Author : Fotini Tsofliou
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)
Book Synopsis P3-05-04 - Challenges and Facilitators to Healthy Eating in Pregnancy: a Systematic Review by : Fotini Tsofliou
Download or read book P3-05-04 - Challenges and Facilitators to Healthy Eating in Pregnancy: a Systematic Review written by Fotini Tsofliou and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Pregnancy has been described as an ideal u201cwindow of opportunityu201d for promoting lifestyle change with a view to improving long term health of both the mother and offspring. Evidence indicates that modifying lifestyle factors such as diet, physical activity and smoking in pregnancy can improve metabolic health determinants and be vital in tackling nutrient deficiencies, obesity and related metabolic disorders. Although considerable efforts have been undertaken to improve healthy eating in pregnancy, including the provision of healthy eating guidelines, maternal obesity is still highly prevalent (20% UK,>20% USA) and healthy eating recommendations are not always adopted by women. Therefore, in order to improve maternal nutrition, it is imperative to evaluate the evidence regarding the challenges/barriers and facilitators/enablers to healthy eating in pregnancy.Five electronic databases (MEDLINE, CINAHL, ScienceDirect, SCOPUS and OVID) were searched from Jan 1980 to March 2019 and search produced 5,816 papers. After abstract and full paper screening including hand searching, 30 papers met our inclusion criteria: Fourteen from the United States, six from Australia, six from the United Kingdom and four from other countries (Japan, Sweden and the Republic of Ireland). Inclusion criteria included qualitative studies (focus groups, in-depth interviews) and cross-sectional studies that investigated factors considered as challenges/barriers and facilitators/enablers to healthy eating in pregnant women aged 18-48 years old. Mixed method studies with qualitative components that focused on the theme were also included. Twenty-five of the studies were qualitative studies and five were cross-sectional surveys with 2,420 total participants recruited from hospitals and community based antenatal centres.Methodological approaches consisted of focus groups, in-depth interviews and questionnaires. The most commonly cited barriers included poor social support/network, conflict/lack of nutrition knowledge, untailored dietary advice/cultural and ethical preferences, cost, misunderstanding of healthy eating, food cravings and palatability and emotional/coping responses. On the other hand most commonly cited facilitators to healthy eating included perceived health benefit, physical appearance and effective social support.Although the present systematic review is ongoing, views of pregnant women from low/middle-income countries are not represented in the present data as a result of a dearth of literature from these areas. These findings, however, can be useful in informing the development of tailored healthy eating interventions in pregnant women.Conflict of interest:There is no conflict of interest.