Health-promoting Lifestyle Research Articles

Factors affecting the health-promoting behavior of thyroid cancer survivors: comparison by stage of cancer survivorship

PurposeThe purpose of this study was to identify differences in factors affecting health-promoting behaviors according to the survival stage of thyroid cancer survivors.MethodsThis descriptive cross-sectional study analyzed data from 354 thyroid cancer survivors after diagnosis. The survivors were divided into three stages: (1) the acute stage (< 2 years after diagnosis), (2) extended stage (2–5 years after diagnosis), and (3) permanent stage (≥ 5 years after diagnosis). To measure health-promoting behavior, the revised Korean version of the Health Promoting Lifestyle Profile questionnaires was used. The factors affecting the health-promoting behavior included social support, self-efficacy, fear of recurrence, and symptoms. Multiple regression analysis was used to analyze factors affecting the health-promoting behavior according to survival stage.ResultThe factors affecting the health-promoting behavior of thyroid cancer survivors differed by survival stage. In the acute stage, the factors of health-promoting behavior were self-efficacy (t = 4.76, p < .001) and social support (t = 3.54, p < .001). In the extended stage, symptoms (t = − 3.65, p < .001), social support (t = 2.61, p = .011), fear of recurrence (t = 2.18, p = .032), and receipt of radioiodine treatment (t = − 2.18, p = .032) were found to be significant variables that affected health-promoting behaviors. In the permanent stage, social support (t = 2.79, p = .007), receipt of radioiodine treatment (t = − 3.21, p = .002), and age (t = − 2.77, p = .007) were significant variables that affected health-promoting behaviors.ConclusionThe experience of thyroid cancer survivors varies as they progress through the survival stages; thus, health-promotion interventions should be tailored to each survival stage.

Association Between Virtual Social Networks and Health-Promoting Lifestyles in Medical University Students

Background: Medical students make extensive use of virtual social networks, especially in the era of the coronavirus pandemic, so that their health-promoting behaviors may be adversely affected. Objective: This study aimed to determine the relationship between the use of virtual social networks and a health-promoting lifestyle among postgraduate medical students. Materials &amp; Methods: This cross-sectional study was conducted among post-graduate students studying at Tehran University of Medical Sciences in 2020. A total of 240 students were included using quota sampling method. Data were collected via valid and reliable questionnaires consisting of socio-demographic information, health-promoting lifestyle Profile-II, and virtual social networks utilization. The spearman test was employed to evaluate the association between virtual social networks and lifestyle. Results: The mean age of participants was 32.21±7.45 and 75.4% were female. The mean score of lifestyle was 138.28±21.18, while the mean score of virtual social networks utilization was (64.55±11.40). There was a statistically significant correlation between utilization of virtual social networks and total score of lifestyle (r=-0.189, P=0.003), as well as physical activity (r=-0.232, P=0.001), nutrition (r=-0.179, P=0.005), and self-actualization (r=-0.154 , P=0.017) of health promoting lifestyle. Linear regression model showed that utilization of internet and social networks (B=-0.37, P=0.02), utilization in the time between 12 pm and 8 am (B=-14.3, P=0.011) were independently associated with Health Promoting Lifestyle score. Conclusion: This study showed that more than half of students had a healthy lifestyle (55%). The average score of virtual social networks used by students was high. Utilization of internet and the time of utilization were independent predictors of Health Promoting Lifestyle score.

The Relationship between Health-promoting Lifestyle and Suicidal Ideation in Addicted Women.

BackgroundAddiction is one of the most important problems of the present century that can be the basis of many social and family problems. Addiction severely affects the physical and mental health and lifestyle of addicted people and sometimes leads to suicide. The aim of this study was to investigate the relationship between health-promoting lifestyle and suicidal ideation in addicted women.MethodsIn this descriptive-correlational study, the statistical population included all addicted women who referred to psychiatric hospitals in Kerman, Iran, in 2020, among whom 118 people were selected using convenience sampling method. Data were collected using Beck Depression Inventory (BDI) (1974) and were analyzed using Spearman's correlation coefficient test.Findings44.9% of women had no suicidal ideation, 23.7% were ready to commit suicide, and 30.5% attempted suicide. There was a significant inverse relationship between health-promoting lifestyle and its components (nutrition, physical activity, health responsibility, stress management, interpersonal relationships, and spiritual growth) with suicidal ideation.ConclusionThe results of this study can have important applications in the care and rehabilitation of addicted people and reduce suicidal ideation among them. In the rehabilitation of addicted people, one of the important goals should be improving the quality of life (QOL) and lifestyle of these people.

