Dept of Food Science and Nutrition, University of Minnesota, Saint Paul, MN, USA.
J Phys Act Health. 2011 Jan;8(1):111-8.
The factors influencing exercise adherence are not well characterized in women in their premenopausal years.
The purpose of this report is to provide an analysis of demographic factors contributing to women's adherence to a 2-year twice-weekly weight training intervention. Overweight and obese premenopausal women were randomized to a control or intervention group.
During the supervised period of the intervention (months 1 to 4), adherence was significantly lower among those with a higher level of education and among unmarried women with children aged 6 to 12 compared with married women without children (F = 4.83, P = .004). Overall adherence during the supervised and unsupervised periods was 95.4% and 64.5%, respectively (unadjusted mean). During year 1, white women were significantly more adherent to the intervention (70.3%) than women of color (48.6%). Non-married women with children 13 years or older were significantly less adherent than married women with children 5 years or younger (36.3% versus 75.4%, respectively, P < .007). Overall adherence was 51.4% in year 2.
Interventions and public health recommendations need to further consider how to engage communities to provide effective support for long-term adherence to fitness center based exercise of all women, regardless of demographics.
影响绝经前女性运动依从性的因素尚未得到很好的描述。
本报告的目的是分析导致女性坚持进行为期 2 年、每周 2 次的体重训练干预的人口统计学因素。超重和肥胖的绝经前妇女被随机分为对照组或干预组。
在干预的监督期（第 1 至 4 个月），与已婚无子女的妇女相比，受教育程度较高和有 6 至 12 岁子女的未婚妇女的依从性显著较低（F = 4.83，P =.004）。监督和非监督期间的总体依从率分别为 95.4%和 64.5%（未调整均值）。在第 1 年，白人女性对干预的依从性显著高于有色人种女性（70.3%比 48.6%）。13 岁及以上的未婚有子女的妇女与 5 岁及以下有子女的已婚妇女相比，依从性显著较低（分别为 36.3%和 75.4%，P <.007）。第 2 年的总体依从率为 51.4%。
干预措施和公共卫生建议需要进一步考虑如何让社区参与进来，为所有女性提供有效的支持，以实现长期坚持健身中心的锻炼，无论其人口统计学特征如何。
