Health-promoting Lifestyle Behaviors Research Articles

The key determinants of low back pain among lifestyle behaviors in adolescents: A cross-sectional study from Saudi Arabia.

Establishing preventive measures and treatment strategies for adolescents with low back pain (LBP) may be greatly enhanced by fully grasping the complex interaction between LBP and lifestyle behaviors. The key objective of this study was to explore the possible associations between lifestyle behaviors and LBP among adolescents in Saudi Arabia. A cross-sectional study was conducted among high school students from 5 major regions in Saudi Arabia. Participants were enlisted for the research project between May and November 2021. To evaluate the presence/severity of LBP, physical activity, sedentary duration, sleep quality, nutrition, health responsibility, interpersonal relationships, spiritual growth, and stress management, a well-established web-based survey was employed. A total of 2000 students participated, with 57.9% reporting LBP. Students with LBP had lower scores on overall health-promoting lifestyle behaviors and all subscales, including physical activity, compared to those without LBP. Linear regression analysis revealed significant associations between sedentary duration and global sleep quality with pain severity among students with LBP. This study highlights the association between lifestyle behaviors and LBP among adolescents in Saudi Arabia. Promoting physical activity, reducing sedentary behavior, and improving sleep quality may be crucial in preventing and managing LBP in this population. Comprehensive strategies targeting lifestyle behaviors should be implemented to improve the well-being of adolescents and reduce the burden of LBP. Further research is needed to better understand the underlying mechanisms and develop effective preventive and treatment strategies for LBP among adolescents.

Health Promoting Lifestyle Behaviors and Associated Factors among Sohag University Students

Health Promoting Lifestyle Behaviors and Associated Factors among Sohag University Students

Nursing students’ awareness of health-promoting lifestyle profile and sustainable development goals – a quasi-experimental study

Introduction and aim. Health promotion is one of the common elements of sustainable development goals. The aim of this study was to identify the impact of “Healthy Life and Environment” course on nursing student’s awareness of sustainable development and healthy life, and health-promoting lifestyle behaviours. Material and methods. A pre-, and post-test control group quasi-experimental research design was used. One nursing department located in Nortwest Blacksea region, Turkey. A total of 160 nursing students pursuing bachelor nursing programs. Students from first and second years who enrolled in the “Healthy Life and Environment” course assigned to intervention group, those who did not attend the course assigned to control group. Results. Female students had higher level of HPLP II and SDA than male. SDA had a weak correlation with HLA and a very week correlation with HPLP II at baseline. Intervention group had an improvement of .03 points in HPLP II, no change in HLA, and a slight improvement of .01 points in SDA, however these differences were not statistically important. Conclusion. The results of our study highlighted that nursing curricula need to be modified to incorporate sustainable development methodology using student-centered learning.

Stroke Risk, Practice and Health Promotion Guidance among Geriatric Patients: Randomized Control Trail

Background: Stroke is one of the world’s chief reasons of death and infirmity among geriatric. Objective: The research at hand analyzed the association among the rFSRP and health promotion lifestyle and practice about stroke prevention among geriatric patients.  Design: A randomized controlled experimental study was used in this study. This study included 85 study and 85 control participants. Methods: Participants were randomly selected and provided with an educational intervention on health-promoting lifestyle behaviors. Data were collected via Tool (I): demographic and clinical data of geriatric patients, Tool (II): Revised Framingham Stroke Risk Profile (R- FSRP) Tool (III): geriatric patients’ practices about stroke prevention, and Tool IV: Health Promoting Lifestyle Profile II (HPLP II) pre, and three months after the program intervention. Results: The data analysis revealed noteworthy dissimilarities between the experimental and control groups, which were deemed statistically significant and pre and follow - up intervention regarding (R- FSRP), practice and health promotion (p < 0.05.). Conclusion:The study concluded that the intervention program had a positive effect on stroke risk, practices and health promotion lifestyle.

