Department of Social Medicine and Public Health, and Centre for Health Care Science, Orebro County Council, Orebro, Sweden.
Scand J Med Sci Sports. 2009 Oct;19(5):740-7. doi: 10.1111/j.1600-0838.2008.00844.x. Epub 2008 Aug 5.
The purpose of this study was to investigate the importance of enjoyment of exercise in a health care-based intervention aimed at promoting physical exercise in primary health care patients. In a controlled study design, the intervention group was offered a wide range of group exercises over 3 months, followed by support in designing their own exercise program. The control group received usual care. Enjoyment of exercise and exercise level were measured. Associations between enjoyment and exercise level were analyzed using Spearman's rank correlation coefficients. Changes in enjoyment between and within study groups were analyzed by the independent and paired t-test. Associations were found between enjoyment and exercise level (r=0.36, P<0.01), as well as between changes in enjoyment and changes in exercise level (r=0.34, P<0.01). At the 12-month follow-up, enjoyment of exercise was 25% higher in the intervention group than in the control group (P<0.01). In this group of primary health care patients, enjoyment of exercise was associated with exercise level. Enjoyment of exercise seems to be a mediator of exercise level. Furthermore, health care-based interventions seem to be able to affect enjoyment of exercise. Enjoyment of exercise may be important for the long-term effectiveness, of health care-based interventions.
本研究旨在探讨在以医疗保健为基础的干预措施中，享受运动的重要性，该措施旨在促进初级保健患者的体育锻炼。在一项对照研究设计中，干预组在 3 个月内接受了广泛的团体运动，并在设计自己的运动计划方面得到支持。对照组接受常规护理。测量了运动的享受和运动水平。使用 Spearman 等级相关系数分析了享受与运动水平之间的关联。通过独立和配对 t 检验分析了研究组内和组间享受的变化。发现享受与运动水平之间存在关联（r=0.36，P<0.01），以及享受的变化与运动水平的变化之间存在关联（r=0.34，P<0.01）。在 12 个月的随访中，干预组的运动享受比对照组高 25%（P<0.01）。在这组初级保健患者中，运动享受与运动水平相关。享受运动似乎是运动水平的中介。此外，以医疗保健为基础的干预措施似乎能够影响运动的享受。运动的享受可能对以医疗保健为基础的干预措施的长期效果很重要。
