Abstract

BackgroundPromotion of healthy lifestyle is an important strategy. This study was conducted to determine the effects of counselling on health-promoting lifestyle and quality of life in middle-aged women.MethodsThis randomised, controlled, clinical trial was conducted on 102 middle-aged women presenting to health centers in Tabriz, Iran, in 2016–17. Using stratified blocking based on age (40–50 and 50–60 age groups) with block sizes of four and six, eligible middle-aged women were randomly allocated to the intervention and control groups. The intervention group received health-promoting lifestyle counselling over three 45-min sessions. The control group received the routine care provided by health centers. The Health Promoting Lifestyle Profile- II (HPLP-II) and quality of life survey (SF-36) were completed in both group before and four and eight weeks after completion of the intervention. Data were analyzed using the independent t-test and the repeated measures analysis of variance (ANOVA).ResultsAfter adjustment for the baseline values, the repeated measures ANOVA showed that the mean scores of health-promoting lifestyle (adjusted mean difference = 0.91, 95% confidence interval: 0.83 to 0.99, P < 0.001) and quality of life (18.2, 15.75 to 20.66, P < 0.001) were significantly higher in the intervention compared to the control group after the intervention.ConclusionCounselling can improve health-promoting lifestyle and quality of life in middle-aged women.Trial registration: IRCT2015122610324N27. Registered 4 February 2016.

Highlights

  • Promotion of healthy lifestyle is an important strategy

  • A total of 400 middle-aged women were assessed in terms of socio-demographic characteristics, including 102 eligible candidates who were randomised into an intervention and a control group

  • The repeated measures analysis of variance (ANOVA) showed significantly higher mean health promoting lifestyle score (Adjusted difference = 0.91, 95% confidence interval: 0.83 to 0.99, P < 0.001) (Table 2, Fig. 2)

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Summary

Introduction

This study was conducted to determine the effects of counselling on health-promoting lifestyle and quality of life in middle-aged women. Women play a major role in promoting family and community health. As a result, their physical, psychological, social and spiritual health is of utmost importance [1]. According to a 2016 census, women account for 49.33% of Iran’s population [2]. Adults aged 40–60 are referred to as middle-aged [3]. According to a 2011 census in Iran, 23% of women in the country are middle-aged [2]. Women at this age range experience several health-

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