ASSESSMENT OF HEALTH PROMOTING LIFE STYLE BEHAVIORS AMONG SAUDI ARABIAN UNIVERSITY STUDENTS

University students worldwide are sedentary and have unhealthy lives. As a result, the idea of health promoting universities was developed to address this issue. Despite its enormous impact on university students' health, the notion of health promoting institutions has not yet been properly explored internationally. The main purpose of the present study is to identify the level and factors associated with health promoting life style behaviors among Saudi Universities Students. a cross-sectional study was used to assess health promoting behaviors among nursing students in Saudi Arabia. Convenient sampling method was done on 727 participants. Health-Promoting Lifestyle Profile (HPLP) scale adopted from Walker et al. (1987) based on the Pender’s health-promoting model was used in the current study. Different statistical procedures were done to achieve the study objectives. The total mean score of health promoting behavior among study participants is 121.52±19.35. The highest mean score of health promoting behavior domain was observed in Spiritual growth (2.65± 0.50), while the lowest mean score was observed in Physical activity (1.90± 0.59). Results showed that there is no significant difference in the mean score of participants’ health promoting behavior with regards to their gender, age, income, marital status, level of study, smoking status (p>0.05). Health insurance showed significant association with health promoting behavior (p<0.05). This research demonstrates how having health insurance may effectively affect the health-promoting behaviors of nursing students. In order to assist university administrators and personnel in the development of strategies that are more efficient in fostering health-promoting habits among nursing students, the research offers recommendations.

Health-promoting lifestyle behaviours of nursing students in a tertiary care institute of a city in western India

Nurses work on the front lines of disease cure and the delivery of health care. Like any other student, nursing students face environmental changes, changes in peer groups, social, economic or academic stress. Nursing students’ beliefs and behaviours could affect the clinical services, which they will offer to their patients. To assess the level of the health-promoting lifestyle behaviours of nursing students andto determine association of health-promoting lifestyle behaviours with socio-demographic factors. Nursing student from selected tertiary care institute of Ahmedabad city, who give informed consent for participation will be included in the study. A predesigned Health Promotion Lifestyle Profile II (HPLP II) was used. The data analysis was done by using SPSS software version 21 using appropriate statistical tests. : Out of the total 182 nursing students enrolled in the study across of all three years, 163 (89.6%) possessed good health promoting behaviours. Only 39.56% (n=72) of the nursing students were of normal weight. Overall score for Promotion Lifestyle Profile II (HPLP II) had come out to be 135.14 (64.97%). Overall, variables such as BMI and Socio-economic class had significant statistical associations with specific sub-class of HPLP-II. : Health promoting behaviours were good for most of the nursing students. However, sub-class like spiritual growth and interpersonal relations had better score compared to sub-classes such as physical activity and health responsibility.

Health-Promoting Lifestyle Behaviors Among Jordanian University Students

Abstract Date Presented 04/21/2023 University students’ lifestyle behaviors may change for the better or worse as a result of several factors in their lives. Studying these behaviors would provide effective interventions to improve the lifestyle and health promotion of university students. Primary Author and Speaker: Shaden Khalil Al-Matalka Additional Authors and Speakers: Mohammad Nazzal, Ala'A F. Jaber Contributing Authors: Shaden Khalil Al-Matalka, Mohammad Nazzal, Ala'A F. Jaber, Alaa Oteir, Mariam Abu-Alim

Circadian rhythms and sleep quality among undergraduate students in China: The mediating role of health-promoting lifestyle behaviours