Design and implementation of a follow-up and training program of health-promoting lifestyle after the coronary artery bypass graft.

BACKGROUND:Coronary artery bypass graft (CABG) plays an important role in reducing coronary heart disease mortality, but patients are still at risk after surgery. Consequences can be avoided if threatening behaviors are soon detected and lifestyles are promoted. Therefore, the present study aimed to evaluate, follow-up, and promote a healthy lifestyle in the patients.MATERIALS AND METHODS:The present research was a quasi-experimental pre- and postintervention single-group study on 35 patients under the CABG at two hospitals affiliated to the Baqiyatallah University of Medical Sciences in Tehran from August 2020 to April 2021. The samples were selected using the purposive sampling method and the educational content was determined by creating an expert panel. We utilized the Health-promoting Lifestyle Profile II to collect data, and SPSS 22 to analyze them.RESULTS:There was a significant difference between mean total scores of health-promoting lifestyle before and after the intervention and they reached from 138.7 ± 20 to 157.2 ± 18 (P < 0.0001). There was also a statistically significant difference between mean scores of nutrition (P < 0.003), physical activity (P < 0.0001), health responsibility (P < 0.0001), and stress management (P < 0.0001) before and after the intervention, but there was no statistically significant difference between mean scores of interpersonal relationships, and spiritual growth before and after the intervention.CONCLUSIONS:The program had a positive effect on the health-promoting lifestyle scores of patients after CABG. It is possible to increase scores of healthy lifestyles in the patients by combining face-to-face and virtual training methods as well as involving family members and relatives of patients in training and follow-up programs.

The correlation between nursing students' healthy lifestyle behaviors, cardiovascular disease risk factors' knowledge level, and obsession symptoms

Nursing students have a role in the awareness of risk factors in the development of healthy lifestyle behaviors. Nursing students' awareness of disease risk factors plays a role in developing healthy lifestyle behaviors. Therefore, it was aimed to determine the relationship between the effect of nursing students' healthy lifestyle behaviors and cardiovascular disease risk factors' knowledge levels and obsessive-compulsive symptoms. This was a descriptive cross-sectional study. Two hundred and twenty-four students studying in the nursing departments of two foundation universities participated in the study between April and October 2020. Sociodemographic information form, Health Promoting Lifestyle Profile II (HPLP-II), Cardiovascular Disease Risk Factors Knowledge Level (CARRF-KL), and Maudsley Obsessive-Compulsive Inventory (MOCI) were applied to the students. It was found that the nursing students' healthy lifestyle behaviors (123.53 ± 25.78) and cardiovascular risk factors' knowledge level (21.08 ±± 2.70) were high. Obsessive-compulsive symptoms (16.12 ± 6.22) were moderate. In the correlation of sociodemographic characteristics, it was found that age correlated with the nutrition subdimension of CARRF-KL and HPLP-II, income level correlated with HPLP-II, place of residence correlated with HPLP-II, CARRF-KL, and MOCI, and having a health problem correlated with health responsibility. Income status, place of residence, and presence of health problems were found to be correlated with HPLP-II in all subdimensions in the regression analysis. In the regression analysis of HPLP-II with CARRF-KL and MOCI scales, it was found that it was significantly related to interpersonal relations, spiritual growth, stress management, and total score dimensions. Healthy lifestyle behaviors of nursing students are related to cardiovascular risk factors' knowledge level and obsession symptoms. In addition, some demographic characteristics affect healthy lifestyle behaviors.

