Health-Promoting Lifestyle and Eating Behavior Patterns in Pregnant Women: A Cross- Sectional Study
Advances in Nursing & Midwifery,
دوره 30 شماره 1 (2021),
15 كانون الثاني 2021
,
صفحه 26-33
چکیده
Abstract
Introduction: Weight gaining during pregnancy is under the influence of an adopted lifestyle. For planning appropriate interventions to prevent obesity in pregnancy, it is essential to have a better perception of health-promoting behaviors. This study aimed to evaluate Health-promoting lifestyle and eating behavior patterns in pregnant women.
Methods: A cross-sectional study was carried out on 360 pregnant women by a multistage cluster sampling method for a period of 6 months from March-August 2017 in Tabriz, Iran. Data were collected by self-reported questionnaires including demographic and obstetric, health-promoting behaviors (HPLPII), and eating behavior patterns questionnaires. Descriptive and inferential statistics, namely Pearson's test were used to evaluate the association between variables.
Results: The Mean (SD) total score of health-promoting behaviors in pregnant women was 135.21 (20.03) and maximum and minimum scores were perceived by Spiritual growth 26.84(4.90) and physical activity 16.71(40.14) respectively. In eating behavior patterns, the greatest score was received by eating healthy and low-fat meals and cultural behaviors. According to the Pearson Correlation test, there was a significant inverse relationship between health-promoting behaviors and fast food consumption (P<0/001). Also, a significant direct relation was detected between health-promoting behaviors and the cultural eating pattern.
Conclusions: Intermediate scores received in adopting health-promoting behaviors suggest the habits need special attention regarding stress management and physical activity in pregnant women. Despite the tendency to low-fat meals, dietary consultation and informative programs are essential. Also, a comprehensive approach to adopting a healthy lifestyle is required.
کلمات کلیدی:
- Health-promotion, overweight, pregnancy, eating behavior
ارجاع به مقاله
Hajian, S. ., Aslani, A., & fathnezha-kazemi, azita. (2021). Health-Promoting Lifestyle and Eating Behavior Patterns in Pregnant Women: A Cross- Sectional Study. Advances in Nursing & Midwifery, 30(1), 26–33. Retrieved از https://journals.sbmu.ac.ir/en-jnm/article/view/34062
مراجع
1. Dodd JM, Turnbull D, McPhee AJ, Deussen AR, Grivell RM, Yelland LN, Crowther CA, Wittert G, Owens JA, Robinson JS: Antenatal lifestyle advice for women who are overweight or obese: LIMIT randomised trial. BMJ 2014, 348:g1285.
2. Peterson E, Hibbard JU: Medical Disorders in Pregnancy. Obstetrics and Gynecology Clinics 2018, 45:xv-xvi.
3. O'Brien CM, Cramp C, Dodd JM: Delivery of Dietary and Lifestyle Interventions in Pregnancy: is it Time to Promote the Use of Electronic and Mobile Health Technologies? In Seminars in reproductive medicine. Thieme Medical Publishers; 2016
4. Thangaratinam S, Rogozińska E, Jolly K, Glinkowski S, Roseboom T, Tomlinson J, Kunz R, Mol B, Coomarasamy A, Khan K: Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence. 2012.
5. Tol A, Tavassoli E, Shariferad GR, Shojaezadeh D: The relation between health-promoting lifestyle and quality of life in undergraduate students at school of health, Isfahan University of Medical Sciences. 2011.
6. Tovar A, Chasan-Taber L, Bermudez OI, Hyatt RR, Must A: Knowledge, attitudes, and beliefs regarding weight gain during pregnancy among Hispanic women. Maternal and child health journal 2010, 14:938-949.
7. Mourtakos SP, Tambalis KD, Panagiotakos DB, Antonogeorgos G, Arnaoutis G, Karteroliotis K, Sidossis LS: Maternal lifestyle characteristics during pregnancy, and the risk of obesity in the offspring: a study of 5,125 children. BMC pregnancy and childbirth 2015, 15:1.
8. Gilmore LA, Redman LM: Weight gain in pregnancy and application of the 2009 IOM guidelines: toward a uniform approach. Obesity 2015, 23:507-511.
