Effect of educational intervention on preventing osteoporosis in postmenopausal women.
Behavior
Education
Osteoporosis
Women
Journal
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
ISSN: 1433-2965
Titre abrégé: Osteoporos Int
Pays: England
ID NLM: 9100105
Informations de publication
Date de publication:
Mar 2024
Mar 2024
Historique:
received:
20
03
2023
accepted:
27
10
2023
medline:
15
2
2024
pubmed:
8
11
2023
entrez:
8
11
2023
Statut:
ppublish
Résumé
In the experimental group, the average scores of knowledge, constructs of theory of planned behavior, nutrition, and walking had a significant enhancement compared to the control group after the educational intervention. After the intervention, the value of the lumbar spine bone mineral density T-score in the experimental group increased, while in the control group, it decreased. Osteoporosis is a global public health problem currently affecting millions of people worldwide and in Iran. This study was conducted to assess the effect of an educational intervention based on the theory of planned behavior on the prevention of osteoporosis in postmenopausal women. This quasi-experimental study was performed on 160 women aging over 50 who were referred to health centers in Fasa City, Iran, in 2019. A simple random sampling method was applied to assign the participants into control and intervention groups (80 participants for each group). Data were gathered by questionnaires arranged based on the constructs of the theory of planned behavior, nutrition performance, and walking performance. The educational intervention included seven 50-minute educational sessions. The obtained data were analyzed using SPSS 22 software and Chi-square test, independent T-test, and paired T-test, and the significance level was considered 0.05. The mean ages of the studied participants in the experimental and control groups were 59.18 ± 6.56 and 57.92 ± 5.70, respectively. In the experimental group, the average scores of knowledge, constructs of the theory of planned behavior, nutrition performance, and walking performance had a significant enhancement compared to the control group one year after the intervention (p < 0.001). At 12 months after the intervention, the value of the lumbar spine bone mineral density T-score in the experimental group increased, while in the control group, it reduced (p < 0.001). The theory of planned behavior affected nutrition and walking performance in osteoporosis prevention of subjects. This theory can be used as a framework for designing and performing educational interventions for preventing osteoporosis and promoting women's health.
Identifiants
pubmed: 37938406
doi: 10.1007/s00198-023-06962-w
pii: 10.1007/s00198-023-06962-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
505-513Informations de copyright
© 2023. International Osteoporosis Foundation and Bone Health and Osteoporosis Foundation.
Références
Zhu D, Chung H-F, Dobson AJ, Pandeya N, Giles GG, Bruinsma F et al (2019) Age at natural menopause and risk of incident cardiovascular disease: a pooled analysis of individual patient data. Lancet Public Health 4(11):e553–ee64
doi: 10.1016/S2468-2667(19)30155-0
pubmed: 31588031
pmcid: 7118366
Monteleone P, Mascagni G, Giannini A, Genazzani AR, Simoncini T (2018) Symptoms of menopause—global prevalence, physiology and implications. Nat Rev Endocrinol 14(4):199–215
doi: 10.1038/nrendo.2017.180
pubmed: 29393299
Bayat N, Hajiamini Z, Alishiri Gh PM, Ebadi A, Parandeh A (2010) Risk factors of low bone mineral density in premenopausal women. J Mil Med 12(1):1–6
Hemmati F, Sarokhani D, Sayehmiri K, Motadayen M (2018) Prevalence of osteoporosis in postmenopausal women in Iran: a systematic review and meta-analysis. Iran J Obstet Gynecol Infertil 21(3):90–102
Castro JP, Joseph LA, Shin JJ, Arora SK, Nicasio J, Shatzkes J et al (2005) Differential effect of obesity on bone mineral density in White, Hispanic and African American women: a cross sectional study. Nutr Metab 2(1):1–7
doi: 10.1186/1743-7075-2-9
