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Abdolalipour S, Mousavi S, Hadian T, Meedya S, Mohammad‐Alizadeh‐Charandabi S, Mohammadi E, Mirghafourvand M. Adolescent pregnant women's perception of health practices: A qualitative study. Nurs Open 2023; 10:6186-6196. [PMID: 37209034 PMCID: PMC10416080 DOI: 10.1002/nop2.1852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 01/14/2023] [Accepted: 05/07/2023] [Indexed: 05/21/2023] Open
Abstract
AIM To explore adolescent pregnant women's perception of health practices. DESIGN A qualitative study. METHOD Fifteen pregnant women in Tehran (capital of Iran) were selected based on purposive sampling to participate in semi-structured, in-depth interviews. The content of interviews was recorded and transcribed and then analysed using conventional content analysis. RESULTS The first theme extracted was health practice with main categories of balanced rest/activity pattern, observance of an appropriate diet, sensitivity to personal health, observance of an appropriate pattern of social interactions, religious and spiritual orientations, recreational and leisure time activities, and stress management; second theme was perceived benefits with main categories of a sense of physical health improvement, a sense of mental health improvement, positive attitudes towards the effect of nutrition on pregnancy and childbirth health; and third theme was effective factors with main categories of facilitators of health practices and inhibitors of health practices. CONCLUSIONS Most pregnant adolescents' perception of health practices is at a satisfactory level; however, some inhibitors of health practice were explored in this study. These should be improved by adopting appropriate approaches in health policies. No Patient or Public Contribution.
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Affiliation(s)
- Somyieh Abdolalipour
- Department of Midwifery, Faculty of Nursing and MidwiferyTabriz University of Medical SciencesTabrizIran
| | - Sanaz Mousavi
- Women Reproductive Health Research CenterTabriz University of Medical SciencesTabrizIran
| | - Tahereh Hadian
- Departement of MidwiferyIslamic Azad University, Tehran Medical BranchTehranIran
| | - Shahla Meedya
- South Asia Infant Feeding Research Network (SAIFRN), School of Nursing, Faculty of Science, Medicine and HealthUniversity of WollongongWollongongNew South WalesAustralia
| | | | - Eesa Mohammadi
- Department of Nursing, School of MedicineTarbiat Modares UniversityTehranIran
| | - Mojgan Mirghafourvand
- Social Determinants of Health Research Center, Faculty of Nursing and MidwiferyTabriz University of Medical sciencesTabrizIran
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Bączek G, Studnicka A, Rychlewicz S, Iwan A, Rzońca E, Rahnama M. A Questionnaire-Based Study to Evaluate Health-Related Behaviors in 602 Women of Reproductive Age in Poland. Med Sci Monit 2021; 27:e935429. [PMID: 34968369 PMCID: PMC8725340 DOI: 10.12659/msm.935429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 11/29/2021] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Women's health and undertaking health behaviors during the reproductive period by women, especially during pregnancy, are an important indicator that is reflected both in their own health and in health of their children. This study aimed to use a questionnaire to evaluate the health-related behaviors in women of reproductive age in Poland. MATERIAL AND METHODS The studies were conducted among 602 women of reproductive age by diagnostic poll method with the use of questionnaire technique. The applied tool was an original on-line questionnaire. A link to the questionnaire was sent to women aged 18-49 years using the snowball sampling technique and was posted on thematic pro-health website forums. RESULTS The majority of women participating in the study exhibited health behaviors on the average level (65.3%; M=7.6). Pro-health behaviors were exhibited mainly by women with higher education (M=7.7; SD=2.6), married women (M=8.0; SD=2.6), and women who were pregnant at the time (M=8.8; SD=2.6). However, single women participating in the study consumed alcohol more often (80.6%). The observed relationships were statistically significant (P<0.05). CONCLUSIONS This survey showed that younger women with no children were significantly less likely to be aware of positive health-associated behaviors and lifestyle when compared with older women with children. This small study supports the importance of health education in young women before they have children.
