Health-Promoting Lifestyle Profile Research Articles

Lifestyle Changes Reduced Estimated White Matter Hyperintensities Based on Retinal Image Analysis.

This study evaluates if there is an association between lifestyle changes and the risk of small vessel disease (SVD) as measured by cerebral white matter hyperintensities (WMH) estimated by the automatic retinal image analysis (ARIA) method. We recruited 274 individuals into a community cohort study. Subjects were assessed at baseline and annually with the Health-Promoting Lifestyle Profile II Questionnaire (HPLP-II) and underwent a simple physical assessment. Retinal images were taken using a non-mydriatic digital fundus camera to evaluate the level of WMH estimated by ARIA (ARIA-WMH) to measure the risk of small vessel disease. We calculated the changes from baseline to one year for the six domains of HPLP-II and analysed the relationship with the ARIA-WMH change. A total of 193 (70%) participants completed both the HPLP-II and ARIA-WMH assessments. The mean age was 59.1 ± 9.4 years, and 76.2% (147) were women. HPLP-II was moderate (Baseline, 138.96 ± 20.93; One-year, 141.97 ± 21.85). We observed a significant difference in ARIA-WMH change between diabetes and non-diabetes subjects (0.03 vs. -0.008, respectively, p = 0.03). A multivariate analysis model showed a significant interaction between the health responsibility (HR) domain and diabetes (p = 0.005). For non-diabetes subgroups, those with improvement in the HR domain had significantly decreased in ARIA-WMH than those without HR improvement (-0.04 vs. 0.02, respectively, p = 0.003). The physical activity domain was negatively related to the change in ARIA-WMH (p = 0.02). In conclusion, this study confirms that there is a significant association between lifestyle changes and ARIA-WMH. Furthermore, increasing health responsibility for non-diabetes subjects reduces the risk of having severe white matter hyperintensities.

The relationship between depression, anxiety, e-health literacy, and health-promoting behavior in nursing students during COVID-19.

The purpose of this study was to identify the correlation between depression, anxiety, e-health literacy (eHL), and health-promoting behaviors among nursing students during the coronavirus disease 2019 (COVID-19) pandemic, and to identify the factors affecting health-promoting behaviors. A cross-sectional study was conducted online, recruiting 301 nursing students recruited from 4 universities in the Chungcheng Province and Daejeon Metropolitan City in South Korea between May 28 and June 30, 2021. Data were analyzed using SPSS WIN 27.0. The general characteristics of the study participants were analyzed by frequency and percentage, and the degree of depression, anxiety, eHL, and health-promoting behaviors were calculated as averages and standard deviations. Differences in health-promoting behaviors according to general characteristics were analyzed using independent t tests and analysis of variance, and a post hoc Scheffe test was conducted. Correlations between depression, anxiety, eHL, and health-promoting behaviors were measured using Pearson correlation matrices. Stepwise multiple regression was performed to identify factors affecting health-promoting behaviors. During the COVID-19 pandemic, the average level of depression and anxiety was reported to be 3.93 (4.71) and 3.40 (4.30), respectively; 33.2% of nursing students experienced more than mild depression and 29.2% experienced anxiety. The average eHL level was 3.91 (0.56), and the average of health-promoting behaviors was 2.43 (0.45). Depression was positively correlated with anxiety (R = 0.734, P < .001) and negatively correlated with health-promoting behaviors (r = -0.198, P = .001), whereas eHL had a positive correlation with health-promoting behaviors (R = 0.347, P < .001). The factors affecting health-promoting behaviors were religion (β = -0.160, standard error [SE] = 0.048), current health status (β = -0.097, SE = 0.032), frequency of searching the Internet for health-related information in a week (β = -0.070, SE = 0.026), interest in health (β = -0.191, SE = 0.039), and critical eHL (β = 0.243, SE = 0.040); the explanatory power was 27.4%. Results demonstrate that during the COVID-19 pandemic, higher depression and anxiety among nursing students decreased health-promoting behaviors, while higher eHL increased health-promoting behaviors, and eHL was a major factor affecting health-promoting behaviors. These results contribute to the provision of basic data for the development of nursing intervention programs and educational strategies that can establish correct health-promoting behaviors by managing depression and anxiety among nursing students and improving eHL.

