期刊论文详细信息
BMC Pregnancy and Childbirth
An observational study of nutrition and physical activity behaviours, knowledge, and advice in pregnancy
Lynne A Daniels2  Leonie K Callaway1  Jan M Nicholson3  Susan J de Jersey2 
[1] Department of Internal Medicine, Royal Brisbane and Women’s Hospital, Herston, QLD, 4029, Australia;School of Exercise and Nutrition Sciences, Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, QLD, 4059, Australia;Centre for Learning Innovation, Queensland University of Technology, Kelvin Grove, QLD, 4059, Australia
关键词: Advice;    Knowledge;    Physical activity;    Dietary intake;    Nutrition;    Pregnancy;   
Others  :  1138025
DOI  :  10.1186/1471-2393-13-115
 received in 2012-12-05, accepted in 2013-05-10,  发布年份 2013
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【 摘 要 】

Background

Maternal obesity, excess weight gain and lifestyle behaviours during pregnancy have been associated with future overweight and other adverse health outcomes for mothers and babies. This study compared the nutrition and physical activity behaviours of Australian healthy (BMI ≤ 25 k/m2) and overweight (BMI ≥ 25 kg/m2) pregnant women and described their knowledge and receipt of health professional advice early in pregnancy.

Methods

Pregnant women (n=58) aged 29±5 (mean±s.d.) years were recruited at 16±2 weeks gestation from an Australian metropolitan hospital. Height and weight were measured using standard procedures and women completed a self administered semi-quantitative survey.

Results

Healthy and overweight women had very similar levels of knowledge, behaviour and levels of advice provided except where specifically mentioned. Only 8% and 36% of participants knew the correct recommended daily number of fruit and vegetable serves respectively. Four percent of participants ate the recommended 5 serves/day of vegetables. Overweight women were less likely than healthy weight women to achieve the recommended fruit intake (4% vs. 8%, p=0.05), and more likely to consume soft drinks or cordial (55% vs 43%, p=0.005) and take away foods (37% vs. 25%, p=0.002) once a week or more. Less than half of all women achieved sufficient physical activity. Despite 80% of women saying they would have liked education about nutrition, physical activity and weight gain, particularly at the beginning of pregnancy, less than 50% were given appropriate advice regarding healthy eating and physical activity.

Conclusion

Healthy pregnancy behaviour recommendations were not being met, with overweight women less likely to meet some of the recommendations. Knowledge of dietary recommendations was poor and health care professional advice was limited. There are opportunities to improve the health care practices and education pregnant women received to improve knowledge and behaviours. Pregnant women appear to want this.

