Der Ananian Cheryl, Wilcox Sara, Watkins Ken, Saunders Ruth, Evans Alexandra E
Center for Research on Health and Aging, University of Illinois at Chicago, Chicago, IL, 60608, USA.
J Aging Phys Act. 2008 Apr;16(2):125-43. doi: 10.1123/japa.16.2.125.
Most people with arthritis are not regularly active. Understanding what factors influence exercise is essential for designing programs to increase participation. The objective of this study was to examine the correlates of exercise in people with arthritis. Using a cross-sectional design, sociodemographic, health-related, and psychosocial variables were collected from community-dwelling individuals with arthritis (N = 141). Associations with exercise level were examined with bivariate statistics (ANOVAs, chi-squares) and logistic-regression analyses. Exercisers were less likely than nonexercisers and insufficiently active people to report that arthritis negatively affected their physical and social functioning, and they reported more positive affect and greater self-efficacy (p < .05). Exercisers also reported less pain than nonexercisers (p < .05). In multiple logistic-regression analyses, self-efficacy and physical limitations remained independent predictors of exercise. The results suggest the need to target exercise self-efficacy when designing exercise interventions. Results also suggest the need to tailor exercise programs to individuals' physical limitations.
大多数患有关节炎的人日常活动并不规律。了解哪些因素会影响运动对于设计提高参与度的项目至关重要。本研究的目的是调查关节炎患者运动的相关因素。采用横断面设计,从社区居住的关节炎患者(N = 141)中收集社会人口学、健康相关和心理社会变量。通过双变量统计(方差分析、卡方检验)和逻辑回归分析来检验与运动水平的关联。与不运动者和运动不足者相比,运动者报告关节炎对其身体和社会功能产生负面影响的可能性更小,且他们报告的积极情绪更多,自我效能感更强(p < 0.05)。运动者报告的疼痛也比不运动者少(p < 0.05)。在多元逻辑回归分析中,自我效能感和身体限制仍然是运动的独立预测因素。结果表明,在设计运动干预措施时需要针对运动自我效能感。结果还表明,需要根据个体的身体限制来调整运动项目。