{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T08:02:51Z","timestamp":1790064171719,"version":"4.0.1"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n INTRODUCTION:<\/jats:title>\n Nowadays with respect to the automation of the lifestyle, immobility statistics in middle-aged women has increased and they are at risk for complications of immobility. One of the models used to identify factors associated with physical activity is Health Belief Model utilized in different age and different cultural backgrounds and different results have been obtained from those studies. The purpose of this study was to investigate the factors affecting on physical activity in middle-aged women using Health Belief Model.<\/jats:p>\n <\/jats:sec>\n \n MATERIALS AND METHODS:<\/jats:title>\n This descriptive-correlation study was conducted on 224 middle-aged women referring to health centers in Isfahan. Health Belief Model structures including perceived susceptibility and severity, perceived barriers and benefits, and self-efficacy were measured by questionnaire and physical activity was assessed using the international physical activity questionnaire. Collected data were analyzed using descriptive statistics and Pearson correlation coefficient test and regression analysis.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n \n There wasn\u2019t significant correlation between perceived susceptibility (\n P<\/jats:italic>\n = 0.263,\n r<\/jats:italic>\n = 0.075) and perceived severity with physical activity duration (\n P<\/jats:italic>\n = 0.127,\n r<\/jats:italic>\n = 0.058) but there was positive and weak correlation between physical activity duration with perceived benefits (\n P<\/jats:italic>\n = 0.001 and\n r<\/jats:italic>\n = 0.26) and perceived self-efficacy (\n P<\/jats:italic>\n = 0.001,\n r<\/jats:italic>\n = 0.54) and had weak and inverse correlation with perceived barriers (\n P<\/jats:italic>\n = 0.001,\n r<\/jats:italic>\n = -0.25). Regression analysis also showed that from among all the Health Belief Model structures just self-efficacy structure has influenced on behavior independently and other structures are affected by it.\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n The obtained results implied on a correlation between benefits, barriers and perceived self-efficacy with and moderate physical activity. Therefore it is necessary to develop appropriate educational programs with emphasis on structures of Health Belief Model that has the maximum impact on physical activity in middle-aged women.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jehp.jehp_68_15","type":"journal-article","created":{"date-parts":[[2017,5,5]],"date-time":"2017-05-05T06:34:17Z","timestamp":1493966057000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":22,"title":["Determinants of physical activity in middle-aged woman in Isfahan using the health belief model"],"prefix":"10.4103","volume":"6","author":[{"given":"Habibollah","family":"Hosseini","sequence":"first","affiliation":[{"name":"Department Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Razieh","family":"Moradi","sequence":"additional","affiliation":[{"name":"Department of Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashraf","family":"Kazemi","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health, School of Nursing and Midwifery, Nursing and Midwifery Research Care Center, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam Sadat","family":"Shahshahani","sequence":"additional","affiliation":[{"name":"Department of Nursing Health, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,5]]},"reference":[{"key":"R2-20250823","first-page":"243","article-title":"Leisure time physical activity and its determinants among adults in Tehran: Tehran lipid and glucose study","volume":"2","author":"Momenan","year":"2011","journal-title":"Int J Prev Med"},{"key":"R3-20250823","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1007\/s00038-013-0529-3","article-title":"Gender-specific changes in physical activity pattern in Iran: National surveillance of risk factors of non-communicable diseases (2007-2011)","volume":"59","author":"Koohpayehzadeh","year":"2014","journal-title":"Int J Public Health"},{"key":"R4-20250823","first-page":"942","article-title":"The effect of trans theoretical model (TTM) on exercise behavior in pregnant women referred to Dehaghan Rural Health Center","volume":"11","author":"Solhi","year":"2012","journal-title":"Iran J Med Educ"},{"key":"R5-20250823","first-page":"144","article-title":"Effectiveness of educational program based on transtheoretical model on rate of physical activity among household women in Zahedan, Iran","volume":"9","author":"Hashemi","year":"2013","journal-title":"J Health Syst