Title: The health-promoting lifestyle and its relationship with the impacts of endometriosis on
women's lives in Iran, 2022: a cross-sectional study
Version: 3 Date: 30 Jul 2023
Reviewer:  Samira Khayat
Reviewer's report:
Dear Editor
In this study, the authors investigated the association between health-promoting lifestyle
and endometriosis impacts on women lives. Results show: there was a negative significant
correlation between the overall lifestyle score of HPLP and the physical impact of endometriosis
disease, the psychological impact, social impact and education dimensions of EIQ. The results
of the study can be useful and practical. Nevertheless, there were also some issues that require
clarification.
Title
1. Considering that the study is cross-sectional, it is better to add the place and time in the title.
Abstract:
1. Due to the completion of the questionnaire for three periods, this issue should be mentioned
in the abstract.
2. Add statistical analysis software.
3. In conclusion, According to the type of study and analysis performed, you have only
determined the relationship and cannot conclude that lifestyle has an effect on endometriosis
impacts. The sentence: "The health-promoting lifestyle can influence endometriosis impacts on
women's lives with this chronic disease" should be corrected.
Introduction:
1. The statistics of endometriosis in Iran should be added.
2. Write about lifestyle in endometriosis patients.
3. Write about the relationship between lifestyle and health aspects.
4. Write the conflicts in the studies.
Materials and methods:
1. Add sample size formula.
2. Sampling method should be written.
3. The validity and reliability of both questionnaires should be written. How was the reliability
checked in the present study?
4. Provide more explanations on how to complete the questionnaires.
Results
1. Write the information in the table and delete it from the text. Only important information
should be written in the text.
2. Delete the age from table 1 and write it in the text.
Discussion
1. Summarize the discussion.
2. You can move these sentences to the conclusion:
"Overall, although endometriosis is a chronic disease that has a significant and severe impact on
the lives of affected women. The research conducted on the care and health promotion of women
with endometriosis is very limited. Improving the health and promoting the well-being of women
with endometriosis, through constructive strategy that improve a healthy lifestyle in women,
can be useful (64). Medical staff, e.g. midwives and nurses, play an important role in providing
optimal and comprehensive care for chronic diseases such as endometriosis. They can play an
important role in providing educational and health services. Treatment staff can help patients
with disease-related practical training so that patients can make more informed decisions about
maintaining their health. In this context, we can facilitate the development and implementation
of a treatment program by identifying the specific problems and needs and preferences related to
the disease of the affected women, which can even be developed jointly between the treatment
practitioners and the patient (65)."
Conclusion
1. Based on the results of this study, provide practical advice.