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Comparison of Effects of Oral Health Program and Walking Exercise Program on Health Outcomes for Pregnant Women
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Hae-jin Park, Haejung Lee
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J Korean Acad Nurs 2018;48(5):506-520. Published online October 31, 2018
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DOI: https://doi.org/10.4040/jkan.2018.48.5.506
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 Abstract
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Purpose
To compare the effects of the Interaction Model of Client Health Behavior (IMCHB)-based oral health program (OHP) and walking exercise program (WEP) on oral health behaviors, periodontal disease, physical activity, and psychological indicators (depression, stress, and quality of life) in pregnant women.
Methods
A nonequivalent control group pretest-posttest design was adopted to compare the effects of a 12-week OHP and WEP on pregnant women (n=65). Pregnant women were randomly assigned to the oral health group (OHG; n=23), walking exercise group (WEG; n=21), or control group (CG; n=21). Data were analyzed by the χ2-test, Fisher's exact test, Scheffe test, and repeated measures ANOVA, using the Statistical Package for the Social Sciences for Windows (version 21.0).
Results
The OHG and WEG showed significant improvements in oral health behaviors, periodontal disease, and psychological indicators as compared to the CG. The WEG showed significant improvement in physical activity as compared to the OHG and CG.
Conclusion
These findings indicate that the IMCHB-based OHP and WEP were effective in improving periodontal disease, physical activity, and psychological indicators. However, further studies are needed to identify the positive effects of the OHP and WEP on birth outcomes.
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Citations
Citations to this article as recorded by  - Physical Activity as a Mediatior in the Relationship Between Oral Health Status and Prevalence of Diabetes in Older Adults
Min-Jun Kim, Taewan Kim, Youngyun Jin, Donghyun Kim
Exercise Science.2025; 34(1): 35. CrossRef - Physical Activity as a Mediator in the Relationship Between Oral health status and Depression Prevalence in Older Adults
Min-Jun Kim, Taewan Kim, Yoonhwan Kim, Donghyun Kim
Exercise Science.2025; 34(2): 188. CrossRef - Twenty-first century knowledge mapping on oral diseases and physical activity/exercise, trends, gaps, and future perspectives: a bibliometric review
Thamires Campos Gomes, José Lucas Gomes Moura, Daiane Claydes Baia-da-Silva, Rafael Rodrigues Lima, Patrícia de Almeida Rodrigues
Frontiers in Sports and Active Living.2024;[Epub] CrossRef - Review of domestic and international intervention studies to improve oral health in pregnant women
Jun-Yeong Kwon, Hyoung-Joo Kim, Hanna Gu, Hee-Jung Lim
Journal of Korean Academy of Oral Health.2024; 48(3): 155. CrossRef - Secondary prevention of coronary heart disease: The effect of a nursing intervention using Cox's interaction model of client health behaviour
Qianqian Shen, Pingping He, Min Wen, Juping Yu, Yeshi Chen, Junyi Li, Xinping Ouyang
Journal of Advanced Nursing.2021; 77(10): 4104. CrossRef - Theoretical evaluation of Cox’s interaction model of client health behavior for health promotion in adult
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Youlim Kim, Hyeonkyeong Lee, Gi Wook Ryu
Korean Journal of Women Health Nursing.2020; 26(2): 120. CrossRef
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Influences of Oral Health Behaviors, Depression and Stress on Periodontal Disease in Pregnant Women
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Hae-Jin Park, Hae Jung Lee, Soo Hyun Cho
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J Korean Acad Nurs 2016;46(5):653-662. Published online October 31, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.5.653
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Abstract
PDF
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Purpose
The purpose of this study was to identify the influences of oral health behaviors, depression, and stress on periodontal disease in pregnant women.
Methods
The participants in this study were 129 pregnant women. Data were collected using questionnaires which included individual characteristics, oral health care behaviors, the Center for Epidemiological Studies-Depression scale (CES-D), a global measure of perceived stress, and pregnancy stress. A dentist measured periodontal probing depth and classified stages of periodontal disease according to the Community Periodontal Index (CPI). Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression.
