Health-Promoting lifestyle practices and associated factors among pregnant mothers in Muhir Aklil Woreda of Central Ethiopia: a community-based cross-sectional study

Health-promoting lifestyle practice during pregnancy involves six dimensions, namely health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management. During pregnancy, it is affected by various factors. However, there is limited research​ conducted in Ethiopia. To assess health-promoting lifestyle practices and associated factors among pregnant mothers in Muhir Aklil Woreda of Central Ethiopia, 2025. From September 8 to October 8, 2025, 422 study subjects participated in a community-based cross-sectional study. A multistage sampling technique was used to select the study population. A semi-structured questionnaire was used to collect the data. One supervisor and five data collectors took part in the data collection process. The analysis was conducted using SPSS version 25, and a binary logistic regression model was employed. Statistically significant factors were taken with a p-value < 0.05 at a 95% CI. The findings were presented in text and tables. Among 422 study participants, 416 were enrolled for this study analysis. About 329 (79.1%) study participants had good health-promoting lifestyle practices. Family member ≥ 5 (AOR = 0.21; 95% CI: 0.08–0.8); p = 0.02), both mother and her husband decision maker for economic expenses (AOR = 3.41; 95% CI: 1.23–14.91; p = 0.000), parity ≥ 2 (AOR = 3.72; 95% CI: 2.32–8.16; p = 0.001), and social support (AOR = 1.21; 95% CI: 1.03–8.85; p = 0.04) were found to be significantly associated factors. Health-promoting lifestyle practice during pregnancy was high compared to the previous study findings. Responsible bodies should focus on improving social support, joint decision making for economic expenses, and barriers that affect family responsibilities.