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Affiliation(s)
- Grażyna Bączek
- Department of Obstetrics and Gynecology Didactics, Medical University of Warsaw, Warsaw, Poland
| | - Anna Studnicka
- Students’ Scientific Association of Midwives at Department of Obstetrics and Gynecology Didactics, Medical University of Warsaw, Warsaw, Poland
| | - Sylwia Rychlewicz
- St. Sophia’s Specialist Hospital, Żelazna Medical Center, Warsaw, Poland
| | - Agnieszka Iwan
- Department of Obstetrics and Gynecology Didactics, Medical University of Warsaw, Warsaw, Poland
| | - Ewa Rzońca
- Department of Obstetrics and Gynecology Didactics, Medical University of Warsaw, Warsaw, Poland
| | - Mansur Rahnama
- The Chair and Department of Oral Surgery, Medical University of Lublin, Lublin, Poland
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Fathnezhad-Kazemi A, Aslani A, Hajian S. Association between Perceived Social Support and Health-Promoting lifestyle in Pregnant Women: A Cross-Sectional Study. J Caring Sci 2021; 10:96-102. [PMID: 34222119 PMCID: PMC8242291 DOI: 10.34172/jcs.2021.018] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2019] [Accepted: 01/29/2020] [Indexed: 11/09/2022] Open
Abstract
Introduction: Adopting health-promoting lifestyle might be affected by a variety of factors. The existing evidence suggests that social support can improve health by fulfilling physical and mental needs. This study aimed to investigate the association between social support and health-promoting lifestyle in Pregnancy. Methods: Using multistage cluster sampling method, this cross-sectional study was conducted on 360 pregnant women. Data were collected using three questionnaires, including a self-reported demographic and obstetric, health-promoting lifestyle profile and perceived social support questionnaires. Data were analyzed using a t-test, repeated measures ANOVA, and multivariate linear regression model with SPSS software ver. 21 with. Results: The mean (SD) of health-promoting behaviors was 135.21(20.03). Amongst the different dimensions of health-promoting behaviors, the highest mean was detected in spiritual growth 26.84 (4.90) and nutrition 26.17 (4.22), respectively. Meanwhile, the lowest scores were detected in sub-domains of stress management 19.80 (3.78) and physical activity 16.71(4.14), respectively. The mean (SD) of perceived social support was 60.31 (14.75), and 51.7% of the participants had intermediate social support. Results indicated a significant difference between the mean score of Health-Promoting Lifestyle at different levels of social support. There was a direct and significant association between the scores of social support and health-promoting behavior (r=0.36; P<0.001). Conclusion: Pregnant women with better perception of social support had a better performance in adopting health-promoting Lifestyle. However, the status of health behaviors and social support was not favorable. Thus, there is a need to intervene and design programs to help pregnant women and improve their health.
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Affiliation(s)
| | - Armin Aslani
- Department of Medical Sciences, Student Research Committee, Islamic Azad University, Tabriz Branch, Tabriz, Iran
| | - Sepideh Hajian
- Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Hajian S, Aslani A, Sarbakhsh P, Fathnezhad-Kazemi A. The effectiveness of healthy lifestyle interventions on weight gain in overweight pregnant women: A cluster-randomized controlled trial. Nurs Open 2020; 7:1876-1886. [PMID: 33072373 PMCID: PMC7544855 DOI: 10.1002/nop2.577] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Revised: 06/15/2020] [Accepted: 06/26/2020] [Indexed: 11/25/2022] Open
Abstract
Aim Interventions based on adopting a healthy lifestyle have been less successful. The aim of this study was to investigate the effectiveness of healthy lifestyle interventions on weight gain in overweight pregnant women. Design A cluster randomized controlled trial. Methods Health centres were selected by simple random sampling; then, 66 overweight pregnant women were enrolled by convenience sampling and divided into intervention and comparison groups. Intervention group received individual nutritional counselling and physical activity training. The data were collected in several stages with the demographic and obstetric questionnaire, maternal weight record, food frequency and international physical activity questionnaire. Results Pregnancy weight gain‐4.75(CI 95%: −4.02, −5.48) was significantly lower in the intervention group (p < .001). Comparing between groups with adjustment for baseline values indicated that there was a statistically significant difference in terms of total calorie 95.46 (CI 95%: −22.37, 213.30), carbohydrate 23.45 (CI 95%: 2.12, 44.78), protein −7.16 (CI 95%: −12.85, −1.47) and fat 8.82 (CI 95%: 2.21, 15.67) intake. Despite the higher level of physical activity in the intervention group, there was no statistically significant difference between the two groups. Conclusion Counselling interventions for healthy living during pregnancy can lead to controlling weight gain, improving dietary habits and increasing the physical activity in overweight pregnant women.