Res"},{"key":"R6-20250823","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1123\/jpah.8.1.27","article-title":"Physical activity in Iran: Results of the third national surveillance of risk factors of non-communicable diseases (SuRFNCD-2007)","volume":"8","author":"Esteghamati","year":"2011","journal-title":"J Phys Act Health"},{"key":"R7-20250823","first-page":"991","article-title":"The relationship between body image, self-efficacy and physical activity in female employees of Isfahan University of Medical Sciences and Isfahan University","volume":"6","author":"Daniali","year":"2012","journal-title":"Health Syst Res"},{"key":"R8-20250823","doi-asserted-by":"crossref","first-page":"2197","DOI":"10.1089\/jwh.2009.1879","article-title":"Perceived intrinsic barriers to physical activity among rural mothers","volume":"19","author":"Adachi-Mejia","year":"2010","journal-title":"J Womens Health (Larchmt)"},{"key":"R10-20250823","first-page":"55","article-title":"Health meanings and practices among midlife professional Thai women","volume":"13","author":"Chareonsanti","year":"2009","journal-title":"Thai J Nurs Res"},{"key":"R11-20250823","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.maturitas.2008.10.003","article-title":"Epidemiology of risk factors and symptoms associated with menopause in Spanish women","volume":"62","author":"P\u00e9rez","year":"2009","journal-title":"Maturitas"},{"key":"R13-20250823","doi-asserted-by":"crossref","first-page":"2387","DOI":"10.1001\/jama.2014.5616","article-title":"Effect of structured physical activity on prevention of major mobility disability in older adults: The LIFE study randomized clinical trial","volume":"311","author":"Pahor","year":"2014","journal-title":"JAMA"},{"key":"R14-20250823","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.maturitas.2010.08.007","article-title":"Prevalence of menopause symptoms and their association with lifestyle among Finnish middle-aged women","volume":"67","author":"Moilanen","year":"2010","journal-title":"Maturitas"},{"key":"R16-20250823","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/S0140-6736(12)61031-9","article-title":"Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy","volume":"380","author":"Lee","year":"2012","journal-title":"Lancet"},{"key":"R19-20250823","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1111\/j.1600-0838.2007.00751.x","article-title":"An ecological model of predictors of stages of change for physical activity in Greek older adults","volume":"19","author":"Th\u00f8gersen-Ntoumani","year":"2009","journal-title":"Scand J Med Sci Sports"},{"key":"R20-20250823","first-page":"404","article-title":"Perceived barriers to physical activity among North Carolinians with arthritis: Findings from a mixed-methodology approach","volume":"68","author":"Martin","year":"2007","journal-title":"N C Med J"},{"key":"R21-20250823","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1300\/J013v43n01_06","article-title":"How can socio-economic differences in physical activity among women be explained? A qualitative study","volume":"43","author":"Ball","year":"2006","journal-title":"Women Health"},{"key":"R23-20250823","year":"2008","journal-title":"Health Behavior and Health Education: Theory, Research, and Practice"},{"key":"R25-20250823","first-page":"30","article-title":"The effect of education on knowledge, attitude and practice of women clients Imam Khomeini Relief Foundation about preventing osteoporosis using the health belief model","volume":"7","author":"Shojaeezadeh","year":"2011","journal-title":"Iran J Epidemiol"},{"key":"R26-20250823","first-page":"1","article-title":"Predicting physical activity behavior among Iranian medical college students using the transtheoretical model","volume":"19","author":"Pirasteh","year":"2012","journal-title":"Daneshvar (Shahed Univ Med Sci)"},{"key":"R27-20250823","first-page":"374","article-title":"Perceived barriers by university students in the practice of physical activities","volume":"9","author":"G\u00f3mez-L\u00f3pez","year":"2010","journal-title":"J Sports Sci Med"},{"key":"R28-20250823","first-page":"35","article-title":"Application of the health promotion model in studying physical activity behavior of students in Sanandij, Iran","volume":"9","author":"Taymoori","year":"2011","journal-title":"Sci J Sch Public Health"},{"key":"R29-20250823","first-page":"43","article-title":"Attitude toward physical activities among college students","volume":"22","author":"Kamaradin","year":"2007","journal-title":"Pak J Psychol Res"},{"key":"R30-20250823","first-page":"313","article-title":"Predictors of physical activity to prevent osteoporosis based on extended health belief model","volume":"13","author":"Solimanian","year":"2014","journal-title":"Journal of the