Results
Periodontal disease had significant correlations with oral health care behaviors (r=-.56, p <.001), perceived stress (r=.44 p <.001), pregnancy stress (r=.37 p <.001), diet (r=-.33, p <.001) and depression (r=.18 p =.046). Factors influencing periodontal disease for these pregnant women were being in the 2nd (β=.27, p <.001) or 3rd trimester (β=.45, p <.001), having a pregnancy induced disease (β=.20, p =.002), performing higher oral health behaviors (β=-.30, p <.001), and having higher perceived stress (β=.17, p =.028). The explanation power of this regression model was 61.6% (F=15.52, p <.001).
Conclusion
The findings of this study indicated that periodic assessment of periodontal disease is essential for pregnant women who are in 2nd or 3rd trimester and have pregnancy induced diseases. Enhancing oral health care behaviors and reducing perceived stress are indicated as effective strategies to reduce periodontal disease in pregnant women.
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Citations
Citations to this article as recorded by - Oral Health, Anxiety, Depression, and Stress in Pregnancy: A Rapid Review of Associations and Implications for Perinatal Care
Abiola A. Adeniyi, Swathi Ramachandran, Cecilia Marie Jevitt
International Journal of Environmental Research and Public Health.2024; 22(1): 32. CrossRef - Effects of depression and stress on oral self‐care among perinatal women in Appalachia: A longitudinal study
Jeongwi An, Christa Lilly, John R. Shaffer, Betsy Foxman, Mary L. Marazita, Daniel W. McNeil
Community Dentistry and Oral Epidemiology.2024; 52(6): 871. CrossRef - Dental caries and depression in pregnant women: The role of oral health self‐perception as mediator
Mariana G. Cademartori, Flavio F. Demarco, Mariangela Freitas da Silveira, Fernando C. Barros, Marcos B. Corrêa
Oral Diseases.2022; 28(6): 1733. CrossRef - Comparison of Diagnosed Depression and Self-Reported Depression Symptom as a Risk Factor of Periodontitis: Analysis of 2016–2018 Korean National Health and Nutrition Examination Survey Data
Seon-Rye Kim, Seoul-Hee Nam
International Journal of Environmental Research and Public Health.2021; 18(3): 871. CrossRef - Factors Related to Maternal Oral Health Status: Focus on Pregnant and Breastfeeding Women
Eun Gyeong Kim, Sook Kyoung Park, Ju-Hee Nho
Healthcare.2021; 9(6): 708. CrossRef - Factors contributing to unmet needs for dental health care in adult population of Serbia
Milica Veličković, Snežana Radovanović, Vesna Dimitrijević, Danijela Gračić, Sanja Krulj, Jasna Milosavljević, Tanja Milićević, Ana Marinković, Tatjana Kanjevac
Zdravstvena zastita.2020; 49(1): 1. CrossRef - The Impact of Oral Health on Work Performance of Japanese Workers
Takashi Zaitsu, Tomoya Saito, Akiko Oshiro, Takeo Fujiwara, Yoko Kawaguchi
Journal of Occupational & Environmental Medicine.2020; 62(2): e59. CrossRef - Predictive Model of Clinical Attachment Loss and Oral Health-Related Quality of Life through Depressive Symptomatology, Oral Hygiene Habits, and Proinflammatory Biomarkers: A Pilot Study
Norma Idalia Rodríguez Franco, José Moral de la Rubia, Andrea Guadalupe Alcázar Pizaña
Dentistry Journal.2020; 8(1): 20. CrossRef - Stress, allostatic load, and periodontal diseases
Wael Sabbah, Noha Gomaa, Aswathikutty Gireesh
Periodontology 2000.2018; 78(1): 154. CrossRef - Comparison of Effects of Oral Health Program and Walking Exercise Program on Health Outcomes for Pregnant Women
Hae-jin Park, Haejung Lee
Journal of Korean Academy of Nursing.2018; 48(5): 506. CrossRef - Periodontal Disease and Health Related Quality of Life (HRQoL) in Pregnant Women
Hae-jin Park, Haejung Lee, Soohyun Cho
Korean Journal of Women Health Nursing.2016; 22(4): 191. CrossRef
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