Document Type : Original Article


1 Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan

2 Department of Health Education and Promotion, School of Public Health, Qom University of Medical Sciences, Qom, Iran


Background: Lifestyle affects people’s health and life length, however, no sufficient studies
have been done on the effect of lifestyle on middle‑ageing, as the transitional period from
adulthood to old‑ageing, this study has been conducted to study the effect of educational
intervention on health promoting lifestyle of middle‑aged women in Lenjan city of Isfahan
Province, Iran. Methods: This quasi‑experimental study was conducted on 88 middle‑aged
women were selected through randomized sampling from two health centers in Lenjan, and
then were categorized into experimental and control groups. To collect data, a researcher‑made
demographic and life style questionnaire was used. The educational intervention was performed
in five sessions. Data were collected from both groups in two stages: Before the intervention
and 3 months after the education. Data were analyzed with using SPSS‑20 and P < 0.05 were
considered statistically significant. Results: The results showed that educational program had a
positive significant effect on increasing the mean scores in the intervention group, considering
the physical activity, mental health, and interpersonal relationship, P < 0.001. However, regarding
the nutrition, the mean increase was not significant (P = 0.113). Conclusion: According to the
findings, it is evident that educational intervention is beneficial for various aspects of middle‑aged
women’s lifestyle. Therefore, applying a healthy lifestyle seems essential for having a healthy
aging period, and educational intervention can be effective.


1. McEwen M, Pullis B. Community – Based Nurning: An Introduction.
3rd ed. Philadelphia: Mosby Co.; 2008.
2. Mohammadi Zeidi I, Hajiagha AP, Zeidi BM. Reliability and validity
of Persian version of the health‑promoting lifestyle profile. J Mazand
Univ Med Sci 2012;22:103‑13.
3. Cakir H, Pinar R. Randomized controlled trial on lifestyle modification
in hypertensive patients. West J Nurs Res 2006;28:190‑209.
4. Mcdonald S, Thompson C. Women’s Health. Sydney: Elsevier;
5. Ahmadvand A, Jamshidi HR, Sotoudeh M, Sayyari AA, Shadpoor K,
Safykhany HR, et al. Global Health Report 2002, Risk Reduction,
Improving Healthy Life. Tehran: Great Ebne Sina Institute; 2002.
6. Inter Health Steering Committee. Demonstration projects for
the integrated prevention and control of non‑communicable disease
Inter health program: Epidemiological background and rationale.
World Health Stat Q 1991;44:48‑504.
7. Aghamolaei T. Self‑efficacy, benefits and barriers to regular physical
activity Hormozgan University of Medical Sciences. Iran J Epidemiol
8. Giacobbi PR Jr, Stancil M, Hardin B, Bryant L. Physical activity and
quality of life experienced by highly active individuals with physical
disabilities. Adapt Phys Activ Q 2008;25:189‑207.
9. Farivar F, Heshmat R, Azemati B, Ahrnjany SA, Keshtkar AA,
SheikhulIslam R, et al. Knowledge, attitude and practice of urban
households on the principles of Applied Nutrition. Iran J Epidemiol
10. Khezeli M, Ramezankhani A, Bakhtiyari M. Effect of education on
nutritional knowledge and stages of fruit and vegetable consumption
in elders based on stages of change model. J Mazand Univ Med
Sci 2012;22:90‑100.
11. Kaplan L. Education and Mental Health. New York: Harper and Row;
12. Ramazani A, Miri M, Shayegan F. Effect of health education on health
coordinating volunteers of Birjand health center to promote the
community healthy life styles. J Birjand Univ Med Sci 2008;14:27‑33.
13. Maguire P, Pitceathly C. Key communication skills and how to
acquire them. BMJ 2002;325:697‑700.
14. Amore M, Di Donato P, Berti A, Palareti A, Chirico C, Papalini A, et al.
Sexual and psychological symptoms in the climacteric years.
Maturitas 2007;56:303‑11.
15. Noorytajer M, Kordlu Z. Impact of education on nutrition practices
and body mass index women in Iran University of Medical Sciences.
Iran J Diabetes Lipid 2010;9:296‑302.
16. Malekan EM. Effect of Educational Intervention on Knowledge,
Attitudes and Behavior of High School Students in the First Grade
of Bavanat City on Physical Activity. MSc Thesis. Esfahan University
of Medical Sciences; 2010.
17. Noorbala AA, Bagheri Yazdi SA, Asadi Lari M, Vaez Mahdavi R.
Mental health status of individuals fifteen years and older in
Tehran‑Iran (2009). Iran J Psychiatry Clin Psychol 2011;16:479‑83.
18. Heidari F, Kermanshahi SM, Vanaki Z. The effect of a supportive
health promotion program on the lifestyle of premenopause
teachers. J Feyz 2013;17:14‑24.
19. Bazzano AT, Zeldin AS, Diab IR, Garro NM, Allevato NA, Lehrer D,
et al. The Healthy Lifestyle Change Program: A pilot of a
community‑based health promotion intervention for adults with
developmental disabilities. Am J Prev Med 2009;37:S201‑8.
20. Hashemi SZ, Rakhshani F, Navidian A, Mosani SR. Effectiveness
of educational program based on trans‑theoretical model on rate
of physical activity among household women in Zahedan, Iran.
J Health Syst Res 2013;9:144‑52.
21. Heidari F, Kermanshahi SM, Vanaki Z, Nejad AK. A Survey the effect
of planned program of health promotion on stress management in
middle‑aged women. Iran J Nurs Res 2011;6:16‑23.
22. Ostadrahimi A. The effect of nutrition education on nutritional
knowledge, attitude and practice of employed women in Tabriz
University of Medical Sciences. Med J Tabriz Univ Med Sci
23. Estebsari F. The effect of an educational intervention program on
physical activity. J Health Payavard 2009;2:56‑63.
24. Ribeiro MA, Martins MA, Carvalho CR. Interventions to increase
physical activity in middle‑age women at the workplace: A
randomized controlled trial. Med Sci Sports Exerc 2014;46:1008‑15.
25. Zendehtalab HR. The effect of a program designed based on
PRECEDE‑ROCEED model on adolescents’ mental health and their
parents’ participation. J Evid Based Care 2012;2:45‑54.
26. Pisinger C, Ladelund S, Glümer C, Toft U, Aadahl M, Jørgensen T.
Five years of lifestyle intervention improved self‑reported mental
and physical health in a general population: The Inter99 study. Prev
Med 2009;49:424‑8.
27. Amini M, Nouri A, Samavatyan H. Effect of communication
skills training on general health of nurses. Health Inf Manage
28. Kazemi SA, Javidi H, Aram M. The effect of communication skills
training on occupational stress expert. Q J New Approaches Educ
Adm 2011;1:63‑80.
29. Zlotnick C, Johnson SL, Miller IW, Pearlstein T, Howard M.
Postpartum depression in women receiving public assistance: Pilot
study of an interpersonal‑therapy‑oriented group intervention. Am
J Psychiatry 2001;158:638‑40.
30. Thijs GA. GP’s consult and health behaviour change project.
Developing a programme to train GPs in communication skills to
achieve lifestyle improvements. Patient Educ Couns 2007;67:267‑71.