Relationship Between Self-efficacy of Mothers and Health-promoting Behaviors of Their Adolescent Girls in Shiraz, Iran

Background &amp; Aims Adolescence is a period in which people are at risk of engaging in many health-threatening behaviors such as increased food intake, decreased physical activity, and increased developmental vulnerability which can be a threat to their future health. Counseling and changing their unhealthy behaviors can improve various aspects of their health, including mental and physical health. This study aims to determine the relationship between mothers' self-efficacy and health-promoting behaviors of their adolescent girls in Shiraz, Iran. Materials &amp; Methods In this study, participants were 384 high school female students (second term) and their mothers in Shiraz city in 2018. Mothers completed Sherer’s General Self-efficacy Scale and their girls completed Walker's Health-Promoting Lifestyle Profile II (HPLPII) questionnaire. Pearson or Spearman correlation test and t-test were used for statistical analysis in SPSS software, version 22. Results The mean HPLPII score of girls was 169.29±15.97. The mothers' mean self-efficacy score was 46.66±5.77. The results of Pearson's correlation test showed the direct and significant correlation of mothers' self-efficacy scores with health-promoting behaviors of girls and its domains (r=0.556, P&lt;0.05). Conclusion There is a direct significant relationship between mothers' self-efficacy and health-promoting behaviors of their daughters. Considering the importance of health-promoting behaviors and the effect of self-efficacy and living conditions on these behaviors, it is needed to develop strategies to improve people's lifestyle and healthy behaviors. Policy makers in the health system are recommended to promote self-efficacy of mothers by using cultural and educational programs.

Revision of brief health literacy assessment scale among the older adults and its reliability and validity test.

The development and validation of the specific health literacy assessment tool for older adults is the basis for conducting the research on health literacy among older adults. The existing health literacy assessment scale for older adults in Chinese mainland has some limitations, such as too many items and poor compliance during the survey. It is necessary to develop or introduce simplified assessment tools to support large-scale surveys in the future. This study aims to modify the brief health literacy assessment scale compiled by Taiwan scholars, and to conduct the test for the reliability, validity and the measurement equivalence across gender in the older population in mainland China. From March to April 2021, 508 older adults from Jinan, Shandong Province, China were selected by cluster sampling method to conduct a questionnaire survey using the brief health literacy assessment scale and health-promoting lifestyle profile. After 4 weeks, 83 of them were selected for retesting. SPSS 25.0 statistical software was used for descriptive analysis, item analysis, exploratory factor analysis, correlation analysis, and reliability test, and Mplus 8.0 was used for confirmatory factor analysis and gender measurement equivalence test. Each item of the scale had good discrimination, and there were significant differences in the scores of each item between high score and low score groups (P<0.05), and the coefficient of correlation between the scores of each item and the total score was between 0.721 and 0.891. Exploratory factor analysis extracted a factor with a characteristic root greater than 1, and the cumulative variance interpretation amount was 67.94%. The confirmatory factor analysis showed that the single factor structure fit was good [χ2/df was 2.260, the Tucker-Lewis index was 0.973, the comparison fit index (CFI) was 0.982, and the root mean square error of approximation (RMSEA) was 0.071]. The multi-group confirmatory factor analysis results showed that the brief health literacy assessment scale's configural equivalence, weak equivalence, and strong equivalence models were all accepted. The comparison results of measurement equivalence models showed that the changes of RMSEA were less than 0.015, and the changes of CFI were less than 0.01, indicating that the brief health literacy assessment scale had measurement equivalence between different gender groups. Cronbach's α coefficient was 0.945, and the test-retest reliability was 0.946. The correlation coefficient between health literacy and health-promotion lifestyles was 0.557 (P<0.05). The brief health literacy assessment scale has good reliability, validity, and measurement equivalence across gender, and can be used as an effective measurement tool for the health literacy of the older people in Chinese mainland.

Health-Promoting Behaviours following Primary Treatment for Cancer: A Rural-Urban Comparison from a Cross-Sectional Study.

