Health-promoting Lifestyle Research Articles

The impact of Education on Modification of Lifestyle Personality Dimensions Associated with Osteoporosis in Female Students

Background & aim: Osteoporosis is considered as a chronic and progressive skeletal condition that might be associated with some alterations in lifestyle of different populations. Lifestyle of the students can highly affect the community due to the large young population in country. Therefore, the present study aimed to investigate the impact of education on modification of the lifestyle personality dimensions related to osteoporosis in female students. Methods: This quasi-experimental trial was conducted on the female students of Islamic Azad University of Kazeroon, Iran in 2016. Sampling was performed using multistage random method through which a total of 133 students were selected. Afterwards, the subjects were randomly assigned to the two groups of intervention and control. The intervention performed as weekly lectures during two months with 40 minute session in each domain. The participants filled out the demographic and Health Promoting Lifestyle Profile II questionnaires pre- and post-intervention, as well as two months later. All the data were analyzed by repeated measures analysis of variance (ANOVA) to assess the changes in lifestyle scores using SPSS software version 24. Results: Results revealed that changes in the mean lifestyle scores regarding each of the related dimensions, including accountability, stress management, interpersonal support, and self-actualization were statistically significant in both groups. Moreover, the effect of time on improving accountability, stress management, and self-actualization was significant (P < 0.05). Conclusion: The Findings of this study demonstrated that educational intervention might enhance the personality dimensions that are related to lifestyle and play role in prevention from osteoporosis. Consequently, it could be concluded that the training programs in this regard should be taken into consideration in policy making issues. Further studies on other aspects and health behaviors can be of great benefit and are recommended.

Türkiye'de Sağlığı Geliştirme Eğitim ve Danışmanlık Programının kadınlarda menopozal belirtilerin azaltılmasına yönelik etkisi

Purpose: This study aimed to determine the effect of health-promoting lifestyle education given to menopausal women in accordance with Pender’s Health Promoting Model (HPM) on reducing the menopausal symptoms.Materials and Methods: This study is a semi-experimental research with pre-test and post-test control groups. In the first stage of the study, Socio-demographic Information Form (SIF) and Menopause Rating Scale (MRS) were applied to 401 menopausal women to determine the severity of their menopausal symptoms. In the second phase of the study, women with intense menopausal symptoms were randomly divided into two groups. 32 menopausal women in initiative group and 32 menopausal women were in the control group. One group, the experimental group, received Health-Promoting Lifestyle Education (HPLE), while the other group was the control group. Menopause Rating Scale (MRS), Health Promoting Lifestyle Profile II (HPLP II), and Self-Efficacy Scale (SES) were applied as pretests in both groups. Health-promoting lifestyle education was given to the experimental group twice with a one-week break between the sessions and the sessions were completed in four weeks.Results: Statistically significant decreases were found in the total MRS scores and subdimension scores of the menopausal women in experimental group after the education.Conclusion: Health-promoting lifestyle education was found to be effective in reducing the severity of menopausal symptoms.

골프 참여자의 LOHAS 성향에 따른 건강증진 생활양식, 여가만족 및 생활만족의 관계 분석

골프 참여자의 LOHAS 성향에 따른 건강증진 생활양식, 여가만족 및 생활만족의 관계 분석

Health-Promoting Lifestyle Behaviour: A Determinant for Noncommunicable Diseases Risk Factors Among Employees in a Nigerian University

