Journals / Balıkesir Sağlık Bilimleri Dergisi / 2026 / Volume: 15 Issue: 3

Health-Promotion Training Effects on Sleep and Quality of Life in Maternal Obesity

Fatma Kurt(Sağlık bakanligi)0000-0001-5748-1819
Safiye Ozvurmaz(ADNAN MENDERES ÜNİVERSİTESİ)0000-0002-1842-3058
Filiz Adana(ADNAN MENDERES UNIVERSITY)0000-0002-7677-0170
Ceren Varer Akpınar(GİRESUN ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-8168-6435
Duygu Yeşilfidan(ADNAN MENDERES ÜNİVERSİTESİ)0000-0002-0290-1553
Seyfi Durmaz(Karabağlar Municipality,Directorate of Health Affairs,İzmir, Turkey)0000-0001-9756-7764
Pages
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Publication Date
2026-10-08
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The education improved sleep quality but had no significant short-term effect on obesity-specific quality of life.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study evaluated the effect of health promotion behaviour education on sleep quality and obesity-specific quality of life in pregnant women with maternal obesity.
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Key Findings & Data:Materials and Methods: This randomised controlled trial was conducted at family health centres affiliated with the Aydın Provincial Health Directorate between January 1 and June 30, 2022.
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Conclusion & Impact:Conclusion: The education improved sleep quality but had no significant short-term effect on obesity-specific quality of life.
🔬Design:Research Article
📍Scope:2022 Verileri
⚙️Variables:Maternal Obesity · Pregnancy · Health Promotion Behaviours

Abstract

Objective: This study evaluated the effect of health promotion behaviour education on sleep quality and obesity-specific quality of life in pregnant women with maternal obesity. Materials and Methods: This randomised controlled trial was conducted at family health centres affiliated with the Aydın Provincial Health Directorate between January 1 and June 30, 2022. A total of 620 pregnant women constituted the study population. Of these, 44 eligible pregnant women with a body mass index (BMI) ≥ 30.00 kg/m² were randomly assigned to either the intervention group (n = 22) or the control group (n = 22). Following losses during follow-up, the study was completed with 40 participants, including 20 women in each group. Data were collected using the Sociodemographic Information Form, Pittsburgh Sleep Quality Index, and Obesity-Specific Quality of Life Scale, and analyzed using SPSS 24.0. Baseline characteristics were compared using appropriate tests for continuous and categorical variables. Changes in PSQI and OSQOL scores were analyzed using generalised estimating equations, and group, time, and group × time effects were tested using the Wald chi-square test. Results: Time and group × time effects were significant for PSQI scores. Sleep quality improved over time in the intervention group (p < 0.001), whereas no significant change was observed in the control group. Group, time, and group × time effects were not significant for OSQOL scores, indicating no intervention effect on obesity-specific quality of life. Conclusion: The education improved sleep quality but had no significant short-term effect on obesity-specific quality of life.

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Cite This Article

Kurt, F., Ozvurmaz, S., Adana, F., Akpınar, C. V., Yeşilfidan, D., Durmaz, S. (2026). Health-Promotion Training Effects on Sleep and Quality of Life in Maternal Obesity. Balıkesir Sağlık Bilimleri Dergisi, Volume: 15 Issue: 3. https://doi.org/10.53424/balikesirsbd.2011806

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References (30)

