IRCT2015070423055N1 IRCT 2016-02-05 Vice Chancellor for research of Babol University of Medical Sciences Comparison the effectiveness of lifestyle modification interventions - Comparison the effectiveness of lifestyle modification interventions ( nutrition and physical activity) in comparison with lifestyle education on nutritional behaviors, physical activity, anthropometric measurements, fasting blood sugar and serum lipid profile in the adults aged 40-60 years 2016-04-20 anticipated 300 Complete https://irct.ir/trial/19769 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Other design features: Randomization in study population will be performed with random allocation of subjects in the age group of 40- 60 years old in the three groups by random numbers table. 2 Life-style (Factors influencing health status and contact with health services). Intervention 1: Intervention group 1: For 4 months (16 weeks), weekly group training about nutrition and physical activity, individualized nutrition counseling, providing educational materials and weekly free aerobic exercises. The content of nutrition classes is adapted from nutritional principles which Ministry of Health and Medical Education of Iran has released. The trainer is an expert nutritionist. The duration of each class is 45 minutes, classes will be taken as group discussion and approximate number of participants is 25-30 persons. Intervention 2: Intervention group 2: For 16 weeks, weekly group training about nutrition and physical activity, individualized nutrition counseling and providing educational materials. Intervention 3: Control group: Only educational package included booklet, CD, pamphlet and papers about lifestyle especially improving nutrition and physical activity.