Eastell R, O'Neill TW, Hofbauer LC, Langdahl B, Reid IR, Gold DT et al (2016) Postmenopausal osteoporosis. Nat Rev Dis Primers 2(1):1–16
doi: 10.1038/nrdp.2016.69
Kalkım A, Dağhan Ş (2017) Theory-based osteoporosis prevention education and counseling program for women: a randomized controlled trial. Asian Nurs Res 11(2):119–127
doi: 10.1016/j.anr.2017.05.010
Mahdavi-Roshan M, Ebrahimi M, Ebrahimi A (2015) Copper, magnesium, zinc and calcium status in osteopenic and osteoporotic post-menopausal women. Clin Cases Miner Bone Metab 12(1):18
pubmed: 26136790
pmcid: 4469220
Sözen T, Özışık L, Başaran NÇ (2017) An overview and management of osteoporosis. Eur J Rheumatol 4(1):46
doi: 10.5152/eurjrheum.2016.048
pubmed: 28293453
Hiligsmann M, Reginster J-Y, Tosteson A, Bukata SV, Saag KG, Gold DT et al (2019) Recommendations for the conduct of economic evaluations in osteoporosis: outcomes of an experts’ consensus meeting organized by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) and the US branch of the International Osteoporosis Foundation. Osteoporos Int 30:45–57
doi: 10.1007/s00198-018-4744-x
pubmed: 30382319
Pakyar N, Poortaghi S, Pashaeypoor S, Sharifi F (2021) Effect of educational program based on theory of planned behavior on osteoporosis preventive behaviors: a randomized clinical trial. BMC Musculoskelet Disord 22:1–10
doi: 10.1186/s12891-021-04861-x
Cosman F, de Beur SJ, LeBoff M, Lewiecki E, Tanner B, Randall S et al (2014) Clinician’s guide to prevention and treatment of osteoporosis. Osteoporos Int 25:2359–2381
doi: 10.1007/s00198-014-2794-2
pubmed: 25182228
pmcid: 4176573
Haji PA Evaluation of osteoporosis preventive factors in menopausal women referred to the health care centers of Ilam University of Medical Sciences in 2004. 2010
Puttapitakpong P, Chaikittisilpa S, Panyakhamlerd K, Nimnuan C, Jaisamrarn U, Taechakraichana N (2014) Inter-correlation of knowledge, attitude, and osteoporosis preventive behaviors in women around the age of peak bone mass. BMC Womens Health 14(1):1–4
doi: 10.1186/1472-6874-14-35
Jensen AL, Lomborg K, Wind G, Langdahl B (2014) Effectiveness and characteristics of multifaceted osteoporosis group education—a systematic review. Osteoporos Int 25:1209–1224
doi: 10.1007/s00198-013-2573-5
pubmed: 24270886
Araban M, Tavafian SS, Motesaddi ZS, Hidarnia A, Gohari MR, Laloie A, et al. Predictors of air pollution exposure behavior among pregnant women: a trans theoretical model-based study. 2013
Hajizadeh H, Azar PS, Nadrian H, Bejestani FS, Kolahi S, Gupta K (2021) Cognitive determinants of weight control by dietary patterns among postmenopausal women with osteoporosis: an application of theory of planned behavior. Health Promot Perspect 11(4):452
doi: 10.34172/hpp.2021.57
pubmed: 35079590
pmcid: 8767087
Ghaffari M, Tavassoli E, Esmaillzadeh A, Hassanzadeh A (2012) Effect of health belief model based intervention on promoting nutritional behaviors about osteoporosis prevention among students of female middle schools in Isfahan, Iran. J Educ Health Promot:1
Oh EG, Yoo JY, Lee JE, Hyun SS, Ko IS, Chu SH (2014) Effects of a three-month therapeutic lifestyle modification program to improve bone health in postmenopausal Korean women in a rural community: a randomized controlled trial. Res Nurs Health 37(4):292–301
doi: 10.1002/nur.21608
pubmed: 24976566
Akinpetide GO. Osteoporosis knowledge, beliefs, and bone promotion behaviors of postmenopausal African American (AA) women. 2014
Khani Jeihooni A, Ghasemi M, Mobaraei AH, Jamshidi H, Afzali HP (2021) The application of PRECEDE model on preventing osteoporosis in women. Clin Nurs Res 30(3):241–252
doi: 10.1177/1054773819865874
pubmed: 31434510
Jeihooni AK, Hidarnia A, Kaveh MH, Hajizadeh E, Askari A (2015) The effect of an educational program based on health belief model on preventing osteoporosis in women. Int J Prev Med 6:115
doi: 10.4103/2008-7802.170429
pubmed: 26730345
pmcid: 4689100
Kashfi SM, Khani Jeihooni A, Jamshidi H, Bahmandoost M (2019) The performance of postmenopausal women in the prevention of osteoporosis based on health belief model. J Holist Nurs Midwifery 29(2):73–81