To compare health-promoting behaviours among rural and urban residents following primary treatment for cancer. A cross-sectional survey collecting demographic variables and data pertaining to health-promoting behaviours, documented using the 52-item Health Promotion Lifestyle Profile II (HPLP-II) measure, which is categorised into six subscales: (1) health responsibility, (2) spiritual growth, (3) physical activity, (4) interpersonal relations, (5) nutrition, and (6) stress management. Residence was defined using the U.K. Office for National Statistics RUC 2011 Rural Urban Classifications. The Index of Multiple Deprivation (IMD) Decile was used to measure deprivation. Quantitative data were analysed using independent samples t-test and multiple linear regression. Qualitative data from open-ended questions were analysed thematically. In total, 227 participants with a range of cancer types completed the questionnaire. Fifty-three percent were residents in urban areas and forty-five percent in rural areas. Rural participants scored significantly higher on health responsibility (p = 0.001), nutrition (p = 0.001), spiritual growth (p = 0.004), and interpersonal relationships (p = 0.001), as well as on the overall HPLP-II (p = 0.001). When controlling for deprivation, age, marital status, and education, rural-urban residence was a significant predictor of exhibiting health-promoting behaviours. A central theme from the qualitative data was the concept of "moving on" from cancer following treatment, by making adjustments to physical, social, psychological, spiritual, and emotional wellbeing. This research revealed, for the first time, differences in health-promoting behaviours among rural and urban U.K. populations who have completed primary cancer treatment. Rural residence can provide a positive environment for engaging with health-promoting behaviours following a cancer diagnosis and treatment.

Investigation of the relationship between rational drug use and healthy lifestyle behaviours of university students.

the aim of this research is to investigate the relationship between rational drug use and healthy lifestyle behaviours of university students. this descriptive and cross-sectional study consisted of 1115 students from a university in the Southeast-East Anatolia Region in the autumn semester of the 2019-2020 academic year. In the collection of data, 'Student Introduction Form', 'The Rational Drug Use Scale' and 'The Health-Promoting Lifestyle Profile II' were used. Ethical approval was obtained from the Batman University Ethics Committee. In addition, necessary legal permissions were obtained from the institution where the study was conducted and from the students. Descriptive statistics, number, percentage, independent t-test, ANOVA test and Spearman's rank correlation were used in the Statistical Package for Social Science (SPSS) 22.0 package software to analyse the data. the average age of the students was 21.31 ± 2.37 years, and their monthly drug expenditure was 142.63 ± 157.200 Turkish Lira. Some 28.1% of them were third-year students, 59% had graduated from Anatolian high school, 59.6% were living with their nuclear family, 49.1% had an equal level of income and expenditure, 7.7% had no chronic disease, and 9% had regular medication. Some 57.8% of them had health insurance. The Health-Promoting Lifestyle Profile II scale mean score of the students was 124.12 ± 21.37 and the Rational Drug Use Scale mean score was 33.65 ± 6.75. A statistically significant difference was found between the students' class, income, and the total mean scores of the health-promoting lifestyle profile II scale (p < 0.05). A statistically significant difference was found between the school type, family type and income status of the students and the total mean scores of the rational drug use scale (p < 0.05). a strong positive correlation was found between rational drug use scale and the health-promoting lifestyle profile II scales.

Psychosocial Well-Being among Undergraduate Students in Hong Kong and Kazakhstan

This paper aims to provide comparative insights into the psychosocial well-being of Hong Kong and Kazakhstan undergraduate students, focusing specifically on the role of ethnicity and gender. The existing body of literature on students’ health-promoting lifestyle has shown how age, gender, income level, sociability, and knowledge of health can shape one’s perception of physical and mental well-being. Much lesser attention, however, has been paid to the ways in which students from diverse ethnic origins differ from each other in cultivating different dimensions of psychosocial well-being. To address this issue, this study delivered questionnaires to 284 undergraduate students from Hong Kong and 281 undergraduate students from Kazakhstan. Developed from the Health-Promoting Lifestyle Profile II, the questionnaire is designed to measure undergraduate’s psychosocial well-being threefold. Using independent sample t-test, this paper shows that Hong Kong undergraduate students have higher levels of psychosocial well-being in terms of “interpersonal relations” and “stress management” whereas Kazakhstan undergraduate students are stronger in another dimension of well-being – “spiritual growth”. Results show that the influence of gender on students’ psychosocial well-being varies in different contexts. One of the important implications of these findings suggests that school administrators and students from different countries may benefit from cross-cultural exchange, co-promoting all dimensions of psychosocial well-being.

