怀孕期间有效的饮食干预措施:对促进健康饮食的行为改变技术进行系统审查和元分析
Hannah O'Connor1, Nina Meloncelli2,3, Shelley A Wilkinson4,5
1Faculty of Medicine, Centre for Health Services Research, The University of Queensland, Herston, Brisbane, QLD, 4000, Australia. h.oconnor@uq.edu.au.
BMC pregnancy and childbirth
|February 3, 2025
概括
有效的怀孕营养干预措施使用行为改变技术,如:
科学领域:
- 孕产妇和儿童的健康
- 营养科学 营养科学
- 行为科学 行为科学
背景情况:
- 在怀孕期间改善母亲的营养对于母亲和孩子的积极结果至关重要.
- 怀孕和产后饮食改变的有效策略没有得到充分的记录.
- 了解行为改变技术 (BCT) 是成功饮食干预的关键.
研究的目的:
- 系统地审查和元分析孕妇饮食干预措施的有效性.
- 为了确定这些饮食干预中经常使用的BCT和干预特征.
- 确定哪些BCT和特征对改善饮食摄入量最有效.
主要方法:
- 从六个数据库中对随机对照试验 (RCT) 进行了系统审查和元分析.
- 包括涉及怀孕妇女 (16岁以上) 参与积极饮食干预的RCT,与对照组相比.
- 使用Cochrane风险偏差工具和使用Michie等人编码的BCT评估研究有效性. 的分类学V1.1.
主要成果:
- 37个RCT符合纳入标准,显示出高度的异质性.
- "奖励和威胁"的BCT类别改善了饮食质量和蔬菜摄入量.
- "行动计划" (1.4) 显著提高了饮食质量.
- 营养专业人员的干预和小组会议比其他交付方法更有效.
结论:
- 未来的怀孕饮食干预措施应纳入并报告特定的BCT.
- 由营养专业人员提供的多模式干预措施,包括"奖励和威胁"和"行动计划",有望改善产前饮食摄入量.
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