Abstract：
OBJECTIVE: Most women experience weight gain during the menopausal transition, often attributed to behavioral factors. Nevertheless, some women successfully maintain a healthy weight during this phase. This study aims to identify the successful cognitive and behavioral weight management strategies employed by postmenopausal women who effectively maintained a healthy weight during the menopausal transition (from premenopause to postmenopause).
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.
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.
摘要：
目标：大多数女性在更年期过渡期间体重增加，通常归因于行为因素。然而，一些女性在这个阶段成功地保持了健康的体重。这项研究旨在确定绝经后妇女在绝经过渡期间（从绝经前到绝经后）有效保持健康体重的成功认知和行为体重管理策略。
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。
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。