Determination of healthy lifestyle behaviors and related factors in university students: An observational study

It is important for students to acquire and maintain healthy lifestyle behaviors during university education. This study investigates healthy lifestyle behaviors and related factors in university students. A total of 869 associate degree students participated in the study. Data were collected with the Data Registration Form created by the researchers and the Health Promotion Lifestyle Profile-II (HPLP-II). The mean HPLP-II total score of the study group was 127.9±19.9. Students who stay with their families, whose economic status and general health perceptions are good/very good, and who do not smoke had higher health responsibility scores (p&lt;0.05). The mean physical activity scores of students who were male, whose parents had higher education, and who had a good/very good general health perception were higher (p&lt;0.05). The nutrition scores of the students who were studying in the second grade, who were staying with their families, who were non-smokers, who were overweight and obese, and who had a good/very good general health perception were found to be higher (p&lt;0.05). Those with good/very good general health perception had higher interpersonal relations and personal development scores, and female students had higher interpersonal relations scores (p&lt;0.05). The stress management scores of the second-grade students with good/very good general health perception were higher (p&lt;0.05). It is important to implement lifestyle interventions to improve the health of university students. Considering socio-demographic factors in health promotion programs to be implemented may help develop healthy lifestyle behaviors.

ESTILO DE VIDA DE ESTUDANTES DE ENFERMAGEM E FATORES RELACIONADOS

ABSTRACT Objective: to determine nursing students’ lifestyle at a university in Mexico, according to personal factors and previous behaviors of Nola J. Pender’s Health Promotion Model. Method: this is a cross-sectional study developed at a public university of Minatitlán, Veracruz, Mexico, in 2019, with nursing students enrolled in the curricular internship course, totaling 130. Data were collected that include sociodemographic, clinical and lifestyle and behavior characteristics through the Health-Promoting Lifestyle Profile I. We used Student’s t-tests, ANOVA and Pearson’s correlation for the analyses. Results: of the 130 participants, 92 (70.8%) were classified as healthy lifestyle and 38 (29.2%) had a moderately healthy lifestyle. Among the scale domains, the physical activity domain was the one with the lowest score. Negative correlations were found between the self-actualization domain and clinical variables, such as blood pressure, Body Mass Index and waist circumference, and also between this domain and the time of cell phone and television use. Conclusion: the lifestyle general classification of most participants was healthy, but the analyzes of the individual domains demonstrate the need for political and clinical interventions that influence nursing students’ health-promoting behaviors.

Determination of energy intake and dietary habits and their relationship with physical activity levels and healthy lifestyle behaviours of primary education and pre-service teachers

Background: Participation in physical activity (PA) from a young age helps to build the foundation for a healthy life in the future. The purpose of this study was to investigate the relationships between energy intake, dietary habits, PA levels, and healthy lifestyle behaviours (HLSBs) in primary education and pre-service teachers. Material and methods: A total of 105 primary education teachers (69 female, 36 male) and 95 pre-service teachers (64 female, 31 male) participated voluntarily in this study. To determine energy intake and dietary habits, participants completed a form detailing what they had consumed during the previous 24 hours. The short form of the International Physical Activity Questionnaire (IPAQ) was used to determine PA levels. HLSB scores were calculated using the Health-Promoting Lifestyle Profile questionnaire. Results: There were significant differences in PA levels, HLSB scores and calcium intake between primary education and pre-service teachers (p&lt;0.05). Compared to pre-service teachers, PA levels were significantly lower in primary education teachers, whereas HLSB scores and calcium intake were significantly higher (p&lt;0.05). The correlation analysis indicated significant positive correlations between energy intake/dietary habits, PA levels, and HLSBs (p&lt;0.05). Conclusions: This study suggests that HLSBs are indicators of PA levels and energy intake/dietary habits in primary education and pre-service teachers.

Mental Health Status and Health-Promoting Lifestyle Behaviors among Call Center Employees

Background: Call center employees experience high levels of occupational stress and other mental health issues. This study aimed to examine the relationship between mental health status and health-promoting lifestyles among call center employees.Methods: A secondary data analysis from a descriptive cross-sectional study of 302 call center employees was conducted. Call center employees were asked to complete the Depression Anxiety Stress Scale (DASS) and the Health Promoting Lifestyle Profile-II (HPLP-II).Results: Participants’ overall DASS score was 23.87±13.98 out of 63. Among the six subscales of the HPLP-II, participants’ highest scores were for interpersonal relations, spiritual growth, and stress management, whereas physical activity had the lowest score. Participants with a severe level of mental health issues (i.e., depression, anxiety, and stress) reported lower levels of health-promoting lifestyle behaviors, especially in the areas of physical activity, spiritual growth, interpersonal relationships, and stress management.Conclusions: As call center service sectors increase in modern industries, so does the need to address the physical and mental health needs of its employees. Healthcare providers and organizations should closely and routinely monitor employee’s levels of depression, anxiety, and stress and develop organizational and health-related policies for the call center sector. Additionally, the development and implementation of health-related interventions to promote healthy lifestyle behaviors is critical for call center employees.