Predictors of Oral Health Behaviors among Dental Students.

Background and Objectives: College life is a time when students take more responsibility for health-related behaviors. Aim: To determine the oral health behaviors of dental students, to motivate their transformation into cyanogenic behaviors by applying the planned behavior model, and to determine the degree to which students can modify behavior for oral health. Material and Methods: The results of the initial and final assessment (4 months apart) of the bacterial plaque present by means of the Quigley Hein and API indexes were collected from the student files. The Health-Promoting Lifestyle Profile II -HPLP II and Generalized Self-Efficacy Scale (GSE) questionnaires were used to determine the variables with predictor values that influence the cognitive-perceptual factors. Results: For the "health responsibility" domain, the average total value was 2.53 ± 0.9 (SD). For the "interpersonal relationships" domain, the average value was 2.82 ± 0.79. In the case of the "nutrition" domain, the desire to change the behavior of the participants was moderate (2.53 ± 1.19). "Physical activity" represents an important field in the everyday life of young adults. The results of the study indicated a moderate desire for change (2.52 ± 0.97). In the case of "spiritual growth", in which self-esteem, the way the individual perceives the environment and the adaptation to it were evaluated, a great desire for change was observed (2.74 ± 0.82). Scale GSE questionnaire showed an α coefficient of 28.52 ± 0.82, a value that indicated a moderate to a high level of efficacy and self-confidence. Conclusions: The results of the study showed that students have a moderate tendency to change in all areas, except for interpersonal relationships, where the desire to change something is increased. The participants have a moderate to a high level of self-efficacy and self-confidence.

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).

The Need to Provide Health Promotion Care Services to Undergraduate Students During the COVID-19 Pandemic in Korea.

The COVID-19 pandemic has transformed undergraduate education into non-face-to-face classes, and a novel methodology is required to aid students in career preparation behavior (CPB). This study aimed to assess the effects of self-rated abilities for health practices (SRAHP) as a psychological attribute and health-promoting lifestyle profile (HPLP) as a behavioral attribute in the dynamics between positive psychological capital (PPC) and CPB among undergraduate students taking non-face-to-face classes. A cross-sectional study was conducted involving 639 undergraduate students taking non-face-to-face classes; data were obtained via online survey in January 2022. A significant positive effect on CPB was observed for PPC (b = 0.261, p < .001) and HPLP (b = 0.674, p < .001). The effect of SRAHP on CPB was not significant; however, it mitigated the PPC-CPB dynamics (b = -.081, p < .05) and strengthened the relationship between HPLP and CPB (b = .250, p < .001). Lastly, the mediating effects after moderation for HPLP and SRAHP were positive, with statistical significance. To aid the students with career preparation in the current undergraduate education environment moving toward a non-face-to-face model, there is a need for resources to increase students' psychological confidence regarding health management and to promote their health practices.

The Effectiveness of Self-Compassion-Based Therapy on Health-Oriented Lifestyle and Mindfulness in Students with Psychological Distress

Objective: The present study aimed to examine the effectiveness of self-compassion-based therapy on a health-oriented lifestyle and mindfulness in students with psychological distress. Methods and Materials: The study was applied in purpose, utilized a quasi-experimental method, and employed a pretest-posttest control group design with a three-month follow-up period. The population consisted of all female medical science students in Tehran during the academic year 2020-2021, from which 30 participants were selected through purposive sampling and randomly assigned to two groups of 15 (15 in the experimental group and 15 in the control group). Data were collected using the Lovibond and Lovibond's (1995) Depression Anxiety Stress Scales, Walker et al.'s (1987) Health-Promoting Lifestyle Profile, and the Kentucky Inventory of Mindfulness Skills by Baer et al. (2004). Gilbert's (2009) self-compassion-based therapy sessions were conducted over eight sessions, twice a week for four weeks, each session lasting 90 minutes in a group setting. Data were analyzed through covariance analysis. Findings: The results showed that self-compassion-based therapy was effective in improving a health-oriented lifestyle and mindfulness among the experimental group students with psychological distress compared to the control group students with psychological distress. Conclusion: Based on the findings of this study, health professionals can utilize self-compassion-based therapy to improve the health-oriented lifestyle and mindfulness in students with psychological distress.

