title: The association of health-promoting lifestyle with quality of life among the Iranian elderly.
abstract: BACKGROUND
  As individuals live a longer life, health-promoting lifestyle (HPL) becomes even more essential, particularly with regard to maintaining functional independence and improving quality of life (QoL).
  
  
  OBJECTIVE
  This study aimed to determine the association between QoL and HPL in the Iranian elderly living in Shiraz.
  
  
  METHODS
  This analytical cross-sectional study was conducted in 2013 at retirement centers of Shiraz City, Iran. The sample included 500 elderly who aged > 60 years. Proportional stratified random sampling was used to select the elderly from retirement centers. QoL was assessed by the Farsi version of Short Form Health Survey questionnaire (SF-36) and HPL was measured by health-promoting lifestyle profile (HPLP II). Data were analyzed using independent-samples t test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression using SPSS 21.
  
  
  RESULTS
  There were significant differences in QoL in terms of sex, age, education, and marital status. There were significant differences in HPL in terms of gender, age and education (P < 0.05) There was a statistically significant association between QoL and HPL in the elderly (r = 0.42, P < 0.05). Based on HPLP II constructs, the significant predicting factors of QoL in the elderly consisted of spiritual growth, stress management, and physical activity (P < 0.05).
  
  
  CONCLUSIONS
  Health providers should improve the QoL in the elderly by facilitating HPL through health-promoting interventions, which will maintain and increase physical activity, stress management, and spiritual growth.
authors.affiliation: Department of Health Education and Promotion, Tehran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Tayebeh
authors.initials: T
authors.lastname: Rakhshani
authors.affiliation: Department of Health Education and Promotion, Tehran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Davood
authors.initials: D
authors.lastname: Shojaiezadeh
authors.affiliation: Health Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors.forename: Kamran Bagheri
authors.initials: KB
authors.lastname: Lankarani
authors.affiliation: Safety Promotion and Injury Prevention Research center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Rakhshani
authors.affiliation: Department of Health Education and Promotion, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors.forename: Mohammad Hossain
authors.initials: MH
authors.lastname: Kaveh
authors.affiliation: Department of Biostatistics, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors.forename: Najaf
authors.initials: N
authors.lastname: Zare
keywords: Health-Promoting Lifestyle; Quality of Life; the Elderly