Health-promoting Lifestyle Research Articles

Health-promoting lifestyle and its predictors among health-related and non-health-related university students in Taiwan: a cross-sectional quantitative study

BackgroundUniversity students majoring in different disciplines are believed to have different personality traits, courses exposure, and future roles, which may further affect their health behaviors and health status. The purpose of this study was to investigate the differences in health-promoting lifestyle (HPL) and its predictors among health-related and non-health-related students.MethodsThe research participants were university students in the main island of Taiwan, and a two-stage sampling approach was adopted to obtain the samples from November 2020 to March 2021. First, 37 universities were randomly selected based on the ratio of public and private universities in each region of Taiwan. Then, based on the ratio of health-related and non-health-related majors of selected university, 25–30 students were randomly drawn from each university according to the student ID number to complete self-administered questionnaires, which included items for personal factors, perceived health status (PHS), health conception (HC), and health-promoting lifestyle profile (HPLP). A total of 1062 valid questionnaires were recovered, including 458 from health-related students and 604 from non-health-related students. Chi-squared test, independent samples t-test, one-way ANOVA, Pearson product-moment correlation analysis, and multiple regression analysis were performed.ResultsThe results showed that gender (p < 0.001), residential status (p = 0.023), body mass index (p = 0.016), and daily sleep duration (p = 0.034) of the students majoring in different disciplines were different. Health-related students having better HC (p = 0.002) and HPLP (p = 0.040) than non-health-related students. In addition, for both majors, females, low PHS scores, and low scores for functional/role, clinical, and eudaimonistic dimensions of HC were important indicators of a relatively negative HPLP, while health-related students who exercised 75 min or less per week and non-health-related students with a monthly disposable income of 15,000 TWD or less or who dined out 15 times or more per week also required attention in the promotion of HPL (health-related majors: adjusted R2 = 0.481, p < 0.001; non-health-related majors: adjusted R2 = 0.443, p < 0.001).ConclusionsStudents majoring in each discipline who had poor HPLP which is mentioned above should be prioritized in the provision of appropriate exercise or nutritional support programs on campus to promote their awareness and ability to pay attention to their health.

Influence of Personal Factors on Health-Promoting Behavior in College Students: A Structural Equation Modeling Approach.

This study aimed to determine how personal factors influence health-promoting behavior in university students using a structural equation modeling approach guided by the Health Promotion Model. An analytical cross-sectional study was conducted. The study included 763 health science students from four universities in Cali, Colombia, who answered a questionnaire on personal factors and Health Promoting Lifestyle Profile II, Spanish version, which was validated in the study population. The direct and indirect relationships between personal factors and health-promoting behaviors were assessed using structural equation modeling. Data analysis was performed using descriptive statistics and structural equation modeling. A significant relationship was noted between the biological and psychological personal factors of the measurement model (p < 0.05). Psychological personal factors (self-esteem and perceived health status) positively influence health promoting behavior in university students (Hypothesis 2). It's not possible to demonstrate that health promoting behavior is positively influenced by personal biological factors (Hypothesis 1) and by personal sociocultural factors (Hypothesis 3). There is a need for interventions that help improve the health-promoting lifestyle profile and are focused on enhancing the self-esteem and perceived health status of university students.

Filipino Nursing Students’ Health Promoting Behaviors during Pandemic

Background: Research on health promoting behaviors can assist nursing students in identifying, maintaining, and improving health behaviors. The notable impact and changes in lifestyle behaviors during the pandemic necessitate a closer look into students’ health-promoting behaviors. However, there is a lacuna in the literature about health promoting activities of nursing students stuck at home and attending online learning during the pandemic.Purpose: This study assessed the level and predictors of health promoting behaviors of nursing students in a Philippine public university during a pandemic.Methods: This study used a cross-sectional design with 363 out of 531 undergraduate nursing students of a public university in the Philippines as study participants. Data were gathered using an online survey last March 2022 employing the Health Promoting Lifestyle Profile (HPLP) II. Significant predictors were identified using multiple linear regression analysis with the aid of SPSS version 26.0.Results: Results showed that nursing students had a high (M=2.80 out of 5) practice of health promoting behaviors. Physical activity ranked the lowest among the six dimensions of health promotion behaviors. The variables that predicted the health promoting behaviors of nursing students were self-reported academic performance (β=2.110, p=.000), family income level (β=.055, p=.001), and academic year level (β=.057, p=.002).Conclusion: Nursing students should continue to maintain their good practice of health promoting behaviors. However, more attention should be given to engaging in physical activity to maintain holistic well-being.

