Maintenance of changes in food intake and motivation for healthy eating among Norwegian-Pakistani women participating in a culturally adapted intervention

Public Health Nutrition

Marte Karoline Råberg Kjøllesdal¹  Margareta Wandel¹  Victoria Telle Hjellset¹  Benedikte Bjørge¹  Gerd Holmboe-Ottesen¹  Kaja Marie Helland-Kigen¹ 

关键词: Stages of change;    Dietary change;    Pakistani woman;    Immigrant women;    Maintenance;    Culturally adapted intervention;   

DOI  :  10.1017/S1368980012002790

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

ObjectiveTo investigate maintenance of changes in food intake and motivation for healthy eating at follow-up 2 data collection after a lifestyle intervention among Pakistani immigrant women.DesignA culturally adapted lifestyle intervention, aiming at reducing the risk of type 2 diabetes mellitus. Data collection including FFQ and questions on intentions to change dietary behaviour was completed at baseline, right after the 7 ± 1 month intervention (follow-up 1) and 2–3 years after baseline (follow-up 2).SettingOslo, Norway.SubjectsPakistani women (n 198), aged 25–60 years, randomized into control and intervention groups.ResultsFrom follow-up 1 to follow-up 2 there was a shift from action to maintenance stages for intention to reduce fat intake (P < 0·001), change type of fat (P = 0·001), increase vegetable intake (P < 0·001) and reduce sugar intake (P = 0·003) in the intervention group. The reduction in intakes of soft drinks with sugar, fruit drinks with sugar and red meats, and the increase in intakes of vegetables and fish from baseline to follow-up 1 were maintained (significant change from baseline) at follow-up 2 in the intervention group. The intake of vegetables was higher (P = 0·019) and the intake of fruit drinks with sugar lower (P = 0·023) in the intervention group compared with the control group at follow-up 2.ConclusionsThe culturally adapted intervention had the potential of affecting intentions to change food behaviour among Pakistani immigrant women long after completion of the intervention and also of leading to long-term maintenance of beneficial changes in diet.

【 授权许可】

Unknown