9. Mottola MF, Giroux I, Gratton R, Hammond J-A, Hanley A, Harris S, McManus R, Davenport MH, Sopper MM: Nutrition and exercise prevent excess weight gain in overweight pregnant women. Medicine and science in sports and exercise 2010, 42:265.
10. Hui A, Back L, Ludwig S, Gardiner P, Sevenhuysen G, Dean H, Sellers E, McGavock J, Morris M, Bruce S: Lifestyle intervention on diet and exercise reduced excessive gestational weight gain in pregnant women under a randomised controlled trial. BJOG: An International Journal of Obstetrics & Gynaecology 2012, 119:70-77.
11. Kazemi AF, Hajian S: Experiences related to health promotion behaviors in overweight pregnant women: a qualitative study. Reproductive health 2018, 15:219.
12. Thompson EL, Vamos CA, Daley EM: Physical activity during pregnancy and the role of theory in promoting positive behavior change: A systematic review. Journal of Sport and Health Science 2015.
13. Fathnezhad Kazemi A, Hajian S, Ebrahimi-Mameghani M, KhabazKhob M: A review of various aspects of health promotion behavior during pregnancy. Tehran University Medical Journal TUMS Publications 2019, 76:647-653.
14. Kazemi AF, Hajian S, Ebrahimi-Mameghani M, Khob MK: The Perspectives of Pregnant Women on Health-Promoting Behaviors: An Integrative Systematic Review. Health promotion 2016, 8:1995.
15. Crozier SR, Robinson SM, Borland SE, Godfrey KM, Cooper C, Inskip HM, Group SS: Do women change their health behaviours in pregnancy? Findings from the Southampton Women's Survey. Paediatric and perinatal epidemiology 2009, 23:446-453.
16. 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. Nursing Open 2020.
17. Kolko RP, Emery RL, Marcus MD, Levine MD: Loss of control over eating before and during early pregnancy among community women with overweight and obesity. International Journal of Eating Disorders 2017, 50:582-586.
18. Micali N, Al Essimii H, Field AE, Treasure J: Pregnancy loss of control over eating: a longitudinal study of maternal and child outcomes. The American journal of clinical nutrition 2018, 108:101-107.
19. Bosaeus M, Hussain A, Karlsson T, Andersson L, Hulthén L, Svelander C, Sandberg A-S, Larsson I, Ellegård L, Holmäng A: A randomized longitudinal dietary intervention study during pregnancy: effects on fish intake, phospholipids, and body composition. Nutrition journal 2015, 14:1.
20. Ługowska K, Kolanowski W: The nutritional behavior of pregnant women attending antenatal classes and non-attendees. British Food Journal 2020.
21. Chitsaz A, Javadi M, Lin C-Y, Pakpour A: The Predictors of Healthy Eating Behavior among Pregnant Women: An Application of the Theory of Planned Behavior. International Journal of Pediatrics 2017, 5:5897-5905.
22. Farahani LA, Hasanpoor-Azgahdy SB, Taghizadeh Z: Iranian Women’s Perceptions and Experiences of Barriers to and Facilitators of Physical Activity. Shiraz E-Medical Journal 2018, 19.
23. Kose G, Ciplak E: Does mindful eating have a relationship with gender, body mass index and health promoting lifestyle. Progress in Nutrition 2019, 22:00-00.
24. Edvardsson K, Ivarsson A, Eurenius E, Garvare R, Nyström ME, Small R, Mogren I: Giving offspring a healthy start: parents' experiences of health promotion and lifestyle change during pregnancy and early parenthood. BMC public health 2011, 11:1.
25. Fathnezhad-Kazemi A, Hajian S: Factors influencing the adoption of health promoting behaviors in overweight pregnant women: a qualitative study. BMC Pregnancy and Childbirth 2019, 19:43.
26. Stark MA, Brinkley RL: The Relationship Between Perceived Stress and Health‐Promoting Behaviors in High‐Risk Pregnancy. The Journal of perinatal & neonatal nursing 2007, 21:307-314.
27. Sharifi N, Dolatian M, Mahmoodi Z, Abadi FMN, Mehrabi Y: The relationship between social support and food insecurity in pregnant women: A cross-sectional study. Journal of Clinical and Diagnostic Research 2017, 11:IC01-IC06.
28. Walker SN, Sechrist KR, Pender NJ: The health-promoting lifestyle profile: development and psychometric characteristics. Nursing research 1987, 36:76-81.