Lifestyle in People Living With HIV: A Study of Patients in Kermanshah, Iran.

There is limited research on the role of lifestyle in people living with HIV (PLWH). This study investigated the health-promoting lifestyle among PLWH in Kermanshah-Iran. This cross-sectional study was conducted in 321 PLWH patients referred to the Kermanshah Behavioral Diseases counseling Center between 2017 and 2018. Patients were selected using the convenience sampling method. Data was collected using a standard health promotion lifestyle profile (HPLP-II) questionnaire. Regression and T-tests were used in SPSS 21 and Stata software to analyze the data. The mean age of patients was 41.07 ± 9.14 years. The mean HPLP score of patients in stress management had the lowest mean score (19.44 ± 4.22), and health responsibility had the highest mean score (22.22 ± 4.57). Comparisons between women and men also showed that women had a lower mean score than men in stress management. In addition, significant differences in their HPLP were observed only in the area of physical activity. The final model had significant influence on the PLWH (P < .001), in which the main predictors were housing status, family members, and feelings of happiness. These variables had a negative effect on HPLP in PLWH's. An appropriate education and training has improved the PLWH health-oriented lifestyle. Given that the housing situation affected health responsibility, nutrition, spiritual growth, interpersonal relationships, and stress management, may have caused severe anxiety and confusion in PLWH. Addiction also had a negative effect on patients' spiritual growth. Relatively simple lifestyle changes such as nutrition and stress management can significantly improve PLWH.

Healthy lifestyle behaviors and risk of cardiovascular diseases among nursing faculty during COVID-19 Pandemic.

Cardiovascular diseases are the first ranked cause of death worldwide. Adhering to health promoting lifestyle behaviors will maintain an individual's cardiovascular health and decrease the risk of cardiovascular diseases. In this descriptive study, 150 nursing faculty were surveyed via a non-probability (purposive) sampling method to assess their adherence to health promoting lifestyle in order to know the risk of cardiovascular diseases. The Arabic version of Health-Promoting Lifestyle Profile II (HPLP-II) was used to achieve this goal. Seventy-two nursing faculty completed the survey. The results indicated that the study sample had moderate level of health promotion based on Health-Promoting Lifestyle Profile II. Nursing faculty are at risk of developing cardiovascular diseases based on their health promoting lifestyle behaviors as they scored low level of "health responsibility", "physical activity", and "stress management ". Encouraging healthy behaviors is recommended to prevent chronic diseases such as cardiovascular diseases.

Assessment of Health-Promoting Lifestyle Profiles and Nutritional Knowledge Levels of Pre-Service Physical Education and Science Teachers: A Comparative Study Example

The study aimed to examine pre-service physical education and science education teachers' health-promoting lifestyle profiles, nutrition habits, knowledge of nutrition levels, and their relationships with some demographic variables (gender, department, smoking, physical activity level). The study is a descriptive study conducted in a government university in Türkiye. The samples consisted of fourth-year pre-service physical teachers (N=37) and pre-service science teachers (N=32). Nutrition Habits Assessment Form, Health Promoting Lifestyle Profile II instrument (HPLP II), and Nutrition Knowledge Level for Adults Scale, which consisted of two parts, "Basic Nutrition Scale" and "Food Preference Scale," were used as data collection tools. Descriptive statistics and parametric tests analyzed data. Considering differences in the physical activity subscale between different departments, a significantly higher score was recorded among pre-service physical education teachers compared to pre-service science teachers. A significantly higher score was observed in the subscales on interpersonal relations and stress management and Basic Nutrition Scale Score among pre-service science teachers compared to pre-service physical education teachers. A significantly higher score was observed in the subscales on physical activity and interpersonal relations among male compared to female students. The HPLP II scores of the pre-service teachers, which exercised three times more than three times a week, were higher than those who egzersize once a week and didn't exercise.

