Volume 7, Issue 4 (Autumn 2021)                   JCCNC 2021, 7(4): 263-274 | Back to browse issues page


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Barmak F, Farahaninia M, Bozorgnezhad M, Haghani H. The Relationship Between Adolescents’ Awareness of Non-alcoholic Fatty Liver and Their Health-Promoting Lifestyle. JCCNC. 2021; 7 (4) :263-274
URL: http://jccnc.iums.ac.ir/article-1-314-en.html
1- Department of Community Health Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences and Health Services, Tehran, Iran.
2- Department of Community Health Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences and Health Services, Tehran, Iran. , farahaninia.m@iums.ac.ir
3- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (1204 Views)
Background: Lifestyle modification is recognized as the first step of fatty liver treatment. This study was done to determine the relationship between the awareness of the Non-Alcoholic Fatty Liver Disease (NAFLD) and adolescents’ health-promoting lifestyle in senior high school students in the west of Tehran, Iran. 
Methods: This descriptive-correlational study was performed on 338 high school students in 2020. The students were recruited by cluster sampling method. The data were collected by demographic information form, awareness of non-alcoholic fatty liver questionnaire, and Health-Promoting Lifestyle Profile II (HPLPII) and were expressed using frequency, mean, standard deviation, and analyzed by inferential statistical tests of ANOVA, Chi-square, independent t-test, and Pearson correlation coefficient using SPSS v. 20.
Results: The results showed that the highest Mean±SD of health-promoting lifestyle was related to spiritual growth and self-actualization dimension (27.41±5.53) and the lowest Mean±SD was related to the dimension of physical activity (19.71±6.63). There was a significant relationship between awareness of NAFLD and the health responsibility subscale of HPLP (P=0.004). Awareness of NAFLD had a direct relationship with the father’s education (P=0.004). The health-promoting lifestyle was positively related to students’ grade (P<0.001), birth order (P=0.019), economic status (P<0.001), number of children (P=0.037), and living with parents (P=0.031), and negatively associated with the students’ age (P=0.014). 
Conclusion: The significant relationship between knowledge about fatty liver and health responsibility indicates the need to increase students’ awareness of this disease to improve a health-promoting lifestyle. Therefore, it is suggested that educational interventions be provided at different levels of prevention to empower students.
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● Chronic diseases that pose a major threat to health, are often the result of poor lifestyle and cost the health care system dearly. 
● Although adolescents and their health raise an extensively vital problem, studies on non-alcoholic fatty liver disease in adolescents have received little attention.
● The results of this study showed that the highest mean of health-promoting lifestyle was related to spiritual growth and self-actualization dimension and the lowest mean was related to the dimension of physical activity. 
● There was a significant relationship between awareness of non-alcoholic fatty liver and the health responsibility of the students. 

Plain Language Summary 
Non-alcoholic fatty liver as one of the most prevalent chronic diseases is a silent and benign disease, which is preventable. It has been shown that improper lifestyle is responsible for most of the causes of chronic diseases and mortality. A health-promoting lifestyle is a process an individual pursues consciously to promote his/her health. This study discusses the relationship between awareness of non-alcoholic fatty liver disease and health-promoting lifestyle in secondary high school adolescents in the west of Tehran. The results showed that the spiritual growth and self-actualization dimensions of health-promoting lifestyle had the highest and the physical activity had the lowest score. Furthermore, the results revealed a significant relationship between awareness of the non-alcoholic fatty liver disease and health responsibility. 
Type of Study: Research | Subject: Special
Received: 2021/07/7 | Accepted: 2021/09/2 | Published: 2021/11/1

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