The Effect of Cognitive-Behavioral Counseling on Pre-conception Physical Activity in Women with High Body Mass Index: A Randomized Controlled Trial.

Background & aim: Obesity is one of the most important health problems for mothers and has been increasing in recent years. It has been showed that cognitive-behavioral counseling is an effective method to increase women's physical activity. The present study was conducted to determine the effect of...

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Publicado en:Journal of Midwifery & Reproductive Health Vol. 11; no. 3; pp. 3822 - 3832
Autores principales: Najmabadi, Khadijeh Mirzaii, Amiri, Bahieh, Asgharipour, Negar, Shakeri, Mohammad Taghi, Sardar, Mohammad Ali
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Mashhad University of Medical Science Jul2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2023
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      pub: Mashhad University of Medical Science
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        10.22038/JMRH.2022.64681.1886
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        atl: The Effect of Cognitive-Behavioral Counseling on Pre-conception Physical Activity in Women with High Body Mass Index: A Randomized Controlled Trial.
      aug:
        au:
          Najmabadi, Khadijeh Mirzaii
          Amiri, Bahieh
          Asgharipour, Negar
          Shakeri, Mohammad Taghi
          Sardar, Mohammad Ali
        affil: Professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
      sug:
        subj:
          Counseling Methods
          Prepregnancy Care
          Physical Activity
          Body Mass Index
          Health Promotion
          Cognitive Therapy
          Human
          Randomized Controlled Trials
          Random Assignment
          Pregnancy
          Female
          Marital Status
          Iran
          Cluster Sample
          Scales
          Questionnaires
          Nonprobability Sample
          Purposive Sample
          Mann-Whitney U Test
          Fisher's Exact Test
          Chi Square Test
          Descriptive Statistics
          Paired T-Tests
          Unpaired T-Tests
          Wilcoxon Rank Sum Test
          Kruskal-Wallis Test
          One-Way Analysis of Variance
          Adult
          Adult: 19-44 years
          Female
      ab: Background & aim: Obesity is one of the most important health problems for mothers and has been increasing in recent years. It has been showed that cognitive-behavioral counseling is an effective method to increase women's physical activity. The present study was conducted to determine the effect of cognitive-behavioral counseling on physical activity before pregnancy in women with high BMI. Methods: This randomized control trial was carried out on 60 married women who referred to pre-conception clinic in Gonabad, Iran in 2020. Sampling was done by twostage cluster random method and subjects were randomly assigned to two groups. The intervention group underwent six two-hour sessions of cognitive-behavioral counseling as three face-to-face and three virtual sessions. The control group only received the routine care. International Physical Activity Questionnaire (IPAQ), Depression Anxiety Stress Scale 21(DASS-21) and Silhouette Figure Rating Scale (SFRS) was used to collect data, which were completed before, immediately, after, and one month following intervention. The data was analyzed using Chi square, Fisher Exact test and T-test. Results: There was no statisticallysignificant difference in terms of average physical activity score between the intervention and control group before intervention. However, a significant difference was seen between intervention and control group in terms of physical activity immediately after the intervention and one month later (P < 0.001). Conclusion: Considering that cognitive-behavioral counseling increases physical activity before pregnancy in women with high BMI, it is recommended to provide such counseling programs for these women in preconception clinics to improve their health before pregnancy.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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