Evaluation of Health-promoting Lifestyles in Iranian students during the COVID-19 Epidemic: An Observational Study

Hedieh Askarpour1, Asma Amiri Domari1, AbuBakr Jafarnejad2, Seyedeh Najmeh Hejazi Fard3, Mahdieh Hashemi4, Reza Faryabi5, Rasoul Raesi6, Salman Daneshi5, *
, Declan Patrick Moran7
1 Clinical Research Development Center, Imam Khomeini Hospital, Jiroft University of Medical Sciences, Jiroft, Iran
2 Research Committee of Shiraz University of Medical Sciences, Shiraz, Iran
3 Department of Non-Communicable Diseases, Dezful University of Medical Sciences, Dezful, Iran
4 Student Research Committee, Jiroft University of Medical Sciences, Jiroft, Iran
5 Department of Public Health, School of Health, Jiroft University of Medical Sciences, Jiroft, Iran
6 PhD in Health Services Management, Mashhad University of Medical Sciences, Mashhad, Iran
7 School of Public Health, University College Cork, Cork, Ireland

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© 2023 Askarpour et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Public Health, School of Health, Jiroft University of Medical Sciences, Jiroft, Iran; Tel:03443310916; E-mail:



This research was conducted with the aim of examining the health-promoting lifestyles of a specified student population in Iran.


The occurrence of the Coronavirus 2019 (COVID-19) pandemic caused changes in mental health and lifestyle. Clinical students were one of the groups with the most clinical exposure and thus were potentially most affected by the COVID-19 pandemic.


A cross-sectional study was conducted among students of Jiroft University of Medical Sciences (JMU) in the south of Iran, who were studying in the clinical field in 2021. A consecutive sample of 200 students was used for the study. Data was collected using the Health Promoting Lifestyle Profile (HPLP) Questionnaire of Walker et al., the total score of the questionnaire includes a range of at least 52 points up to a maximum of 208 points. For all statistical analysis, SPSS version 26 was used. The significance level of the p-value was less than 0.05.


The mean score of total students in the lifestyle promotion of health was 129.11 ± 12.11. The highest average score was in the field of spiritual growth (24.97 ± 5.19) and the lowest score was obtained in the field of physical activity (5.17 ± 16.32). The highest average score was in nursing students.


The present study showed that the level of health-promoting lifestyle among clinical students of JMU is at a moderate level indicating that promoting this lifestyle is an urgent global need, especially during the COVID-19 pandemic.

Keywords: COVID-19, Health-promoting, Lifestyle, Fatalities, Student, Pandemic.