METHODS: Semi-structured interviews were conducted with 31 Portuguese postmenopausal women, aged 45-65 years (mean and standard deviation 54.06 ± 5.51) who successfully maintained a healthy weight (body mass index: 18.5 kg/m2-24.9 kg/m2) during the menopausal transition. The interviews were conducted via telephone (n = 29) and Zoom (n = 2), based on the participant\'s preference, and ranged from 11 to 52 min (22.06 ± 9.95). Using MAXQDA software, deductive-dominant content analysis of the interviews was performed. The Interface of R for the Multidimensional Analyses of Texts and Questionnaire software was used for lexical analysis.
RESULTS: The qualitative analysis of cognitive and behavioral strategies for successful weight management yielded 17 categories and 37 sub-categories. Effective cognitive and behavioral strategies (e.g., planning content, stimulus control, support: help from others) were identified, mostly aligning with the Oxford Food and Activity Behaviors Taxonomy. Five new categories emerged: dietary choices, intuitive eating, food literacy, psychological self-care, and effortful inhibition.
CONCLUSIONS: Knowing effective cognitive and behavioral weight management strategies for menopausal women is relevant, especially considering their status as a high-risk group. This knowledge provides a valuable guide for designing weight management interventions, emphasizing the essential role of behavioral change.
方法:对31名葡萄牙绝经后妇女进行了半结构化访谈,年龄在45-65岁(平均值和标准偏差54.06±5.51),在更年期过渡期间成功保持了健康的体重(体重指数:18.5kg/m2-24.9kg/m2)。访谈通过电话(n=29)和Zoom(n=2)进行,根据参与者的偏好,范围为11至52分钟(22.06±9.95)。使用MAXQDA软件,对访谈进行了演绎主导内容分析。文本多维分析的R界面和问卷软件用于词法分析。
结果:成功进行体重管理的认知和行为策略的定性分析产生了17个类别和37个子类别。有效的认知和行为策略(例如,规划内容,刺激控制,支持:来自他人的帮助)被确定,主要与牛津食品和活动行为分类法一致。出现了五个新类别:饮食选择,直观的饮食,食品素养,心理自我照顾,和努力的抑制。
结论:了解更年期女性有效的认知和行为体重管理策略是相关的,特别是考虑到他们作为高危人群的地位。这些知识为设计体重管理干预措施提供了宝贵的指导,强调行为改变的基本作用。