Healthy lifestyle behaviors among Omani undergraduates: a cross-sectional study

ABSTRACT It is strongly believed that healthy lifestyle behaviors improve health and decrease the risk of major health problems. Health-promoting lifestyle behaviors and their contributing factors among students at Sultan Qaboos University (SQU) have not been well-investigated yet. This study aims to explore the levels of health-promotion behaviors among senior undergraduates at SQU, compare potential differences between college type and gender, and then explore possible predictors. Using a cross-sectional descriptive design, a sample of 244 students at SQU were recruited, and data was collected using the Health-Promoting Lifestyle Profile II (HPLPII). Overall health promotion mean score ± SD for the sample was slightly moderate (2.58 ± 0.42), whereas the impact of discipline in education on the practice of health-promoting behavior was significant. Nursing students remarkably scored higher than non-nursing students (p = 0.005) in terms of health responsibility and nutrition (p = 0.005 and 0.006) respectively, whereas there was no significant difference in overall health-promoting lifestyles between males and females (p = 0.18). Females scored better than males in interpersonal relations (p = 0.006), while males scored considerably better than females in the physical activity domain (p = 0.03). Furthermore, a bivariate analysis of potential predictors of the total health promotion behavior score, followed by a multivariate model analysis has revealed that college type was the only predictor. Nursing education positively influences health-promotion behaviors and encourages nursing students to increase their health responsibility and practice healthier dietary habits. Additionally, it is recommended for the teaching institution administrators and educators to develop health promotion courses for non-health-related discipline students.

DEVELOPING COMMUNITY HEALTH PROMOTION MODEL TOWARDS THAILAND 4.0 IN KANTHARAWICHAI DISTRICT, MAHASARAKHAM, THAILAND

This Participatory Action Research aimed at 1) exploring the basic data of community health promotion; 2) developing the community health promotion model towards Thailand 4.0; 3) experimenting with the health promotion model; and 4) assessing and improving the community health promotion model. A quantitative study to explore health promotion lifestyles was conducted with a sample of 367 persons chosen using stratified random sampling. A qualitative study was conducted with 30 key informants ere purposively included developing the community health promotion. The research tools included the test, questionnaire, in-depth interview, and focus group discussion. The statistics were frequency, percentage, arithmetic mean, standard deviation, and t-test. The results of this research were as follows: 1) Overall, the sample mean on the social aspect of health was found at the highest level. Meanwhile, health behavior, health promotion participation, technology skills, and active network practices were the aspects with a high level; 2) The "SMARTER Model: Sustainability, Management, Active Networks, Regular Health Behaviors, Technology Skills, Enabling factors, and Re-enforcing factors," was developed and verified as community health promotion model towards Thailand 4.0; 3) The post-test knowledge, attitude, and health promotion were higher than pre-test ones the statistical significance at .01 level; and 4) The participant's overall satisfaction with all aspects of health promotion model was at the highest level. In conclusion, the results revealed the progress of community health promotion in health behavior, health promotion management, technology skills, and interpersonal practices. Thus, this model could be further applied in other communities.

