{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T15:54:28Z","timestamp":1789574068541,"version":"build-2803163510"},"reference-count":37,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T00:00:00Z","timestamp":1642118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007129","name":"Natural Science Foundation of Shandong Province","doi-asserted-by":"publisher","award":["ZR2020QG059"],"award-info":[{"award-number":["ZR2020QG059"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>The aim of this study is to estimate differences in health\u2010promoting behaviour levels throughout the pregnancy trimesters, to identify distinct patterns of health\u2010promoting behaviour trajectories during pregnancy and to evaluate predictors of these trajectory group memberships.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Promoting healthy lifestyle behaviours during pregnancy could decrease devastating outcomes for the mother and foetus. However, there is currently limited insight into the dynamics of health\u2010promoting behaviours during pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>An observational longitudinal study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>158 pregnant women were recruited from June 2020 to June 2021 in Qingdao, China. The Health\u2010Promoting Lifestyle Profile was used to assess health\u2010promoting behaviours. Latent growth model was performed to compare health\u2010promoting behaviours at different time points. Group\u2010based trajectory model was applied to identify health\u2010promoting behaviour trajectories. Multinomial logistic regression was adopted to determine the predictors of trajectory group memberships. We used the STROBE checklist to report this study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The entire sample of pregnant women experienced a significant increase in health\u2010promoting behaviours during pregnancy. Three trajectories were identified including a \u2018low\u2010increase behaviour trajectory (20.1% of sample)\u2019, a \u2018moderate\u2010increase behaviour trajectory (58.0% of sample)\u2019 and a \u2018stable then increased behaviour trajectory (21.9% of sample)\u2019. Low maternal sense of coherence, lack of pre\u2010pregnancy exercise habit, artificial insemination and low monthly family income were significantly associated with the low\u2010increase behaviour trajectory. High self\u2010efficacy and pre\u2010pregnancy exercise habit were significantly associated with the stable then increased behaviour trajectory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pregnant women exhibit different health\u2010promoting behaviours throughout the pregnancy trimesters. Meanwhile, three trajectories were identified among pregnant women. Thus, more attentions should be paid on early identification and targeted intervention in a future study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance of clinical practice<\/jats:title><jats:p>Healthcare providers should pay closer and earlier attention to identify women in the low\u2010increase trajectory subgroup at the outset of pregnancy. Similarly, increased efforts should be made to improve maternal self\u2010efficacy and develop good pre\u2010pregnancy exercise habit in future study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16214","type":"journal-article","created":{"date-parts":[[2022,1,15]],"date-time":"2022-01-15T04:38:39Z","timestamp":1642221519000},"page":"234-242","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Developmental trajectories of health\u2010promoting behaviours among pregnant women: A longitudinal study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5056-8927","authenticated-orcid":false,"given":"Pengli","family":"Yu","sequence":"first","affiliation":[{"name":"School of Nursing Qingdao University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lixue","family":"Zhou","sequence":"additional","affiliation":[{"name":"School of Nursing Qingdao University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Meng","sequence":"additional","affiliation":[{"name":"School of Nursing Qingdao University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhong","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Nursing Qingdao University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunxia","family":"Jiang","sequence":"additional","affiliation":[{"name":"School of Nursing Qingdao University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6132-7590","authenticated-orcid":false,"given":"Yunping","family":"Zhou","sequence":"additional","affiliation":[{"name":"School of Nursing Qingdao University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,14]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003772"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.20982\/tqmp.05.1.p011"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0194999"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010017\u20101336\u20102"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2012.162"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.2466\/pr0.1999.85.3f.1221"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/10826084.2013.787091"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2003.018085"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2005.041616"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2213\u20108587(20)30107\u20108"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12187"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dew266"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102393\u201010\u201033"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010019\u20102510\u20105"},{"issue":"9","key":"e_1_2_12_16_1","first-page":"529","article-title":"Assessment of the health\u2010promoting lifestyle profile on reliability and validity","volume":"12","author":"Huang Y. 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