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

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dc.contributor.authorO'Brien, Orna A.
dc.contributor.authorLindsay, Karen L.
dc.contributor.authorMcCarthy, Mary
dc.contributor.authorMcGloin, Aileen F.
dc.contributor.authorKennelly, Maria
dc.contributor.authorScully, Helena A.
dc.contributor.authorMcAuliffe, Fionnuala M.
dc.contributor.funderUniversity College Corken
dc.contributor.funderUniversity College Dublinen
dc.contributor.funderNational Maternity Hospital, Ireland
dc.date.accessioned2017-05-17T14:38:26Z
dc.date.available2017-05-17T14:38:26Z
dc.date.issued2017-02-07
dc.date.updated2017-05-17T14:28:04Z
dc.description.abstractObjective: 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.sponsorshipNational Maternity Hospital, Ireland (Medical Fund)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationO’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.2017.02.003en
dc.identifier.doi10.1016/j.midw.2017.02.003
dc.identifier.endpage35en
dc.identifier.issn0266-6138
dc.identifier.journaltitleMidwiferyen
dc.identifier.startpage28en
dc.identifier.urihttps://hdl.handle.net/10468/3979
dc.identifier.volume47en
dc.language.isoenen
dc.publisherElsevieren
dc.rights© 2017 Published by Elsevier Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0 licenseen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectQualitative researchen
dc.subjectFood preferenceen
dc.subjectPhysical activityen
dc.subjectHealth behaviouren
dc.subjectPregnancyen
dc.subjectLifestyle changeen
dc.titleInfluences on the food choices and physical activity behaviours of overweight and obese pregnant women: A qualitative studen
dc.typeArticle (peer-reviewed)en
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