Lifestyle Behaviours among Postmenopausal Women in Khyber Pakhtunkhwa, Pakistan

Objective: To assess the level of adherence to health promoting behaviors among postmenopausal women in Abbottabad, Khyber Pakhtunkhwa. Methods: A cross-sectional study was conducted in Basic Health Units of Abbottabad from May to December 2019. All women whose menstrual cycle stopped 12 months back were included in the study. An adopted questionnaire of Health Promoting Lifestyle Profile II was used for lifestyle behavior assessment. Overall score ranges from 52-208, where 25-103 means “Low”, 104-155 “Moderate” and 156-208 means “High” level of adherence to health promoting lifestyle behaviors. Level of adherence was further categorized into two categories, i.e., “moderate” and “High” level of adherence was labelled as “adequate” while “low” adherence level was labelled as “inadequate” adherence to lifestyle behavior.Results: Of 369 postmenopausal women, adequate lifestyle behavior was observed in 183 (49.6%) women. Adequate lifestyle was 4.68 times significantly higher in &lt;45 years of menopausal age women (aOR 4.68, 95% CI 1.66–13.18), 87% significantly lower among illiterate postmenopausal women (aOR 0.13, 95% CI 0.07–0.25), 96% significantly lower among postmenopausal women with ≤20,000 rupees of family income (aOR 0.04, 95% CI 0.01–0.42), 91% significantly lower among women with in-between 20,000–50,000 rupees family income (aOR 0.09, 95% CI 0.07–1.54), while 56% significantly lower among illiterate husbands of postmenopausal women (aOR 0.44, 95% CI 0.25–0.78).Conclusion: There is a need to work on the health promoting behavior of the postmenopausal women with particularly targeting illiterate menopausal women with low socioeconomic status.

Increasing patients’ awareness of their own health: Experiences of participating in follow-up programs after surgical treatment for intermittent claudication

IntroductionClaudication is the most usual symptom of peripheral artery disease, it is described as painful contractions in the leg when walking and alleviated upon resting. People with claudication have an added risk of cardiocerebrovascular events, amputation, and death. Adherence to medical treatment and changes in lifestyles can lower this risk, but this secondary prevention therapy requires engagement, participation, and adherence from the patient. ObjectiveTo explore patients’ experiences of participating in a 1-year multicentre clinical trial with two follow-up programs evaluating a nurse-led, patient-centered health-promoting programme after surgical treatment for claudication, the FASTIC study. MethodsA descriptive design with qualitative semi-structured interviews was used among participants in the FASTIC study. The study was conducted at two centres for vascular surgery in the city of Stockholm, Sweden. In all, 17 patients (nine men and eight women) who had completed the FASTIC study participated. Data was analysed using qualitative content analysis with an inductive approach. ResultsTwo main categories were identified, ‘Patient-Professional collaboration’ and ‘Experience of one´s health’, which were associated with four subcategories: facing opportunities and obstacles, cooperating based on the illness experience, increasing awareness of one's own health, and maintaining a healthy lifestyle. ConclusionsPatients' participation in follow-up programs after surgical treatment for claudication is highly valuable for an increased awareness of one's own health. A person-centered care with patient-professional collaboration is experienced as important for maintaining a health-promoting lifestyle.

Effects of Health-Promoting Lifestyles in Midlife on Cognitive Functioning in Later Life

Maintaining cognitive function in later life is key to healthy aging because cognitive impairments compromise everyday functional abilities, impeding independent living. Numerous studies have discovered early life experiences and lifestyle behaviors over the lifespan to have substantial influences on cognitive functioning with age. Especially, subtle brain changes related to dementia occur as early as midlife, and lifestyle factors in midlife influence neuropathological development, suggesting that midlife is a critical period for preserving cognitive health in later life. This study investigated the association between lifestyle behaviors in midlife and cognitive performance in later life using 12-year follow-up data from the Korean Longitudinal Study on Aging (KLoSA). Cognitive function was assessed with the Harmonized Cognitive Assessment Protocol (HCAP) for KLoSA. Eight thousand respondents from the KLoSA sample were administered HCAP neuropsychological tests. Hierarchical multiple regression analyses were used to examine whether health-promoting lifestyles at baseline (2006) predicted cognitive function in 2018 after controlling for health-related covariates. We identified a positive influence of health-protective behaviors (non-smoking, moderate drinking, regular exercise, weight management, and health screening) at baseline on language abilities in 2018 (β = .05, p < .05). In addition, health-promoting behaviors covering interpersonal relationships, social engagement, optimistic outlook, and positive attitudes at baseline were predictive of language abilities (β = .08, p < .01), executive function (β = .06, p < .01), and the visuospatial ability (β = .06, p < .05) in 2018. This study highlights the importance of midlife health-promoting lifestyles in maintaining cognitive health in later life.

