PDF(Pubmed)
Abstract：
BACKGROUND: Educational programs incorporating physical activity (PA) sessions and nutritional workshops have demonstrated potential benefits for overweight and obese pregnant women. However, participation in such programs remains challenging. This prospective study aimed to investigate the factors influencing participation and regular attendance, while examining changes in health behaviors, along with obstetric and neonatal outcomes.
METHODS: Pregnant women with at 12-22 weeks\' gestation a BMI ≥ 25 kg/m2 were invited to join an educational program combining three nutritional workshops conducted in groups and 12 weekly PA sessions. They self-selected their participation into the program. Regardless of program uptake and regularity of attendance, the women\'s PA levels, eating behaviors, and affectivity were assessed using validated questionnaires at 20-24 weeks, 32-34 weeks, and postpartum. A multivariable logistic regression model was used to determine the factors influencing participation.
RESULTS: Of the 187 women enrolled in the study, 61.5% agreed to participate in the program. Of these, only 45% attended six or more sessions (regardless of the nature of sessions, i.e. nutritional workshops and/or PA sessions), while only 8.7% attended six or more PA sessions. Participation was associated with higher rates of problematic eating behaviors and lower PA levels at baseline, while regular attendance was mainly associated with higher household incomes. No significant difference was observed between participants and non-participants in terms of changes in eating behaviors, PA levels, or affectivity. However, at the 32-34 week visit, regular participants displayed a higher change in positive affectivity, but unexpectedly also in cognitive restraint, than non-regular participants, a difference that did not persist at postpartum.
CONCLUSIONS: The educational program combining nutrition and PA was shown to be safe. Women facing challenges related to health behavior displayed a willingness to sign up for the program, but tailored interventions addressing their individual challenges are needed to improve attendance. Accordingly, four recommendations are proposed for the design of future interventions.
BACKGROUND: ClinicalTrials.gov; Identifier: NCT02701426; date of first registration: 08/03/2016.
METHODS: Pregnant women with at 12-22 weeks\' gestation a BMI ≥ 25 kg/m2 were invited to join an educational program combining three nutritional workshops conducted in groups and 12 weekly PA sessions. They self-selected their participation into the program. Regardless of program uptake and regularity of attendance, the women\'s PA levels, eating behaviors, and affectivity were assessed using validated questionnaires at 20-24 weeks, 32-34 weeks, and postpartum. A multivariable logistic regression model was used to determine the factors influencing participation.
RESULTS: Of the 187 women enrolled in the study, 61.5% agreed to participate in the program. Of these, only 45% attended six or more sessions (regardless of the nature of sessions, i.e. nutritional workshops and/or PA sessions), while only 8.7% attended six or more PA sessions. Participation was associated with higher rates of problematic eating behaviors and lower PA levels at baseline, while regular attendance was mainly associated with higher household incomes. No significant difference was observed between participants and non-participants in terms of changes in eating behaviors, PA levels, or affectivity. However, at the 32-34 week visit, regular participants displayed a higher change in positive affectivity, but unexpectedly also in cognitive restraint, than non-regular participants, a difference that did not persist at postpartum.
CONCLUSIONS: The educational program combining nutrition and PA was shown to be safe. Women facing challenges related to health behavior displayed a willingness to sign up for the program, but tailored interventions addressing their individual challenges are needed to improve attendance. Accordingly, four recommendations are proposed for the design of future interventions.
BACKGROUND: ClinicalTrials.gov; Identifier: NCT02701426; date of first registration: 08/03/2016.
摘要：
背景：结合体力活动（PA）课程和营养研讨会的教育计划已证明对超重和肥胖孕妇的潜在益处。然而,参与此类计划仍然具有挑战性。这项前瞻性研究旨在调查影响参与和定期出勤的因素，在检查健康行为的变化时，以及产科和新生儿的结局。
方法：邀请妊娠12-22周BMI≥25kg/m2的孕妇参加一项教育计划，该计划包括三个分组的营养研讨会和12个每周一次的PA课程。他们自行选择参与该计划。无论计划的吸收和出席的规律性如何，妇女的PA水平，饮食行为,和情感在20-24周使用有效的问卷进行评估，32-34周,和产后。采用多变量logistic回归模型确定参与的影响因素。
结果：在参与研究的187名女性中，61.5％的人同意参加该计划。其中,只有45%的人参加了六个或更多的会议(无论会议的性质如何，即营养研讨会和/或PA会议)，而只有8.7%的人参加了六个或更多的PA会议。参与与较高的有问题的饮食行为和较低的PA水平在基线相关，而定期出勤主要与家庭收入增加有关。在饮食行为的变化方面，参与者和非参与者之间没有观察到显著差异，PA水平,或情感。然而,在32-34周的访问中，常规参与者表现出更高的积极情感变化，但出乎意料的是，在认知约束方面，非正常参与者，这种差异在产后并不存在。
结论：结合营养和PA的教育计划被证明是安全的。面临与健康行为相关挑战的女性表现出报名参加该计划的意愿，但是需要有针对性的干预措施来解决他们的个人挑战，以提高出勤率。因此，对未来干预措施的设计提出了四项建议.
背景：ClinicalTrials.gov；标识符：NCT02701426；首次注册日期：2016年03月08日。
方法：邀请妊娠12-22周BMI≥25kg/m2的孕妇参加一项教育计划，该计划包括三个分组的营养研讨会和12个每周一次的PA课程。他们自行选择参与该计划。无论计划的吸收和出席的规律性如何，妇女的PA水平，饮食行为,和情感在20-24周使用有效的问卷进行评估，32-34周,和产后。采用多变量logistic回归模型确定参与的影响因素。
结果：在参与研究的187名女性中，61.5％的人同意参加该计划。其中,只有45%的人参加了六个或更多的会议(无论会议的性质如何，即营养研讨会和/或PA会议)，而只有8.7%的人参加了六个或更多的PA会议。参与与较高的有问题的饮食行为和较低的PA水平在基线相关，而定期出勤主要与家庭收入增加有关。在饮食行为的变化方面，参与者和非参与者之间没有观察到显著差异，PA水平,或情感。然而,在32-34周的访问中，常规参与者表现出更高的积极情感变化，但出乎意料的是，在认知约束方面，非正常参与者，这种差异在产后并不存在。
结论：结合营养和PA的教育计划被证明是安全的。面临与健康行为相关挑战的女性表现出报名参加该计划的意愿，但是需要有针对性的干预措施来解决他们的个人挑战，以提高出勤率。因此，对未来干预措施的设计提出了四项建议.
背景：ClinicalTrials.gov；标识符：NCT02701426；首次注册日期：2016年03月08日。
