Te association between health-promoting lifestyle profle and chronic diseases with self-efcacy in performing health behaviors among Iranian elderly: A cross-sectional study Maryam Changizi 1 , Mahin Nazari 1 , Mohammad Hossein Kaveh 1 , Masoud Karimi 1 , Leila Ghahremani 1,2* 1 Department of Health Education & Promotion, Faculty of Health, Shiraz University of Medical Sciences, Shiraz, Iran 2 Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran Original Article Introduction Health-promoting lifestyle profle (HPLP) includes behaviors that prevent diseases and pro- mote health. Self-efcacy is one of the most important factors that afect adopting a healthy lifestyle. Tis study was conducted to investigate the association between HPLP and chronic diseases with self-efcacy in performing health behaviors among the elderly living in Shiraz. Methods In this cross-sectional study 382 elderly aged over 60 years were selected from two Older People’s Associations and a medical clinic in Shiraz (2017). Healthy lifestyle and self-efca- cy were assessed by using the HPLP-II scale and self-rated abilities for health practice scale (SRAHPS-), ADL daily activity and IADL life instrument activity scales. Data were analyzed by descriptive statistics, ANOVA, (Tukey’s post-hoc test), Pearson’s correlation coefcient and linear regression using SPSS v.22 at 0.05 signifcance. Results Te mean scores of the HPLP-II (134.29 ± 26.82) & SRAHPS were (65.03 ± 17.73). All de- mographic variables, except age, had a signifcant relationship with healthy lifestyle behav- iors (P<0.001). Also self-efcacy was signifcantly correlated with healthy lifestyle behaviors (r=0.246, P<0.001) and predicted 49.6% of the variance of healthy lifestyle behaviors. Conclusion It seems that all aspects of healthy life style and self-efcacy should be considered in designing and implementing health promotion interventions for the elderly. Introduction A healthy lifestyle is an important part of everyone’s wellbeing and is potentially achievable by organizing behavioral patterns. An individual’s viewpoint towards a healthy lifestyle is afected by social, economic, and cultural factors [1]. A health-promoting lifestyle refers to all behaviors aimed at preventing diseases and harm as well as maintaining and promoting health. Tese behaviors include following a healthy diet, physical activity (PA), stress control, and no smoking. Using multifactorial behavioral patterns, people can gain insight into common behaviors that are © Te Author(s) 2021. Open Access Tis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Te images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. Te Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/pub- licdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data Home Page: www.hmrj.abadanums.ac.ir Vol. 1, NO 1, 2022 Health and Medical Research Journal Received: 09 November 2021 Revised: 27 December 2021 Accepted: 28 December 2021 Abstract *Correspondence: Leila Ghahremani Afliation: Department of Health Education & Promo- tion, Faculty of Health, Shiraz University of Medical Sciences, Shiraz, Iran Email: ghahramanl@sums.ac.ir Keywords: Healthy lifestyle, Self-efcacy, Aged, Health behavior http://dx.doi.org/10.22034/hmrj.2021.142480