the relationship between adolescents’ awareness of non-alcoholic fatty liver and their health-promoting lifestyle

Lifestyle modification is recognized as the first step of fatty liver treatment. this study was done to determine the relationship between the awareness of the non-alcoholic fatty liver disease (nafld) and adolescents’ health-promoting lifestyle in senior high school students in the west of tehran, iran. methods: this descriptive-correlational study was performed on 338 high school students in 2020. the students were recruited by cluster sampling method. the data were collected by demographic information form, awareness of non-alcoholic fatty liver questionnaire, and health- promoting lifestyle profile ii (hplpii) and were expressed using frequency, mean, standard deviation, and analyzed by inferential statistical tests of anova, chi-square, independent t-test, and pearson correlation coefficient using spss v. 20. results: the results showed that the highest mean±sd of health-promoting lifestyle was related to spiritual growth and self-actualization dimension (27.41±5.53) and the lowest mean±sd was related to the dimension of physical activity (19.71±6.63). there was a significant relationship between awareness of nafld and the health responsibility subscale of hplp (p=0.004). awareness of nafld had a direct relationship with the father’s education (p=0.004). the healthpromoting lifestyle was positively related to students’ grade (p<0.001), birth order (p=0.019), economic status (p<0.001), number of children (p=0.037), and living with parents (p=0.031), and negatively associated with the students’ age (p=0.014). conclusion: the significant relationship between knowledge about fatty liver and health responsibility indicates the need to increase students’ awareness of this disease to improve a health-promoting lifestyle. therefore, it is suggested that educational interventions be provided at different levels of prevention to empower students.