Psychoeducational intervention for the promotion of breast cancer screening methods and a healthy lifestyle in university students

ABSTRACT Psychoeducational interventions for breast cancer are necessary for all age groups, but especially so for young people, to allow for early intervention. It is important that these interventions, in addition to promoting screening methods, also provide strategies to avoid modifiable risk factors for breast cancer. The aim of this study was to evaluate the effects of a psychoeducational intervention on beliefs about cancer, breast self-exams, and a healthy lifestyle. A randomized clinical trial was used, in accordance with the Consolidated Standards of Reporting Trials. Fifty- six university students participated and were randomly assigned to either the psychoeducational intervention condition, which involved three 90-minute sessions every two weeks, or to the control group, which did not receive any interventions. Both groups were evaluated before and after the intervention using the scales of the health belief model and the health-promoting lifestyle profile. The results show significant differences, with a large effect size found for perceived severity (z = −2.35; p < .01, d = 0.90) and self-efficacy (z =-4.46; p < .001, d = 2.06). A correlation was also found between belonging to the intervention group and practicing breast self-exams [χ2(1) = 9.45; p = 0.002]. The psychoeducational intervention affected perceived severity, perceived self-efficacy and the practice of breast self-examination. This indicates that it can be used to promote breast cancer screening methods among female university students.

A Study on the effect of lifestyle educational intervention based on the theory of planned behavior on promoting quality of life of middle-aged women

The present study aimed to determine the effect of lifestyle educational intervention based on the theory of planned behavior on promoting the quality of life of middle-aged women. The present quasi-experimental study examined 80 middle-aged women and randomly divided them into two groups (intervention and control). Data collection tools included the demographic information questionnaire, the Health Promoting Lifestyle Profile-II (HPLP-II), the 12-Item Short-Form Health Survey (SF-12), and the author-developed questionnaire based on constructs of the theory of planned behavior. Data were collected via WhatsApp twice (before and three months after the educational intervention). Five 45-minute training sessions were held for the intervention group and a 60-minute session for a family member regarding physical activity and spiritual growth over two months via WhatsApp. Data were analyzed using SPSS, and the results were considered significant at a statistical level (p < .05). The implementation of the educational intervention significantly increased the mean scores of quality of life, physical activity and spiritual growth, knowledge regarding physical activity and spiritual growth, attitude toward physical activity and spiritual growth, subjective norms toward spiritual growth, perceived behavioral control for physical activity, and behavioral intention to perform physical activity and spiritual growth in the intervention group in comparison with the control group. The educational intervention, which was designed based on constructs of the theory of planned behavior, was influential in promoting the lifestyles and quality of life of middle-aged women. Therefore, it is suggested to use the educational program of the present study in addition to other middle-age health care.

Assessment of coping with illness among patients with hepatitis C – on example of research in Poland

Introduction: In Poland approximately 2% of the population are infected with HCV. The majority (70-80%) of persons infected with HCV develop chronic hepatitis C which, when untreated, may lead to cirrhosis and/or hepatocellular carcinoma. The skills of coping with stress and acceptance of chronic illness may motivate patients for participation in treatment and leading a health-promoting life style. Objective: The aim of the study was assessment of coping with illness in patients with chronic hepatitis C. Materials and Method: The study included 220 adults with chronic hepatitis C, and was conducted by the method of a diagnostic survey using the Polish questionnaire: Brief Method of Assessment of Coping with Illness (Krótka Metoda Oceny Radzenia Sobie z Chorobą - KMORSZCH), the Acceptance of Illness Scale (AIS), and an author-constructed questionnaire. Results: The examined group of patients with hepatitis C most strongly presented style oriented on emotions and passivity (mean score 1.20), and style focused on problem solving (mean score 1.05), followed by respondents who presented avoidance-oriented style (mean score 0.98), whereas the style focused on seeking the best solution to the problem was most rarely chosen (mean score 0.77). It was found that the more frequently the respondents presented style oriented on experiencing emotions and passivity, to the significantly lower degree they accepted their illness. Patients with higher education significantly more often presented style focused on seeking the best solution to the problem (p&lt;0.045),while those with the lowest level of education significantly more frequently were oriented on experiencing emotions and passivity (p&lt;0.001). Rural inhabitants significantly more often presented style oriented on experiencing emotions and passivity (p&lt;0.002). The remaining independent variables: gender, age, marital status, number of years of illness, and occupational activity had an insignificant effect on the selection of the style of coping with hepatitis C. Conclusions: The results of the study confirm the need for psychotherapeutic actions with respect to patients with hepatitis C in order to help them cope with the chronic disease, because they most often chose style oriented on emotions and passivity. Psychological assistance should be provided especially for the group of patients who have difficulty with acceptance of the illness.

