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首页> 美国卫生研究院文献>Nutrients >Exploring the Perceptions of Women from Under-Resourced South African Communities about Participating in a Low-Carbohydrate High-Fat Nutrition and Health Education Program: A Qualitative Focus Group Study
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Exploring the Perceptions of Women from Under-Resourced South African Communities about Participating in a Low-Carbohydrate High-Fat Nutrition and Health Education Program: A Qualitative Focus Group Study

机译：定性焦点小组研究探索资源贫乏的南非社区妇女参与低碳水化合物高脂肪营养与健康教育计划的观念

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Scientific evidence suggests that low-carbohydrate high-fat (LCHF) diets may be effective for managing non-communicable diseases (NCDs). Eat Better South Africa (EBSA) is an organization that runs LCHF nutrition education programs for women from low-income communities. Three focus group discussions (FGDs) were held with 18 women who had taken part in an EBSA program between 2015 and 2017, to explore their perceptions and to identify the facilitators and barriers they faced in implementing and sustaining dietary changes. Thematic analysis of the focus groups was conducted using NVivo 12 software. Women reported that they decided to enroll in the program because they suffered from NCDs. Most women said that the EBSA diet made them feel less hungry, more energetic and they felt that their health had improved. Most women spoke of socioeconomic challenges which made it difficult for them to follow EBSA’s recommendations, such as employment status, safety issues in the community, and lack of support from relatives and doctors. Hence, women felt they needed more support from EBSA after the program. The social determinants that affected these women’s ability to change their health behavior are also NCD risk factors, and these should be assessed to improve the program for other communities.
机译：科学证据表明，低碳水化合物高脂（LCHF）饮食可能对控制非传染性疾病（NCDs）有效。南非饮食更好（EBSA）是一个组织，为来自低收入社区的妇女开展LCHF营养教育计划。与2015年至2017年间参加EBSA计划的18名妇女进行了三场焦点小组讨论（FGD），以探讨她们的看法并确定她们在实施和维持饮食变化方面所面临的促进因素和障碍。使用NVivo 12软件对焦点小组进行主题分析。妇女报告说，由于患有非传染性疾病，她们决定参加该方案。大多数妇女说，EBSA饮食使她们感到更少的饥饿感，更有活力，并且她们的健康状况得到了改善。大多数妇女谈到了社会经济挑战，这使她们难以遵循EBSA的建议，例如就业状况，社区安全问题以及亲戚和医生的支持不足。因此，在该计划结束后，妇女感到她们需要EBSA提供更多的支持。影响这些女性改变其健康行为能力的社会决定因素也是非传染性疾病的危险因素，应评估这些因素，以改善针对其他社区的计划。

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