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促使超重成年人动起来:健康信念的作用。

Setting overweight adults in motion: the role of health beliefs.

机构信息

Clinical Psychology Section, Tilburg University, Eindhoven, The Netherlands.

出版信息

Obes Facts. 2009;2(6):362-9. doi: 10.1159/000261808. Epub 2009 Dec 4.

Abstract

OBJECTIVE

Health beliefs of overweight adults who did and did not enter an exercise program were compared to identify possible factors that hamper people to enter such a program.

METHOD

Participants (n = 116, 78 women and 38 men) were overweight adults without comorbidities. Self-report instruments examined the burden of suffering, beliefs related to physical exercise and obesity, somatic complaints, and obesity-related quality of life of new participants of exercise programs versus sedentary non-exercisers.

RESULTS

The mean BMI of exercisers and non-exercisers was 34.6 +/- 7.0 and 32.8 +/- 5.8 kg/m2, respectively. Fear of injury was higher and perceived health benefits of exercise were lower in the non-exercisers who also more often believed their overweight to be irreversible and attributed overweight to physical causes. The burden of suffering, somatic complaints, and quality of life of the groups were not significantly different. Fear of injury remained a significant predictor of belonging to the non-exercise group after controlling for other variables and multiple testing.

CONCLUSION

Research is needed to examine whether the inflow of overweight people in exercise groups increases when health beliefs are recognized, considered, and discussed both in interventions and in public health campaigns promoting physical exercise in sedentary, overweight people.

摘要

目的

比较参加和未参加运动计划的超重成年人的健康信念,以确定可能阻碍人们参加此类计划的因素。

方法

参与者(n=116,78 名女性和 38 名男性)为无合并症的超重成年人。自我报告工具检查了新参加运动计划的参与者与久坐不运动者相比,与身体锻炼和肥胖相关的信念、躯体抱怨和肥胖相关的生活质量。

结果

运动者和非运动者的平均 BMI 分别为 34.6±7.0 和 32.8±5.8kg/m2。非运动者对受伤的恐惧更高,对运动的健康益处的认识更低,他们也更频繁地认为自己的超重是不可逆转的,并将超重归因于身体原因。两组的痛苦负担、躯体抱怨和生活质量没有显著差异。在控制其他变量和多次检验后,对受伤的恐惧仍然是属于非运动组的一个显著预测因素。

结论

需要研究当超重人群在干预措施和促进久坐不动、超重人群进行身体活动的公共卫生运动中认识、考虑和讨论健康信念时,运动人群中超重人群的流入是否会增加。

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