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.

Health behaviors of adults living in Turkey during the covid-19 pandemic: A cross-sectional study

Objective: It is thought that the restrictions that significantly disrupt the routine life of individuals during the Covid-19 pandemic process pose a potential threat to their health behaviors. This research was conducted to identify adults’ health behaviors during the process of the Covid-19 pandemic. Method: The descriptive and cross-sectional study was conducted with 508 adults residing in Turkey, who were not diagnosed with Covid-19, between October and December 2020. Data were collected using the Personal Information Form and the Health Promoting Lifestyle Profile-II. Results: The mean of adults’ Health-Promoting Lifestyle Profile-II scores was found as 123.96±23.75 points, and adults obtained the lowest and highest mean scores successively from the Physical Activity Sub-scale and the Spiritual Growth Sub-scale of the Health Promoting Lifestyle Profile-II. Besides, it was identified that, first, adults with incomes below expenses obtained a lower mean Health-Promoting Lifestyle Profile-II score than those with incomes equaling expenses and those with incomes above expenses, second, adults residing in the district obtained a lower mean Health-Promoting Lifestyle Profile-II score than those residing in the province center, and third, adults perceiving their health as good obtained a lower mean Health-Promoting Lifestyle Profile-II score than those perceiving their health as satisfactory were statistically significant. Conclusion: It was discerned that adults performed health behaviors inadequately during the process of the Covid-19 pandemic, and income level, place of residence, and health perception affected adults’ health behaviors.

The Impact of On-Campus Health Promotion Activities on Healthy Lifestyle Behaviours of Indian University Students

Background: A paucity of information exists on the impact of health-promoting activities conducted in low-and-middle-income country settings including Indian Higher Education Institution (HEI). Health promoting universities offer a variety of on-campus health promotion activities to improve the health and lifestyle of the university students. However, the information on the impact of such programmes are scanty. Aim: The study aimed to assess the university students' Health-Promoting Lifestyle Profiles (HPLP) before and after exposure to the ongoing on-campus health promotional activities for one year. Methods: All freshmen admitted to an international university in India, with campuses across the major cities, were enrolled in the study. The study was conducted in two phases; phase 1 assessed the baseline existing HPLP scores of these students and phase 2 investigated the impact of on-campus health promotion activities for one year on the HPLP scores, a proxy for healthy lifestyle behaviour. Results: The total HPLP scores differed significantly between the two phases (137.9 vs 130.9; p=0.000). Similarly, a significant increase in physical activity scores between the two phases was observed (17.8 vs 19.5; p=0.000). A gender-wise comparison of total and sub-scale HPLP scores of phase I reported significantly higher total HPLP, health responsibility, nutrition, and interpersonal sub-scale scores in females; and significantly higher physical activity scores in males (18.5 vs 17.3; p=0.000). In phase 2, females had significantly higher scores in total HPLP, nutrition, interpersonal, and physical activity sub-scale scores. In both phases females had significantly higher total HPLP scores than males (Phase 1: 137.6 vs 139.8; p=0.000; Phase 2 130.6 vs 131.3; p=0.000). Conclusions: A gender-wise difference on the impact of on-campus health promoting activities with higher impact on females was observed. A more focused, systematic and targeted approach through curricular, co-curricular and extracurricular courses may further improve the HPLP scores of Indian university students.

