In the name of Almighty, Eternal, Just And Merciful GOD Zanjani 6/2/2019

Determinants of healthy lifestyle and its related factors among elderly people living in suburban of Tehran Samaneh Zanjani, PhD. candidate of Health Education & Promotion, The International Campus of Tehran University of Medical Sciences, Tehran, Iran 6/2/2019 Zanjani

Other Researchers Sadeghi S, Assistant professor, Dept. of Health Education and promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Tol A, PhD, Health Education and promotion, Dept. of Health Education and promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Mohebbi B, MD, Assistant professor, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Moradi A, Ms. Health Education and promotion, Dept. of Health Education and promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Zanjani 6/2/2019

Introduction Elderly population is the fastest growing population in the world. The elderly are increasing in Iran, too. Based on the 2006 census, 7 million people are over 60 years in Iran. Ageing is accompanied with diminishing physical and mental capacities in daily life and incidence of chronic disease. Diet and lifestyle influence morbidity and mortality during the course of life. Zanjani 6/2/2019

… Introduction longevity or healthy outcomes are associated with a healthy lifestyle, four modifiable healthy lifestyle factors (healthy diet, nonsmoking, normal weight, and regular physical activity) can significantly reduce premature mortality. attention to lifestyle of elder can help them get used to their lives and maintain their life satisfaction. However, elder psychological obstacle, lack of knowledge as an interpersonal and structural obstacle have all made it difficult for them to take part in healthy lifestyles. Several papers have reported that Zanjani 6/2/2019

Study Objectives Assessing determinants of a healthy lifestyle and its related factors among elderly people living in Islamshar, South of Tehran. Zanjani 6/2/2019

descriptive – analytical study Type of Study descriptive – analytical study Zanjani 6/2/2019

Sample Size& Study Population Elderly (aged 60 and over) referred to Islamshahr Health Center of Tehran University of Medical Sciences in 2012–2013. A sample size with a confidence interval (CI) of 0.95, power of 0.8 and considering 20% sample size reduction, determined 480 elderly. Zanjani 6/2/2019

Sampling Random clustering sampling method was applied based on the number of under coverage population that is, the more populous health centers, the more selected subjects. Zanjani 6/2/2019

Data Collection Instruments Questionnaire Two-part questionnaire: socio demographic such as age, gender, level of education, living with spouse or family; and health- related characteristics, e.g., body mass index (BMI), history, type and frequency of chronic disease; Standard healthy lifestyle instrument: a 46 items self-report standard instrument with five subscales reflecting domains including exercise (5 items), nutrition (14 items), prevention (15 items), stress management (5 items) and social relationship (7 items). Zanjani 6/2/2019

Analyze The obtained data was analyzed by SPSS 18 software Using Independent t-test, analysis of variance (ANOVA), Chi- square test and ordinal logistic regression test to compare mean scores at a significant level of P≤0.05. Zanjani 6/2/2019

Findings Zanjani 6/2/2019

demographic variables and the elderly health related characteristics Number/Percent Gender Male Female   259 (54%) 221 (46%) Marital status Single Married 110 (22.9%) 370 (77.1%) Age groups 60-69 yrs. 70-79 yrs. Above 80 yrs. 322 (67.1%) 126 (26.2%) 32 (6.7%) BMI ≤19 19-25 25-30 161 (33.5%) 188 (39.2%) 131 (27.3%) Educational levels Illiterate Primary Secondary &Diploma Higher than diploma 201 (41.9%) 216 (45%) 50 (10.4%) 13 (2.7%) Chronic disease disease No disease 353 (73.5%) 127 (26.5%) Zanjani 6/2/2019

Distribution of mean score of healthy lifestyle based on demographic variables Lifestyle score gender Male female Marital status Single Married Chronic disease disease No disease Prevention 64.35±4.78 62.53±3.84* 61.97±4.69 63.78±4.21* 63.59±4.12 62.74±5.04 Exercise 14.11±2.81 12.93±2.73* 13.25±2.82 13.54±2.82 13.32±2.77 13.9±2.95* Nutrition 32.25±2.98 31.64±3.06 31.54±3.14 32.03±3 31.78±2.99 32.3±3.14 Stress management 17.21±2.07 16.94±2.33 17.11±2.18 16.93±2.33 17.02±2.15 17.18±2.4 Social Relation 24.01±4.76 21.62±5.02* 16.01±2.97 24.71±3.6* 22.35±4.97 23.78±5.18* Total lifestyle score 151.95±11.15 145.68±10.32* 139.72±10.55 151.09±9.91* 148.08±11.29 149.91±10.68 * Significant at 0.05 by independent t-test Zanjani 6/2/2019

… Findings Mean score of total healthy lifestyle was 148.56±11.5. Men and women scored 151.95±11.15 and 145±10.32, respectively (P<0.001). 366 participants had moderate healthy lifestyle and 114 had desirable healthy lifestyle. None of the elderly had undesirable lifestyle. Marital status and gender were important factors in elderly healthy lifestyle. Zanjani 6/2/2019

… Findings With increasing age, the average score in exercise domain decreases. Men in the prevention, exercise and social relations domains were obtained significantly higher scores. The elderly who were living without a spouse, total healthy lifestyle and social relations domain scores were less than others . Zanjani 6/2/2019

Conclusion A variation in health behaviors exist between men and women. Marital status had great impact in achieving the desired lifestyle between elderly. Most the elderly had moderate score of lifestyle, Affecting factors in lifestyle and its domains, should be as an important educational priority for elderly. Zanjani 6/2/2019

Thank honorable people who help me for making this circumstances THANKs FOR YOUR Patience & ATTENTION Zanjani 6/2/2019