29. Khazaeian S, Kariman N, Ebadi A, Nasiri M: Factors Associated with Mental Health and Its Relation with Health-Promoting Lifestyle in Female Heads of Households: A Cross-Sectional Study. Iranian Red Crescent Medical Journal 2018, 20.
30. Zeidi I, Hajiagha A, Zeidi B: Reliability and validity of Persian version of the health-promoting lifestyle profile. JMUMS 2012, 22:S103.
31. Schlundt DG, Hargreaves MK, Buchowski MS: The eating behavior patterns questionnaire predicts dietary fat intake in African American women. Journal of the American Dietetic Association 2003, 103:338-345.
32. Dehghan P, Asghari-Jafarabadi M, Salekzamani S: Validity, Reliability and Feasibility of the Eating Behavior Pattern Questionnaire (EBPQ) among Iranian Female Students. Health promotion perspectives 2015, 5:128.
33. Thaewpia S, Howland LC, Clark MJ, James KS: Relationships among Health Promoting Behaviors and Maternal and Infant Birth Outcomes in Older Pregnant Thais. Pacific Rim International Journal of Nursing Research 2013, 17:28-38.
34. Onat G, Aba YA: Health-promoting lifestyles and related factors among pregnant women. Turkish Journal of Public Health 2014, 12:69.
35. Gokyildiz S, Alan S, Elmas E, Bostanci A, Kucuk E: Health‐promoting lifestyle behaviours in pregnant women in Turkey. International journal of nursing practice 2014, 20:390-397.
36. Kavlak O, Atan SU, Sirin A, Sen E, Guneri SE, Dag HY: Pregnant Turkish women with low income: Their anxiety, health‐promoting lifestyles, and related factors. International journal of nursing practice 2013, 19:507-515.
37. Lin Y-H, Tsai E-M, Chan T-F, Chou F-H, Lin Y-L: Health promoting lifestyles and related factors in pregnant women. Chang Gung Med J 2009, 32:650-661.
38. Basharpoor S, Heydarirad H, Atadokht A, Daryadel SJ, Nasiri-Razi R: The Role of Health Beliefs and Health Promoting Lifestyle in Predicting Pregnancy Anxiety among Pregnant Women. Iranian Journal of Health Education and Health Promotion 2015, 3:171-180.
39. Mahmoodi H, Asghari-Jafarabadi M, Babazadeh T, Mohammadi Y, Shirzadi S, Sharifi-Saqezi P, Mulodi-rad N: Health Promoting Behaviors in Pregnant Women Admitted to the Prenatal Care Unit of Imam Khomeini Hospital of Saqqez. Journal of Education And Community Health 2015, 1:58-65.
40. Malakouti J, Sehhati F, Mirghafourvand M, Nahangi R: Relationship between Health Promoting Lifestyle and Perceived Stress in Pregnant Women with Preeclampsia. Journal of caring sciences 2015, 4:155.
41. Gharaibeh M, Al‐Ma’aitah R, Al Jada N: Lifestyle practices of Jordanian pregnant women. International nursing review 2005, 52:92-100.
42. Lin N, Dean A, Ensel WM: Social support, life events, and depression. Academic Press; 2013.
43. Sims R, Gordon S, Garcia W, Clark E, Monye D, Callender C, Campbell A: Perceived stress and eating behaviors in a community-based sample of African Americans. Eating behaviors 2008, 9:137-142.
2. Peterson E, Hibbard JU: Medical Disorders in Pregnancy. Obstetrics and Gynecology Clinics 2018, 45:xv-xvi.
3. O'Brien CM, Cramp C, Dodd JM: Delivery of Dietary and Lifestyle Interventions in Pregnancy: is it Time to Promote the Use of Electronic and Mobile Health Technologies? In Seminars in reproductive medicine. Thieme Medical Publishers; 2016
4. Thangaratinam S, Rogozińska E, Jolly K, Glinkowski S, Roseboom T, Tomlinson J, Kunz R, Mol B, Coomarasamy A, Khan K: Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence. 2012.
5. Tol A, Tavassoli E, Shariferad GR, Shojaezadeh D: The relation between health-promoting lifestyle and quality of life in undergraduate students at school of health, Isfahan University of Medical Sciences. 2011.
