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E-ISSN : 2148-9696
Crescent Journal of
Medical and Biological Sciences
Jul 2019, Vol 6, Issue 3
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Original Article
The Effect of Counseling on Menstrual Hygiene, Physical Activity, and Nutritional Status of Female Adolescent Students: A Randomized Controlled Field Trial
Raana Aghanejad Nozari1, Azizeh Farshbaf-Khalili2, Niloofar Sattarzadeh3, Mohammad Asghari Jafarabadi4
1Student Research Committee, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
2Aging Research Institute, Physical medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
3Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
4Department of Statistics and Epidemiology. Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran

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Keywords : Counseling, Adolescent girls, Menstrual hygiene, Nutrition, Physical activity
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Objectives :Adolescence is a period of maturity between childhood and adulthood, and is a key step for the establishment of health behaviors. This study was conducted with the aim of evaluating the effect of consultation on the healthy behaviors of girl adolescents.

Materials and Methods: This randomized controlled field trial was conducted on 120 eligible girls aged 14-18 years old, who studied in one of the ten stratified randomly selected schools among five districts of Tabriz-Iran from October 2017 until January 2018. Schools were randomly assigned to counseling (n = 60) or control groups (n= 60) as one pair in each district. The intervention group participated in three counseling sessions about health behaviors in groups of 6 students for 45-60 minutes. Demographic, menstrual hygiene questionnaire, food frequency questionnaire (FFQ), and international physical activity questionnaire (IPAQ-SF) questionnaires were completed by participants before and eight weeks after intervention. All analyzes were based on the intention to treat.

Results:The two counseling and control groups were similar in terms of socio-demographic characteristics (p>0.05). ANCOVA adjusted for baseline scores indicated significantly increase in the mean score of menstrual hygiene in counseling group comparing with control group (adjusted mean difference: 26.63; 95% confidence interval: 25.39 to 27.87).The consumption of milk and vegetables groups increased in the intervention group in comparison to the control group (p<0.001). The mean score of physical activity between the two groups was not statistically significant after intervention (p= 0.686). However, based on within group analysis, there was a significant increase in the physical activity score in the intervention group (p = 0.002).

Conclusion:Based on the results of this study, counseling sessions for adolescent girls seem to be a good way to improve their healthy behaviors and promote the health of future mothers.


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