Evaluating Health-promoting Lifestyle Profile among Menopausal Women: A Meta-analysis

The Open Nursing Journal 25 July 2023 SYSTEMATIC REVIEW DOI: 10.2174/18744346-v17-230720-2023-1



Menopause is one of the most drastic experiences in a woman's life because of a spectrum of vasomotor symptoms which affect the quality of life and lifestyle. Although many treatments for these symptoms are available, they can be used for only a short duration. The nonpharmacologic therapies associated with healthy lifestyle behaviors are increasing. Health-Promoting Lifestyle Profile- II (HPLP-II), a self-report questionnaire designed to assess an individual's engagement in health-promoting behaviors, has focused on six dimensions of behavioral health promotion. This study aimed to review the degree of lifestyle modification in menopausal women based on the questionnaire HPLP-II.


A comprehensive search was conducted for articles using HPLP-II after literature as the identified instrument for menopausal women's lifestyle, followed by a meta-analysis.


Among 8525 unique titles, 13 studies with 2648 participants were included. Quality assessment was “good” for most of them. The summary effect of participant age was 55.78 years and 49.1 years for menopausal age. Analysis of the pooled studies yielded a mean HPLP total score of 127.69. There was no evidence of publication bias.


Our meta-analysis showed a moderately rated health-promoting behavioral profile in menopausal women. The spiritual growth subscale received the highest score, whereas physical activity received the lowest score and was at the lower limit of the moderate range. Health policymakers, patients, and healthcare providers can use these results to improve the healthy lifestyles of menopausal women.

Keywords: Health promotion, Menopause, Lifestyle, Hplp, Hplp-ii, Nonpharmacologic, Vasomotor symptoms.
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