Healthy Eating and Lifestyle in Pregnancy

孕期健康饮食和生活方式

• 批准号: G0802038/1
• 负责人: Sharon Simpson
• 金额: $ 132.7万
• 依托单位: CARDIFF UNIVERSITY
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2010
• 资助国家: 英国
• 起止时间: 2010 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=G0802038%2F1
• 关键词: Healthy; Eating; Lifestyle; Pregnancy

Obesity in pregnancy is linked to poorer outcomes for both mother and child. It is also linked to complications during the pregnancy and at birth such as increased risk of caesarean section or diabetes that develops during the pregnancy. Retaining weight gain following pregnancy can lead to longer term obesity. We have developed an intervention for obese pregnant women based around the Slimming World approach combined with input from midwives which targets diet and physical activity. A scientific evaluation is now needed to determine whether or not this is effective. We plan to do this by recruiting 20 antenatal units across the UK. We will train midwives from half the units in how to deliver the intervention. Women attending intervention units will attend groups run by ?Slimming World? and a midwife. These women will be encouraged to eat more healthily and increase their levels of exercise using a walking programme. Women attending control units will receive usual care and a leaflet giving advice on diet and exercise. The main outcome we will look at is the difference in Body Mass Index (BMI), 12 months from giving birth, between the women in intervention and control groups. We will also measure changes in diet and exercise levels, mental health, quality of life, child?s weight, self confidence, social support and self regulation. Pregnancy and birth outcomes will be assessed as well as the cost effectiveness of the intervention. Women will be followed up at the 36th week of pregnancy, then at 6 weeks, 6 months and one year after giving birth. Some of these women will be invited to take part in an interview which will ask them about their experiences of the intervention. This intervention could reduce complications during pregnancy and childbirth as well as influence women?s health behaviours in the longer term which could impact not only on the woman?s health but that of her family as well. If the study is successful we will develop a training package for midwives which could be rolled out across the UK. We will develop a study website which is accessible to everyone which will describe the study results. We will also offer to send all participants a summary of the results and we will look for creative ways to publicise the results via the media. We will use our links with Slimming World to publicise the results, including on their website.

怀孕期间肥胖与母亲和孩子的不良结局有关。它还与怀孕期间和出生时的并发症有关，例如增加剖腹产或怀孕期间发展的糖尿病的风险。怀孕后保持体重增加可能导致长期肥胖。我们已经制定了一项针对肥胖孕妇的干预措施，该措施基于减肥世界方法，并结合了针对饮食和体育活动的助产士的投入。现在需要进行科学评估，以确定这是否有效。我们计划通过在英国招募20个产前单位来做到这一点。我们将培训一半单位的助产士如何进行干预。参加干预单位的妇女将参加由？瘦身世界？还有一个助产士这些妇女将被鼓励吃得更健康，并通过步行计划增加运动量。在控制单位就诊的妇女将得到常规护理和一份关于饮食和锻炼建议的小册子。我们将观察的主要结果是干预组和对照组妇女在分娩后12个月的体重指数（BMI）差异。我们还将测量饮食和运动水平，心理健康，生活质量，儿童？体重、自信心、社会支持和自我调节。将评估妊娠和分娩结果以及干预措施的成本效益。妇女将在怀孕第36周，然后在分娩后6周，6个月和1年进行随访。其中一些妇女将被邀请参加一次访谈，询问她们对干预措施的感受。这种干预可以减少怀孕和分娩期间的并发症，以及影响妇女？从长远来看，女性的健康行为不仅会影响女性？她的健康也是她家人的健康。如果研究成功，我们将为助产士制定一个培训计划，并在英国各地推广。我们将开发一个研究网站，每个人都可以访问，其中将描述研究结果。我们还将向所有参与者发送结果摘要，并将寻找创造性的方法通过媒体宣传结果。我们将使用我们与减肥世界的链接来公布结果，包括在他们的网站上。