Background: Lifestyle modification is an important factor in promoting the health of middle-aged women. Therefore, this study aimed to determine the effect of telephone counseling on the nutritional status and physical activity of middle-aged women in Yazd, Iran.
Methods: This randomized controlled clinical trial was done on 50 middle-aged women during September to February 2017. Eligible women was recruited from religious places and then were randomly assigned into two intervention and control groups. The participants in the intervention group received the counseling program in 8 calls for 20-30 minutes twice per week. The control group received no intervention. Data were gathered using a health promoting life-style questionnaire for middle-aged women in three time points; before intervention, immediately, and one month after the intervention. Data were analyzed in SPSS 16 software using Chi-square, repeated measures ANOVA and independent t-test. A significance level was considered P<0.05.
Results: There was no significant difference between the two groups in terms of nutritional status and physical activity (PA) before the intervention, but there was significant difference between them immediately and one month after the intervention. Also adjusting the baseline values, repeated measures ANOVA test showed a significantly premiere mean of nutritional status in telephone counseling compared to the control group (P<0.001).
Conclusion: The results of the study showed that telephone counseling significantly improved the lifestyle of the middle-aged women. Also, recommended that health care providers use of telephone counseling that effective and efficient tool for promoting women's health.

Background: Hearing loss is a common condition during the aging process. Improving hearing loss through hearing aids may impact satisfaction and the quality of life of elderly individuals. Therefore, this study was conducted to determine the association between Hearing Aid Use Satisfaction (HAUS) and the quality of life among the elderly with hearing loss in Gorgan, Iran.
Methods: This study is a cross-sectional investigation conducted in 2019 at the health insurance office in Gorgan, Iran. The study included elderly individuals aged over 60 who were fitted with hearing aids. Sixty subjects meeting the inclusion criteria were conveniently selected. The assessment tools included a demographics checklist, the Satisfaction with Amplification in Daily Life (SADL) scale, and the Short Form Health Survey (SF-12). Data analysis was performed using SPSS-18 and involved the Chi-squared test, independent t-test, Mann-Whitney U, and Spearman correlation coefficient. A significance level of P < 0.05 was considered.
Results: The participants' mean age was 76.85±8.16, falling within the age range of 75-89. The average satisfaction score for the use of the HAUS was 63.90±11.07. A significant statistical association was observed between HAUS and economic status (P=0.03), the type of hearing aid used (P=0.024), and the level of daily hearing aid usage (P=0.0001). With an increase in the number of hours of hearing aid use, the mean satisfaction score also showed an increase. The mean score for the quality of life among the elderly individuals was 32.77±2.02, and no correlation was observed between satisfaction with HA use and quality of life (r=0.068, P=0.511).
Conclusion: The findings suggest that hearing aid devices can enhance the satisfaction and quality of life of elderly individuals, thereby increasing their engagement in daily activities.