6. Tovar A, Chasan-Taber L, Bermudez OI, Hyatt RR, Must A: Knowledge, attitudes, and beliefs regarding weight gain during pregnancy among Hispanic women. Maternal and child health journal 2010, 14:938-949.
7. Mourtakos SP, Tambalis KD, Panagiotakos DB, Antonogeorgos G, Arnaoutis G, Karteroliotis K, Sidossis LS: Maternal lifestyle characteristics during pregnancy, and the risk of obesity in the offspring: a study of 5,125 children. BMC pregnancy and childbirth 2015, 15:1.
8. Gilmore LA, Redman LM: Weight gain in pregnancy and application of the 2009 IOM guidelines: toward a uniform approach. Obesity 2015, 23:507-511.
9. Mottola MF, Giroux I, Gratton R, Hammond J-A, Hanley A, Harris S, McManus R, Davenport MH, Sopper MM: Nutrition and exercise prevent excess weight gain in overweight pregnant women. Medicine and science in sports and exercise 2010, 42:265.
10. Hui A, Back L, Ludwig S, Gardiner P, Sevenhuysen G, Dean H, Sellers E, McGavock J, Morris M, Bruce S: Lifestyle intervention on diet and exercise reduced excessive gestational weight gain in pregnant women under a randomised controlled trial. BJOG: An International Journal of Obstetrics & Gynaecology 2012, 119:70-77.
11. Kazemi AF, Hajian S: Experiences related to health promotion behaviors in overweight pregnant women: a qualitative study. Reproductive health 2018, 15:219.
12. Thompson EL, Vamos CA, Daley EM: Physical activity during pregnancy and the role of theory in promoting positive behavior change: A systematic review. Journal of Sport and Health Science 2015.
13. Fathnezhad Kazemi A, Hajian S, Ebrahimi-Mameghani M, KhabazKhob M: A review of various aspects of health promotion behavior during pregnancy. Tehran University Medical Journal TUMS Publications 2019, 76:647-653.
14. Kazemi AF, Hajian S, Ebrahimi-Mameghani M, Khob MK: The Perspectives of Pregnant Women on Health-Promoting Behaviors: An Integrative Systematic Review. Health promotion 2016, 8:1995.
15. Crozier SR, Robinson SM, Borland SE, Godfrey KM, Cooper C, Inskip HM, Group SS: Do women change their health behaviours in pregnancy? Findings from the Southampton Women's Survey. Paediatric and perinatal epidemiology 2009, 23:446-453.
16. 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. Nursing Open 2020.
17. Kolko RP, Emery RL, Marcus MD, Levine MD: Loss of control over eating before and during early pregnancy among community women with overweight and obesity. International Journal of Eating Disorders 2017, 50:582-586.
18. Micali N, Al Essimii H, Field AE, Treasure J: Pregnancy loss of control over eating: a longitudinal study of maternal and child outcomes. The American journal of clinical nutrition 2018, 108:101-107.
19. Bosaeus M, Hussain A, Karlsson T, Andersson L, Hulthén L, Svelander C, Sandberg A-S, Larsson I, Ellegård L, Holmäng A: A randomized longitudinal dietary intervention study during pregnancy: effects on fish intake, phospholipids, and body composition. Nutrition journal 2015, 14:1.
20. Ługowska K, Kolanowski W: The nutritional behavior of pregnant women attending antenatal classes and non-attendees. British Food Journal 2020.
21. Chitsaz A, Javadi M, Lin C-Y, Pakpour A: The Predictors of Healthy Eating Behavior among Pregnant Women: An Application of the Theory of Planned Behavior. International Journal of Pediatrics 2017, 5:5897-5905.
22. Farahani LA, Hasanpoor-Azgahdy SB, Taghizadeh Z: Iranian Women’s Perceptions and Experiences of Barriers to and Facilitators of Physical Activity. Shiraz E-Medical Journal 2018, 19.
23. Kose G, Ciplak E: Does mindful eating have a relationship with gender, body mass index and health promoting lifestyle. Progress in Nutrition 2019, 22:00-00.
24. Edvardsson K, Ivarsson A, Eurenius E, Garvare R, Nyström ME, Small R, Mogren I: Giving offspring a healthy start: parents' experiences of health promotion and lifestyle change during pregnancy and early parenthood. BMC public health 2011, 11:1.
