title: Barriers to adopting a healthy lifestyle: insight from postpartum women.
abstract: BACKGROUND
  Postpartum weight retention can contribute to obesity. There may be unique barriers to weight loss in this period.
  
  
  RESULTS
  Cases are presented for three postpartum women who declined to participate in a postpartum weight loss intervention.Despite their desire to engage in healthier behaviors, or partake in an intervention uniquely designed to promote healthy lifestyles for postpartum women, some find it too difficult to make such commitments. Barriers women face in adopting a healthier lifestyle in this period include 1) time availability; 2) prioritizing other competing life responsibilities above their own health; 3) support from family members, friends, and/or co-workers; and 4) lack of flexibility in the intervention structure. These illustrations describe their perspectives in the context of life balance, perceived health, and support, and reflect the multi-dimensional nature of their lives during the life cycle change of the postpartum period.
  
  
  CONCLUSIONS
  Postpartum women face difficult and complex challenges to prioritizing their health and their weight management.
authors.affiliation: Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA. lori.c.edwards@duke.edu
authors.forename: Lori
authors.initials: L
authors.lastname: Carter-Edwards
authors.forename: Truls
authors.initials: T
authors.lastname: Østbye
authors.forename: Lori A
authors.initials: LA
authors.lastname: Bastian
authors.forename: Kimberly S H
authors.initials: KS
authors.lastname: Yarnall
authors.forename: Katrina M
authors.initials: KM
authors.lastname: Krause
authors.forename: Tia-Jane'l
authors.initials: TJ
authors.lastname: Simmons
references.citation: Am J Prev Med. 2007 Apr;32(4):305-11
references.pmid: 17383561
references.citation: J Womens Health (Larchmt). 2003 Dec;12(10):991-8
references.pmid: 14709187
references.citation: Br J Nutr. 1994 Apr;71(4):457-70
references.pmid: 8011603
references.citation: J Consult Clin Psychol. 1999 Feb;67(1):132-8
references.pmid: 10028217
references.citation: J Womens Health (Larchmt). 2008 Dec;17(10):1567-75
references.pmid: 19049350
references.citation: Int J Obes Relat Metab Disord. 1998 Nov;22(11):1103-9
references.pmid: 9822949
references.citation: Epidemiol Rev. 1999;21(2):261-75
references.pmid: 10682262
references.citation: Int J Obes Relat Metab Disord. 2003 Jan;27(1):117-27
references.pmid: 12532163
references.citation: Obstet Gynecol. 2005 Dec;106(6):1349-56
references.pmid: 16319262
references.citation: J Urban Health. 2001 Sep;78(3):458-67
references.pmid: 11564849
references.citation: Obstet Gynecol. 2002 Aug;100(2):245-52
references.pmid: 12151145
references.citation: Am J Prev Med. 1999 Nov;17(4):275-84
references.pmid: 10606196
references.citation: Am J Prev Med. 2007 Apr;32(4):356-7
references.pmid: 17383569
references.citation: Ethn Dis. 2006 Winter;16(1 Suppl 1):S79-88
references.pmid: 16681131
references.citation: Am J Prev Med. 2008 Jun;34(6):523-8
references.pmid: 18471590