scholarly journals Guidelines-Driven Educational Intervention Promotes Healthy Lifestyle Among Adolescents and Adults: A Serbian National Longitudinal Study

Medicina ◽  
2019 ◽  
Vol 55 (2) ◽  
pp. 39 ◽  
Author(s):  
Višnja Đorđić ◽  
Predrag Božić ◽  
Ivana Milanović ◽  
Snežana Radisavljević ◽  
Maja Batez ◽  
...  

Background and objectives: The effectiveness of short-term focused educational programs to change health behaviors across large populations seems to be poorly described so far. The main aim of the present study was to evaluate an age-specific 45-min educational program, designed in accordance with the current U.S. Department of Health and Human Services and U.S. Department of Agriculture dietary guidelines and physical activity (PA) guidelines, among adolescents and adults. Materials and Methods: We evaluated the health-promoting lifestyle habits by the Health-Promoting Lifestyle Profile (HPLP-II) at baseline and following 6–8 weeks post-education in a nationally representative sample of Serbian adolescents and adults (n = 3822). Results: The percentage of adolescents eating 3–5 servings of vegetables per day increased at follow-up (20.1% versus 23.1%, p = 0.001), with significantly more adolescents regularly reading food labels (from 12.2% at baseline to 14.2% at follow-up; p = 0.02). Taken together, mean HPLP-II scores in adolescents significantly improved for both diet (0.05 points; p < 0.0001) and PA (0.09 points; p < 0.0001), and for PA in adults (0.08 points; p < 0.0001). Hierarchical multiple regression analysis revealed that our model as a whole (including time of testing as a predictor variable, and age and gender as control variables) explained 3.0% of the variance in mean HPLP-II scores for diet (p = 0.942) and 3.0% for PA (p = 0.285) in adolescents, and 1.1% of the variance in HPLP-II scores for diet (p = 0.781) and 1.9% for PA (p = 0.075) in adults, respectively. Conclusions: It appears that a brief focused education can positively tackle unhealthy lifestyles in promoting good health in general population. Different modes of interactive communication used here appeared to strengthen participants’ capacities for lifestyle changes.

Author(s):  
Asieh Molaifard ◽  
Hashem Mohamadian ◽  
Mohammad Hossein Haghighi Zadeh

AbstractBackground and aimExpenditure on adolescents’ health promotion is critical to enhancing quality of life and fundamental for the prosperity of countries. This study tried to investigate the relationships between information-motivation-behavioral skills (IMB) model constructs as predictors of high school student’s health-promoting lifestyle (HPL) in Southwest Iran.MethodsThis cross-sectional descriptive-analytic study was conducted on 400 students in Southwest Iran. Sample size required for this study was obtained using Soper’s structural equation modeling (SEM) calculator. The stratified random sampling method was used in this study. A path analysis was taken to evaluate the HPL main determinants utilizing SEM.ResultsInformation only had a significant indirect relationship with adolescents’ HPL. But, both motivation and behavioral skills constructs had significant direct and indirect relationship with adolescents’ HPL. The behavioral skill construct was the most imperative predictor variable. In general, behavioral skills construct (75%), motivation (66%) and knowledge (50%) constructs had the highest impact on HPL. The IMB model was able to explain 71% of the variance in adolescents’ HPL.ConclusionThe findings of the study showed that the IMB model was appropriate for explaining adolescents’ HPL. It is necessary that actions are taken to improve behavioral skills and promote adolescents’ HPL.


2020 ◽  
Vol 315 ◽  
pp. e200-e201
Author(s):  
E. Knoka ◽  
S. Paeglite ◽  
K. Trusinskis ◽  
M. Mazule ◽  
L. Caunite ◽  
...  

2020 ◽  
Vol 59 (S2) ◽  
pp. 11-23
Author(s):  
James C. Griffiths ◽  
Jan De Vries ◽  
Michael I. McBurney ◽  
Suzan Wopereis ◽  
Samet Serttas ◽  
...  

Abstract Commonly, it is the end of life when our health is deteriorating, that many will make drastic lifestyle changes to improve their quality of life. However, it is increasingly recognized that bringing good health-promoting behaviors into practice as early in life as possible has the most significant impact across the maximal healthspan. The WHO has brought clarity to health promotion over the last fifteen years, always centering on language relating to a process of enabling people to increase control over, and to improve, their physical, mental and social health. A good healthspan is not just freedom from morbidity and mortality, it is that joie de vivre (“joy of living”) that should accompany every day of our lifespan. Therefore, health promotion includes not only the health sector, but also needs individual commitment to achieve that target of a healthspan aligned with the lifespan. This paper explores health promotion and health literacy, and how to design appropriate nutritional studies to characterize contributors to a positive health outcome, the role the human microbiome plays in promoting health and addressing and alleviating morbidity and diseases, and finally how to characterize phenotypic flexibility and a physiologic resilience that we must maintain as our structural and functional systems are bombarded with the insults and perturbations of life.