  1. Ağargün MY, Kara H, Anlar Ö. Pittsburgh uyku kalitesi indeksi’nin geçerliliği ve güvenirliliği. Türk Psikiyatri Dergisi. 1996 7(2): 107-115.
  2. Ainscough, K. M., O’Brien, E. C., Lindsay, K. L., Kennelly, M. A., O’Sullivan, E. J., O’Brien, O. A., McCarthy, M., De Vito, G., & McAuliffe, F. M. (2020). Nutrition, behavior change and physical activity outcomes from the PEARS RCT: An mHealth-supported, lifestyle intervention among pregnant women with overweight and obesity. Frontiers in Endocrinology,10,938. https://doi.org/10.3389/fendo.2019.00938
  3. Alhussain, H., Deepak, Chandra, B., Lakshmi, R., Sumana, A., & Jishamol, K. (2024). Examination of the incidence of poor sleep quality and factors associated with poor sleep during the various phases of pregnancies. Georgian Medical News, (347), 47–53. https://pubmed.ncbi.nlm.nih.gov/38609113
  4. Alimoradi, Z., Jafari, E., Broström, A., Ohayon, M. M., Lin, C.-Y., Griffiths, M. D., Blom, K., Jernelöv, S., Kaldo, V., & Pakpour, A. H. (2022). Effects of cognitive behavioral therapy for insomnia (CBT-I) on quality of life: A systematic review and meta-analysis. Sleep Medicine Reviews, 64, 101646. https://doi.org/10.1016/j.smrv.2022.101646
  5. Ambak, R., Mohamad Nor, N. S., Puteh, N., Mohd Tamil, A., Omar, M. A., Shahar, S., Ahmad, N. A., & Aris, T. (2018). The effect of a weight loss intervention programme on health-related quality of life among low income overweight and obese housewives in the MyBFF@home study. BMC Women’s Health, 18(Suppl. 1), 111. https://doi.org/10.1186/s12905-018-0591-3
  6. Başer, E., Aydoğan Kırmızı, D., Onat, T., Kara, M., & Yalvaç, E. S. (2019). Vücut kitle indeksinin gebelik ve neonatal sonuçlara etkisi [The effect of body mass index on pregnancy and neonatal results]. Bozok Tıp Dergisi, 9(3), 76–80. https://doi.org/10.16919/bozoktip.542501
  7. Bilgin, Z. (2020). Maternal obezite ile ilişkili risklerin kanıt temelli yönetimi. Online Türk Sağlık Bilimleri Dergisi, 5(1), 176–187. https://doi.org/10.26453/otjhs.475513
  8. Buysse, D. J., Reynolds, C. F., 3rd, Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. https://doi.org/10.1016/0165-1781(89)90047-4
  9. Bourjeily, G., Danilack, V. A., Bublitz, M. H., Lipkind, H. S., Muri, J. H., Caldwell, D., Tong, I., & Rosene-Montella, K. (2017). Obstructive sleep apnea in pregnancy is associated with adverse maternal outcomes: A national cohort. Sleep Medicine, 38, 50–57. https://doi.org/10.1016/j.sleep.2017.06.035
  10. Demirer, B., & Yardımcı, H. (2020). Maternal ve fetal sağlık için büyük tehlike: Maternal obezite. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 7(3),401–407. https://doi.org/10.34087/cbusbed.685203
  11. Friedrich, A., Claßen, M., & Schlarb, A. A. (2018). Sleep better, feel better? Effects of a CBT-I and HT-I sleep training on mental health, quality of life, and stress coping in university students: A randomized pilot controlled trial. BMC Psychiatry, 18(1), 268. https://doi.org/10.1186/s12888-018-1860-2
  12. Froń, A., & Orczyk-Pawiłowicz, M. (2026). Knowledge gaps regarding overweight and obesity in pregnancy: A cross-sectional study among Polish women. Nutrients, 18(2), 203. https://doi.org/10.3390/nu18020203
  13. Geniş, B., Kayalar, A., Dönmez, A., & Coşar, B. (2022). Obez ve aşırı kilolu bireylerde yapılandırılmış bilişsel davranışçı grup terapisinin vücut ağırlığı, ruhsal durum ve yaşam kalitesi üzerine etkisi: 16 haftalık bir takip çalışması. Türk Psikiyatri Dergisi, 33(1), 11–21. https://doi.org/10.5080/u25606
  14. Gündüzoğlu-Çıray,N., Fadıloğlu, Ç., & Yılmaz,C. (2013). Obezlere Özgü Yaşam Kalitesi Ölçeğinin geçerlilik ve güvenirliğinin incelenmesi. Anadolu Psikiyatri Dergisi, 15(1), 63-68.
  15. Harrison, C. L., Bahri Khomami, M., Enticott, J., Thangaratinam, S., Rogozińska, E., & Teede, H. J. (2023). Key components of antenatal lifestyle interventions to optimize gestational weight gain: Secondary analysis of a systematic review. JAMA Network Open, 6(6), e2318031. https://doi.org/10.1001/jamanetworkopen.2023.18031
  16. Kalantari, E., Tajvar, M., Naderimagham, S., & Takian, A. (2024). Maternal obesity management: A narrative literature review of health policies. BMC Women’s Health, 24(1),520. https://doi.org/10.1186/s12905-024-03342-2
  17. Kent, L., McGirr, M., & Eastwood, K.-A. (2024). Global trends in prevalence of maternal overweight and obesity: A systematic review and meta-analysis of routinely collected data retrospective cohorts. International Journal for Population Data Science, 9(2), 2401. https://doi.org/10.23889/ijpds.v9i2.2401