BackgroundPoor sleep quality have become one of the most pressing public health problems for undergraduate students. The aim of this cross-sectional study was to investigate the relationship between circadian rhythms and sleep quality and the meditating role of health-promoting lifestyles in the relationship of Chinese undergraduate students. MethodsA total of 3423 students participated. The online survey consisted of the reduced Morningness-Evening Questionnaire (rMEQ), the Pittsburgh Sleep Quality Index (PSQI) and Health-Promoting Lifestyle Profile–II (HPLP–II). Logistic regression models were employed. ResultsThe prevalence of poor sleep quality is 43.03 %. The total mean scores of HPLP – II, PSQI, and rMEQ are 96.94 ± 17.26, 5.20 ± 2.70 and 14.83 ± 2.10, respectively. A significant negative correlation exists between the rMEQ and PSQI scores (r = −0.262, p < 0.001), but a positive correlation exists between the rMEQ and HPLP scores (r = 0.232, p < 0.001). The total and sub-domain scores of HPLP are also negatively correlated with the PSQI scores (r = −[0.166, 0.291], p < 0.001). Mediation analysis demonstrates the mediation of HPLP (indirect effect = −0.036, p < 0.001) on the effect of the rMEQ on PSQI scores that accounts for 13.30 % of the total effect. LimitationsCross-sectional design and recall bias in data collection. ConclusionsThe effect of circadian rhythm on sleep quality is partially mediated by the health-promoting lifestyle. In addition to maintaining a normal circadian rhythm, helping undergraduate students develop a healthy lifestyle is also an effective measure to improve sleep quality.

Exploration of the midwifery students' health-promoting lifestyle behaviors according to their body mass indexes and body perceptions

The present study aims to examine the health-promoting lifestyle behaviors of midwifery students according to their body mass indexes and body perceptions. This cross-sectional study was conducted with 239 midwifery students at a state university between May and June 2023. Research data were collected using the personal information form, Body Cathexis-Self Cathexis Scale (BC-SCS), and Health-Promoting Lifestyle Profile (HPLP). It was determined that the differences between the HPLP and the subscales of interpersonal support, nutrition, and self-actualization were statistically significant according to the students' body perceptions (p&lt;0.05). Students who perceived themselves as slim have higher HPLP and self-actualization mean scores than those who perceived themselves as fat, and it was determined that they have a higher nutrition mean score than those who perceived them as having normal weight. It was determined that the Interpersonal Support mean score of those who perceived themselves as fat was lower. When the mean scores of the students from the HPLP were compared according to their BMI, it was determined that the differences between HPLP and the subscales of interpersonal support, health responsibility, stress management, and self-actualization are statistically significant (p&lt;0.05). According to the research, it is seen that the distribution of healthy lifestyles differs between the body perceptions of midwifery students and their Body Mass Indexes (BMI).

Impact of COVID-19 pandemic on health-promoting lifestyle behaviors: A cross-sectional study

Objective: To explore health-improving behaviors during COVID-19 pandemic and to reveal the impact of the risk perception of COVID-19 on these behaviors.Methods: We recruited a total of 510 participants for this cross-sectional study. The data were collected online using a questionnaire booklet covering a form inquiring about the participants’ demographic, physical, and mental characteristics, the Generalized Anxiety Disorder-7 Scale, and the COVID-19 Perceived Risk Scale.Results: The mean age of the participants was (28.7±10.1) years, and 76.1% were females. Of the participants, 31.8% were overweight and obese. While 35.1% experienced negative alterations in their dietary patterns, 23.9% reported positive changes to their diet during the pandemic. Besides, 47.8% reported their sleep to be negatively affected during the pandemic. While the rate of those with extended screen time was 72.5%, it was 44.3% for the participants engaging in regular exercise. More than one-third of the participants (35.9%) had high and severe anxiety. We also found increased risk perception of COVID-19 among females, obese, those with disturbed eating and sleep quality, healthcare workers, and those with severe anxiety.Conclusions: Overall, the pandemic has appeared to have brought both positive and negative impacts on maintaining and improving eating, sleep, physical activity, and mental health.

Quality of life and health-promoting lifestyles for parents of children with intellectual and developmental disabilities.

