Aerobic exercise as a non-pharmacological intervention to reduce weight gain in 3-month injectable contraceptive users
DOI:
https://doi.org/10.35335/midwifery.v14i2.2388Keywords:
Aerobic Exercise , DMPA, Injectable Contraceptive, Nonpharmacological, Weight GainAbstract
Weight gain is identified as one of the most prevalent side effects among users of 3-month injectable contraceptives (Depot Medroxyprogesterone Acetate/DMPA), which significantly impacts user compliance and long-term health. This study aims to analyze the effect of a structured aerobic exercise intervention on weight reduction among DMPA users. This research employed a quantitative pre-experimental design with a pretest-posttest approach. The study was conducted in Tondomulyo Village, Pati District, Central Java, involving 50 women of reproductive age (15–49 years) who were current users of 3-month injectable contraceptives, selected through purposive sampling. Body weight was measured before and after the intervention using calibrated digital scales. Data were analyzed using a paired sample t-test via SPSS with a significance level of p < 0.05. The study found a statistically significant decrease in body weight following the aerobic exercise intervention (p=0.000). The mean body weight decreased from 61.92 kg at pre-intervention to 60.86 kg post-intervention, resulting in a mean difference of 1.06 kg. Most participants engaged in light-intensity exercise (58%), though regular exercise was associated with more optimal metabolic outcomes. Aerobic exercise is an effective non-pharmacological intervention for managing weight gain among DMPA users. Incorporating structured physical activity into reproductive health programs can serve as a holistic approach to mitigate contraceptive side effects and improve user continuation rates.
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Abdelkadera, G., Kocaoğlub, Y., Bouchra, S., Holandad, F. J. de, Erkmenb, N., Madanie, R., & Mohammedf, Z. (2022). The Effect of Aerobic Exercise (Swimming) and Oral Contraceptives on Some Hormonal Variables According to Age and Childbirth: Analytical Study. Turkiye Klinikleri Journal of Sports Sciences, 14(1), 22–30. https://doi.org/10.5336/sportsci.2021-84117
Alyafei, A., Balfour, J., & Keyes., D. (2025). Physical Activity and Weight Loss Maintenance. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK572051/
Antari, G. Y., Herliana, & Fitria, R. (2024). Perubahan Berat Badan Aseptor Kb Suntik 3 Bulan Di Puskesmas Kota Karang: Survei Analitik. JOMIS (Journal Of Midwifery Science), 8(2), 164–173. https://doi.org/10.36341/jomis.v8i2.4710
Beksinska, M., Issema, R., Beesham, I., Lalbahadur, T., Thomas, K., Morrison, C., Hofmeyr, G. J., Steyn, P. S., Mugo, N., Palanee-Phillips, T., Ahmed, K., Nair, G., Baeten, J. M., & Smit, J. (2021). Weight change among women using intramuscular depot medroxyprogesterone acetate, a copper intrauterine device, or a levonorgestrel implant for contraception: Findings from a randomised, multicentre, open-label trial. EClinicalMedicine., 34(Apr), 100800. https://doi.org/10.1016/j.eclinm.2021.100800
BKKBN. (2022). Proporsi Tingkat Putus Pakai Kontrasepsi Menurut Metodenya (2022). https://databoks.katadata.co.id/datapublish/2023/08/23/pil-jadi-metode-kontrasepsi-dengan-tingkat-putus-pakai-tertinggi-2022
BPS. (2020). Survei Survei Demografi dan Kesehatan Indonesia tahun 2019.
BPS Jawa Tengah. (2023). Data Kependudukan.
D’Souza, A., Lau, K., & Phillips, S. (2022). Exercise in the maintenance of weight loss: health benefits beyond lost weight on the scale. Br J Sports Med, 56(13), 771–772. https://doi.org/10.1136/bjsports-2021-104754. Epub 2021 Aug 2
Elliott-Sale, K. J., McNulty, K. L., Ansdell, P., Goodall, S., Hicks, K. M., Thomas, K., Swinton, P. A., & Dolan, E. (2020). The Effects of Oral Contraceptives on Exercise Performance in Women: A Systematic Review and Meta-analysis. Sports Med, 50(10), 1785–1812. https://doi.org/10.1007/s40279-020-01317-5
Fatkhurohmaningtias, L., & Yuliastrid, D. (2016). Pengaruh Latihan Senam Yoga Terhadap Indeks Massa Tubuh Wanita Usia 25-35 Tahun di Antares Fitness And Aerobic. Jurnal Kesehatan Olahraga, 6(2), 117–122. https://ejournal.unesa.ac.id/index.php/jurnal-kesehatan-olahraga/article/view/17504
Kemenkes, R. (2021). Pedoman Pelayanan Kontrasepsi dan Keluarga Berencana. Direktorat Jendral Kesehatan Keluarga.