Relationship between Health-promoting practices and the Health-related Quality of Life among Saudi University Students after the COVID-19 Pandemic Lockdown: Cross-sectional Study

Introduction: Promoting healthy living activities among university students is acknowledged as an essential component in health maintenance and improvement. Objectives: This study aims to determine the extent to which Saudi undergraduate students are involved in health-promoting practices after the COVID-19 pandemic lockdown. It also investigates how the health-related quality of life (QOL) could be predicted from sociodemographics and health-promoting practices. Methods: This study adopted a descriptive correlational design and a convenience sampling method to recruit 542 Saudi students from 5 governmental universities in multiple Saudi regions between October and December 2022. University students were asked to complete an online survey consisting of sociodemographics, the health-promoting lifestyle profile II (52 Items, 4 points Likert scale), and the WHOQOLscale (26 Items, 5 points Likert scale). Results: In the health-promoting subscales, participants ranked best in spiritual growth (M = 2.79) but worst in physical activity (M = 1.82). Regarding the QOL subscales, participants scored the highest in social relationships (M = 14.32) and the lowest in psychological health (M = 11.36). Multiple linear regression revealed that 19% of the variance in the QOL was explained mainly by health-promoting variables, in which physical activity (β = .20, p &lt; .001) was the strongest predictor. In addition, family income (β = -.14, p &lt; .01), nutrition (β = .12, p &lt; .05), stress management (β = .11, p &lt; .05), and spiritual growth (β = .14, p &lt; .05) were also significant predictors of QOL. Conclusion: Physical activity, nutrition, spiritual growth, and stress management have been found helpful in improving the QOL of Saudi students. Therefore, universities should consider planning curricula and establishing activities that encourage involvement in health-promoting activities.

Health-promoting behaviors among patients with coronary artery disease in Palestine

Even though many chronic diseases result from unhealthy behaviors such as physical inactivity, high-fat diets, and smoking, these health behaviors are rarely controlled by coronary artery disease (CAD) patients. This 123study aimed to describe health-promoting behaviors ( HPB) and their predictors in patients with coronary artery disease. In this cross-sectional study, 178 participants with coronary artery disease from three primary healthcare clinics in Palestine were recruited. Health-Promoting Lifestyle Profile II was used to measure health-promoting behaviors, the Behavior-Specific Cognitions and Affect scale to measure cognition and affect, and the Multidimensional Scale of Perceived Social Support to measure social support was used. Hierarchical multiple regression analysis was performed to examine the predictive variables on health-promoting behaviors. The mean age of the participants was 53.7 years (SD=14.1). Most participants reported practicing moderate HPB (50.6%) or excellent HPB (2.8%). The mean lifestyle score was 123.7(SD=21.8), which lies in the moderate lifestyle level; the nutrition subscale had the highest score (M=24.3, SD=4.8), while the physical activity subscale had the lowest score (M=15.2, SD=4.4). Participants practice of HPB correlated negatively with age, BMI, and CCI total scores (r = −0.190, r = −0.191, r=−.247, respectively) and positively with behavior-specific cognitions and affect and social support(r =.473, r =.229). A significant difference based on gender, current smoking of cigarettes, current argilla use, marital status, level of education, and work status (t=2.189, t=-2.888, t=-3.109, F=-3.208, F=4.557, F=8.430, respectively);. For the first time in Palestine, it was demonstrated in this study that HPB levels among CAD patients are moderate to good. The authors underline the significance of developing policies to improve HPB practices.

Social isolation and intrinsic capacity among left-behind older adults in rural China: The chain mediating effect of perceived stress and health-promoting behavior.