The purpose of this study was to examine the relationship between a health-promoting lifestyle and quality of life in parents of children with intellectual and developmental disabilities. Participants were 254 South Korean parents of children with intellectual and developmental disabilities. We assessed participants using a quality of life scale and the Korean version of the Health-Promoting Lifestyle Profile-II (HPLP-II). The data were analysed using Pearson and Spearman rank correlation analysis, and linear regression was conducted using SPSS ver. 25.0. The results indicated statistically significant associations between health-promoting lifestyles and quality of life in parents of children with intellectual and developmental disabilities. Analysis showed that the HPLP-II subfactors of spiritual growth, health responsibility, exercise, nutrition, interpersonal relations, and stress management could significantly predict quality of life in parents of children with intellectual and developmental disabilities. Healthcare providers should help to improve the quality of life of parents of children with intellectual and developmental disabilities by facilitating health-promoting lifestyle behaviours through interventions designed to increase physical activity, nutrition, stress management, interpersonal relations, health responsibility, and spiritual growth.

The barriers and facilitators to health-promoting lifestyle behaviors among people with multiple sclerosis during the coronavirus disease 2019 pandemic: a content analysis study

Background and aimHealth-promoting lifestyle behaviors (HPLBs) have a significant impact on disease management among people with multiple sclerosis (MS). However, the coronavirus disease 2019 (COVID-19) pandemic has significantly affected lifestyle of all individuals, particularly patients with chronic diseases. The present study aimed to explore the barriers and facilitators to HPLBs among people with MS during the COVID-19 pandemic.MethodsThis qualitative study was conducted in Iran. Participants were sixteen people with MS purposively selected from the central MS clinic of a referral specialty neuroscience hospital in Tehran, Iran. Data were collected via in-depth semi-structured face-to-face interviews and concurrently analyzed through conventional content analysis.Findings: The mean of participants’ age was 37.93 years and most participants were female (81.25%). The major barriers to HPLBs were lack of knowledge, limited access to resources, and poor health status, while the major facilitators were attention to inner abilities and social support.ConclusionMany different factors such as lack of knowledge, limited access to resources, poor health status, awareness, and social support can influence engagement in HPLBs among people with MS. Healthcare authorities and policymakers need to use quality educational and supportive interventions to improve knowledge, health literacy, perceived support, self-efficacy, and self-care ability among people with MS during the COVID-19 pandemic.

Health-Promoting Lifestyle of Breast Cancer Patients and Family Members in a Chinese Genetic Counseling Clinic: A Cross-Sectional Study

Background: Risk management strategies play a significant role in genetic counseling, which involves lifestyle modification with respect to nutrition and unhealthy living habits, enhanced screening imaging, endocrine therapy, and following the physician’s advice etc. This study aimed to describe the health-promoting lifestyle of breast cancer patients and their family members in a Chinese genetic counseling clinic, and to explore its various levels encompassing different socio-economic variables. Methods: This was a cross-sectional study. The participants in this study originated from a genetic counseling clinic of a cancer center in Shanghai, China. Two hundred and fifty nine patients conforming to the inclusion and exclusion criteria were screened from November 2019 to March 2022. Participants agreeing to participate were sent a questionnaire web-link with an invitation to finish this survey. Two questionnaires were included in the link, one referring to socio-economic information and the other referring to the health-promoting lifestyle. Chinese Health-promoting lifestyle profile-Ⅱ (HPLP-Ⅱ) was used to evaluate the health-promoting lifestyle. Results: One hundred and forty participants were finally included in this study. The mean scores for health-promoting lifestyle was 141.22 ± 19.77, and multiple liner regression revealed monthly family income to be a statistically significant predictor of health-promoting lifestyle (p &lt; 0.05). In the six subscales, health responsibility got the highest score (26.43 ± 4.40), and nutrition received the lowest score (17.81 ± 4.73). Self-actualization was 25.84 ± 4.19, physical activity 24.02 ± 4.97, interpersonal relationship 22.21 ± 4.42, and stress management 24.91 ± 4.39. Conclusions: A representative level of health-promoting lifestyle of breast cancer patients and family members in a Chinese genetic counseling clinic were acquired. More education and intervention should be tailored to enhance and encourage health-promoting lifestyle behaviors in participants with low monthly family income. Additionally, developing nutritional curriculum and strengthening the publicity of nutritional popular science are priorities for future improvement measures.

Health-Promoting Lifestyle Behaviors of Korean American Breast Cancer Survivors: Adherence to the American Cancer Society Guidelines.