Aile Sağlığı Merkezi’ne kayıtlı gebelerde sosyodemografik özelliklerin sağlıklı yaşam biçimi davranışları üzerine etkisi

The Introduction: Pregnancy is a critical period in which women experience many physical, psychological and social changes. Studies reveal that the lifestyle adopted during pregnancy has a long-term effect on the health and quality of life of the child, mother and even the whole family. It is known that sociodemographic characteristics determine the health of individuals. Aim: The aim of this study is to reveal the effect of sociodemographic characteristics of pregnant women on healthy lifestyle behaviors. Method: This is a cross-sectional analytical study. 105 volunteer pregnant women who applied for any reason and/or were invited to participate in the study by phone call between March and April 2022 were recruited. Sociodemographic characteristics were questioned with a questionnaire prepared by the researchers. The Health Promoting Lifestyle Profile II (HPLP-II) was used to evaluate the lifestyles of pregnant women. The data obtained were evaluated with the independent t-test and ANOVA tests in the SPSS 20.0 program. Results: A total of 105 pregnant women between the ages of 19-42 were included in the study. The mean age was 29.23 ± 4.8 years, and 77% (n=81) had a high school or higher education. 56.2% (n=59) of the participants have a monthly income of 8000 TL or less. 11.4% (n=12) of the pregnants were in the first trimester, 50.5% (n=53) in the second, and 38.1% (n=40) in the third trimester. The mean scale score of the participants was calculated as 133.9±22.5 and 2.6±0.4 out of four. Although the total scale mean score of the groups with high education and income levels and working pregnant women was higher, no statistically significant difference was found between the total scale score of education level, income level, and employment status (p=0.281, p=0.192, p=0.804, respectively). The mean total scale score of the pregnant women who used regular medication was found to be higher than those who did not use drugs (p=0.017). Conclusion: It has been observed that pregnant women who use regular medication adopt a healthier lifestyle. Education level, income level, employment status and the presence of social security were not found to have a significant effect on the adoption of healthy lifestyle behaviors by pregnant women.

Menopausal symptoms in breast cancer patients receiving adjuvant endocrine therapy and their relationships with health-promoting behaviors and social support.

To investigate the prevalence and severity of menopausal symptoms in patients with breast cancer undergoing adjuvant endocrine therapy and explore the relationships of these symptoms with health-promoting behaviors and social support. This cross-sectional study investigated 226 participants from December 2020 to December 2021 in China. Data were collected using the sociodemographic information questionnaire, Menopause Rating Scale, the Health-Promoting Lifestyle Profile II, and Perceived Social Support Survey. Multivariate step regression was used to analyze the potential factors of menopausal symptoms. In our sample of 226 patients, 92.9% reported at least one menopausal symptom with a mean score of 13 points (interquartile range, 9-18 points). The highest prevalence of most symptoms included hot flashes/night sweats, fatigue, joint and muscular discomfort, irritability, and sleep problems. In the regression models, health responsibility ( β = -0.15, P = 0.03), spiritual growth ( β = -0.28, P < 0.01), friend support ( β = -0.43, P < 0.01), and other support ( β = -0.31, P = 0.01) were negatively associated with menopausal symptoms. The prevalence and severity of menopausal symptoms are high in breast cancer patients undergoing adjuvant endocrine therapy. Higher health-promoting behaviors and social support are associated with fewer menopausal symptoms. The findings highlight the clinical implications in terms of developing appropriate strategies for managing menopausal symptoms.

Dimensions of a healthy lifestyle among early adolescents: The simultaneous contribution of spirituality and family cohesiveness.