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Affiliation(s)
- Sepideh Hajian
- Department of Midwifery & Reproductive Health Faculty of Nursing & Midwifery Shahid Beheshti University of Medical Sciences Tehran Iran
| | - Armin Aslani
- Medical student, Student Research Committee, Tabriz Branch Islamic Azad University Tabriz Iran
| | - Parvin Sarbakhsh
- Department of Statistics and Epidemiology School of Public Health Tabriz University of Medical Sciences Tabriz Iran
| | - Azita Fathnezhad-Kazemi
- Department of Midwifery Faculty of Nursing and Midwifery, Tabriz Branch Islamic Azad University Tabriz Iran
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Hamed Bieyabanie M, Mirghafourvand M. Health Promoting Lifestyle and its Relationship with Self-Efficacy in Iranian Mastectomized Women. Asian Pac J Cancer Prev 2020; 21:1667-1672. [PMID: 32592362 PMCID: PMC7568872 DOI: 10.31557/apjcp.2020.21.6.1667] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2020] [Indexed: 11/25/2022] Open
Abstract
INTRODUCTION Lifestyle modification has an important role in long-term health of breast cancer patients. As a result, this study aimed to identify the health-promoting lifestyle and its subdomains in mastectomized women and its relationship with self-efficacy. MATERIALS AND METHODS This cross-sectional study investigated 100 mastectomized women in Tabriz-Iran, 2018. The participants were selected using the convenience sampling method. Data was collected using a sociodemographic questionnaire, the Health Promoting Lifestyle Profile II (HPLP-II), and the General Self-Efficacy Scale by Sherer. The multivariate general linear model with adjusting the sociodemographic variables was used to determine the relationship of the health-promoting lifestyle with self-efficacy. RESULTS The mean±SD total score of the health-promoting behaviors was 135.5±16.7 from the obtainable score of 52 to 208. The highest and lowest mean scores were observed in the spiritual growth (25.4±4.3) and physical activity (15.2±4.4), respectively. The mean±SD self-efficacy score in this study was 57.3±7.4 from the obtainable score of 17 to 85. There was a significant positive correlation between the total score of the health-promoting lifestyle (r= 0.369; p<0.001) with self-efficacy. Results from the adjusted general linear model showed that the age, educational attainment of the spouse, and self-efficacy were the health-promoting lifestyle predictors. CONCLUSION The findings of this study indicate the importance of self-efficacy and modifiable variables such as education in the engagement of mastectomized women in the health-promoting lifestyle. Regarding the positive relationship of self-efficacy with the health-promoting lifestyle, it seems that the interventional attempts to improve self-efficacy in these patients especially with considering the variables of age and spouse's educational level can contribute to the improvement of the health-promoting lifestyle.
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Affiliation(s)
| | - Mojgan Mirghafourvand
- Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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Kazemi AF, Hajian S. Experiences related to health promotion behaviors in overweight pregnant women: a qualitative study. Reprod Health 2018; 15:219. [PMID: 30594210 PMCID: PMC6311013 DOI: 10.1186/s12978-018-0660-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Accepted: 12/10/2018] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND The adoption of health behaviors by pregnant women causes their improved health and achievement of appropriate pregnancy outcomes as well as improving the quality of life of the mother and infant. Limited studies have examined such behaviors in pregnant women, especially in overweight mothers. The purpose of this study was to explore the experiences of overweight pregnant women in relation to lifestyle changes during pregnancy to improve their health. METHODS This qualitative study was carried out with content analysis approach in Tabriz-Iran in 2017. Using purposive sampling, pregnant women with the Body Mass Index of overweight at the preconception were selected considering other inclusion criteria and the sampling was continued to saturate the findings. The data were collected by the first author through semi-structured face-to-face interviews with 32 overweight pregnant women through 18 deep individual interviews and three group interviews. The MAXQDA software version 10 was used for data analysis. Data strength was confirmed by participants and external control. RESULTS Most participants were Primigravida 20 (62.5%) and with high-level education 25 (78.1%). Qualitative data analysis led to the emergence of three main themes: "physical self-care", "mental self-care", and "risk perception". The first two themes present the nature of health promotion behaviors in overweight pregnant women; the third theme expresses their feelings and perception of behaviors related to health promotion. CONCLUSION Health promoting behaviors include behavioral and cognitive actions resulting from a perception of the risk caused by overweight pregnant mothers. Therefore, pregnancy is the right time to evaluate behaviors and to use high motivation of women to guide them in choosing healthy behaviors and helping them to adhere to health related behaviors.