Breast cancer incidence has been increasing in Korean American women. However, there are limited data on Korean American breast cancer survivors' health-promoting lifestyle behaviors. The American Cancer Society (ACS) publishes guidelines on weight, diet, physical activity, and alcohol for cancer survivors. Because of limited data on Korean American breast cancer survivors, their level of adherence to ACS guidelines is unknown. The aim of this study was to examine Korean American breast cancer survivors' level of adherence to ACS guidelines. Korean American breast cancer survivors (N = 50) participated in a cross-sectional study. Diet data including alcohol consumption were collected with 4-day diet records. Physical activity data were collected with the International Physical Activity Questionnaire. Total score of adherence to ACS guidelines was assessed with a systematic scoring system that ranged from 0 to 8. Participants' average body mass index was 23.7 (±2.7). Average daily serving of fruits and vegetables was 3.3 (±2.9), red meat was 0.8 (±1.5), and alcohol was 0. On average per week, participants had 51.8 (±85.2) minutes of moderate physical activity, 35 (±78.3) minutes of vigorous physical activity, and 69.1 (±73.7) minutes of walking. The average total adherence score to ACS guidelines was 5.3 (±1.3). Findings indicate modest adherence to ACS guidelines, with the alcohol guideline score contributing the most and diet guideline score the least. Findings from this study can be used to inform healthcare providers to educate Korean American breast cancer survivors on improving their diet and physical activity behaviors.

Salutogenic Healthy Ageing Programme Embracement (SHAPE)- an upstream health resource intervention for older adults living alone and with their spouses only: complex intervention development and pilot randomized controlled trial

BackgroundIn view of age-related health concerns and resource vulnerabilities challenging older adults to age in place, upstream health resource interventions can inform older adults about the availability, accessibility, and utility of resources and equip them with better coping behaviours to maintain health and independence. This paper described the development process and evaluated the feasibility of an upstream health resource intervention, titled Salutogenic Healthy Ageing Programme Embracement (SHAPE), for older adults living alone or with spouses only.MethodsA pilot randomised controlled trial design was adopted. SHAPE was designed to equip older adults with resource information and personal conviction to cope with stressors of healthy aging. This 12-week intervention comprised 12 weekly structured group sessions, at least two individual home visits and a resource book. Both the intervention and control groups received usual care provided in the community. Feasibility of SHAPE intervention was evaluated using recruitment rate, intervention adherence, data collection completion rate, satisfaction survey and post-intervention interview. Outcome measures (sense of coherence, health-promoting lifestyle behaviours, quality of life, self-efficacy, and self-rated health) were assessed at baseline and post-intervention. Paired t-tests were used to examine within-group changes in outcome measures. Content analysis was used to analysed qualitative data.ResultsThirty-four participants were recruited and randomised. While recruitment rate was low (8.9%), intervention adherence (93.75%) and data collection completion (100%) were high. Participants expressed high satisfaction towards SHAPE intervention and found it useful. Participants experienced mindset growth towards personal and ageing experiences, and they were more proactive in adopting healthful behaviours. Although the programme was tailored according to needs of older adults, it required refinement. Intention-to-treat analysis showed significant increase in overall health-promoting lifestyle behaviours, health responsibility, physical activity, spiritual growth, and stress management among intervention participants. However, they reported a significant drop in autonomy post-intervention.ConclusionFindings of this pilot trial suggested that with protocol modifications, SHAPE can be a feasible and beneficial health resource intervention for older adults. Modifications on recruitment strategies, eligibility criteria, selection of outcome measures, training of resource facilitators and strong collaboration bonds with community partners would be needed to increase feasibility robustness and scientific rigor of this complex intervention.Trial registrationThis study has been registered with clinicaltrials.gov on 10/05/2017. The trial registration number is NCT03147625.

Changes in Health-Promoting Behaviors and Their Association with Weight Loss, Retention, and Engagement on a Digital Program: Prospective Study.