【 授权许可】

   
2013 de Jersey et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]McIntyre HD, Gibbons KS, Flenady VJ, Callaway LK: Overweight and obesity in Australian mothers: epidemic or endemic? Med J Aust 2012, 196(3):184-188.
  • [2]Watson M, Howell S: Characteristics of overweight and obese mothers in Queensland, 2008, Queensland Health. Brisbane: Health Statistics Centre; 2009.
  • [3]de Jersey SJ, Nicholson JM, Callaway LK, Daniels LA: A prospective study of pregnancy weight gain in Australian women. Aust N Z J Obstet Gynaecol 2012, 52(6):545-551.
  • [4]Institute of Medicine and National Research Council: Weight Gain During Pregnancy: Reexamining the Guidelines. Washington: National Academies Press; 2009.
  • [5]National Health and Medical Research Council. Food for Health: Dietary Guidelines for Children and Adolescents in Australia incorporating the Infant Feeding Guidelines for Health Workers. Canberra: Commonwealth of Australia; 2003.
  • [6]Wilkinson SA, Miller YD, Watson B: Prevalence of health behaviours in pregnancy at service entry in a Queensland health service district. Aust N Z J Public Health 2009, 33(3):228-233.
  • [7]Wen LM, Flood VM, Simpson JM, Rissel C, Baur LA: Dietary behaviours during pregnancy: findings from first-time mothers in southwest Sydney, Australia. Int J Behav Nutr Phys Act 2010, 7:13. BioMed Central Full Text
  • [8]Blumfield M, Hure A, MacDonald-Wicks L, Patterson A, Smith R, Collins C: Disparities exist between National food group recommendations and the dietary intakes of women. BMC Womens Health 2011, 11(1):37. BioMed Central Full Text
  • [9]ACOG, ACOG committee opinion: Exercise during pregnancy and the postpartum period. Number 267, American College of Obstetricians and Gynecologists. Int J Gynaecol Obstet 2002, 77(1):79-81.
  • [10]Bandura A: Health Promotion by Social Cognitive Means. Health Educ Behav 2004, 31(2):143-164.
  • [11]van der Pligt P, Campbell K, Willcox J, Opie J, Denney-Wilson E: Opportunities for primary and secondary prevention of excess gestational weight gain: General Practitioners' perspectives. BMC Fam Pract 2011, 12(1):124. BioMed Central Full Text
  • [12]Widen E, Siega-Riz AM: Prenatal nutrition: A practical guide for assessment and counseling. J Midwifery Women's Health 2010, 55(6):540-549.
  • [13]Olson CM, Strawderman MS, Dennison BA: Maternal weight gain during pregnancy and child weight at age 3 years. Matern Child Health J 2009, 13(6):839-846.
  • [14]Campbell M, Williams J, Hampton A, Wake M: Maternal concern and perceptions of overweight in Australian preschool-aged children. Med J Aust 2006, 184(6):274.
  • [15]Cogswell ME, Scanlon KS, Fein SB, Schieve LA: Medically advised, mother's personal target, and actual weight gain during pregnancy. Obstet Gynecol 1999, 94(4):616-622.
  • [16]Stotland NE, Haas JS, Brawarsky P, Jackson RA, Fuentes-Afflick E, Escobar GJ: Body mass index, provider advice, and target gestational weight gain. Obstet Gynecol 2005, 105(3):633-638.
  • [17]Oken E, Taveras EM, Kleinman KP, Rich-Edwards JW, Gillman MW: Gestational weight gain and child adiposity at age 3 years. Am J Obstet Gynecol 2007, 196(4):322.e1-8.
  • [18]Whati LH, Senekal M, Steyn NP, Nel JH, Lombard C, Norris S: Development of a reliable and valid nutritional knowledge questionnaire for urban South African adolescents. Nutrition 2005, 21(1):76-85.
  • [19]Fowles ER: Comparing pregnant women's nutritional knowledge to their actual dietary intake. MCN Am J Matern Child Nurs 2002, 27(3):171-177.
  • [20]Reeves M, Winkler E, Hodge A, Eakin E: Measuring Dietary Change: Which is more responsive- A Food Frequency Questionnaire or a Dietary Behaviour Questionnaire? Nutrition and Dietetics 2010, 67(Suppl. 1):57.
  • [21]Rutishauser IHE, Webb K, Abraham B, Allsopp R: Evaluation of short dietary questions from the 1995 National Nutrition Survey. Canberra: Australian Food and Monitoring Unit; 2001.
  • [22]Children's Health Development Foundation, S.A: Australian Guide to Healthy Eating. Victoria: Commonwealth Department of Health and Family Services Canberra; 1998.
  • [23]Australian Institute of Health and Welfare: The Active Australia Survey: A Guide and Manual for Implementation, Analysis and Reporting. Canberra (AUST): AIHW; 2004.
  • [24]Health Statistics Centre: Queensland Perinatal Statistics Queensland Health. September 2010 - February 2011; 2011. [ http://www.health.qld.gov.au/hic/Peri2011/perinatal11.asp webcite]
  • [25]Wardle J, Parmenter K, Waller J: Nutrition knowledge and food intake. Appetite 2000, 34(3):269-275.
  • [26]World Health Organisation: Diet, Nutrition and the Prevention of Chronic Diseases: Technical Report Series No. 916. Geneva: World Health Organisation; 2003.
  • [27]Sydsjà A, Claesson IM, Ekholm Selling K, Josefsson A, Brynhildsen J, Sydsjà G: Influence of obesity on the use of sickness absence and social benefits among pregnant working women. Public Health 2007, 121(9):656-662.
  • [28]Laraia BA, Bodnar LM, Siega-Riz AM: Pregravid body mass index is negatively associated with diet quality during pregnancy. Public Health Nutr 2007, 10(9):920-926.
  • [29]Rifas-Shiman SL, Rich-Edwards JW, Kleinman KP, Oken E, Gillman MW: Dietary quality during pregnancy varies by maternal characteristics in Project Viva: a US cohort. J Am Diet Assoc 2009, 109(6):1004-1011.
  • [30]Willcox JC, Campbell KJ, van der Plight P, Hoban E, Pidd D, Wilkinson S: Excess gestational weight gain: an exploration of midwives' views and practice. BMC Pregnancy Childbirth 2012, 12(1):102. BioMed Central Full Text
  • [31]Stotland NE, Gilbert P, Bogetz A, Harper CC, Abrams B, Gerbert B: Preventing excessive weight gain in pregnancy: how do prenatal care providers approach counseling? J Womens Health 2010, 19(4):807-814.
  • [32]Herring SJ, Platek DN, Elliott P, Riley LE, Stuebe AM, Oken E: Addressing obesity in pregnancy: What do obstetric providers recommend? J Womens Health 2010, 19(1):65-70.
  • [33]Schmied VA, Duff M, Dahlen HG, Mills AE, Kolt GS: ‘Not waving but drowning’: a study of the experiences and concerns of midwives and other health professionals caring for obese childbearing women. Midwifery 2011, 27(4):424-430.
  • [34]Elias S, Green T: Nutrition knowledge and attitudes of New Zealand registered midwives. Nutr Diet 2007, 64(4):290-294.
  • [35]Symon A, Gibb A, Laing M: Midwives' nutritional knowledge. Pract Midwife 2002, 2002(5):24-25.
  • [36]Bauer PW, Broman CL, Pivarnik JM: Exercise and pregnancy knowledge among healthcare providers. J Womens Health 2010, 19(2):335-341.
  • [37]Wilkinson SA, Tolcher D: Nutrition and maternal health: What women want and can we provide it? Nutr Diet 2010, 67(1):18-25.
  • [38]Lee A, Karpavicius J, Gasparini E, Forster D: Implementing a diet and exercise program for limiting maternal weight gain in obese pregnant women: A pilot study. Aust N Z J Obstet Gynaecol 2012, 52:427-432.
  • [39]McDonald SD, Pullenayegum E, Taylor VH, Lutsiv O, Bracken K, Good C, Hutton E, Sword W: Despite 2009 guidelines, few women report being counseled correctly about weight gain during pregnancy. Am J Obstet Gynecol 2011, 205(4):333.e1-333.e6.
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