The Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Australia (Dr Hume, Associate Professor Dunstan, Professor Salmon, Dr Andrianopoulos)
The Baker IDI Heart and Diabetes Institute, Melbourne, Australia (Associate Professor Dunstan, Professor Salmon, Professor Owen)
Diabetes Educ. 2010 May-Jun;36(3):495-502. doi: 10.1177/0145721710368326.
The purpose of this study was to examine perceived barriers to physical activity among adults with and without abnormal glucose metabolism (AGM), and whether barriers varied according to physical activity status.
The 1999 to 2000 Australian Diabetes, Obesity, and Lifestyle Study (AusDiab) was a population-based cross-sectional study among adults aged > or =25 years. AGM was identified through an oral glucose tolerance test. The previous week's physical activity and individual, social, and environmental barriers to physical activity were self-reported. Logistic regression analyses examined differences in barriers to physical activity between those with and without AGM, and for those with and without AGM who did and did not meet the minimum recommendation of 150 minutes/week of moderate-to-vigorous intensity physical activity.
Of the 7088 participants (47.5 +/- 12.7 years; 46% male), 18.5% had AGM. Approximately 47.5% of those with AGM met the physical activity recommendation, compared to 54.7% of those without AGM (P < .001). Key barriers to physical activity included lack of time, other priorities, and being tired. Following adjustment for sociodemographic and behavioral factors, there were few differences in barriers to physical activity between those with and without AGM, even after stratifying according to physical activity.
Adults with AGM report similar barriers to physical activity, as do those without AGM. Programs for those with AGM can therefore focus on the known generic adult-reported barriers to physical activity.
本研究旨在调查葡萄糖代谢异常（AGM）和无 AGM 的成年人在进行身体活动时感知到的障碍，并确定这些障碍是否因身体活动状态而异。
1999 年至 2000 年澳大利亚糖尿病、肥胖和生活方式研究（AusDiab）是一项针对年龄≥25 岁的成年人进行的基于人群的横断面研究。通过口服葡萄糖耐量试验确定 AGM。上一周的身体活动情况以及个人、社会和环境方面的身体活动障碍是通过自我报告获得的。Logistic 回归分析检查了有无 AGM 以及有无 AGM 但是否达到每周 150 分钟中等至剧烈强度身体活动最低推荐量的两组人群之间身体活动障碍的差异。
在 7088 名参与者中（47.5±12.7 岁；46%为男性），18.5%有 AGM。约 47.5%的 AGM 患者达到了身体活动建议，而无 AGM 的患者为 54.7%（P<0.001）。进行身体活动的主要障碍包括缺乏时间、其他优先事项和疲劳。在调整了社会人口统计学和行为因素后，即使按照身体活动进行分层，有无 AGM 的人群在身体活动障碍方面也几乎没有差异。
AGM 患者和无 AGM 的患者报告的身体活动障碍相似。因此，针对 AGM 患者的计划可以集中在已知的针对普通成年人的身体活动障碍上。