  18. Ku, C. W., Leow, S. H., Ong, L. S., Erwin, C., Ong, I., Ng, X. W., Tan, J. J. X., Yap, F., Chan, J. K. Y., & Loy, S. L. (2022). Developing a lifestyle intervention program for overweight or obese preconception, pregnant, and postpartum women using qualitative methods. Scientific Reports, 12(1), 2511. https://doi.org/10.1038/s41598-022-06564-2
  19. Kulbat, A., Karwańska, A., Uniłowska, I., Dovzhuk, Y., Kojder, E., Dolenha, A., Ochał, J., Matyka, K., Ferschke, A., & Szymczyk, A. (2023). The role of health education and physical activity in the prevention of obesity in pregnant women. Journal of Education, Health and Sport, 13(5), 72–79. https://doi.org/10.12775/jehs.2023.13.05.010
  20. Kurnaz, D., & Karaçam, Z. (2025). The effect of methods used in the management of maternal obesity on pregnancy and birth outcomes: A systematic review with meta-analysis. International Journal of Obesity, 49(6), 1013–1023. https://doi.org/10.1038/s41366-025-01748-y
  21. Lagadec, N., Steinecker, M., Kapassi, A., Magnier, A. M., Chastang, J., Robert, S., Gaouaou, N., & Ibanez, G. (2018). Factors influencing the quality of life of pregnant women: A systematic review. BMC Pregnancy and Childbirth, 18(1), 455. https://doi.org/10.1186/s12884-018-2087-4
  22. Lim, S., Harrison, C. L., Callander, E., Walker, R., Teede, H., & Moran, L. (2022). Addressing obesity in preconception, pregnancy, and postpartum: A review of the literature. Current Obesity Reports, 11(4), 405–414. https://doi.org/10.1007/s13679-022-00485-x
  23. Marchi, J., Berg, M., Dencker, A., Olander, E. K., & Begley, C. (2015). Risks associated with obesity in pregnancy, for the mother and baby: A systematic review of reviews. Obesity Reviews, 16(8), 621–638. https://doi.org/10.1111/obr.12288
  24. Patrick, D. L., Bushnell, D. M., & Rothman, M. (2004). Performance of two self‐report measures for Evaluating Obesity and Weight Loss. Obesity Research, 12(1), 48-57.
  25. Rubens, M., Ramamoorthy, V., Saxena, A., McGranaghan, P., Veledar, E., & Hernandez, A. (2022). Obstetric outcomes during delivery hospitalizations among obese pregnant women in the United States. Scientific Reports, 12(1), 6862. https://doi.org/10.1038/s41598-022-10786-9
  26. Santos, S., Voerman, E., Amiano, P., Barros, H., Beilin, L. J., Bergström, A., Charles, M.-A., Chatzi, L., Chevrier, C., Chrousos, G. P., Corpeleijn, E., da Costa, O. A., Costet, N., Crozier, S. R., Devereux, G., Doyon, M., Eggesbø, M., Fantini, M. P., Farchi, S.,. Jaddoe, V. W. V. (2019). Impact of maternal body mass index and gestational weight gain on pregnancy complications: An individual participant data meta-analysis of European, North American, and Australian cohorts. BJOG: An International Journal of Obstetrics & Gynaecology, 126(8), 984–995. https://doi.org/10.1111/1471-0528.15661
  27. Türkmen, N., Alanya Tosun, S., Ayraler, A., & Akan, H. (2024). Sleep hygiene education program during pregnancy: A prospective randomized controlled study. Archives of Gynecology and Obstetrics, 310(2), 1071–1080. https://doi.org/10.1007/s00404-024-07471-9
  28. Wilcox, S., Liu, J., Turner-McGrievy, G. M., Boutté, A. K., & Wingard, E. (2022). Effects of a behavioral intervention on physical activity, diet, and health-related quality of life in pregnant women with elevated weight: Results of the HIPP randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 19(1),145. https://doi.org/10.1186/s12966-022-01387-w
  29. Wu, H., Sun, W., Chen, H., Wu, Y., Ding, W., Liang, S., Huang, X., Chen, H., Zeng, Q., Li, Z., Xiong, P., Huang, J., Akinwunmi, B., Zhang, C. J. P., & Ming, W. (2021). Health-related quality of life in different trimesters during pregnancy. Health and Quality of Life Outcomes, 19(1), 182. https://doi.org/10.1186/s12955-021-01811-y
  30. Santos, S., Voerman, E., Amiano, P., Barros, H., Beilin, L. J., Bergström, A., Charles, M.-A., Chatzi, L., Chevrier, C., Chrousos, G. P., Corpeleijn, E., da Costa, O. A., Costet, N., Crozier, S. R., Devereux, G., Doyon, M., Eggesbø, M., Fantini, M. P., Farchi, S.,. Jaddoe, V. W. V. (2019). Impact of maternal body mass index and gestational weight gain on pregnancy complications: An individual participant data meta-analysis of European, North American, and Australian cohorts. BJOG: An International Journal of Obstetrics & Gynaecology, 126(8), 984–995. https://doi.org/10.1111/1471-0528.15661