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Affiliation(s)
- Azita Fathnezhad Kazemi
- Student Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sepideh Hajian
- Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Mirghafourvand M, Charandabi SMA, Lak TB, Aliasghari F. Predictors of Depression in Iranian Women with Polycystic Ovarian Syndrome. Community Ment Health J 2018; 54:1274-1283. [PMID: 29138958 DOI: 10.1007/s10597-017-0188-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2016] [Accepted: 11/04/2017] [Indexed: 12/29/2022]
Abstract
Depression is a major complication of polycystic ovarian syndrome (PCOS). Lifestyle modification can prevent it. This study aimed to determine the predictors of depression in women with PCOS. This cross-sectional study was conducted on 174 women who attended in infertility clinics in Urmia-Iran, 2015. The data were collected through socio-demographic, Beck Depression Inventory-II and Health Promoting Lifestyle Profile-2 questionnaires. The mean (standard deviation) of total score of the depression was obtained 27.4 (10.5) in the range 0-63. The mean (SD) of total score of the health promoting lifestyle was obtained 2.2 (0.3) out of 4. Based on multivariate linear regression, the variables of nutrition, interpersonal relationships, spiritual growth, stress management, BMI, the perceived stress of the disease, the first supporter and menstrual bleeding were predictors of the depression. Given the high prevalence of depression in PCOS patients and its relationship with health-promoting behaviors, lifestyle modification to reduce depression is necessary.
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Affiliation(s)
| | | | - Tahereh Behroozi Lak
- Reproductive Health Research Center, Urmia University of Medical Sciences, Urmia, Iran
| | - Fatemeh Aliasghari
- Students' Research Committee, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
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Mirghafourvand M, Charandabi SMA, Sharajabad FA, Sanaati F. Religious Practice and Health-Related Quality of Life in Iranian Adolescent Girls. JOURNAL OF RELIGION AND HEALTH 2018; 57:796-806. [PMID: 28342146 DOI: 10.1007/s10943-017-0380-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
This study aimed to determine the relationship between religious practice and health-related quality of life in adolescent girls in Tabriz, Iran, 2014-2015. This cross-sectional study was conducted on 520 female students who were selected using the random sampling method. Religious practice and health-related quality of life questionnaires were used for data collection. Multivariate linear regression analysis showed a significant relationship between health-related quality of life and received religious support, religiosity, father's and mother's education, father's occupation, family economic status, and the number of children. It is necessary to find ways to further promote religious practices in adolescents and ultimately their quality of life.