Le, Y., Rahman, M., & Berenson, A. (2009). Early weight gain predicting later weight gain among depot medroxyprogesterone acetate users. Obstet Gynecol, 114((2 Pt 1)), 279–284. https://doi.org/10.1097/AOG.0b013e3181af68b2
Lopez, L., Ramesh, S., Chen, M., Edelman, A., Otterness, C., Trussell, J., & Helmerhorst, F. (2016). Progestin-only contraceptives: effects on weight. Cochrane Database Syst Rev, 2016(8), CD008815. https://doi.org/10.1002/14651858.CD008815.pub4
Manurung, N. (2018). Hubungan Penggunaan Alat Kontrasepsi Hormonal Dengan Peningkatan Berat Badan Pada Akseptor KB. Jurnal Ilmiah Keperawatan Imelda, 4(1), 1–3. http://jurnal.uimedan.ac.id/index.php/JURNALKEPERAWATAN
Niezgoda, N., Chomiuk, T., Kasiak, P., Mamcarz, A., & Śliż, D. (2025). The Impact of Physical Activity on Weight Loss in Relation to the Pillars of Lifestyle Medicine-A Narrative Review. Nutrients, 17(6), 1095. https://doi.org/10.3390/nu17061095
O’Donoghue, G., Blake, C., Cunningham, C., Lennon, O., & Perrotta, C. (2021). What exercise prescription is optimal to improve body composition and cardiorespiratory fitness in adults living with obesity? A network meta-analysis. Obes Rev, 2022(2), e13137. https://doi.org/10.1111/obr.13137
Prasetiyo, B. A., & Arini, M. (2023). Hubungan Komunikasi Informasi Edukasi dengan Pemakaian Metode Kontrasepsi Jangka Panjang di Jakenan Kabupaten Pati. Jurnal Kesehatan Vokasional, 8(2), 91. https://doi.org/https://doi.org/10.22146/jkesvo.77051
Rocha, J., Paxman, J., Dalton, C., Winter, E., & Broom, D. (2015). Effects of an acute bout of aerobic exercise on immediate and subsequent three-day food intake and energy expenditure in active and inactive pre-menopausal women taking oral contraceptives. Appetite, 89(June), 183–191. https://doi.org/10.1016/j.appet.2015.02.005
Shamseddin, M., Martino, F. De, Constantin, C., Scabia, V., Lancelot, A.-S., Laszlo, C., Ayyannan, A., Battista, L., Raffoul, W., Gailloud-Matthieu, M.-C., Bucher, P., Fiche, M., Ambrosini, G., Sflomos, G., & Brisken, C. (2021). Contraceptive progestins with androgenic properties stimulate breast epithelial cell proliferation. EMBO Mol Med, 13(7), e14314. https://doi.org/10.15252/emmm.202114314
Shokoufeh Dianat, Fox, E., Ahrens, K. A., Upadhyay, U. D., Zlidar, V. M., Gallo, M. F., Stidd, R. L., Moskosky, S., & Dehlendorf, C. (2019). Side Effects and Health Benefits of Depot Medroxyprogesterone Acetate: A Systematic Review. Obstet Gynecol, 133(2), 332–341. https://doi.org/10.1097/AOG.0000000000003089
Sodikoh, I., & Sutarno, M. (2024). Hubungan Pemakaian KB Suntik 3 Bulan Dengan Kenaikan Berat Badan Di Tpmb Bidan Titin Duratul Kabupaten Tangerang Banten Tahun 2023. Involusi: Jurnal Ilmu Kebidanan, 14(1), 38–44. https://doi.org/https://doi.org/10.61902/involusi.v14i1.949
Susiloningtyas, I., Realita, F., & Hasna, F. N. (2023). Faktor-Faktor yang Mempengaruhi Penggunaan Kontrasepsi Hormonal Suntik 3 Bulan. Jurnal Health Sains, 4(1), 120–133. https://doi.org/https://doi.org/10.46799/jhs.v4i1.821
Swift, D. L., Johannsen, N. M., Lavie, C. J., Earnest, C. P., & Church, T. S. (2014). The role of exercise and physical activity in weight loss and maintenance. Prog Cardiovasc Dis, 56(4), 441–447. https://doi.org/10.1016/j.pcad.2013.09.012
WHO. (2025). Family planning/contraception methods. https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception
Wiklund, P. (2016). The role of physical activity and exercise in obesity and weight management: Time for critical appraisal. J Sport Health Sci., 5(2), 151–154. https://doi.org/10.1016/j.jshs.2016.04.001
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