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锻炼方案对肥胖女性活力变化的剂量反应和自我效能影响。

Dose-response and self-efficacy effects of an exercise program on vigor change in obese women.

机构信息

YMCA of Metropolitan Atlanta, Georgia 30303, USA.

出版信息

Am J Med Sci. 2010 Feb;339(2):127-32. doi: 10.1097/MAJ.0b013e3181c175e9.

DOI:10.1097/MAJ.0b013e3181c175e9
PMID:20019581
Abstract

BACKGROUND

The causative factors of exercise-induced mood change remain unclear. The objective of this study was to clarify the relationship of exercise with change in vigor (energy level).

METHOD

Obese women in an exercise support treatment (n = 122) or control condition (n = 70) were assessed on vigor, exercise barriers self-efficacy, and physical self-concept at baseline and at month 6. Exercise session attendance was also assessed in the treatment group. The relationship between exercise attendance and vigor change was tested. Multiple regression analyses also tested whether change in vigor was predicted by exercise barriers self-efficacy and physical self-concept scores, both at baseline and change over 6 months.

RESULTS

Vigor, exercise barriers self-efficacy, and physical self-concept were significantly improved in the treatment group only. Exercise session attendance was not significantly related to change in vigor. Multiple regression analyses indicated that exercise barriers self-efficacy and physical self-concept scores, both at baseline and change from baseline to month 6, explained a significant portion of the variance in changes in vigor (Radj = 0.13 and 0.21, respectively). In post hoc analyses, entry of depressed mood (indicated by a cut point on depression score) into the regression equations increased the variance accounted for to Radj = 0.15 and 0.25, respectively.

CONCLUSIONS

Findings supported behavioral explanations of the exercise-mood change relationship emanating from social cognitive and self-efficacy theory. The use of manageable amounts of exercise early in the weight loss intervention process was suggested.

摘要

背景

运动引起情绪变化的原因尚不清楚。本研究的目的是阐明运动与活力(能量水平)变化的关系。

方法

在运动支持治疗组(n=122)或对照组(n=70)中,肥胖女性在基线和 6 个月时评估活力、运动障碍自我效能感和身体自我概念。还评估了治疗组的运动课程出勤率。测试了运动出勤率与活力变化之间的关系。多元回归分析还测试了活力变化是否由运动障碍自我效能感和身体自我概念评分预测,这两个因素在基线和 6 个月的变化中都有预测作用。

结果

只有治疗组的活力、运动障碍自我效能感和身体自我概念显著提高。运动课程出勤率与活力变化无显著相关性。多元回归分析表明,运动障碍自我效能感和身体自我概念评分,无论是基线时还是从基线到 6 个月的变化,都能解释活力变化的很大一部分方差(Radj 分别为 0.13 和 0.21)。在事后分析中,将抑郁情绪(由抑郁评分的一个切点表示)纳入回归方程增加了 Radj 分别为 0.15 和 0.25 的方差。

结论

研究结果支持了源自社会认知和自我效能理论的运动与情绪变化关系的行为解释。建议在减肥干预过程的早期使用可管理量的运动。

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