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Affiliation(s)
| | | | | | - Favziye Sanaati
- Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
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Sharajabad FA, Mohammad-Alizadeh Charandabi S, Mirghafourvand M. Life satisfaction and its relationship with spiritual well-being and religious practice in Iranian adolescent girls. Int J Adolesc Med Health 2017; 31:/j/ijamh.ahead-of-print/ijamh-2017-0077/ijamh-2017-0077.xml. [PMID: 28782351 DOI: 10.1515/ijamh-2017-0077] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2017] [Accepted: 05/28/2017] [Indexed: 12/31/2022]
Abstract
Introduction During recent years, special attention has been given to spiritual well-being and religious practice in the field of health. This study aimed to determine the predictors of life satisfaction among adolescent girls in Tabriz, Iran, 2015. Materials and methods This cross-sectional study was conducted on 520 female students studying in high schools who were selected using the cluster sampling method. Data collection was carried out through the questionnaires of socio-demographic characteristics, spiritual well-being (SWBS), religious practice (Arcury and colleagues) and life satisfaction (SWLS). Multivariate linear regression model was used for data analysis. Results The mean score of life satisfaction was 22.0 (SD: 6.0) from the attainable score of 5-35. The mean score (SD) of spiritual well-being was 90.2 (16.2), ranging from 20 to 120. The mean score of the religious practice was 32.1 (10.5) out of the achievable score range of 0-60. Multivariate linear regression analysis showed that existential well-being and sufficiency of income for expenses were predictors of life satisfaction and they explained 41.8% of the variance in the life satisfaction score. Conclusion The findings of the present study confirm the importance of existential well-being and a modifiable variable (sufficiency of income) in the life satisfaction. Thus, it is necessary to provide strategies to promote spirituality and improve the income status for improving adolescents' life satisfaction.
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Affiliation(s)
- Fariba Alizadeh Sharajabad
- Students' Research Committee, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | | | - Mojgan Mirghafourvand
- Nursing and Midwifery Faculty, Midwifery Department, Tabriz University of Medical sciences, Tabriz, Iran, Phone: 00989143206121
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Baheiraei A, Mirghafourvand M, Mohammadi E, Majdzadeh R. Experiences of Cigarette Smoking among Iranian Educated Women: A Qualitative Study. Int J Prev Med 2016; 7:93. [PMID: 27563429 PMCID: PMC4977981 DOI: 10.4103/2008-7802.186585] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2015] [Accepted: 05/10/2016] [Indexed: 11/28/2022] Open
Abstract
Background: Smoking is a well-known public health problem in women as well as men. In many countries including Iran, there is an increase in tobacco use among women. Exploring the experience of smoking by educated women in order to develop effective tobacco prevention programs in these women is necessary. This study aimed to explore the experiences of smoking among Iranian educated women. Methods: This study used a method of qualitative content analysis with the deep individual, semi-structured interviews on a sample of 14 educated female smokers, selected purposefully. Data were analyzed using qualitative content analysis with conventional approach while being collected. Results: The data analysis led to 16 subcategories which were divided into four main categories: (1) Personal factors including subcategories of imitation, show-off and independence, inexperience and curiosity, personal interest and desire, improved mood, and social defiance; (2) family factors including smokers in the family, intrafamily conflicts, and family strictures and limitations; (3) social factors including subcategories of effects of work and school environment, gender equality symbols, peer pressure, and acceptance among friends; and (4) negative consequences of smoking including subcategories of a sense of being physically hurt, psychological and emotional stress, and being looked upon in a negative and judgmental manner. Conclusions: The findings of this study showed that smoking among Iranian educated women is a multifactorial problem. Thus, it is necessary to address smoking among educated women in a holistic approach that focuses on different determinants including personal, family, and social factors particularly the gender roles and stereotypes.
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Affiliation(s)
- Azam Baheiraei
- Department of Reproductive Health, Tehran University of Medical Sciences, Tehran, Iran; Community Based Participatory Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Eesa Mohammadi
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Reza Majdzadeh
- Community Based Participatory Research Center, Tehran University of Medical Sciences, Tehran, Iran; Department of Epidemiology and Biostatistics, School of Public Health and Institute of Public Health Research, Tehran University of Medical Sciences, Tehran, Iran
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Spiritual Well-Being and Health-Related Quality of Life in Iranian Adolescent Girls. Community Ment Health J 2016; 52:484-92. [PMID: 26787114 DOI: 10.1007/s10597-016-9988-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Accepted: 01/04/2016] [Indexed: 10/22/2022]
Abstract
This study aimed to determine the status of quality of life, spiritual well-being, and their relationship among Iranian adolescent girls. This cross-sectional study was conducted on 520 students using the cluster sampling method. The mean score of quality of life was 59.86 (SD: 12.7) from the possible range of 0-100. The mean score of spiritual well-being was 90.22 (SD: 16.25), ranging from 20 to 120. Multivariate linear regression analysis showed a significant relationship between quality of life and the factors including existential well-being, religious well-being, parents' belief for their children's participation in religious ceremonies, father's education and occupation, father's illness, sufficiency of family income for expenses, and the number of children. Given that spiritual well-being dimensions are among the predictors of quality of life. Thus, it is necessary to find ways to promote spiritual well-being in adolescents and ultimately improve their quality of life.