INTRODUCTION: Overweight, hyperglycaemia and hypertension are risk factors for development of cardiovascular diseases that have the highest mortality and morbidity rates among noncommunicable diseases (NCDs) globally. The aim of this study was to examine the health-promoting lifestyle behaviour that determine risk factors for Noncommunicable diseases among university employees in Nigeria.&#x0D; &#x0D; METHODS: We conducted a cross-sectional survey among university employees in Nigeria. Data were collected from 280 employees in the university by means of a questionnaire that consisted of three sections. Collected data were analysed using IBM-SPSS version 25.&#x0D; &#x0D; RESULTS: Good physical activity lifestyle behaviour (adjusted odds ratio [aOR] = 2.1, 95% CI: [1.1&amp;ndash;3.9]) and good health responsibility lifestyle behaviour (aOR = 2.4, 95% CI: [1.2&amp;ndash;4.9]) were statistically significant predictors of normal body mass index. Also, good health-promoting lifestyle profile (HPLP) (aOR = 3.1, 95% CI: [1.3&amp;ndash;7.6]) was a statistically significant predictor of normal waist&amp;ndash;hip ratio. However, there is no statistically significant relationship between HPLP and random blood sugar or between HPLP and blood pressure. &#x0D; &#x0D; CONCLUSION: The findings from the study reveal that good health-promoting lifestyle behaviour especially health responsibility, physical activity and stress management behaviour are determinant of overweight and obesity which are major risk factors for development of cardiovascular diseases, type II diabetes and some form of cancer. Hence, to reduce the risk of developing noncommunicable diseases, there is a need to develop an intervention to improve university employee&amp;rsquo;s health-promoting lifestyle.

The effects of acculturation and environment on lifestyle behaviors in Korean immigrants: the mediating role of acculturative stress and body image discrepancy

ABSTRACT Objectives Despite high rates of cardiometabolic diseases in Korean immigrants (KIs), little is known about cultural and environmental factors contributing to lifestyle behaviors. The purpose of this cross-sectional study was to examine the relationships among acculturation, environment, and lifestyle behaviors (dietary behavior, physical activity, and sedentary behavior) through culturally sensitive psychological mediators, body image discrepancy and acculturative stress in middle-aged KIs. Design A cross-sectional study was conducted. KIs aged 30–65 years were recruited online and at Korean community centers and churches in the Northeastern US Participants completed validated measures of dietary behavior (the Nutrition Subscale of the Health Promoting Lifestyle Profile (HPLP) II), physical activity (the International Physical Activity Questionnaire (IPAQ) – short form), and sedentary behavior (the Sedentary Behavior Questionnaire). Acculturative stress was measured by the Acculturative Stress Index and body image discrepancy was measured by the Stunkard Figure Rating Scale. Acculturation was defined as a latent variable measured by Korean and American orientation (Vancouver Index of Acculturation), age of immigration to the US, length of residency in the US, and English proficiency. Data were analyzed with structural equation modeling (SEM). Results The sample included 361 KIs (mean age = 41.77 ± 10.28 years, 48.1% female, and 46.4% overweight or obese). In the SEM model, acculturation had significant indirect effects on dietary behavior, physical activity, and sedentary behavior through body image discrepancy. Acculturative stress mediated the relationship between acculturation and sedentary behavior. Greater environmental support for physical activity and better healthy food accessibility were related to higher levels of physical activity and healthier dietary behavior, respectively. Conclusion In our study, acculturation and environmental support for physical activity and healthy food simultaneously influenced KIs’ lifestyle behaviors. Addressing an unhealthy body image and acculturative stress may be additional strategies for lifestyle intervention programs to prevent cardiometabolic diseases in KIs.

Behavioural Patterns of Physical Activity and Nutritional Habits among Urban and Rural Students

Background: Adolescence is considered as one of the most vulnerable periods. The deficiencies and poor nutritional habits and lack of physical activity will have irreparable consequences in adulthood. This study was aimed to determine the behavioural patterns of nutritional and physical activity among the urban and rural students in Urmia, Iran. Methods: The present study was designed and implemented using a sectional and descriptive-analytic approach. Using a stratified random sampling method, 194 males and 191 female high school students were chosen to participate. Health-Promoting Lifestyle Profile II (HPLPII) was used for data collection. The overall average score of physical activity in students was 55.57 ± 4.88, and in the aspect of nutritional behaviour it was equal to 64.04 ± 3.67. Results: No significant difference was observed between physical activity, nutritional behaviours and socio-demographic variables (gender, type of school, place of residence, parental education). Based on multivariate regression analysis, there was a significant relationship between physical activity and the field of education. Furthermore, a significant relationship was found between children’s nutritional behaviour and mothers’ education. Conclusion: Considering importance of mothers’ role in upbringing adolescents and forming their healthy behavioural patterns and the significant relationship of mothers’ education and healthy behaviours, training and increasing health literacy level of this class of population can be an imperative step in promoting the mental and physical health of adolescents.

