Cameron Christine, Craig Cora L, Bull Fiona C, Bauman Adrian
Institut canadien de la recherche sur la condition physique et le mode de vie, 201-185, rue Somerset ouest, Ottawa, ON K2P 0J2, Canada.
Appl Physiol Nutr Metab. 2007;32 Suppl 2F:S179-88. doi: 10.1139/H07-160.
The purpose of this paper is to examine the reach of different versions of Canada's physical activity guide (CPAG) and their impacts, including immediate effects (awareness, knowledge, beliefs, future intention to be active, first steps towards behavioural change) and population levels of physical activity. The analysis is based on eligible adults aged 18 years and older (n = 8892) included in the 2003 Physical Activity Monitor (PAM) survey. The 2003 PAM was a cross-sectional, telephone interview of a representative population sample. Secular trends of Canadians aged 12 years and older were examined, using representative samples from the National Population Health and Canadian Community Health Surveys. Unprompted recall of any guidelines for physical activity was very low (4%), whereas prompted recall of the CPAG was higher (37%). Unprompted and prompted recall were higher among women and high-income earners, and increased with level of education. Behaviours associated with "seeking information" and "initiating action" were associated with unprompted and prompted recall. Beliefs about the benefits of physical activity and intention to be active were also associated with prompted recall. Unprompted CPAG recall, knowledge about the amount of activity required to meet the CPAG, intention to be active, "seeking information", and "initiating action" were associated with being "sufficiently active". The CPAG is an appropriate set of public health guidelines or recommendations around physical activity. The low unprompted recall rate points to the need for a coordinated, well-funded approach to communication of these guidelines, involving governmental and non-governmental partners and intermediaries in municipalities, schools, workplaces, and the recreational, public health, and health-care systems.
本文旨在研究加拿大身体活动指南(CPAG)不同版本的传播范围及其影响,包括即时效应(意识、知识、信念、未来积极活动的意图、行为改变的初步步骤)以及身体活动的人群水平。该分析基于2003年身体活动监测(PAM)调查中纳入的18岁及以上符合条件的成年人(n = 8892)。2003年PAM是对具有代表性的人群样本进行的横断面电话访谈。利用来自国家人口健康调查和加拿大社区健康调查的代表性样本,研究了12岁及以上加拿大人的长期趋势。对任何身体活动指南的自发回忆率很低(4%),而对CPAG的提示回忆率较高(37%)。女性和高收入者的自发回忆和提示回忆率更高,且随教育程度的提高而增加。与“寻求信息”和“采取行动”相关的行为与自发回忆和提示回忆相关。对身体活动益处的信念和积极活动的意图也与提示回忆相关。CPAG的自发回忆、关于达到CPAG所需活动量的知识、积极活动的意图、“寻求信息”和“采取行动”与“足够活跃”相关。CPAG是一套关于身体活动的适当的公共卫生指南或建议。自发回忆率低表明需要一种协调一致、资金充足的方法来传播这些指南,这涉及政府和非政府合作伙伴以及市政、学校、工作场所、娱乐、公共卫生和医疗保健系统中的中介机构。