Stages of change for fruit and vegetable intake and dietary fat modification in Maori women: Some relationships with body attitudes and eating behaviours

Abstract

We examined the influence of psychological factors (social physique anxiety, dietary self-efficacy), difficulties associated with making dietary changes and food security on stages of change for dietary fat reduction and increased fruit and vegetable intake in a non-probability convenience sample of New Zealand Maori women (N = 111) recruited through several acquaintanceship networks of the first author. We found that dietary fat intake, dietary self-efficacy and difficulties associated with changing fruit intake were significantly related to the stages of change for both dietary fat intake reduction and increased fruit and vegetable intake. In addition, difficulties associated with reducing dietary fat intake were significantly related to the stages of change for dietary fat intake reduction. As one moved along the change continuum, dietary fat intake and barriers associated with dietary change steadily reduced, whilst dietary self-efficacy increased. Sixty eight percent of the sample were categorised as either overweight or obese, and these participants reported significantly more anxiety and lower self-efficacy. Discussion focussed on the applicability of the study variables in the implementation of dietary related interventions for Maori women.