the design of a community lifestyle programme to improve the physical and psychological well-being of pregnant women with a bmi of 30 kgm2 or more一个社区的生活方式的设计方案,提高孕妇的生理和心理健康,而体重指数为30的kgm2或更多.pdf

Smith et al. BMC Public Health 2010, 10:284 /1471-2458/10/284 S T U D Y P R O T O C O L Open Access Study protocol The design of a community lifestyle programme to improve the physical and psychological well-being of pregnant women with a BMI of 30 kg/m2 or more 1 2 3 1 1 1 Debbie M Smith* , Melissa Whitworth , Colin Sibley , Wendy Taylor , Jane Gething , Catherine Chmiel and Tina Lavender 1 Abstract Background: Obesity is a global public health issue. Having a BMI of 30 kg/m2 or more (classifying a person as obese) at the start of pregnancy is a significant risk factor for maternal and fetal morbidity. There is a dearth of evidence to inform suitable inteventions to support pregnant women with a BMI of 30 kg/m2 or more. Here we describe a study protocol to test the feasibility of a variety of potential healthy lifestyle interventions for pregnant women with a BMI of 30 kg/m2 or more in a community based programme. Methods/Design: Four hundred women will be approached to attend a 10-week community lifestyle programme. The programme will be provided as a supplement to standa rd antenatal care. The programme is multi-faceted, aimed at equipping participants with the skills and knowledge needed to adopt healthy behaviours. The social (cognitive) learning theory will be used as a tool to encourage behaviour change, the behaviour change techniques are underpinned by five theoretical components; self-efficacy, outcome expectancies, goal setting, feedback and positive reinforcement. The main outcomes are pregnancy weight gain and caesarea n section rate. Other important outcomes include clinical outcomes (e.g., birth weight) and psychological outcomes (e.g., well-being). Secondary outcomes include womens