Strengthening and maintaining the intrinsic capacity (IC) of the older adults is the key to preventing and delaying disability and promoting healthy aging. This study explores the relationship between social isolation, perceived stress, health promotion behavior, and IC of the left-behind older adults in rural areas and analyzes the chain mediating effect of perceived stress and health promotion behavior among social isolation and IC. From March 2021 to May 2022, a multi-stage sampling method was used to recruit participants from rural areas in Heilongjiang Province, China. The data were collected by the simplified version of the Lubben Social Network Scale, the Chinese Perceived Stress Scale, the Health-Promoting Lifestyle Profile-Chinese, and the Integrated Care for Older People (ICOPE) screening tool. We used the PROCESS macro for SPSS to determine the mediating effect of perceived stress and health-promoting behavior between social isolation and IC. Social isolation score was positively correlated with health-promoting behavior (r = 0.78, p < 0.01) and IC (r = 0.67, p < 0.01), whereas it was negatively correlated with perceived stress (r = -0.63, p < 0.01). Perceived stress was negatively correlated with health-promoting behavior (r = -0.62, p < 0.01) and IC (r = -0.43, p < 0.01). The health-promoting behavior and IC were positively correlated (r = 0.56, p < 0.01). Bootstrapping values indicated that the chain-mediating effect of perceived stress and health-promoting behavior was statistically significant. Consequently, to improve the IC of the left-behind older adults, we should focus more on reducing the degree of social isolation of the left-behind older adults and improving their perceived stress and health-promoting behavior.

Health-Promoting Lifestyle among the Survivors of Colorectal Cancer: An Integrative Review.

Health-promoting lifestyle (HPL) among the survivors of colorectal cancer (CRC) is essential to reduce CRC complications, prevent its recurrence, and improve survival. Nonetheless, there is no comprehensive definition for the concept of HPL in CRC survivors. This study aimed to define the concept of HPL among CRC survivors based on the existing literature. This integrative review was conducted in 2021 using Whittemore and Knafl's method. The national and international databases of SID, Magiran, ProQuest, Medline, ScienceDirect, Web of Science, and Scopus were searched. Quality appraisal was performed using the Mixed Methods Appraisal Tool (MMAT) and the data were analyzed using the four-step approach proposed by Whittemore and Knafl. After data evaluation, 167 documents were included in final analysis. In total, 1863 codes were generated and categorized into eighteen main categories and the three main themes of antecedents, attributes, and consequences. Accordingly, HPL among CRC survivors was defined as "a set of behaviors in the areas of health responsibility, physical activity, nutrition, spiritual growth, psychological management, and interpersonal relations which are affected by socio-demographic characteristics, clinical characteristics, psychological status, physical conditions, time and place limitations, and patient education, and lead to better disease prognosis, better general health status, better bio-psycho-social status, and better quality of life". The definition of HPL among CRC survivors provided in the present study can be used in counseling, educational, supportive, and care programs for CRC survivors in order to improve their quality of life and survival.

Predicting Athlete Intentions for Using Sports Complexes in the Post-Pandemic Era.

In recent years, the concept of health has gradually fit into people's lives through the government's promotion. The indoor sports complex is becoming more and more popular, offering people the opportunity to engage in physical and recreational activities regardless of weather conditions. Psychological and social abundance is the key to improving happiness, and the most important thing is to treat and care for yourself. Many fitness venues have emerged to provide athletes with a wide range of choices. However, the advent of the COVID-19 pandemic, which is caused by a virus mainly transmitted through direct contact or air droplets, has had a severe impact on indoor gym users. Therefore, based on the Theory of Planned Behavior (TPB) and Health-Promoting Lifestyle (HPL), this research investigated athletes' behavioral intentions regarding sports halls and perceived risks as interfering variables. For data collection, we collected data samples from sports complexes athletes in Taiwan. A total of 263 responses were analyzed via SPSS 20.0 (IBM Corporation, New York, NY, USA) and AMOS 20.0 (IBM Corporation, New York, NY, USA) seis tests. The study's results indicate that health-promoting lifestyle cognition has a positive and significant effect on behavioral intention; athletes' attitudes, subjective norms, and perceived behavioral control significantly affects the behavioral intention of using the facilities in a sports complex. Athletes' risk perceptions have an interference effect between HPL, attitude, subjective norm, perceived behavioral control, and behavioral intentions of using the facilities in a sports complex. Sports venue managers can refer to the results of this project to develop marketing strategies and promoting.