Health-promoting lifestyle behaviors (e.g., as measured by the HPLP-II) are associated with reductions in lifestyle disease mortality, as well as improved well-being, mental health, and quality of life. However, it is unclear how a weight-management program relates to a broad range of these behaviors (i.e., health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management), especially a fully digital program on which individuals have to self-manage their own behaviors in their daily lives (with assistance from a virtual human coach). In the context of a digital setting, this study examined the changes in health-promoting behaviors over 12 months, as well as the associations between health-promoting behaviors and weight loss, retention, and engagement, among participants who self-enrolled in a mobile CBT-based nutritionally focused behavior change weight management program (n = 242). Participants lost a statistically significant amount of weight (M = 6.7 kg; SD = 12.7 kg; t(80) = 9.26, p &lt; 0.001) and reported significantly improved overall health-promoting lifestyle behaviors (i.e., HPLP-II summary scores), as well as, specifically, health responsibility, physical activity, nutrition, spiritual growth, stress management, and interpersonal relations behaviors from baseline to 6 months and from 6 months to 12 months (all ps &lt; 0.008). Health-promoting behaviors at 6 months (i.e., learned health-promoting behaviors) compared to baseline were better predictors of retention and program engagement. A fully digital, mobile weight management intervention can improve HPLP-II scores, which, in turn, has implications for improved retention, program engagement, and better understanding the comprehensive effects of weight management programs, particularly in a digital setting.

Are health promoting lifestyles associated with pain intensity and menstrual distress among Iranian adolescent girls?

ObjectiveThe present study investigated the relationship between a health-promoting lifestyle and menstrual pain intensity and distress among adolescent girls in Qazvin.MethodsA cross-sectional survey study using a two-stage sampling method was conducted. The participants (n = 986) were female high school students aged 14–19 years living in Qazvin. Random cluster sampling was used to recruit participants from schools and classes from each grade. An online survey was provided to all participants to complete. Data were collected using a Demographic and Menstrual Characteristics Checklist, the Visual Analogue Scale (VAS) to assess dysmenorrhea intensity, the Andresh Milsom Scale (AMS) to assess dysmenorrhea severity, the Moos Menstrual Distress Questionnaire (MMDS) to assess menstrual distress, and the Health-Promoting Lifestyle Profile (HPLP) to assess a health promoting lifestyle. Data were analyzed using an univariable linear regression model at a significance level of 0.05.ResultsThe findings indicated that 421 participants (42.7%) experienced dysmenorrhea with a mean duration of 2.24 days (SD = 1.57) and a mean pain intensity of 4.62 on the VAS (SD = 2.87). The mean score on the menstrual distress on the MDDS was 13.55 (SD = 8.88) and the mean score on the HPLP was 2.55 (SD = 0.50). Based on the results of univariable linear regression, nutrition (β=-0.18, p < 0.001) and exercise (β=-0.17, p < 0.001) had the most significant effect on the severity of dysmenorrhea pain. Also, self-actualization (β=-0.29, p < 0.001), stress management (β=-0.25, p < 0.001) and nutrition (β=-0.25, p < 0.001) had the most significant effect on menstrual distress.ConclusionBased on these findings, it is suggested that (i) improving nutrition and exercise might reduce the severity of dysmenorrhea pain and (ii) improving self-actualization, stress management and nutrition might reduce the severity of menstrual distress. Overall, it seems that improving health-promoting lifestyle behaviors can help improve the severity of dysmenorrhea pain and menstrual distress among adolescent girls.