Mediating Role of Acculturation and Lifestyle Behaviors on Cardiometabolic Risk Among a National Sample of U.S. Asian Indians.

Asian Indians are the third largest and fastest growing Asian subgroup in the U.S. and have high risks for diabetes and cardiovascular disease. This study explored the mediating role of lifestyle behaviors on the relationship between acculturation and cardiometabolic risk factors among Asian Indians using the Diabetes in Indian Americans national study. The cross-sectional study sample comprised 1038 randomly selected adult Asian Indians in seven U.S. sites. Acculturation was assessed using the Acculturation Scale for Southeast Asians. Diet and lifestyle behaviors were measured using the Health-Promoting Lifestyle Profile II subscales. Path analyses with bootstrap methods were conducted. Dietary behavior significantly mediated the relationship between acculturation and HbA1C (β = 0.004, p = 0.047), and physical activity mediated the relationship between acculturation and HDL (β = 0.08, p = 0.011). Other mediation models were not significant (p > 0.05). Mediating factors besides lifestyle behaviors should be explored in future studies.

Translation and Validation of the HPLP-II From English to Armenian

As the focus of healthcare shifts toward the social determinants of health, more information about health disparities between different ethnic communities is needed. The Health Promoting Lifestyle Profile II (HPLP-II) is an instrument that measures health promotion behavior across various cultural lines. This article describes the translation and validation of the HPLP-II from English to Armenian for the purpose of studying health promotion behavior among the hypertensive and normotensive Armenian American population and addressing health disparities among this community. Translating the HPLP-II required a multistep process to capture cultural linguistic adjustment. First, the researcher, a local bilingual professor, and a professional translation company each created a forward-translation. These three translations were combined by an editor to create one translation with the highest clarity. The researcher then submitted this translation to two bilingual community members for back-translation. A committee composed of the researcher, the community members, and a bilingual healthcare worker reviewed each back-translated item and adjusted those that lost their meanings. Another committee reviewed each item for clarity and consistency. The instrument was then given to five native speakers who were asked to read each question and verbally express what they understood it to be asking. After the researcher made adjustments based on this feedback, the instrument was given to a committee of nine bilingual experts, who reviewed each item and scored it.This multistep, iterative process resulted in an instrument with an item content validity index score of 0.90 (&gt;0.78) and a scale content validity index of 0.96 (&gt;0.90), and Cronbach’s a = 0.936, suggesting a high level of reliability. The HPLP-II can now be used in future studies regarding health promotion behavior among Armenian Americans.

Sentido de coherencia y estilo de vida promotor de salud en estudiantes del noroeste de México

Objetivo: analizar el sentido de coherencia y su relación con el estilo de vida promotor de salud en estudiantes de una universidad pública en Sonora, México.Metodología: estudio descriptivo y correlacional, participaron 44 estudiantes de las carreras de ciencias de la computación, física y geología. Se empleó una cédula de datos sociodemográficos, la Escala Sentido de Coherencia 13 y el Cuestionario Estilo de Vida II. Se efectuó análisis de datos con medidas de tendencia central y de dispersión, se utilizó el test chi-cuadrado y coeficiente de correlación de Spearman, con un nivel de significancia de alfa 0.05.Resultados: la edad promedio de los estudiantes fue de 20 años, 70,5% eran hombres y solteros, un 52,3% mostró sentido de coherencia global bajo predominando en hombres (54,8%). Un 56,8% obtuvo un estilo de vida promotor de salud insuficiente, mayormente en mujeres (69,2%). El sentido de coherencia tuvo correlación positiva significativa con el estilo de vida promotor de salud (p &lt; 0,05).Conclusiones: la etapa de transición a la vida universitaria es un período importante y crítico para los estudiantes, es prioritario establecer programas de promoción y educación para la salud con enfoque salutogénico, con el propósito de fortalecer el uso de los recursos disponibles y desarrollar un sentido de coherencia más fuerte en los estudiantes, fomentando un estilo de vida promotor de salud permanente.