2017 ◽  
Vol 57 (5) ◽  
pp. 509-518 ◽  
Author(s):  
E. Thomaseo Burton ◽  
Webb A. Smith ◽  
Idia B. Thurston ◽  
Emily Gray ◽  
Virginia Perry ◽  
...  

The Healthy Lifestyle Clinic (HLC) is an interdisciplinary weight management clinic conceived to address alarming rates of pediatric obesity and related comorbidities in the midsouth region of the United States. The clinical cohort presented is a subset of the 609 patients evaluated during the first 2 years of the HLC and comprises 380 patients with a minimum of 6 months of follow-up. The primarily non-Hispanic black (67.1%) cohort presented with severe obesity ( MzBMI = 2.52 ± 0.41) and particularly high rates of insulin resistance, among other comorbidities. This article offers insight into the challenges of intervening with a cohort of youth and their families, many with limited resources to support intensive behavioral and lifestyle changes. Our experiences implementing a weight management clinic with a diverse clinical cohort provide guidance for emerging programs and impetus to investigate environmental and cultural factors that contribute to high attrition in the treatment of pediatric obesity.


2019 ◽  
Vol 67 (12) ◽  
pp. 584-591 ◽  
Author(s):  
Rebecca Keele

Nurses often struggle with maintaining a healthy lifestyle. While nurses are often assumed to have the knowledge to participate in health-promoting behaviors, this knowledge may not translate into sustainable change in behavior. The purpose of this descriptive study was to compare nurses’ health behaviors with residents in the community where the nurses were employed. Participants ( N = 166) completed the Health Promoting Lifestyle Profile–II survey (HPLP-II) along with a demographic survey. The HPLP-II consists of six dimensions of a health-promoting lifestyle: (a) spiritual growth, (b) health responsibility, (c) physical activity, (d) nutrition, (e) interpersonal relations, and (f) stress management. Both groups scored the highest in spirituality followed by interpersonal relations. However, scores for the other HPLP-II dimensions ranked differently between the two groups. Nurses scored higher in health responsibility while the community participants scored higher on nutrition. Both groups scored the lowest on stress management and physical activity. Significant differences between groups were found only on the health responsibility dimension of the HPLP-II survey with nurses scoring higher. While nurses overall did not do any better than the general population in participating in a healthy lifestyle, patient stakeholders feel strongly that nurses should role model healthy behaviors. Employers need to be better prepared to support nurses to participate in a healthy lifestyle. Success can come from even small incremental changes (e.g., walking groups, team challenges, taking stairs) within the work environment. Furthermore, evidence-based practice teams that include administration, management, and staff are positioned to contribute through education and development of innovative workplace wellness programs.


2019 ◽  
Vol 11 (12) ◽  
pp. 15
Author(s):  
Elizabeth M. Joseph-Shehu ◽  
Busisiwe P. Ncama ◽  
Omolola O. Irinoye

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. 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. RESULTS: Good physical activity lifestyle behaviour (adjusted odds ratio [aOR] = 2.1, 95% CI: [1.1&ndash;3.9]) and good health responsibility lifestyle behaviour (aOR = 2.4, 95% CI: [1.2&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&ndash;7.6]) was a statistically significant predictor of normal waist&ndash;hip ratio. However, there is no statistically significant relationship between HPLP and random blood sugar or between HPLP and blood pressure. 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&rsquo;s health-promoting lifestyle.


2002 ◽  
pp. 25-36
Author(s):  
Martikainen Pekka ◽  
Aromaa Arpo ◽  
Lahelma Eero ◽  
Heliövaara Markku ◽  
Klaukka Timo

Perceived health is strongly associated with subsequent mortality, but the causes of this association are not known. The purpose of the paper is to analyze the association between perceived health and mortality after controlling for sociodemographic characteristics, and to estimate whether the association varies by cause ofdeath. The study analyzed data from the Mini-Finland Health Survey, a nationally representative sample of 7,217 adults aged 30 and over in 1978-1980. A 12-year mortality follow-up was established by record linkage to death certificates at Statistics Finland. The study showed that perceived health was very strongly associated with mortality after sociodemographic adjustments; men reporting fairly poor or poor health had a 2.41 (95% confidence interval 1.96-2.96) times higher adjusted mortality than men reporting fairly good or good health. Among women, the corresponding relative risk was 1.71 (95% confidence interval 1.37-2.15). The strength of the association varied by cause of death. Future attempts to better understand the association between perceived health and mortality should begin at the cause-specific level. The explanations for the association are likely to vary for different diseases and causes of death.


