Influences on the food choices and physical activity behaviours of overweight and obese pregnant women: A qualitative stud

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dc.contributor.author O'Brien, Orna A.
dc.contributor.author Lindsay, Karen L.
dc.contributor.author McCarthy, Mary
dc.contributor.author McGloin, Aileen F.
dc.contributor.author Kennelly, Maria
dc.contributor.author Scully, Helena A.
dc.contributor.author McAuliffe, Fionnuala M.
dc.date.accessioned 2017-05-17T14:38:26Z
dc.date.available 2017-05-17T14:38:26Z
dc.date.issued 2017-02-07
dc.identifier.citation O’Brien, O. A., Lindsay, K. L., McCarthy, M., McGloin, A. F., Kennelly, M., Scully, H. A. and McAuliffe, F. M. (2017) 'Influences on the food choices and physical activity behaviours of overweight and obese pregnant women: A qualitative study', Midwifery, 47, pp. 28-35. doi: 10.1016/j.midw.2017.02.003 en
dc.identifier.volume 47 en
dc.identifier.startpage 28 en
dc.identifier.endpage 35 en
dc.identifier.issn 0266-6138
dc.identifier.uri http://hdl.handle.net/10468/3979
dc.identifier.doi 10.1016/j.midw.2017.02.003
dc.description.abstract Objective: to qualitatively explore influences identified by overweight/obese pregnant women on food choices and physical activity (PA) behaviours; to determine the impact of pregnancy on these factors; and to inform development of future lifestyle interventions during pregnancy. Design: cross-sectional interview study. Setting: maternity hospital, Ireland. Participants: pregnant women (n=22), early pregnancy Body Mass Index > 25 kg/m2. Measures: barriers to and facilitators of healthy eating and PA in overweight/obese pregnancy. Interviews were transcribed verbatim and analysed using inductive thematic analysis. Findings: overweight/obese women perceived the following factors to influence their food choices and PA behaviours: personal (e.g. age, enjoyment, health, aesthetic appearance, and response to fatigue); social (e.g. social support, food modelling, social facilitation and weight bias) and environmental (e.g. food salience and the obesogenic environment). These factors affected PA and food choice trajectories differently according to socio-economic and socio-cultural context. Conclusion and Implications: personal, social and environmental factors affect food choices and PA behaviours. Pregnancy is a powerful stimulus for positive changes in food choices particularly. This change is driven by desire for healthy pregnancy outcome, and is not intrinsically motivated. Healthy lifestyle interventions should aim to sustain positive changes beyond pregnancy through: empowerment, intrinsic motivation, family-centred approach, and behavioural goals. en
dc.description.sponsorship National Maternity Hospital, Ireland (Medical Fund) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Elsevier en
dc.rights © 2017 Published by Elsevier Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0 license en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/ en
dc.subject Qualitative research en
dc.subject Food preference en
dc.subject Physical activity en
dc.subject Health behaviour en
dc.subject Pregnancy en
dc.subject Lifestyle change en
dc.title Influences on the food choices and physical activity behaviours of overweight and obese pregnant women: A qualitative stud en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Mary Mccarthy, Cork University Business School, University College Cork, Cork, Ireland. +353-21-490-3000 Email: m.mccarthy@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication at the request of the publisher. en
dc.check.date 2018-02-07
dc.date.updated 2017-05-17T14:28:04Z
dc.description.version Accepted Version en
dc.internal.rssid 388253978
dc.contributor.funder University College Cork en
dc.contributor.funder University College Dublin en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Midwifery en
dc.internal.copyrightchecked No !!CORA!! en
dc.internal.licenseacceptance Yes en
dc.check.chapterOfThesis National Maternity Hospital, Ireland
dc.internal.IRISemailaddress m.mccarthy@ucc.ie en


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© 2017 Published by Elsevier Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0 license Except where otherwise noted, this item's license is described as © 2017 Published by Elsevier Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
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