Submitted: 23 Feb 2023
Revision: 02 Aug 2023
Accepted: 12 Sep 2023
ePublished: 30 Sep 2023
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J Educ Community Health. 2023;10(3): 145-151.
doi: 10.34172/jech.2291

Scopus ID: 85182875151
  Abstract View: 203
  PDF Download: 191

Social Determinants of Health

Original Article

Effects of Social Support and Self-regulation on Changes in Exercise Behavior Among Infertile Women: A Cross-sectional Study for Comparison of External and Internal Factors

Arezoo Fallahi 1* ORCID logo, Azam Rahmani 2 ORCID logo, Pakestan Hamad Amin Yousif 3, Reza Ghanei Gheshlagh 4 ORCID logo, Leila Allahqoli 5 ORCID logo, Babak Nemat 6 ORCID logo, Ibrahim Alkatout 7 ORCID logo

1 Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
2 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Nursing, Soran Technical College, Erbil Polytechnic University, Erbil, Iraq
4 Spiritual Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
5 Ministry of Health, Treatment and Medical Education, Tehran, Iran
6 Health Network of Sanandaj, Kurdistan University of Medical Sciences, Sanandaj, Iran
7 Department of Gynecology and Obstetrics, Kiel School of Gynaecological Endoscopy, University Hospitals Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3, Haus C, 24105 Kiel, Germany
*Corresponding Author: Arezoo Fallahi, Email: arezofalahi91@gmail.com


Background: Exercise behavior (EB) has a significant impact on infertility, but the magnitude of the effect is not easily determined. This study aimed to assess the effect of social support and self-regulation, as external and internal factors, on changes in EB among infertile women.

Methods: This cross-sectional study was conducted on 483 infertile women in Sanandaj (Iran) in 2020. Samples were recruited from 35 comprehensive healthcare centers by convenience sampling. Standardized face-to-face interviews were conducted using valid and reliable instruments for the assessment of EB, social support, and self-regulation. The association between EB, social support, and self-regulation was evaluated by logistic regression models.

Results: The majority of the participants (56.7%) had secondary infertility, while 70.8% of them did not perform any exercise. Self-regulation and social support were significantly higher in women with secondary infertility than in those with primary infertility (P<0.01). Self-regulation was significantly lower in women whose height was below 160 centimeters (P<0.05). Social support was significantly higher among participants aged≥35 years and weighing≥60 kg (P<0.01). The odds of EB adoption increased with self-regulation and social support (odds ratio [OR]=1.05, 95% CI=1.02-1.09, P<0.01; OR=1.06, 95% CI=1.02-1.11, P<0.01).

Conclusion: Social support and self-regulation almost equally influenced EB in infertile women. In future research, designing support and consultation programs can be considered to encourage infertile women to exercise.

Please cite this article as follows: Fallahi A, Rahmani A, Amin Yousif PH, Ghanei Gheshlagh R, Allahqoli L, Nemat B, Alkatout I. Effects of social support and self-regulation on changes in exercise behavior among infertile women: a cross-sectional study for comparison of external and internal factors. J Educ Community Health. 2023; 10(3):145-151. doi:10.34172/jech.2291
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