Feasibility, Acceptability, and Impact of a self-guided e-learning Memory and Brain Health Promotion Program for Healthy Older Adults

ABSTRACT Objectives To examine the feasibility (e.g., completion rate), acceptability (e.g., satisfaction), and participant-reported impact (e.g., memory concerns, behavior change, goal attainment) of a self-guided, e-learning adaptation of a validated, facilitator-guided, in-person memory intervention for older adults. Methods Participants were 139 healthy older adults (mean age: 73 ± 7, 73% women). Participation tracking and pre/post questionnaires embedded within the e-learning program were used to assess feasibility, acceptability, and impact. Results Sixty-eight percent of participants completed the program. Anonymous feedback data indicated a high level of satisfaction with the program, the pace and clarity of the learning modules, and the user interface. Suggested improvements included offering more interaction with others and addressing minor platform glitches. There was a 41% decrease in the prevalence of concern about memory changes from baseline to posttest. The majority of participants reported an increase in use of memory strategies and uptake of health-promoting lifestyle behaviors. All participants reported moderate-to-high satisfaction with personal goal attainment. Conclusions The program demonstrated good feasibility, acceptability, and lead to reduction in age-related memory concerns. Clinical Implications Self-guided, e-learning programming shows promise for fostering positive adaptation to age-related memory changes and improving the uptake of evidence-based strategies to promote brain health among older adults.

Health Promoting Lifestyle Behaviors and Sleep Quality Among Saudi Postmenopausal Women.

BackgroundOne of the most effective measures regarding improving women's health is to promote healthy lifestyle behaviors. This study aimed to investigate the relationship between health-promoting behaviors and sleep quality among a sample of Saudi menopausal women.MethodsA descriptive cross-sectional study was used to collect data from 410 Saudi postmenopausal women visiting primary healthcare care centers located in Sakaka, Jouf, Saudi Arabia, using the Menopause Rating Scale (MRS), Health-Promoting Lifestyle Profile II (HPLPII) and Pittsburgh Sleep Quality Index (PSQI).ResultsThe mean age of the study participants was 52.60 ± 4.65 years, the study findings highlighted that among all the HPLP domains, the highest mean score was observed for spiritual growth (24.00 ± 6.60) whereas the lowest score was observed for physical activity (16.18 ± 1.8). Statistically significant negative relations between the total score of HPLP and sleep quality score and menopausal symptoms (p < 0.001, p < 0.005), respectively. Total scores of lifestyle, health responsibility, and stress management were significant differences between participants with good and poor sleep quality. Being overweight/obese, physically inactive, having a chronic illness and poor sleep quality were predictors influencing health-promoting behavior.ConclusionHealth-Promoting Lifestyle Profile II was more obvious in the good sleeper in form of health responsibility and stress management. Being overweight and or obese, having a chronic illness, and having poor sleep quality were the significant factors influencing health-promoting behaviors. Designing and performing educational interventional plans are crucial to create motivation toward a healthy lifestyle and improve the quality of their sleep.

Lifestyle behaviours and mental health and wellbeing of tertiary students during COVID-19 lockdown in Australia: A cross-sectional study

BackgroundAustralia experienced significant COVID-19 lockdown restrictions throughout 2020 that had an impact on mental health and disrupted health-promoting lifestyle behaviours. Lockdowns may have exacerbated existing mental health concerns among tertiary students, who experience higher levels of mental health concerns compared to the wider community. This study aimed to investigate the association between modifiable lifestyle factors and wellbeing of students at a Melbourne-based tertiary education institution during COVID-19 lockdown. MethodsThis quantitative, cross-sectional study was conducted across campuses in Melbourne and Sydney. Data was collected via online questionnaire during the 7th week of a second-wave lockdown. Descriptive statistics were calculated for demographic variables (n = 239). Linear regression models were estimated to determine multivariate associations between lifestyle variables and psychological distress. ResultsParticipants were on average 30.98 years old (SD = 9.78), predominantly female, domestic students, undergraduate, not the first member of their family to attend university and living out of family home. Mindfulness, diet quality, sleep quality and moderate-vigorous physical activity (MVPA) were all inversely correlated with psychological distress. Unadjusted and adjusted models show that mindfulness, sleep quality, and MVPA were all independently inversely related to psychological distress. Greater mindfulness, sleep quality and engagement in MVPA were associated with lower psychological distress during COVID-19 lockdowns. LimitationsAs this study is cross-sectional and we cannot rule out reverse causality. ConclusionThis study highlights the potential for lifestyle focused mental-health promotion delivered through tertiary education institutions to support students in times of crisis as well as more generally.