doi: 10.32598/JHNM.29.2.73
Shahmohamadi F, Hoseini M, Matbouei M, Nasiri M (2022) The effect of educational intervention based on the theory of planned behavior aimed at mothers on osteoporosis prevention behaviors in lower secondary school female students. J Educ Health Promot 11
Taghipour A, Shahroudi MV, Tabesh H, Safari-Moradabadi A, Anbarani MA (2019) The effect of educational intervention based on the theory of planned behavior and stages of change construct on women’s physical activity. J Educ Health Promot 8
Rastgoo F, Vasli P, Rohani C, Amini A (2021) Predictors of osteoporosis preventive behaviors among adolescent: a cross-sectional study. Pediatr Endocrinol Diabetes Metab 27(3):183–190
doi: 10.5114/pedm.2021.105634
pubmed: 34008396
pmcid: 10228195
Sharbatian N, Chaleshgar Kordasiabi M, Ramezani A, Nadi Ghara AA (2021) Investigating osteoporosis-related nutritional behaviors: the theory of Planned Behavior. Int J Pediatr 9(12):14967–14980
Gheysvandi E, Ardebili HE, Azam K, Vafa M, Azadbakht M, Babazadeh T et al (2015) Effect of an educational intervention based on the theory of planned behavior on milk and dairy products consumption by girl-pupils. J School Public Health Institute Public Health Res 13(2)
Salimi M, Hidarnia A, Niknami S, Gharib Doost F, Ozma A (2015) Effect of educational program on osteoporosis preventive behaviors in women over 40 years old referring to Iran rheumatism center in Tehran. Sci J Kurd Univ Med Sci 20(4):12–25
Abdolmaleki B, Peyman N, Esmaili H, Tajfard M (2019) Associated factors with the use of health services among postmenopausal women in Mashhad based on the theory of planned behavior: the role of health literacy. J Edu Community Health 6(2):111–117
doi: 10.29252/jech.6.2.111
Nadrian H, Hajizadeh H, Bejestani FS, Azar PS, Teymouri M (2020) Dietary pattern-based differences in the associations between weight control, bone mineral density, and the risk of fracture among Iranian postmenopausal women with osteoporosis: an application of theory of planned behavior. Crescent J Med Biol Sci 7(4)
Mirzaei E, Azar FEF, Ziapour A, Azadi NA, Qorbani M, Safari O, et al. The Impact of Educational Intervention by theory of planned behavior for promoting physical activity among middle-aged women referring to Karaj health centers. 2019
Ahmadi Tabatabaei S, Taghdisi M, Nakheei N, Balali F (2010) Effect of educational intervention based on the theory of planned behaviour on the physical activities of Kerman health center’s staff (2008). J Babol Univ Med Sci 12(2):62–69
Edelstein OE, Vered I, Sarid O (2021) Correlates of participation in physical activity among older women in Israel: does ethno-cultural background matter? Health Promot Int 36(1):34–45
doi: 10.1093/heapro/daaa030
pubmed: 32277810
Mehrabian F, Farmanbar R, Mahdavi Roshan M, Omidi S, Aghebati R (2018) Investigation the effect of improving physical activity based on the theory of preplanned behavior among patients with hypertension referred to rural healthcare centers of Rasht in 2014. Iran J Health Educ Health Promot 6(1):53–62
doi: 10.30699/acadpub.ijhehp.6.1.53
Mohammad Rahimi GR, Smart NA, Liang MT, Bijeh N, Albanaqi AL, Fathi M et al (2020) The impact of different modes of exercise training on bone mineral density in older postmenopausal women: a systematic review and meta-analysis research. Calcif Tissue Int 106:577–590
doi: 10.1007/s00223-020-00671-w
pubmed: 32055889
Fernández-Rodríguez R, Alvarez-Bueno C, Reina-Gutiérrez S, Torres-Costoso A, Nunez de Arenas-Arroyo S, Martínez-Vizcaíno V (2021) Effectiveness of Pilates and Yoga to improve bone density in adult women: a systematic review and meta-analysis. PloS One 16(5):e0251391
doi: 10.1371/journal.pone.0251391
pubmed: 33961670
pmcid: 8104420
Benedetti MG, Furlini G, Zati A, Letizia MG (2018) The effectiveness of physical exercise on bone density in osteoporotic patients. Biomed Res Int 2018:4840531
doi: 10.1155/2018/4840531
pubmed: 30671455
pmcid: 6323511