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Asghari M, Mirghafourvand M, Mohammad-Alizadeh-Charandabi S, Malakouti J, Nedjat S. Effect of aerobic exercise and nutrition educationon quality of life and early menopause symptoms:A randomized controlled trial. Women Health 2016; 57:173-188. [PMID: 26909662 DOI: 10.1080/03630242.2016.1157128] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
The aim of the authors in this randomized controlled study was to assess the effect of exercise and nutrition education on quality of life and early menopausal symptoms. This trial was conducted in east Azerbaijan Province, Iran, during the period from 2013 to 2014 with 108 women allocated into one of four groups (n = 27 in each group) by block randomization. The interventions received by the three intervention groups were: nutrition education, aerobic exercise, or exercise plus nutrition education. The control group did not receive any intervention. The Greene and MENQOL menopause symptom scales were completed before and at 8 and 12 weeks after the intervention. The mean Greene score was significantly lower than the control group in the exercise (adjusted mean difference: -5.1) and exercise plus nutrition groups (-8.0) at the end of week 8 and in the nutrition (-4.8), exercise (-8.7), and exercise plus nutrition (-13.2) groups at the end of week 12. Also, the mean MENQOL score was significantly lower than the control group in the exercise (-8.3) and exercise plus nutrition groups (-13.8) at the end of week 8 and in the nutrition (-6.6), exercise (-13.5), and exercise plus nutrition (-22.1) groups at the end of week 12. Nutrition education with aerobic exercise can improve quality of life.
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Affiliation(s)
- Mehrnaz Asghari
- a Student Research Committee, Aras International Branch , Tabriz University of Medical Sciences , Tabriz , Iran
| | - Mojgan Mirghafourvand
- b Nursing and Midwifery Faculty, Midwifery Department , Tabriz University of Medical Sciences , Tabriz , Iran
| | - Sakineh Mohammad-Alizadeh-Charandabi
- c Social Determinants of Health Research Center, Nursing and Midwifery Faculty, Midwifery Department , Tabriz University of Medical Sciences , Tabriz , Iran
| | - Jamileh Malakouti
- b Nursing and Midwifery Faculty, Midwifery Department , Tabriz University of Medical Sciences , Tabriz , Iran
| | - Saharnaz Nedjat
- d Department of Epidemiology and Biostatistics, School of Public Health, Knowledge Utilization Research Center , Tehran University of Medical Sciences , Tehran , Iran
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Dunneram Y, Jeewon R. Healthy Diet and Nutrition Education Program among Women of Reproductive Age: A Necessity of Multilevel Strategies or Community Responsibility. Health Promot Perspect 2015; 5:116-27. [PMID: 26290827 DOI: 10.15171/hpp.2015.014] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2014] [Accepted: 04/26/2015] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Reproductive years represent a major proportion of women‟s life. This review focuses on recommended nutritional considerations, physical activity pattern as well as the effect of nutrition education (NE) on behavior modification and health outcomes of women of reproductive age using either single-level, multiple-level or community-level interventions. METHODS For this narrative review, numerous searches were conducted on databases of PubMed, Science Direct and Google Scholar search engine using the keywords women, reproductive age, NE, interventions, community-based. RESULTS Even though single intervention is effective, multiple intervention programmes in addition to behavior modification components are even more successful in terms of modified behaviors and health outcomes. Moreover, community based interventions using multilevel strategies are further useful for improved health outcomes and behavior modification. CONCLUSION NE programmes have been effective in positive behavior modification measured in terms of eating pattern and health quality. Thus, it is recommended that health professionals use multiple intervention strategies at community level to ensure improved outcomes. Political support is also required to create culturally sensitive methods of delivering nutritional programmes. Finally, as policy is dependent on program cost, nutritional programmes need to combine methods of cost analysis to show cost effectiveness of supplying adequate nutrition for women throughout the lifecycle.