25. Fathnezhad-Kazemi A, Hajian S: Factors influencing the adoption of health promoting behaviors in overweight pregnant women: a qualitative study. BMC Pregnancy and Childbirth 2019, 19:43.
26. Stark MA, Brinkley RL: The Relationship Between Perceived Stress and Health‐Promoting Behaviors in High‐Risk Pregnancy. The Journal of perinatal & neonatal nursing 2007, 21:307-314.
27. Sharifi N, Dolatian M, Mahmoodi Z, Abadi FMN, Mehrabi Y: The relationship between social support and food insecurity in pregnant women: A cross-sectional study. Journal of Clinical and Diagnostic Research 2017, 11:IC01-IC06.
28. Walker SN, Sechrist KR, Pender NJ: The health-promoting lifestyle profile: development and psychometric characteristics. Nursing research 1987, 36:76-81.
29. Khazaeian S, Kariman N, Ebadi A, Nasiri M: Factors Associated with Mental Health and Its Relation with Health-Promoting Lifestyle in Female Heads of Households: A Cross-Sectional Study. Iranian Red Crescent Medical Journal 2018, 20.
30. Zeidi I, Hajiagha A, Zeidi B: Reliability and validity of Persian version of the health-promoting lifestyle profile. JMUMS 2012, 22:S103.
31. Schlundt DG, Hargreaves MK, Buchowski MS: The eating behavior patterns questionnaire predicts dietary fat intake in African American women. Journal of the American Dietetic Association 2003, 103:338-345.
32. Dehghan P, Asghari-Jafarabadi M, Salekzamani S: Validity, Reliability and Feasibility of the Eating Behavior Pattern Questionnaire (EBPQ) among Iranian Female Students. Health promotion perspectives 2015, 5:128.
33. Thaewpia S, Howland LC, Clark MJ, James KS: Relationships among Health Promoting Behaviors and Maternal and Infant Birth Outcomes in Older Pregnant Thais. Pacific Rim International Journal of Nursing Research 2013, 17:28-38.
34. Onat G, Aba YA: Health-promoting lifestyles and related factors among pregnant women. Turkish Journal of Public Health 2014, 12:69.
35. Gokyildiz S, Alan S, Elmas E, Bostanci A, Kucuk E: Health‐promoting lifestyle behaviours in pregnant women in Turkey. International journal of nursing practice 2014, 20:390-397.
36. Kavlak O, Atan SU, Sirin A, Sen E, Guneri SE, Dag HY: Pregnant Turkish women with low income: Their anxiety, health‐promoting lifestyles, and related factors. International journal of nursing practice 2013, 19:507-515.
37. Lin Y-H, Tsai E-M, Chan T-F, Chou F-H, Lin Y-L: Health promoting lifestyles and related factors in pregnant women. Chang Gung Med J 2009, 32:650-661.
38. Basharpoor S, Heydarirad H, Atadokht A, Daryadel SJ, Nasiri-Razi R: The Role of Health Beliefs and Health Promoting Lifestyle in Predicting Pregnancy Anxiety among Pregnant Women. Iranian Journal of Health Education and Health Promotion 2015, 3:171-180.
39. Mahmoodi H, Asghari-Jafarabadi M, Babazadeh T, Mohammadi Y, Shirzadi S, Sharifi-Saqezi P, Mulodi-rad N: Health Promoting Behaviors in Pregnant Women Admitted to the Prenatal Care Unit of Imam Khomeini Hospital of Saqqez. Journal of Education And Community Health 2015, 1:58-65.
40. Malakouti J, Sehhati F, Mirghafourvand M, Nahangi R: Relationship between Health Promoting Lifestyle and Perceived Stress in Pregnant Women with Preeclampsia. Journal of caring sciences 2015, 4:155.
41. Gharaibeh M, Al‐Ma’aitah R, Al Jada N: Lifestyle practices of Jordanian pregnant women. International nursing review 2005, 52:92-100.
42. Lin N, Dean A, Ensel WM: Social support, life events, and depression. Academic Press; 2013.
43. Sims R, Gordon S, Garcia W, Clark E, Monye D, Callender C, Campbell A: Perceived stress and eating behaviors in a community-based sample of African Americans. Eating behaviors 2008, 9:137-142.
- چکیده مشاهده شده: 102 بار
- pdf (English) دانلود شده: 205 بار