Australia. Sixteen women with varying body mass index participated. Interviews were audio recorded and transcribed verbatim. Data was analyzed using interpretative phenomenological analysis. In any phenomenological study, the researcher's objective is to elicit the participant's views on their lived experiences. : Three major themes emerged: (1) The physiological perspective of weight monitoring during pregnancy; (2) The psychological perspective of weight monitoring during pregnancy; (3) The sociological perspective of weight monitoring during pregnancy. : The findings from this study may assist the future development and support of weight monitoring information and practices for pregnant women. Women want more individualized support regarding weight monitoring during pregnancy.

摘要

在全球范围内,保持适当体重是人类健康最重要的因素之一,对孕期女性而言尤其如此。孕期体重增加低于或高于推荐范围会带来诸多不良后果。此外,这可能会引发表观遗传变化,增加女性及其后代未来患慢性疾病(如肥胖症和2型糖尿病)的风险。尽管如此,对于孕妇在孕期体重监测和相关建议方面的看法及经历,我们却知之甚少。

在澳大利亚东南部开展了一项采用个体访谈的定性研究。16名体重指数各异的女性参与其中。访谈进行了录音,并逐字转录。数据采用解释现象学分析方法进行分析。在任何现象学研究中,研究者的目标都是引出参与者对其生活经历的看法。

出现了三个主要主题

(1)孕期体重监测的生理学视角;(2)孕期体重监测的心理学视角;(3)孕期体重监测的社会学视角。

本研究的结果可能有助于未来为孕妇制定体重监测信息及相关做法并提供支持。女性希望在孕期体重监测方面获得更具个性化的支持。

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The return of weighing in pregnancy: A discussion of evidence and practice.孕期体重测量的回归:证据与实践探讨。
Women Birth. 2020 Mar;33(2):119-124. doi: 10.1016/j.wombi.2019.05.014. Epub 2019 Jun 12.

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