Study of Health Promotion Lifestyle and Psychological Well-being in Women Attending the Health Centers of Arak City in 2019

Background and Aim: Women are the central pillar of social development and the main axis of family health. Success, survival, and promotion of society depend on the health of women in society. Since Health Promotion lifestyle and psychological well-being are important determinants of health, this study was conducted to determine the Health Promotion lifestyle and psychological well-being in women attending the health centers of Arak City in 2019. Methods &amp; Materials: In this cross-sectional study, among women who attended health centers in Arak City, 221 women who met the inclusion criteria were included in the study by continuous sampling and the form of demographic information, health promoting lifestyle profile-Ii (HPLP-II), and Ryff Psychological well-being Questionnaire was completed. Data were described using descriptive statistics of frequency, frequency percentage, mean, standard deviation, and data analysis by analysis of variance, independent t-test, and regression using SPSS software v. 19. Ethical Considerations: This study was approved by the Ethics Committee of Research Deputy of Iran University of Medical Sciences (Code: IR.IUMS.REC.1398.609). Results: The mean health-promoting lifestyle in the study units was 135.96; the mean physical activity components were 16.31; The mean nutrition was 26.41, with the lowest and highest scores, respectively. The mean psychological well-being in the study units was 72.29. The mean components of purpose in life were 10.76, and the mean personal growth was 13.19, with the lowest and highest scores, respectively. Age, chronic diseases, employment, number of children, and alcohol consumption had a significant negative relationship with a health-promoting lifestyle, and a woman’s and her husband’s education had a significant positive relationship with a health-promoting lifestyle (P&lt;0.05). Overall demographic variables predict as much as 13% of health-promoting lifestyles. Age, number of children, and chronic physical and psychological diseases had a significant negative relationship with psychological well-being and economic status. A woman’s and her husband’s education had a significant positive relationship with psychological well-being. Overall, demographic variables predict as much as 10% of psychological well-being. Conclusion: Considering that health-promoting lifestyle and psychological well-being are two critical determinants of health, studying these two indicators and the factors affecting them can help Intervention planning to promote women’s physical and mental health.

Effects of lifestyle on sexual function among postmenopausal women

A healthy lifestyle has a key role in reducing health problems. Since one of the most common problems in Postmenopausal women has been sexual dysfunction (SD). The specific purpose of the present study was to identify the effects of health-promoting lifestyle (HPL) on sexual function among postmenopausal women. The present cross-sectional, descriptive, and analytical study was conducted on 405 Postmenopausal women aged 45-60 years, using the convenience sampling method.Data collection was done using three questionnaires of demographic, health-promoting lifestyle profile-II (HPLP-II) and female sexual function index (FSFI). Data were analyzed in the SPSS-16 using Pearson's correlation coefficient. The statistical significance level was regarded as less than 0.05. In general, the result of this study identified a 68% prevalence of SD among participants. The mean score obtained from the HPLP II was 2.27 (SD = 0.42), the highest score of its sub-scales was spiritual growth and the lowest score was physical activity.The mean score of FSFI among the studied women was 23.16 (SD = 0.29), the highest score of six sub-scales was satisfaction and the lowest score was lubrication among participants. A strong correlation was found between the total FSFI scores, and spiritual growth (r=0.048), interpersonal relations (r=0.02), stress management (r=0.000), (p<0.0001). The results of the study revealed that a healthy lifestyle affects sexual function. Given that a healthy lifestyle is one of the most important ways to help women overcome SD, a healthy lifestyle promoting interventions necessary for Postmenopausal women.