Early adolescents are prone to develop an unhealthy lifestyle. Along with personal factors, the microsystem’s environment can influence individual development. This study aims to examine whether a personal factor (spirituality) and a microsystem factor (family cohesiveness) simultaneously contribute significantly to a healthy lifestyle among early adolescents. A quantitative approach was applied in this study, involving 166 participants in Jakarta, selected by convenience sampling. Health Promoting Lifestyle Profile II (Cronbach’s alpha = 0.800 - 0.840), the Brief Multidimensional Measure of Religiousness/ Spirituality (Cronbach’s alpha = 0.725), and the Brief Family Relationship Scale (BFRS) – cohesiveness dimension (Cronbach’s alpha = 0.934) were employed to collect data. Multiple regression analysis revealed that spirituality and family cohesiveness simultaneously contributed significantly to the healthy lifestyle of early adolescents, with a contribution of 6.1% to 30.9%. Thus, concurrently individual and family based approaches should be considered in designing interventions to promote a healthy lifestyle in early adolescents. Keywords: healthy lifestyle; s pirituality; family cohesiveness.

The predictors of health-enhancing physical activity among working women in Singapore two years into COVID-19: a cross-sectional study

Physical activity (PA) levels may have changed since the COVID-19 pandemic. However, these changes are not well understood. The study aimed to describe the PA level and examine the predictive factors of a health-enhancing PA level among working women in Singapore two years into the COVID-19 pandemic. We undertook a cross-sectional descriptive correlational study. Three hundred participants were recruited and completed the online questionnaire between October and November 2021. In the PA analysis of 217 participants, only 32.7% of the participants achieved a health-enhancing PA level, while 44.7% of the total sample sat for 7 h or more daily. In the univariate analysis, occupation, nationality, monthly income, and average daily sitting hours were significantly associated with a high PA level. The current mode of work, living arrangement, and health-promoting lifestyle profile II_physical activity score remained significant in both univariate and multivariate analyses. Participants who worked from home and stayed with their families were less likely to achieve a health-enhancing PA level than those who had a regular workplace and did not stay with their families. Working women with a health-promoting physically active lifestyle were likelier to achieve a health-enhancing PA level. The long daily sitting time and suboptimal health-enhancing PA participation underscore the need for health promotion initiatives for working women.

Associations among health-promoting lifestyle, self-care agency and health-related quality of life in Bai older adults with hypertension in Yunnan China

BackgroundPrevious Chinese studies focused on the prevalence and influential factors of hypertension; however, little is known about their self-care literacy and quality of life among the Bai older adults with hypertension. The purpose of this research was to explore the associations among health-promoting lifestyle, self-care agency, and health-related quality of life in Bai ethnic older patients with hypertension, as well as the related factors of hypertension self-care abilities.MethodsA total of 472 Bai ethnic hypertension older adults aged 60 and above were enrolled in this study voluntarily from 5 rural communities of the Bai ethnic group. The Exercise of Self-Care Agency Scale (ESCAS) was employed to assess the Self-care ability of hypertension for the subjects, the Health-promoting lifestyle profile II(HPLP-II) was utilized to evaluate the health behavior, and MOS 36-Item Short Form Health Survey (SF-36) was chosen to assess the HRQOL for the studying population. All descriptive analyses, including demographic characteristics, socio-economic status, and clinical characteristics were stratified by Bai hypertensive elderly. Pearson correlation analysis model was used to examine the associations among health-promoting lifestyle, self-care agency, and health-related quality of life in Bai ethnic elderly with hypertension.ResultsThe HPLP-II, ESCA, and of HRQOL levels of the subjects were low, and the mean HPLP and ESCA scores had no significant statistical variance among different age groups. Significant statistical differences were found in Bai elderly subjects in the domain of PF and PH as well as the overall score in SF-36(all P< 0.01), 60–64 year group had the highest score of the above three domains in SF-36 than other age groups. The SF-36 scores were positively associated with HPLP and ESCA levels.ConclusionThe HPLP-II, ESCA, and of HRQOL levels of the Bai subjects were poor in the Bai ethnic hypertensive elderly. The HRQOL scores of subjects were positively connected with HPLP-II and ESCA abilities. More attention should be paid to lifestyle, healthy behaviors, and self-care abilities improvements to enhance the better HRQOL of Bai minority older adults with hypertension.

The Effectiveness of Acceptance and Commitment Therapy Training on Health Promoting Lifestyle Profile among Soldiers

The Effectiveness of Acceptance and Commitment Therapy Training on Health Promoting Lifestyle Profile among Soldiers