title: Motivators and barriers to healthful eating and physical activity among low-income overweight and obese mothers.
abstract: Low-income women who are overweight and obese are at high risk for long-term retention of weight gain during pregnancy, in part because they may have poor diets and inadequate physical activity, both of which may be exacerbated by stressful situations. This study identified motivators and barriers to healthful eating and physical activity among low-income overweight and obese non-Hispanic black and non-Hispanic white mothers. Qualitative data were collected via eight focus group interviews. Eighty low-income overweight and obese non-Hispanic black (n=41) and non-Hispanic white (n=39) mothers, age 18 to 35 years, were recruited from the Special Supplemental Nutrition Program for Women, Infants, and Children sites in six counties in Michigan. Personal appearance, fit in clothes, inability to play with their children, and social support were motivating factors for healthful eating and physical activity. Stressful experiences triggered emotional eating and reduced participants' ability to practice these behaviors. Other factors-for example, wanting quick weight-loss results-made it difficult for these mothers to follow recommended healthful lifestyle practices. Nutrition educators can address these concerns by including information about ways to deal with stress and emotional eating and emphasizing the benefits of healthful eating and physical activity in their program plans.
authors.affiliation: Michigan State University College of Nursing, 515F West Fee Hall, East Lansing, MI 48824, USA. changme@msu.edu
authors.forename: Mei-Wei
authors.initials: MW
authors.lastname: Chang
authors.forename: Susan
authors.initials: S
authors.lastname: Nitzke
authors.forename: Eileen
authors.initials: E
authors.lastname: Guilford
authors.forename: Constance H
authors.initials: CH
authors.lastname: Adair
authors.forename: Diana L
authors.initials: DL
authors.lastname: Hazard
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D001294:Attitude to Health; D004032:Diet / Q000592:standards; D004435:Eating / Q000523:psychology*; D015444:Exercise / Q000502:physiology / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D005522:Food Services; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008824:Michigan; D009035:Mothers / Q000523:psychology*; D009042:Motivation; D009765:Obesity / Q000517:prevention & control / Q000523:psychology; D050177:Overweight / Q000517:prevention & control / Q000523:psychology*; D011203:Poverty; D011632:Public Assistance; D012944:Social Support; D013315:Stress, Psychological / Q000150:complications; D015431:Weight Loss; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data