A systematic review investigating healthy lifestyle interventions incorporating goal setting strategies for preventing excess gestational weight gain.
A systematic review investigating healthy lifestyle interventions incorporating goal setting strategies for preventing excess gestational weight gain.
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DOI：
10.1371/journal.pone.0039503
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Stockdale J
中科院分区：
文献类型：
--
作者：
Brown MJ;Sinclair M;Liddle D;Hill AJ;Madden E;Stockdale J
过度妊娠体重增加(GWG)是女性长期肥胖的重要风险因素。然而，目前旨在防止GWG过剩的干预措施似乎效果有限。一些研究强调了将理论与经验证据联系起来，以产生有效的行为改变干预措施的重要性。理论家已经证明，目标可以成为人类动力的重要来源，而目标设定在促进非怀孕个体的饮食和体育活动行为改变方面表现出了希望。在超重和肥胖的个体中，已经系统地评估了将目标设定作为行为改变策略的使用，但它在怀孕期间的使用还没有被系统地探索。探讨在健康生活方式干预中使用目标设置来预防GWG过多。在7个数据库中进行搜索，同时手工搜索相关期刊和跟踪引文。研究包括干预是否使用目标设定和改变饮食和/或体力活动，目的是防止GWG过多。遵循PRISMA指南，采用两阶段方法学方法。第一阶段侧重于系统评价纳入干预措施的方法质量。第二阶段评估了干预的完整性和关键目标设定部分的实施情况。在总共839篇引文中，54篇全文文章被评估为合格，5项研究符合纳入标准。在报告积极结果的干预措施中，个性化饮食和体力活动目标、自我监测和绩效反馈指标的组合被描述为活动组成部分。基于目标设定的干预措施似乎有助于帮助女性在怀孕期间实现最佳体重增加。然而，超重和肥胖的女性可能需要更多理论设计的干预措施。需要进一步高质量的、理论上设计的干预措施，以确定最有效和可复制的最佳全球工作组的组成部分。
Excess gestational weight gain (GWG) is an important risk factor for long term obesity in women. However, current interventions aimed at preventing excess GWG appear to have a limited effect. Several studies have highlighted the importance of linking theory with empirical evidence for producing effective interventions for behaviour change. Theorists have demonstrated that goals can be an important source of human motivation and goal setting has shown promise in promoting diet and physical activity behaviour change within non-pregnant individuals. The use of goal setting as a behaviour change strategy has been systematically evaluated within overweight and obese individuals, yet its use within pregnancy has not yet been systematically explored. To explore the use of goal setting within healthy lifestyle interventions for the prevention of excess GWG. Searches were conducted in seven databases alongside hand searching of relevant journals and citation tracking. Studies were included if interventions used goal setting alongside modification of diet and/or physical activity with an aim to prevent excess GWG. The PRISMA guidelines were followed and a two-stage methodological approach was used. Stage one focused on systematically evaluating the methodological quality of included interventions. The second stage assessed intervention integrity and the implementation of key goal setting components. From a total of 839 citations, 54 full-text articles were assessed for eligibility and 5 studies met the inclusion criteria. Among interventions reporting positive results a combination of individualised diet and physical activity goals, self-monitoring and performance feedback indicators were described as active components. Interventions based on goal setting appear to be useful for helping women achieve optimal weight gain during pregnancy. However, overweight and obese women may require more theoretically-designed interventions. Further high quality, theoretically-designed interventions are required to determine the most effective and replicable components for optimal GWG.
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影响因子：
--
作者：
Campbell, M;Fitzpatrick, R;Tyrer, P
通讯作者：
Tyrer, P
影响因子：
--
作者：
通讯作者：
--
影响因子：
2.7
作者：
Claesson, Ing-Marie;Josefsson, Ann;Sydsjo, Gunilla
通讯作者：
Sydsjo, Gunilla
影响因子：
7.2
作者：
Asbee, Shelly M.;Jenkins, Todd R.;Rutledge, Allyson
通讯作者：
Rutledge, Allyson