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Background <p>Adolescent health requires focused attention due to their vulnerability to risky behaviors and emerging health challenges such as mental health disorders, non-communicable diseases and unhealthy lifestyle patterns. This study, therefore, explored and compared healthy lifestyle behaviors and associated factors among Iranian male and female adolescents.</p> Methods <p>This cross-sectional study was conducted in first and second high schools in the Iran 2023. Sampling was done first in clusters and then simple random sampling (<i>N</i> = 500). Data were collected using a demographic characteristic and the Health Promoting Lifestyle Profile II (HPLP-II) questionnaires. The inclusion criteria were obtaining written consent form to participate and the absence of any physical or mental disabilities. The exclusion criteria included withdrawal of consent during the study and incomplete completion of the questionnaires. Statistical analyses, including ANOVA, independent t-tests, and linear multiple regression, were performed using SPSS version 22, with a significance level set at <i>p</i> &lt; 0.05.</p> Results <p>There was a significant difference between the mean score of physical activity and gender (<i>p</i> &lt; 0.05). In the male adolescents, an inverse correlation was observed between age and the total score of health-promoting behaviors across all dimensions. Furthermore, a direct correlation was identified between stress management with both adolescents’ grade and father’s education level. Additionally, there was a positive relationship between nutrition dimension with the presence of parents within the household, as well as the status of having a mother who is a housewife (p-value &lt; 0.05). Among females, there was a negative significant relationship between health-promoting behaviors total score and its three dimensiones of physical activity, spiritual growth, and health responsibility with of age and grade of adolescents. Also, there was a positive correlation between nutrition dimention and presence of parents in the family (p-value &lt; 0.05).</p> Conclusions <p>Fmale adolescents reported lower physical activity levels than males. These findings underscore the importance of paying attention to promoting physical activity in adolescent females. A notable finding was the decline in health-promoting behaviours with age among both genders. This suggests that interventions begin early in adolescence and address the unique challenges that older adolescents face, such as academic pressures and increased autonomy.</p>

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A comparative study of healthy lifestyle behaviors and related factors among Iranian male and female adolescents: a cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年2月11日

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  • Shayesteh Shirzadi,
  • Zahra Arab Borzu,
  • Shayesteh Jahanfar,
  • Somayeh Alvani,
  • Maliheh Balouchi,
  • Hadiseh Jalali Gerow,
  • Soudabeh Zarvekanloo,
  • Fatemeh Seraj

摘要

Background

Adolescent health requires focused attention due to their vulnerability to risky behaviors and emerging health challenges such as mental health disorders, non-communicable diseases and unhealthy lifestyle patterns. This study, therefore, explored and compared healthy lifestyle behaviors and associated factors among Iranian male and female adolescents.

Methods

This cross-sectional study was conducted in first and second high schools in the Iran 2023. Sampling was done first in clusters and then simple random sampling (N = 500). Data were collected using a demographic characteristic and the Health Promoting Lifestyle Profile II (HPLP-II) questionnaires. The inclusion criteria were obtaining written consent form to participate and the absence of any physical or mental disabilities. The exclusion criteria included withdrawal of consent during the study and incomplete completion of the questionnaires. Statistical analyses, including ANOVA, independent t-tests, and linear multiple regression, were performed using SPSS version 22, with a significance level set at p < 0.05.

Results

There was a significant difference between the mean score of physical activity and gender (p < 0.05). In the male adolescents, an inverse correlation was observed between age and the total score of health-promoting behaviors across all dimensions. Furthermore, a direct correlation was identified between stress management with both adolescents’ grade and father’s education level. Additionally, there was a positive relationship between nutrition dimension with the presence of parents within the household, as well as the status of having a mother who is a housewife (p-value < 0.05). Among females, there was a negative significant relationship between health-promoting behaviors total score and its three dimensiones of physical activity, spiritual growth, and health responsibility with of age and grade of adolescents. Also, there was a positive correlation between nutrition dimention and presence of parents in the family (p-value < 0.05).

Conclusions

Fmale adolescents reported lower physical activity levels than males. These findings underscore the importance of paying attention to promoting physical activity in adolescent females. A notable finding was the decline in health-promoting behaviours with age among both genders. This suggests that interventions begin early in adolescence and address the unique challenges that older adolescents face, such as academic pressures and increased autonomy.