Low-income, Pregnant, African American Women's Views on Physical Activity and Diet
Low-income, Pregnant, African American Women's Views on Physical Activity and Diet
复制标题
DOI：
10.1111/j.1542-2011.2012.00203.x
复制
发表时间：
2013-03-01
影响因子：
2.7
通讯作者：
Morrison-Beedy, Dianne
中科院分区：
文献类型：
--
作者：
Groth, Susan W.;Morrison-Beedy, Dianne
简介 这项研究的目的是深入了解低收入、怀孕的非裔美国女性如何看待怀孕期间的身体活动和营养问题。方法 采用与怀孕期间身体活动和饮食相关的开放式问题对 3 个焦点小组（总共 26 名女性）进行了调查。内容分析用于分析逐字记录。在组内和组间水平上对各组进行比较和对比，以确定主题。结果 确定了与怀孕期间身体活动相关的两个主题：1）疲劳和低能量决定活动；2）缺乏锻炼动机。确定了与饮食相关的三个主题：1）尽管有最好的意图，但食欲、味道和渴望会驱动饮食行为； 2）我自己决定吃什么； 3）外出就餐是一种生活方式。讨论 女性表示，积极锻炼身体并改善饮食并不容易。女性表示，自怀孕以来，她们的体力活动水平有所下降。由于经常光顾快餐店和对高密度、可口食物的渴望，改善饮食的尝试遭到破坏。女性在怀孕期间屈服于身体方面的影响，常常选择忽视他人的建议。低水平的体力活动和高热量饮食的结合增加了该女性样本妊娠期体重过度增加的风险，从而增加了怀孕后体重保持的风险。医疗保健提供者可以通过让女性顺应并倾听自己的身体来促进健康饮食和身体活动。他们可以询问女性对身体活动和饮食的看法，并提供信息以确保了解哪些因素有助于健康妊娠结果。干预可以集中在渴望和美味等因素上，提出通过健康饮食控制怀孕影响的方法。
Introduction This research was conducted to gain insight into how low-income, pregnant, African American women viewed physical activity and approached nutrition during pregnancy. Methods Three focus groups with a total of 26 women were conducted utilizing open-ended questions related to physical activity and diet during pregnancy. Content analysis was used to analyze the verbatim transcripts. Groups were compared and contrasted at the within-group and between-group levels to identify themes. Results Two themes that related to physical activity during pregnancy were identified: 1) fatigue and low energy dictate activity and 2) motivation to exercise is not there. Three themes were identified that related to diet: 1) despite best intentions, appetite, taste, and cravings drive eating behavior; 2) I'll decide for myself what to eat; and 3) eating out is a way of life. Discussion Women reported that being physically active and improving their diets was not easy. Women indicated that their levels of physical activity had decreased since becoming pregnant. Attempts at improving their diets were undermined by frequenting fast food restaurants and cravings for highly dense, palatable foods. Women ceded to the physical aspects of pregnancy, often choosing to ignore the advice of others. A combination of low levels of physical activity and calorie-dense diets increased the risk of excessive gestational weight gain in this sample of women, consequently increasing the risk for weight retention after pregnancy. Health care providers can promote healthy eating and physical activity by building on women's being in tune with and listening to their bodies. They can query women about their beliefs regarding physical activity and diet and offer information to ensure understanding of what contributes to healthy pregnancy outcomes. Intervention can focus on factors such as cravings and what tastes good, suggesting ways to manage pregnancy effects within a healthy diet.