physical activity in pregnancy a qualitative study of the beliefs of overweight and obese pregnant women孕期体力活动的定性研究,超重和肥胖的孕妇的信念.pdf

Weir et al. BMC Pregnancy and Childbirth 2010, 10:18 /1471-2393/10/18 R E S E A R C H A R T I C L E Open Access Research article Physical activity in pregnancy: a qualitative study of the beliefs of overweight and obese pregnant women 1 1 2 3 1 1 Zoe Weir , Judith Bush* , Stephen C Robson , Catherine McParlin , Judith Rankin and Ruth Bell Abstract Background: Whilst there has been increasing research interest in interventions which promote physical activity during pregnancy few studies have yielded detailed insights into the views and experiences of overweight and obese pregnant women themselves. The qualitative study described in this paper aimed to: (i) explore the views and experiences of overweight and obese pregnant women; and (ii) inform interventions which could promote the adoption of physical activity during pregnancy. Methods: The study was framed by a combined Subtle Realism and Theory of Planned Behaviour (TPB) approach. This enabled us to examine the hypothetical pathway between beliefs and physical activity intentions within the context of day to day life. The study sample for the qualitative study was chosen by stratified, purposive sampling from a previous study of physical activity measurements in pregnancy. Research participants for the current study were recruited on the basis of Body Mass Index (BMI) at booking and parity. Semi-structured, in-depth interviews were conducted with 14 overweight and obese pregnant women. Data analysis was undertaken using a Framework Approach and was informed by TPB. Results: Healthy eating was often viewed as being of greater importance for the health of mother and baby than participation in physical activity. A commonly cited motivator for maintaining physica