<p>Predictors of Health-Promoting Lifestyle in Pregnant Women Based on Pender’s Health Promotion Model</p>

Abstract

Background and Objectives: Pregnancy causes changes in women's lifestyle; therefore, their health-promoting behaviors should be improved in order to avoid problems during this critical period, which requires knowledge of the factors affecting these behaviors. This study was conducted to determine the predictors of health-promoting lifestyles in pregnant women based on Pender's health promotion model constructs.Methods: This descriptive study was carried out on 300 pregnant women in their second and third trimesters of pregnancy and sought to determine the correlation between lifestyle and the constructs of Pender's health promotion model. Data were collected using a demographic questionnaire, the Health Promoting Lifestyle Profile II (HPLP-II) and a questionnaire based on Pender's model constructs. Data were analyzed using descriptive and analytical statistics. Findings: A health-promoting lifestyle had a significant positive correlation with the constructs of social support and perceived benefits and a significant negative correlation with the construct of perceived barriers (P<0.05). A health-promoting lifestyle also had a significant relationship with the constructs of perceived barriers, social support and perceived benefits in pregnant women (P<0.05) based on the results of the regression analysis. The regression coefficients showed that all the three variables can significantly explain the variance in health promoting lifestyles in pregnant women (P<0.05). Conclusion: According to the results of the present study and based on the constructs of Pender's health promotion model, social support, perceived benefits and perceived barriers were the most important predictors of health-promoting lifestyles in pregnant women. These predictor constructs are recommended to be further considered in designing and implementing training packages and interventions for promoting pregnant women's lifestyle.

Developmental trajectories of health‐promoting behaviours among pregnant women: A longitudinal study

“…Health-promoting lifestyles during pregnancy are important for alleviating maternal physical and mental stress (Bogaerts et al, 2013(Bogaerts et al, , 2017, maintaining optimal intrauterine environment and decreasing maternal and neonatal complications, for example preterm delivery, caesarean section, bleeding, maternal infection, obesity, hospitalisation, diabetes, low birth weight and early neonatal death (Ferrara et al, 2020;Oteng-Ntim et al, 2012;Procter & Campbell, 2014;Reijnders et al, 2019). It is evident that promoting healthy behaviours is cost effective as well as improving pregnant women's health (Jalili Bahabadi et al, 2020). However, no studies have explored the longitudinal changes of health-promoting behaviours throughout the pregnancy trimesters and the factors associated with longitudinal changes.…”

“…Many studies have demonstrated associated factors of health‐promoting behaviours during pregnancy. Demographic and clinical characteristics of pregnant women were significantly associated with health‐promoting behaviours, for example maternal age, socioeconomic status, educational level, exercise habit and planned pregnancy (Gokyildiz et al, 2014; Goossens et al, 2016; Jalili Bahabadi et al, 2020; Lin et al, 2009; Yu et al, 2021). Self‐efficacy and maternal sense of coherence were also found positive associations with healthy behaviours (Lin et al, 2009; Shorey & Ng, 2020).…”

“Womanhood,” a shared experience of participating in a lifestyle intervention with a focus on integration and physical activity to promote health among pregnant women: perspectives from pregnant women, midwives, and cultural interpreter doulas

“…The importance of social support, a supportive environment, and a socially well-functioning network for the physical and mental health of pregnant women is also emphasized by Jalili Bahabadi et al ( 2020 ). Moreover, in this study, the participants’ commitment seemed to grow when they realized that their contribution was valuable to others.…”

Health-related quality of life and related factors among pregnant women

“…[ 32 ] Young, educated, and working mothers, due to their better socioeconomic status, are likely to have a greater and better understanding of the importance of their health and their impact on fetal health and more on their appearance and weight control and body mass index. [ 12 33 ]…”

“…Pregnancy is one of the most important natural and important stages of a woman's life, where the woman's body gradually undergoes certain physiological and anatomical changes during the stages of fetal development. [ 11 ] The hormonal, emotional, psychological, and physical factors specific to pregnancy cause changes in the physical, mental, social, and overall health dimensions of pregnant women during pregnancy[ 5 12 13 ] and easily affect and threaten their quality of life. [ 7 ] Therefore, this period is often a stressful period with physiological and psychological changes.…”