Analysis of status quo and influencing factors for health-promoting lifestyle in the rural populace with high risk of cardiovascular and cerebrovascular diseases

ObjectiveTo explore the status quo and influencing factors for health-promoting lifestyle in the rural populace with high risk of cardiovascular and cerebrovascular diseases, and to provide reference for developing primary prevention strategies for cardiovascular and cerebrovascular diseases.MethodQuestionnaire-based survey of 585 cases of high-risk cardiovascular and cerebrovascular population in 11 administrative villages in Fuling of Lishui city was conducted using the Health Promoting Lifestyle Profile-II (HPLP II), Perceived Social Support from Family Scale (PSS-Fa), General Health Questionnaire (GHQ-12), and other questionnaire tools.ResultsThe total score of the health-promoting lifestyle in the rural populace with high risk of cardiovascular disease is 125.55 ± 20.50, which is at an average level, and the mean scores of each dimension in descending order are—nutrition, interpersonal support, self-actualization, stress management, health responsibility, and exercise. Monofactor analysis revealed that age, education level, marriage, monthly per capita household income, physical activity based on the International Physical Activity Questionnaire (IPAQ), family support function, carotid intima-media thickness, and blood pressure were influencing factors for the health-promoting lifestyle in the rural populace with high risk of cardiovascular and cerebrovascular diseases (P < 0.05). Multiple stepwise regression analysis showed that monthly per capita household income, family support function, physical activity based on the IPAQ, and education level were positively correlated with the level of the health-promoting lifestyle.ConclusionThe health-promoting lifestyle level of the rural populace with high risk of cardiovascular and cerebrovascular diseases needs to be improved. When assisting patients to improve their health-promoting lifestyle level, it is imperative to pay attention to improving patients' physical activity level, emphasizing the influence of the family environment on patients, and focusing on patients with economic difficulties and low education level.

The study protocol for the randomized controlled trial of the effects of a theory-based intervention on resilience, social capital, psychological wellbeing, and health-promoting lifestyle in healthcare workers

BackgroundThe workplace has been identified as a key determinant of health status. There is evidence of innumerable health problems among employees, particularly healthcare workers. Against this background, a holistic-systemic approach together with a good theoretical framework is required to reflect on this issue, and to support the design of effective interventions to promote the health and wellbeing of the given population. The present study aims to evaluate the effectiveness of an educational intervention in improving resilience, social capital, psychological wellbeing, and health-promoting lifestyle in healthcare workers, utilizing the Social Cognitive Theory integrated into the PRECEDE-PROCEED model.MethodsThis randomized controlled trial will be performed on a large sample of the employees working in two healthcare centers in the city of Shiraz, Iran. The study will proceed with the healthcare workers of one city being given the educational intervention and the healthcare workers of the other city serving as a control group. Using a census method, all healthcare workers in the two cities will be informed of the trial and its purpose, and then invitations to join the study will be issued. The minimum sample size required has been calculated as 66 individuals in each healthcare centers. Recruitment to the trial will by systematic random sampling of eligible employees who submit an expression of interest in joining the trial, and subsequently give informed consent. Data will be collected through a self-administered survey instrument at three stages: at baseline, and both immediately and three months after the intervention. The experimental group members should participate in at least eight of the ten weekly educational sessions of the intervention and complete the surveys in the three stages. There is no educational intervention for the control group, and they simply experience some routine programs, and complete the surveys at the same three timepoints.DiscussionThe findings will provide evidence for the possible effectiveness of a theory-based educational intervention to improve resilience, social capital, psychological wellbeing, and health-promoting lifestyle among healthcare workers. If the educational intervention is found to be effective, then its protocol will be exploited in other organizations to boost resilience.Trial registration IRCT20220509054790N1.

Diet quality as a mediator in the relationship between perceived stress and depression among family caregivers of patients with chronic illness in Saudi Arabia.

The purpose of this research was to examine the correlation between caregivers' perceived stress and depression and the mediating role of diet in this relationship. A cross-sectional survey was performed from January to August 2022 in the Kingdom of Saudi Arabia. Utilizing the Stress Scale, the Anxiety and Depression Scale, the Health Promoting Lifestyle Profile-II questionnaire, and the Patient Health Questionnaire-9, researchers assessed levels of perceived stress, diet quality, and depression. A bootstrap approach and the SPSS PROCESS macro were used to assess the importance of the mediation effect. The target population was family caregivers of patients with chronic illness at Medical City in Saudi Arabia. Researchers surveyed a convenience sample of 127 patients, with 119 providing complete data for a response rate of 93.7%. A significant correlation was found between depression and perceived stress (β = 0.438, p < 0.001). Diet quality mediated the relationship between depression and perceived stress (β = 0.187, p = 0.018). The importance of the indirect effect of perceived stress through diet quality was supported by the nonparametric bootstrapping method (95% bootstrap CI = 0.010, 0.080). The indirect effect of diet quality explained 15.8% of the overall variation in depression. These findings help to clarify the mediating effects of diet quality on the relationship between perceived stress and depression.