Institute for Health Sciences"},{"key":"R31-20250823","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1002\/nur.4770100603","article-title":"Development and psychometric evaluation of the exercise benefits\/barriers scale","volume":"10","author":"Sechrist","year":"1987","journal-title":"Res Nurs Health"},{"key":"R33-20250823","doi-asserted-by":"crossref","first-page":"267","DOI":"10.5628\/aehd.v4i2.153","article-title":"Vigorous physical activity among college students: Using the health belief model to assess involvement and social support","volume":"4","author":"King","year":"2014","journal-title":"Arch Exerc Health Dis"},{"key":"R34-20250823","first-page":"55","article-title":"Patterns of physical activity among adolescents in Isfahan","volume":"2","author":"Kelishadi","year":"2001","journal-title":"Shahrekord Univ Med Sci"},{"key":"R35-20250823","first-page":"199","article-title":"Prediction of osteoporosis preventive behaviors using the health belief model","volume":"2","author":"Vahedian-Shahroodi","year":"2014","journal-title":"Iran J Health Educ Health Promot"},{"key":"R36-20250823","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.sapharm.2007.03.004","article-title":"The relationship of calcium intake and exercise to osteoporosis health beliefs in postmenopausal women","volume":"4","author":"Swaim","year":"2008","journal-title":"Res Social Adm Pharm"},{"key":"R37-20250823","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.ijnurstu.2004.10.008","article-title":"Exercise self-efficacy, exercise benefits and barriers, and commitment to a plan for exercise among Korean women with osteoporosis and osteoarthritis","volume":"43","author":"Shin","year":"2006","journal-title":"Int J Nurs Stud"},{"key":"R38-20250823","first-page":"710","article-title":"Associated factors with regular physical activity among emergency medical personnel in hamadan: Applying health belief model","volume":"7","author":"Gharlipour Gharghani","year":"2012","journal-title":"J Health Syst Res"},{"key":"R39-20250823","first-page":"4","article-title":"Perceived self-efficacy, barriers and benefits within regular physical activity among students of Hormozgan University of Medical Science","volume":"4","author":"Aghamolayi","year":"2008","journal-title":"Iran J Epidemiol Spec"},{"key":"R40-20250823","first-page":"1151","article-title":"Role of health beliefs in preventive behaviors of individuals at risk of cardiovascular diseases","volume":"8","author":"Baghianimoghadam","year":"2013","journal-title":"J Health Syst Res"},{"key":"R41-20250823","first-page":"1","author":"Edmonds","year":"2009","journal-title":"Osteoporosis Knowledge, Beliefs, Behaviors of the College Students: Utilization of Health Belief Model, Doctorate Degree of Philosophy, Alabama University"},{"key":"R42-20250823","doi-asserted-by":"crossref","first-page":"116","DOI":"10.3200\/JACH.54.2.116-126","article-title":"A meta-analysis of college students\u2019 physical activity behaviors","volume":"54","author":"Keating","year":"2005","journal-title":"J Am Coll Health"},{"key":"R43-20250823","first-page":"24","article-title":"The role of health belief model in preventive behaviors of individuals high \u2013 Risk of type 2 diabets mellitus","volume":"18","author":"Mazloomy","year":"2010","journal-title":"J Shaheed Sadoughi Univ Med Sci"},{"key":"R44-20250823","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1207\/s15327558ijbm1304_4","article-title":"Understanding exercise behavior among Korean adults: A test of the transtheoretical model","volume":"13","author":"Kim","year":"2006","journal-title":"Int J Behav Med"},{"key":"R45-20250823","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1016\/j.psychsport.2014.07.007","article-title":"Social cognitive correlates of physical activity among single mothers with young children","volume":"15","author":"Dlugonski","year":"2014","journal-title":"Psychol Sport Exerc"},{"key":"R46-20250823","first-page":"345","article-title":"Using of social cognitive theory: Predictors of physical activity among women with diabetes type 2","volume":"3","author":"Peyman","year":"2013","journal-title":"Health"}],"container-title":["Journal of Education and Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01679914-201706000-00026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:26:47Z","timestamp":1787837207000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01679914-201706000-00026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5]]},"references-count":37,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.4103\/jehp.jehp_68_15","relation":{},"ISSN":["2277-9531","2319-6440"],"issn-type":[{"value":"2277-9531","type":"print"},{"value":"2319-6440","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5]]}}}