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Affiliation(s)
- Yashvee Dunneram
- Department of Health Sciences, Faculty of Science, University of Mauritius, Réduit, Mauritius
| | - Rajesh Jeewon
- Department of Health Sciences, Faculty of Science, University of Mauritius, Réduit, Mauritius
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Khazaee-Pool M, Montazeri A, Majlessi F, Rahimi Foroushani A, Nedjat S, Shojaeizadeh D. Breast cancer-preventive behaviors: exploring Iranian women's experiences. BMC WOMENS HEALTH 2014; 14:41. [PMID: 24606758 PMCID: PMC3973958 DOI: 10.1186/1472-6874-14-41] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/16/2013] [Accepted: 03/04/2014] [Indexed: 12/30/2022]
Abstract
Background Breast cancer-preventive behaviors are critical for community and women’s health. Although many studies have addressed women’s knowledge and attitudes toward breast cancer, little information is available about their experiences of breast cancer preventive behaviors. This study aimed to explore the experiences of Iranian women regarding preventive behaviors. Methods This was a qualitative study. A sample of Iranian women aged 30 years and over was selected purposefully. Data collected through focus group and semi-structured audiotaped interviews and were analyzed by conventional content analysis. Results The following five main themes emerged from the analysis: attitude toward breast cancer and preventive behaviors, stress management, healthy lifestyle, perceived social support and individual/environmental barriers. The findings showed that women were highly motivated to preventive behaviors of breast cancer but faced considerable challenges. Conclusions The findings indicated that increased awareness, positive attitudes, stronger motivational factors, and fewer barriers toward preventive behaviors are most important parameters that might encourage women to practice breast cancer-preventive behaviors.
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Affiliation(s)
| | - Ali Montazeri
- Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, P,O, Box 15875-6951, Tehran, Iran.
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Baheiraei A, Mirghafourvand M, Charandabi SMA, Mohammadi E. Facilitators and Inhibitors of Health-promoting Behaviors: The Experience of Iranian Women of Reproductive Age. Int J Prev Med 2013; 4:929-39. [PMID: 24049620 PMCID: PMC3775171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2012] [Accepted: 01/24/2013] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND There is scant information on the facilitators and inhibitors of health-promoting behaviors among reproductive-aged Iranian women. This study aims to explore the experience of factors influencing health-promoting behaviors among Iranian women of reproductive age from a qualitative perspective. METHODS This study was performed in Tehran in 2011, over about 8 months. Qualitative methods, specifically in-depth interviews, were used to gather data on 15 women of reproductive age. Data continued to be collected until introduction of new information ceased. The interviews were recorded, transcribed verbatim, and analyzed by conventional content analysis. RESULTS The reported factors were categorized into four main groups and 12 subgroups: (1) personal barriers (lack of time, school or work duties, lack of preparation or motivation, physical disability); (2) socio-environmental barriers (family responsibilities, environmental pressures, high-costs and financial pressures); (3) personal facilitators (personal interest and motivation, experience of disease); and (4) socio-environmental facilitators (family and social support networks, encouraging and motivating environment, media, and public education). CONCLUSIONS In these women's experience, factors influencing health-promoting behaviors were either facilitators or inhibitors; most were inhibitors. The findings of this study show that, in addition to personal factors, the pursuit of health-promoting behaviors is affected by socio-environmental factors. These results will be useful in designing interventions and plans for women's health promotion that focus on the improvement of their environment and the modification of social factors.
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Affiliation(s)
- Azam Baheiraei
- Department of Reproductive Health, Center for Community-Based Participatory Research, Tehran University of Medical Sciences, Tehran, Iran
| | - Mojgan Mirghafourvand
- Department of Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran,Correspondence to: Dr. Mojgan Mirghafourvand, Department of Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran. E-mail:
| | | | - Eesa Mohammadi
- Department of Nursing, Faculty of Medicine, Tarbiat Modares University, Tehran, Iran
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