Influence of Health-promoting Lifestyle on the Living Quality of the Elderly in Guangxi, China

Objective: To understand the current situation of health promotion lifestyle and living quality of the elderly in Guangxi Province, China. To analyze the influencing factors of the living quality of the elderly in Guangxi, and to explore the influence of health promotion lifestyle on the quality of life. Methods: The health promotion lifestyle scale (HPLP-C) and the health status survey summary table (SF-36) were applied to investigate the elderly aged 60 and above in Guangxi. Results: The total health promotion lifestyle of the elderly in Guangxi is 94.63±13.90 points, lower than the total health promotion lifestyle studied by scholars in the past 10 years. The total quality of life is 71.91±13.04, which is lower than China’s norm. After typical correlation analysis, the results showed that the typical correlation between health promotion lifestyle and quality of life reached significant levels, both with positive correlation. Conclusions: Good health promotion lifestyle standards can improve the living quality of the elderly, in which health responsibility, self-realization, interpersonal support, exercise, stress treatment, physical function (PF), role physiological (RP), bodily pain (BP), overall health (GH), vitality (VT), social function (SF), and mental health (MH) are the main determine factors affecting the relationship, and interventions can be taken to improve the living quality of the elderly in Guangxi.

Elementary School-Aged Children's and Parents' Report of Health-Related Quality of Life and Relationships with Lifestyle Measures: A Cross-Sectional Study.

Supporting a child's health-promoting lifestyle is an investment in their future health and health-related quality of life (HRQoL). Particularly children with overweight and obesity may be at an increased risk of a poor HRQoL. Currently, a comprehensive evaluation of lifestyle factors and age in relation to HRQoL in healthy children and, further, separate child and parental proxy-reports of HRQoL are lacking. The aims of this cross-sectional study in Finland are to compare healthy elementary school-aged children's and parents' reports of the child's HRQoL, and to view them in relation to lifestyle markers. The HRQoL was measured with Pediatric Quality of Life InventoryTM 4.0, and the following lifestyle markers: leisure-time physical activity as MET, diet quality via a validated index (ES-CIDQ), sleeping time and screen time by questionnaires. Furthermore, age and BMI were recorded. Data were obtained from 270 primary school-aged children (6-13 years). Female gender, the child's older age (8-13 years), high physical activity level and less screen time were strong predictors of a higher HRQoL in both the child's and parental proxy-reports. Means to promote healthy lifestyles should be particularly targeted to young children, especially boys, and new ways to promote physical activity and other forms of free-time activities should be sought.

Clustering of the Adult Population According to Behavioural Health Risk Factors as the Focus of Community-Based Public Health Interventions in Poland.

Effective lifestyle health promotion interventions require the identification of groups sharing similar behavioural risk factors (BRF) and socio-demographic characteristics. This study aimed to identify these subgroups in the Polish population and check whether local authorities' health programmes meet their needs. Population data came from a 2018 question survey on a random representative sample of 3000 inhabitants. Four groups were identified with the TwoStep cluster analysis method. One of them ("Multi-risk") differed from the others and the general population by a high prevalence of numerous BRF: 59% [95% confidence interval: 56-63%] of its members smoke, 35% [32-38%] have alcohol problems, 79% [76-82%] indulge in unhealthy food, 64% [60-67%] do not practice recreational physical activity, and 73% [70-76%] are overweight. This group, with an average age of 50, was characterised by an excess of males (81% [79-84%]) and people with basic vocational education (53% [50-57%]). In 2018, only 40 out of all 228 health programmes in Poland addressed BRF in adults; only 20 referred to more than one habit. Moreover, access to these programmes was limited by formal criteria. There were no programmes dedicated to the reduction of BRF exclusively. The local governments focused on improving access to health services rather than on a pro-health change in individual behaviours.