Exploring the factors related to adolescent health literacy, health-promoting lifestyle profile, and health status

BackgroundHealth literacy has been concerned a key factor for determining the use of health information and promoting health. The study aimed to explore adolescent health literacy, health-promoting lifestyle profile, and health status and related factors.MethodsA cross-sectional study design was used; 918 first year junior college students were recruited in Taiwan. The measurements were the Chinese Health Literacy Survey Questionnaire (HLS-C-Q), the Chinese Health-Promoting Lifestyle Profile (HPLP-S), and the Health Status Questionnaire.ResultsThe mean score for health literacy was 36.15 (±6.21), with 30.17% of the participants having insufficient or problematic health literacy. Further, 19.9% of participants were obese and 11.2% experienced emotional instability. Health literacy and health-promoting lifestyle profile showed significant positive and negative correlations with perceived health status and depression, respectively (p < 0.05). An exercise frequency of ≥3 times/week was a predictor of health literacy, health-promoting lifestyle profile, and emotional stability.ConclusionsAdolescent health literacy, health-promoting lifestyle profile, and health status require careful consideration. In adolescents, developing regular exercise may increase health literacy, thereby developing healthy lifestyle profiles and ameliorating obesity and depression-related issues.

Evaluation of Health-promoting Lifestyle in Patients with Urolithiasis and Related Socio-demographic Factors

Evaluation of Health-promoting Lifestyle in Patients with Urolithiasis and Related Socio-demographic Factors

Effects of helping relationships on health-promoting lifestyles among patients with chronic kidney disease: A randomized controlled trial

BackgroundHealthy behaviors can slow the progression of chronic kidney disease. Professional healthcare providers deliver education, physical exercise programs, motivation consultations, and stage-tailored strategies for improving health behaviors, but their effectiveness reported mixed. The helping relationships of significant others based on the transtheoretical model have been shown to be beneficial in facilitating and practicing health-promoting behaviors. However, few studies have examined the effects of helping relationships on health-promoting behaviors among patients with chronic kidney disease. ObjectivesThe aim of this study was to examine the effects of the intervention strategies of significant others in their helping relationships with patients to advance stages of exercise and diet behaviors, and to improve health-promoting lifestyles. DesignA randomized controlled study. SettingsTwo outpatient nephrology clinics in southern Taiwan. ParticipantsSixty participants in each of the two groups. MethodsPatients were randomly assigned to either the intervention group (n = 60) whose significant others received strategies for helping relationships for 12 months, or the control group (n = 60). The Stage of Change of Exercise and Diet Behaviors, and Health Promoting Lifestyle Profile-II Chinese version were assessed at baseline and 3, 6, 9, and 12 months after receiving the helping relationship interventions tailored to stage of change from significant others. ResultsGeneralized estimating equation analyzes revealed that the intervention group, when compared to the control group, had significantly advanced stages of change in exercise and diet, and improvement in health-promoting lifestyle over time. Adult children and spouses were the most common significant others to help patients practice healthy behaviors, compared to previous studies where professional healthcare providers were the significant others. ConclusionsIndividualized plans for healthy behaviors should take into consideration patients’ readiness for adopting stage-tailored strategies of helping relationships of significant others to adhere to the health-promoting lifestyle. To promote a healthier lifestyle, significant others, such as spouses and adult children, should be included in treatment programs.

Remotely Supervised Exercise during the COVID-19 Pandemic versus in-Person-Supervised Exercise in Achieving Long-Term Adherence to a Healthy Lifestyle.

The World Health Organization’s global action plan on workers’ health establishes that occupational health services should carry out lifestyle interventions within the workplace, to prevent the development of non-communicable diseases. The objective of the study was to compare adherence to a healthy lifestyle six months after completion of a multi-component intervention with remotely supervised physical activity during the COVID-19 pandemic versus a multi-component intervention with in-person supervised physical exercise before the COVID-19 pandemic in university employees with unhealthy habits and predisposed to change. A prospective cohort study following the “Strengthening the Reporting of Observational studies in Epidemiology” (STROBE) guidelines was conducted, with two arms. Each multi-component intervention lasted for 18 weeks, and consisted of education on healthy habits, Mediterranean Diet (MedDiet)-based workshops, and a physical exercise program. Twenty-one middle-aged sedentary university employees with poor adherence to the MedDiet completed the study. Six months after completion of the intervention, both groups increased physical activity levels, adherence to the MedDiet, eating habits, health-promoting lifestyle, health responsibility, and health-related quality of life. There were no differences between groups in any of the variables analyzed. Therefore, remotely supervised physical exercise could be adequate to achieve long-term adherence to a healthy lifestyle in the same way as conventional face-to-face intervention, at least in a population willing to change.