Graduate, Department of Midwifery, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
Reproductive Health Research Center, Clinical Research Institute, Department of Midwifery, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
BMC Womens Health. 2024 Jan 2;24(1):8. doi: 10.1186/s12905-023-02807-0.
Overweight and obesity in women of reproductive age not only contribute to chronic diseases but also lead to fertility issues, adverse pregnancy outcomes, and psychological challenges. Among the detrimental behaviors associated with obesity, the consumption of fast foods and sedentary lifestyles have the most significant impact on weight gain and require effective interventions. This study aims to examine the effectiveness of an educational and counseling smartphone intervention in raising awareness and modifying behaviors related to sedentary behavior and fast food consumption in women with high body mass index.
This randomized controlled trial was conducted with two parallel groups comprising 106 women of reproductive age who sought assistance at Urmia health centers in 2022. Participants with diverse social and economic backgrounds were included. They were randomly assigned to either a control group or an intervention group. Valid and reliable questionnaires were administered to assess awareness regarding sedentary behaviors and fast foods consumption, as well as engagement in sedentary behaviors and consumption of fast foods. In addition to standard care, the intervention group received educational and counseling sessions through a dedicated smartphone application. Data analysis was performed using SPSS 20 software at a significance level of P < 0.05.
The results of a statistical t-test indicated a noteworthy disparity between the control and intervention groups concerning the average awareness scores related to fast foods consumption (P < 0.001) and sedentary behaviors (P < 0.001) before and 3 months after the intervention. Additionally, a substantial statistical difference was observed in the mean consumption of fast foods (P < 0.001) and hours of sedentary behaviors (P < 0.001) before and 3 months after the intervention when comparing the two groups.
Educational and counseling programs, when applied effectively, can serve the dual purpose of enhancing awareness concerning sedentary behaviors and fast foods consumption while concurrently fostering a reduction in the prevalence of these behaviors. The study was registered in the Iranian Registry of Clinical Trials (IRCT Id: IRCT20210722051953N1) at 04/08/2021.
育龄期女性超重和肥胖不仅会导致慢性病，还会导致生育问题、不良妊娠结局和心理挑战。在与肥胖相关的不良行为中，快餐消费和久坐不动的生活方式对体重增加的影响最大，需要采取有效的干预措施。本研究旨在探讨教育和咨询智能手机干预对提高超重育龄妇女对久坐行为和快餐消费相关行为的认识和改变行为的有效性。
这是一项随机对照试验，共纳入 2022 年在乌尔米亚健康中心就诊的 106 名育龄期超重女性，分为两组。参与者的社会经济背景多样。他们被随机分配到对照组或干预组。使用有效和可靠的问卷评估对久坐行为和快餐消费的认识，以及对久坐行为和快餐消费的参与。除了标准护理外，干预组还通过专门的智能手机应用程序接受教育和咨询。数据分析使用 SPSS 20 软件进行，显著性水平为 P<0.05。
统计 t 检验结果表明，干预组和对照组在干预前后关于快餐消费（P<0.001）和久坐行为（P<0.001）的平均意识得分存在显著差异。此外，两组在干预前后快餐消费（P<0.001）和久坐行为时间（P<0.001）的均值存在显著差异。
有效的教育和咨询方案可以同时提高对久坐行为和快餐消费的认识，并减少这些行为的流行。本研究于 2021 年 7 月 22 日在伊朗临床试验注册中心（IRCT 注册号：IRCT20210722051953N1）注册。
