Document Type : Original Article

Authors

1 Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences

2 Women’s Health Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

INTRODUCTION: Health needs a lifestyle upgrade. Lifestyle is important because it affects the quality
of life and the diseases’ prevention. This study aimed to investigate the lifestyle and its relationship
with health‑care value of mid‑aged women.
METHODS: This descriptive‑analytic study was conducted on 287 middle‑aged women in Isfahan
in 2016. Samples were randomly selected among the centers as well as from those referring
to comprehensive urban health centers. Walker’s Health‑Promoting Lifestyle Profile II and a
researcher‑made health‑care value questionnaire were provided to mid‑aged women. Data were
analyzed using descriptive statistics, Pearson’s correlation coefficient tests, and multiple linear
regression (MLR) analysis.
RESULTS: The average health value score in women was 59.6 and the total lifestyle score was
57.9 out of 100, which is in the semi‑desirable range. The highest score among the lifestyle domains
was related to the interpersonal relationship (67.6) and the lowest score was related to physical
activity (39.4). Pearson’s correlation coefficient showed that there is a direct relation between the
health value score and the total score of lifestyle and all its domains (P < 0.001). MLR model showed
that the areas of responsibility (P < 0.001), interpersonal relationships (P < 0.001), and physical
activity (P = 0.01) have the highest predictive value for the health value score among the different
domains of lifestyle score.
CONCLUSION: Lifestyle and health value of mid‑aged women in Isfahan are in the semi‑desirable
range and lifestyle has a direct relationship with health value. Therefore, lifestyle enhancement can
enhance the health value and take steps to improve health in the community.

Keywords

1. Mohammadian H, Mousavi SG, Eftekhar Ardebili H,
Kord Zanganeh J. Lifestyle of university students in Kashan,
Iran, and factors affecting it. Sci J Sch Public Health Inst Public
Health Res 2015;12:53‑63.
2. Parsamehr M, Rasoulinejad P. Investigating the relationship
between health‑based lifestyle and social health among people
in Talesh. Quarterly Journal of Social Development 2015;10:35‑66.
3. Taghi‑Zadeh M, Bigli Z, Mohtashami T. The Effectiveness of
Behavioral Modification Training in Life Style of Patients with
Type II Diabetes. Health Psychol 2014;3:29‑40.
4. Rahimi A, Anosheh M, Ahmadi F, Foroughan M. Exploring
the Nature of the elderly people life style: A grounded theory.
Salmand 2016;10:112‑31.
5. Walker SN, Hill‑Polerecky DM. Psychometric evaluation of the
Health‑Promoting Lifestyle Profile 2. Unpublished Manuscript.
University of Nebraska Medical Center; 1996.
6. Kohan SH, Taheri S, Fadaie S, Baghersad Z. Epidemiology.
Comprehensive Textbook of Maternal Child and Reproductive
Health. 1st ed. Isfahan: Kankash Publishers; 2013. p. 9.
7. Abbas‑Zadeh M, Alizadeh Aghdam M, Badri Gargari R,
Vadadhir A. Investigation of Social and Cultural Factors Affecting
the Life of Self‑care Citizens. Socio‑cultural development studies. 2012;1:119‑41.
8. PorterME. What is value in health care? N Engl J Med 2010;363:2477‑81.
9. Mirzaie M, Darabi S. Population aging in Iran and rising health
care costs. Salmand 2017;12:156‑69.
10. Collins English Dictionary – Complete and Unabridged. 11th ed.
Available from: http://www.CollinsDictionary.com. [Last
retrieved on 2012 Dec 05].
11. Available from: http://www.phc.mui.ac.ir/. [Last accessed on
2016 Sep 07].
12. Goldman MB, Hatch M. Women and Health. U.S.A Academic
Press; 2000.
13. Leppert PC, Peipert JF. Primary Care for Women. Williams and
Wilkins; 2004.
14. Arbabi‑Kalati F, MohammadiA, Ghaemi HesaroeehS. Assessment
the relationship between osteoporosis and oral dryness in
postmenopausal women. J Mash Dent Sch 2015;3:117‑22.
15. Aghamolaei T, Ghanbarnejad A. Validity and reliability of the
Persian health‑promoting lifestyle profile II questionnaire. J Res
Health 2015;5:358‑65.
16. Benedict BD. Investigating the Role of Health Value and the
Theory of Planned Behavior in Predicting Outcome Expectancy
and Interest for Physical Activity in a Worksite Sample, A
Dissertation Submitted to the Faculty. ProQuest Dissertations
and Theses; 2007. p. 103.
17. PokhrelP, MasagutovR, Kniazev V, Sussman S. Health‑as‑a‑value,
spirituality, and cigarette and alcohol use among Russian high
school students. J Prim Prev 2012;33:239‑48.
18. JacksonES, TuckerCM, HermanKC. Health value, perceived social
support, and health self‑efficacy as factors in a health‑promoting
lifestyle. J Am Coll Health 2007;56:69‑74.
19. Shi HJ, Nakamura K, Takano T. Health values and
health‑information‑seeking in relation to positive change of
health practice among middle‑aged urban men. Prev Med
2004;39:1164‑71.
20. Mahmudi G, Niazazari K, Sanati T. Evaluation of life style in the
elderly. J Fam Health 2012;1:45‑50.
21. Rafiee A, Dostifar K, Tavasoli E, Alipour F, Hosaini H, Darabi T,
et al. The lifestyle of married women referring to health centers
in West of Ahvaz. Sci J Ilam Univ Med Sci 2014;22:1‑9.
22. Babak A, Davari S, Aghdak P, Pirhaji O. Assessment of healthy
lifestyle among elderly in Isfahan, Iran. J Isfahan Med Sch
2011;29:1064‑74.
23. Mojadam M, Eshghizadeh M, Johari Naeimi A. Assessing
interpersonal communication skills of elderly in Gonabad city.
J Geriatr Nurs 2015;2:29‑38.
24. Lippincott W, Wilkins P. Charting Made Incredibly Easy. 3rd ed.
Philadelphia, PA: Lippincott Williams Wilkins; 2006.
25. Stacey LC. Hypertension Risk Perceptions, Hypertension
Knowledge, and Health Value as Predictors of Health Promotion
Behaviors in African‑American University Students. Order
No 3404506. Howard University; 2010. Available from: https://
www.researchgate.net/publication/292743660.