Effect of lifestyle Promotion Booklet on the Outcomes of Patients with Insulin Dependent Diabetes Mellitus (IDDM)

Background: Type 1 diabetes is an autoimmune disease with a strong genetic component. It can occur at any age Aim: To evaluate the effect of lifestyle promotion on outcomes of patients with insulin dependent diabetes mellitus. Research design: Pre/posttest research design was utilized. Setting: The study was conducted in the internal medical department & outpatient clinic at Assuit University Hospital. Samples included 50 adult patients selected according to the following criteria: Conscious patient, age range between 18-65 years, from both sexes and insulin dependent diabetes mellitus. Tools: Patient interview questionnaire. It includes: demographic data and health promotion lifestyle. Based on the analysis of the assessment tools health promotion lifestyle booklet was developed. Results: More than have of the studied sample were female and there mean age were 49.220±14.226. Patients' level of knowledge was increased after the implementation of the booklet; particularly in the areas of the health responsibility, physical activity, interpersonal relations, and nutrition. Conclusion: There are statistical significance differences for studied samples as regard to life style subscale. Recommendation: It is important to educate patients about how to modify life style to healthy life, prevent and manage diabetic complications

Comparison of Health Promoting Lifestyle and Self-Efficacy in Female Students with and Without Primary Dysmenorrhea

Comparison of Health Promoting Lifestyle and Self-Efficacy in Female Students with and Without Primary Dysmenorrhea

The Relationship Between Health-Promoting Lifestyle and Its Related Factors with Self-Efficacy and Well-Being of Students.

ObjectivesUnhealthy lifestyles among young people are seriously related to incapacity and health problems in adulthood. The aim of this study was to determine the importance of a health-promoting lifestyle and its association with self-efficacy and well-being.MethodsIn this cross-sectional study, a sample of 500 students from Shahroud University of Medical Sciences (Shahroud, Iran) were randomly selected in 2017. The Persian versions of Health-Promoting Lifestyle Profile, Self-Efficacy Scale, and WHO-5 Well-Being Index were used.ResultsAmong the participants, 34% of students had an abnormal imaginable well-being, and 68% of students had high self-efficacy. The mean score of a health-promoting lifestyle was 127.47 ± 19.78, which is interpreted as moderate, and the mean score of physical activity was 14.10 ± 4.95, which is poor. There was a significant relationship between well-being, and self-efficacy with health-promoting lifestyle. Age, gender, educational level, place of residence, student employment, self-efficacy, and well-being were associated with students’ lifestyles.ConclusionA health-promoting lifestyle of students in this study was moderate and they did not have an acceptable level of physical activity. The direct effect of well-being, and self-efficacy on lifestyle, revising students’ curriculums to improve their health behaviors, and general health indicators, can all lead to the enhancement of health-promoting lifestyles.

택시기사와 버스기사의 건강증진 생활양식 비교

택시기사와 버스기사의 건강증진 생활양식 비교

Social support network, social support, self-efficacy, health-promoting behavior and healthy aging among older adults: A pathway analysis

