Cited by 128Health and Wellbeing ResearchHealth and Lifestyle StudiesSchool Health and Nursing Education

The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index; none of the 5 sources its claims cite is checked for support yet.

Health-promoting lifestyle profile and associated factors among medical students in a Saudi university

Open access

Abstract

Objectives: Health promotion is the main strategy for encouraging people to adopt a healthy lifestyle and for preventing non-communicable diseases. Medical students, in particular, are expected to have an important role in health promotion in their near future as physicians. The aim of this study was to determine and evaluate all six components of the Health-Promoting Lifestyle Profile and its sociodemographic determinants among medical students. Methods: A cross-sectional descriptive study was conducted in January 2018 in Jeddah, Saudi Arabia. The questionnaire used in this study consisted of two parts: the first part included sociodemographic questions and body mass index measurement and the second part consisted of questions from the Health-Promoting Lifestyle Profile II. Results: The study enrolled 243 medical students, of which 55.1% were male, 39.5% were in their fifth year, and more than half had a monthly family income above 20,000 Saudi Riyal. The mean body mass index of the respondents was 25.1 ± 5.2 (range = 13.7–43.8). The total mean score of the Health-Promoting Lifestyle Profile II was 123.8 ± 19.8 (range = 72–191). Study findings showed that health-promoting profiles differed by gender, particularly with respect to physical activity and interpersonal relationships. Factors were found to be associated with the Health-Promoting Lifestyle Profile II subscales, including income and year of study. Conclusions: University students, and in particular health science students, represent an appropriate area for health promotion interventions to be established.

Overview

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TL;DR

In a cross-sectional survey of 243 clinical-phase medical students at King Abdulaziz University, the mean Health-Promoting Lifestyle Profile II score was 123.8 ± 19.8, with spiritual growth highest and physical activity lowest. Gender, year of study, income, and BMI were variously associated with HPLP II subscales, though overall HPLP II did not differ significantly by most sociodemographic factors.

Key findings

  • Among 243 medical students (55.1% male; mean age 21.6 ± 1.0 years; mean BMI 25.1 ± 5.2), the total HPLP II mean score was 123.8 ± 19.8 (range = 72–191), falling in the moderate range (91–129); Cronbach’s alpha was 0.91.
  • The highest subscale mean was spiritual growth (25.5 ± 4.9), while the lowest was physical activity (16.7 ± 5.3).
  • Male students had significantly higher physical activity scores than female students (17.67 ± 5.5 vs. 15.59 ± 4.8; p = 0.002) and significantly higher stress management scores (19.41 ± 3.5 vs. 18.33 ± 3.9; p = 0.03).
  • Year of study was significantly associated with stress management (p = 0.03); higher monthly family income was significantly associated with higher interpersonal relationships scores (p = 0.03); BMI was negatively correlated with interpersonal relationships (r = −0.150, p = 0.020). No significant correlations were observed between total HPLP II score and BMI or age.

Methods

  • A descriptive cross-sectional study was conducted in January 2018 among fourth-, fifth-, and sixth-year medical students at King Abdulaziz University, Jeddah, Saudi Arabia; students with chronic medical diagnoses or in an exam period were excluded.
  • Using stratified sampling and proportional allocation, 243 of 1,100 clinical-phase students were enrolled; the questionnaire included sociodemographic items, BMI measurement, and the 52-item HPLP II with six subscales scored on a 1–4 Likert scale.
  • Data were analyzed with SPSS version 23 using descriptive statistics, Cronbach’s alpha, independent samples t tests and ANOVA for gender, year of study, monthly income, and smoking status, and Pearson correlations for age and BMI.

Limitations

  • The paper states that students were enrolled from one university only, that findings cannot be generalized to all medical students in the country or to students in other fields, and that the self-reported questionnaire may not reflect reality.
  • Evident from the text: the cross-sectional design cannot establish causality or temporal ordering between associated factors and health-promoting behaviors.
  • Evident from the text: some narrative results conflict with table values (for example, gender t statistics and the direction of the year-of-study association with stress management), so specific effect estimates should be interpreted cautiously.

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Integrity signals

Registry

Crossref · 10.1177/2050312119838426

Cites

36 of 36 references verified0 citation errors · 0 not checkable

Statistics

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Verification

Claims the paper makes

14 Own result · 5 Not checked yet · 5 Own interpretation · 1 Own method

Verify all 5 references — free account
  • It may state two separate claims as one. 5
  • Probably not a substantial claim. 5
8 of 8
  • The paper relies on this without support.

    Few studies have explored the Health-Promoting Lifestyle Profile (HPLP) among medical students, and literature from the Arab region for this particular group is even more scarce.

    “Despite the importance of this issue, few studies have explored the Health-Promoting Lifestyle Profile (HPLP) among medical students, and literature from the Arab region for this particular group is even more scarce.”
  • The paper relies on this without support.

    Medical students are expected to play a key role in health promotion in their near future as physicians.

    “medical students are specifically expected to play a key role in health promotion in their near future as physicians.”
2 of 2

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Percentages, sums and reported differences re-computed from the paper’s own numbers.

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6 of 6

Citations

Cites

Show all 36 references

Research works printed but not linked: 9

  1. Wang D, 2013, Sci World J, 2013
  2. Mehri A, 2016, Int J Prev Med, 7
  3. Senjam S, 2012, Indian J Commun Health, 24, 58
  4. Hong JF, 2007, J Public Health Dev, 5, 27
  5. Kirag N, 2013, Saudi Med J, 34, 1062
  6. Al-Qahtani MH., 2016, Int J Health Sci, 10, 353
  7. Sánchez-Ojeda M, 2015, Nutr Hosp, 31, 1910
  8. Cho YH, 2016, Indian J Sci Technol, 9
  9. Midhet FM, 2011, Saudi Med J, 32, 71

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Metadata

Authors
Alzahrani, S. H., Malik, A. A., Bashawri, J., Shaheen, S. A., Shaheen, M. M., Alsaib, A. A., Mubarak, M. A., Adam, Y. S., & Abdulwassi, H. K.
Affiliations
King Abdulaziz University (SA)
Corresponding author
Alzahrani, Sami H
Venue
SAGE Open Medicine
Published
2019-01
Volume
7
Pages
2050312119838426-2050312119838426
ISSN
2050-3121 (ISSN-L)
OpenAlex
W2927863450
Cited by
128
References
36
Citations by year
2026: 7 · 2025: 18 · 2024: 25 · 2023: 27 · 2022: 24 · 2021: 18 · 2020: 8 · 2019: 1
FWCI
17.38
Type
journal article
Language
en
Open access
Locations
  • SAGE Open Medicine (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Lifestyle Studies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
Keywords
health-promoting lifestyle, Health-Promoting Lifestyle Profile II, medical students, physical activity, interpersonal relationships, body mass index, sociodemographic factors, gender differences, income, year of study, health promotion interventions, non-communicable disease prevention

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