title: Comparison of lifestyle in fertile and infertile couples in Kermanshah during 2013.
abstract: BACKGROUND
  Infertility is a major reproductive health in gynecology. According to the world health organization, there are currently 50-80 million infertile couples in the world.
  
  
  OBJECTIVE
  Considering the critical effects of lifestyle on reproductive health, this study aimed to compare the lifestyle of fertile and infertile couples in Kermanshah during 2013.
  
  
  METHODS
  This research is a descriptive cross sectional study that was done on 216 fertile and infertile couples attending Infertility Center and six medical centers that were selected through the convenience sampling. Data were collected using a researcher-made questionnaire containing demographic and fertility-related information and also lifestyle items on nutrition, physical activity, perceived social support, responsibility for health, and inappropriate health behaviors. Descriptive statistics, logistic regression analysis, independent t, chi-square and Generalized Estimating equation were performed to analyze the data.
  
  
  RESULTS
  Fertile and infertile women (86.1% and 73. 1% respectively, p= 0. 03) as well as fertile and infertile men were significantly different in terms of physical activity (87% and 96.3% p<0.001, respectively) and perceived social support (p<0.001). Moreover, there was a significant difference between fertile and infertile women in nutrition (p<0.001). Similar differences were observed in responsibility for health and inappropriate health behaviors between fertile and infertile men. However, all of the dimensions of lifestyle, except nutrition, were significantly different between fertile and infertile couples.
  
  
  CONCLUSIONS
  As lifestyle plays a crucial role in reproductive health, the inappropriate lifestyle of infertile couples has to be modified through effective measures such as awareness promotion, behavioral changes, and development of a healthy environment.
authors.affiliation: Department of Midwifery, Shahid Beheshti University of Medical Sciences, Student Research Committee, Tehran, Iran.
authors.forename: Tahereh
authors.initials: T
authors.lastname: Khosrorad
authors.affiliation: Department of Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Mahrokh
authors.initials: M
authors.lastname: Dolatian
authors.affiliation: Department of Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Hedyeh
authors.initials: H
authors.lastname: Riazi
authors.affiliation: Social Determinant of Health Research Center, Alborz Univversity of Medical Sciences, Karaj, Iran. ; Department of Midwifery, Faculty of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran.
authors.forename: Zohreh
authors.initials: Z
authors.lastname: Mahmoodi
authors.affiliation: Department of Biostatistics, School of Paramedical Sciences, Shahid Beheshti University of Medical Sciences,Tehran, Iran.
authors.forename: Hamid
authors.initials: H
authors.lastname: Alavimajd
authors.affiliation: Department of Biostatistics, School of Paramedical Sciences, Shahid Beheshti University of Medical Sciences,Tehran, Iran.
authors.forename: Soodeh
authors.initials: S
authors.lastname: Shahsavari
authors.affiliation: Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Mitra
authors.initials: M
authors.lastname: Bakhtiari
keywords: Fertile couples; Health behaviors; Infertile couples; Lifestyle; Nutrition; Physical activity; Social support