AimsTo determine the pattern of relationships among social support network, social support, self-efficacy, health-promoting behavior and healthy aging in older adults. MethodsTotally, 485 community-dwelling participants aged 60 years and older were recruited from four districts of Beijing, China. Data were obtained from July to November, 2017 using a questionnaire containing general information items, the Lubben Social Network Scale-18, the Medical Outcomes Study Social Support Survey-Chinese version, the Self-rated Abilities for Health Practices Scale, the Health-Promoting Lifestyle Profile II and a Healthy Aging Instrument. Path analysis was applied to examine the pattern of relationships between one’s social support network and healthy aging. ResultsThe influence of a neighbor network on healthy aging was stronger than that of a family and friend network. Friend network had greater impact than family network on health-promoting behavior and self-efficacy. However, support from family members had a stronger effect than friend support and neighbor support on health-promoting behavior, self-efficacy and healthy aging. Furthermore, the finding revealed that self-efficacy had the stronger effect on healthy aging than that of health-promoting behavior. ConclusionThese findings demonstrate that one’s social support network plays an important role in promoting healthy aging. In China, medical and human resources for community healthcare systems are often limited. We propose that community nurses, as the “gatekeepers” to the healthcare system, should actively collaborate with older adults’ social network resources to promote healthy aging. Moreover, nurses should develop efficient programs which focus on the ways of improving self-efficacy.

Relationships between depression, health‑related behaviors, and internet addiction in female junior college students.

IntroductionDepressive emotions can lead to subsequent unhealthy behaviors such as Internet addiction, especially in female adolescents; therefore, studies that examine the relationships among depression, health‑related behaviors, and Internet addiction in female adolescents are warranted.PurposeTo examine (1) the relationship between depression and health-related behaviors and (2) the relationship between depression and Internet addiction.MethodA cross-sectional study design was adopted using a structured questionnaire to measure depression, health-related behaviors, and Internet addiction in female adolescents. The data were collected from students of a junior college in southern Taiwan using convenience sampling to select the participants. The questionnaire was divided into four sections: demographics, the Center for Epidemiologic Studies Depression Scale (CES-D), the Health Promoting Lifestyle Profile (HPLP), and the Internet Addiction Test (IAT).ResultsThe final sample comprised 503 female junior college students, with the participants mainly aged between 15 to 22 years (mean age = 17.30 years, SD = 1.34). Regarding the HPLP scores, the overall score, nutrition subscale score, and self-actualization subscale score were significantly and negatively associated with the CES-D depression score (p < 0.05–0.01). In other words, depression level was lower in students who exhibited more healthy behaviors, put more emphasis on dietary health, and had higher levels of self-admiration and confidence toward life. Regarding the IAT scores, the overall score and six domain scores were all positively associated (p < 0.01) to the CES-D depression score. In other words, the higher an individual’s Internet addiction score was, the higher her depression level was.ConclusionsThe results confirmed the relationship between depression, health-related behaviors, and Internet addiction. The cultivation of health-related behaviors may help in lowering depressive symptoms. Teenagers with depression have higher risks of developing Internet addiction, and such addiction is likely to affect their daily functioning.

중년기 신체운동 참여자의 낙관적 편견이 지각된 건강위험과 건강증진생활양식에 미치는 영향

중년기 신체운동 참여자의 낙관적 편견이 지각된 건강위험과 건강증진생활양식에 미치는 영향

Relationships of social support, health-promoting lifestyles, glycemic control, and bone turnover among adults with type 2 diabetes.

There is increasing evidence that hyperglycemia, oxidative stress, and the accumulation of advanced glycation end products in type 2 diabetes mellitus (T2DM) can lead to the deterioration of bone remodeling. The purpose of this study was to explore relationships of social support, health-promoting lifestyles, glycated hemoglobin (HbA1c) levels, and serum bone turnover markers (BTMs, including procollagen type I amino-terminal propeptide [PINP] and β-isomerised carboxy-terminal cross-linking telopeptide of type I collagen [β-CTX]) among individuals with T2DM. A total of 175 subjects were recruited by convenience sampling and divided into three groups based on their HbA1c levels. Statistical strategies of Spearman's correlation coefficient and multiple linear regression were used in this cross-sectional study. There was a positive association between PINP and β-CTX, whereas the HbA1c level was inversely correlated with BTMs. Moreover, scores of both PINP and β-CTX were different in genders, males having lower levels of BTMs than females after adjustment for weight. Furthermore, both social support and health-promoting lifestyles were negatively correlated with HbA1c levels, whereas they did not significantly relate to declines in PINP and β-CTX. High HbA1c levels detrimentally influence bone formation and bone resorption, and males with T2DM might be more susceptible to osteoporosis because of their relatively lower levels of BTMs. However, social support and health-promoting lifestyles could contribute to better glycemic control.