2018 ◽  
Vol 26 (3) ◽  
pp. 164-190
Author(s):  
M.D. Petrash ◽  
O.Y. Strizhitskaya ◽  
I.R. Murtazina

The paper presents the results to the preliminary validation of the Health-Promoting Lifestyle Profile (HPLP-II; Walker, et al., 1987, 1996) on the Russian sample. 443 participants from Saint Petersburg, aged from 17 to 65, were involved in the study (136 males; 307 females). HPLP II showed high internal consistency in the whole sample (Cronbach’s α=0,888) and in age and gender subgroups (Cronbach’s α ranged from .850 to .898). In order to test the convergent validity of the questionnaire, we used: scales from the questionnaire of a healthy lifestyle, Big Five Personality Test, Ryff’s Psychological Well-being Scales, SF-36 Short Form Health Survey, Type of Attitude to the Disease questionnaire. The resulting correlations confirm the convergent validity of the profile. The HPLP II had satisfactory preliminary psychometric properties. It can be used to assess the health-promoting lifestyles on a Russian sample.


2018 ◽  
Vol 75 (3) ◽  
pp. 674-683 ◽  
Author(s):  
Sarah A Burgard ◽  
Katherine Y P Lin ◽  
Brian D Segal ◽  
Michael R Elliott ◽  
Sarah Seelye

Abstract Objectives While understanding of complex within-person clustering of health behaviors into meaningful profiles of risk is growing, we still know little about whether and how U.S. adults transition from one profile to another as they age. This study assesses patterns of stability and change in profiles of tobacco and alcohol use and body mass index (BMI). Method A nationally representative cohort of U.S. adults 25 years and older was interviewed up to 5 times between 1986 and 2011. Latent transition analysis (LTA) models characterized the most common profiles, patterning of transitions across profiles over follow-up, and assessed whether some were associated with higher mortality risk. Results We identified 5 profiles: “health promoting” with normal BMI and moderate alcohol consumption; “overweight”; “current smokers”; “obese”; and “nondrinkers”. Profile membership was largely stable, with the most common transitions to death or weight gain. “Obese” was the most stable profile, while “smokers” were most likely to transition to another profile. Mortality was most frequent in the “obese” and “nondrinker” profiles. Discussion Stability was more common than transition, suggesting that adults sort into health behavior profiles relatively early. Women and men were differently distributed across profiles at baseline, but showed broad similarity in transitions.


2014 ◽  
Vol 26 (4) ◽  
pp. 495-502 ◽  
Author(s):  
Mojgan Mirghafourvand ◽  
Sakineh Mohammad-Alizadeh-Charandabi ◽  
Nikta Tavananezhad ◽  
Mahsa Karkhaneh

Abstract Introduction: Health-promoting behaviors have considerable effects on improving life quality and decreasing healthcare expenses. This study aimed to determine the status of health-promoting behaviors and its subscales, as well as its relationship with self-efficacy and some socio-demographic characteristics in adolescent Iranian girls. Materials and methods: The participants in this study were 750 adolescent girls aged 14–18 years, living in the city of Sanandaj, Iran in 2013. Samples were selected randomly. Questionnaires used in the study were the “Adolescent Healthy Lifestyle” and “Sherer General Self-efficacy” questionnaires. Multivariate linear regresion analysis was used to determine predictors of health-promoting lifestyle. Results: Mean total score of health-promoting lifestyles in adolescent girls was 3.51 (SD 0.55) and its observed scores ranged from 1 to 5. The highest and lowest mean scores were obtained for life appreciation and physical activity subscales, respectively. Self-efficacy had significant positive correlation with the total health-promoting lifestyle scores and all its subscales. The variables of self-efficacy, current disease, mother’s education, mother’s occupation, and sufficiency of income for expenses remained in the multivariate linear regresion model and were able to explain 21% of the observed variance of the total score for health-promoting lifestyle. Conclusion: The findings show that adolescents “sometimes” or “often” show health-promoting behaviors. In addition to self-efficacy as the main predictor, some of the socio-demographic characteristics are also among the predictors of health behaviors. With consideration of adolescence years as a foundation for one’s future life, it is necessary to provide strategies to encourage a health-promoting lifestyle in adolescents.


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