Perceived neuropsychological impairment inversely related to self-reported health and employment in multiple sclerosis.

Multiple sclerosis (MS) patients frequently report cognitive difficulties which impact daily functioning. The objective was to investigate the relationship between patient-reported cognitive impairment and depression, demographic and MS-related variables, and to clarify its impact on self-reported health measures and employment. A large two-centre survey included the MS Neuropsychological Screening Questionnaire (MSNQ), the two-question screening tool for depression, vitality, health-related quality of life, the Health-Promoting Lifestyle Profile II and questions assessing social network satisfaction and employment status. Of the 751 respondents (median age 54 years, median Expanded Disability Status Scale 5, 66.2% female), two-thirds reported perceived neuropsychological impairment or depressive symptoms. Whilst depressive symptoms were related to higher MSNQ scores, the MSNQ poorly predicted depression. After correcting for confounders, higher MSNQ scores and depressive symptoms decreased vitality, health-related quality of life and health-promoting behaviours and increased the probability of being socially dissatisfied. In participants below retirement age, higher MSNQ and Expanded Disability Status Scale scores increased the probability of unemployment, whilst depression did not. The contribution of the MSNQ to self-reported health measures and its unique explanatory power regarding unemployment suggest that subjective cognitive complaints are connected to subtle, yet meaningful, neuropsychological dysfunction.

Factors Affecting Health-Promoting Lifestyle Behaviors Among Arab American Women

Introduction: An estimated 3.6 million Arab Americans live in the United States. Limited studies have addressed Arab American women's health needs. The purpose of this study was to explore the relationships between personal factors (sociodemographic factors, degree of acculturation, psychological stress), health self-efficacy, social support, and health-promoting lifestyle behaviors among Arab American women in California. Method: A cross-sectional, correlational survey study involved 267 women. The survey assessed women's personal factors, health self-efficacy, social support, and health promotion behaviors. Results: Age, education, orientation to American culture, psychological stress, health self-efficacy, and social support were strongly correlated with health promotion behaviors and explained 46% of its variance among participants, F(18, 248) = 10.657, p = .000, R2 = .46. Discussion: Participants scored low on both the physical activity and stress management of the health promotion subscales. Culturally sensitive interventions are needed to improve engagement in health promotion behaviors among these women.

Health-Promoting Behaviors and its Related Factors in Iranian Female Household Heads Based on Pender's Model

Aims: Health-promoting behaviors have a major role in healthcare. The present study was conducted to assess health-promoting behaviors and its related factors in Iranian female household heads based on Pender's model. Materials & Methods: The present cross-sectional study recruited 106 female household heads selected according to census sampling from Gonabad Health Centers, eastern Iran, from January to August in 2015. Data were collected using the Health-Promoting Lifestyle Profile-II (HPLP-II) and a researcher-made cognitive and emotional factors questionnaire based on Pender's model. Data were analyzed by SPSS 16, using descriptive and analytical tests, including ANOVA and independent student t-test. Findings: Participants' statistical mean age was 40.16±7.21 years, and most of them (61 women, 57.5) were widowed and the rest were divorced. The statistical mean score of health-promoting behaviors was 123.16±20.42, in moderate level, and showed significant relationships with cognitive and emotional factors of self-efficacy, barriers, and interpersonal relationships (p<0.05). Among health-promoting behaviors, spiritual growth had the highest Statistical mean score (24.91±5.3), and physical activity (12.83±3.5) and stress management (17.83±3.9) the lowest mean score. Conclusion: Health-promoting behaviors in Iranian female household heads need improvement. The results can be used by these women and the healthcare system to identify related factors and develop interventions for modifying health-promoting lifestyles.