Sport and Health Sciences, College of Life and Environmental Sciences, University of Exeter, St, Luke's Campus, Heavitree Road, Exeter EX1 2LU, UK.
Int J Behav Nutr Phys Act. 2013 Nov 21;10:129. doi: 10.1186/1479-5868-10-129.
BACKGROUND: Despite the health risks, physical inactivity is common. Identifying the correlates of physical activity to inform the design of interventions to reduce the disease burden associated with physical inactivity is a public health imperative. Rural adults have a unique set of characteristics influencing their activity behaviour, and are typically understudied, especially in England. The aim of this study was to identify the personal, social, and environmental correlates of physical activity in adults living in rural villages. METHODS: The study used baseline data from 2415 adults (response rate: 37.7%) participating in the first time period of a stepped-wedge cluster randomised trial, conducted in 128 rural villages from south-west England. Data collected included demographic characteristics, social factors, perception of the local environment, village level factors (percentage male, mean age, population density, Index of Multiple Deprivation, and sport market segmentation), and physical activity behaviour. Random effects ("multilevel") logistic regression models were fitted to the binary outcome whether individuals met physical activity guidelines, and random effects linear regression models were fitted to the continuous outcome MET-minutes per week leisure time physical activity, using the personal, social, environmental, and village-level factors as predictors. RESULTS: The following factors both increased the odds of meeting the recommended activity guidelines and were associated with more leisure-time physical activity: being male (p = 0.002), in good health (p < 0.001), greater commitment to being more active (p = 0.002), favourable activity social norms (p = 0.004), greater physical activity habit (p < 0.001), and recent use of recreational facilities (p = 0.01). In addition, there was evidence (p < 0.05) that younger age, lower body mass index, having a physical occupation, dog ownership, inconvenience of public transport, and using recreational facilities outside the local village were associated with greater reported leisure-time physical activity. None of the village-level factors were associated with physical activity. CONCLUSIONS: This study adds to the current literature on the correlates of physical activity behaviour by focusing on a population exposed to unique environmental conditions. It highlights potentially important correlates of physical activity that could be the focus of interventions targeting rural populations, and demonstrates the need to examine rural adults separately from their urban counterparts.
背景:尽管存在健康风险,但身体活动不足仍是普遍现象。确定与身体活动相关的因素,为减少与身体活动不足相关的疾病负担而设计干预措施,这是公共卫生的当务之急。农村成年人的活动行为受到一系列独特特征的影响,而且通常研究不足,尤其是在英格兰。本研究旨在确定居住在农村村庄的成年人身体活动的个人、社会和环境相关因素。
方法:本研究使用了来自英格兰西南部 128 个农村村庄的一项阶梯式楔形群随机试验第一期的 2415 名成年人(回应率:37.7%)的基线数据。收集的数据包括人口统计学特征、社会因素、对当地环境的感知、村庄层面的因素(男性百分比、平均年龄、人口密度、多重剥夺指数和体育市场细分)以及身体活动行为。使用个人、社会、环境和村庄层面的因素作为预测因素,对二分结局(个人是否符合身体活动指南)拟合随机效应(“多水平”)逻辑回归模型,对连续结局(每周闲暇时间进行的身体活动的代谢分钟数)拟合随机效应线性回归模型。
结果:以下因素均增加了符合推荐活动指南的几率,并与更多闲暇时间身体活动相关:男性(p=0.002)、身体健康(p<0.001)、更积极活动的承诺(p=0.002)、有利的活动社会规范(p=0.004)、更高的身体活动习惯(p<0.001)和最近使用娱乐设施(p=0.01)。此外,有证据表明(p<0.05),年龄较小、身体质量指数较低、从事体力劳动、养狗、公共交通不便以及在当地村庄以外使用娱乐设施与更大的报告闲暇时间身体活动有关。村庄层面的因素均与身体活动无关。
结论:本研究通过关注暴露于独特环境条件的人群,为身体活动行为的相关因素研究增添了新内容。它强调了身体活动的一些潜在重要相关因素,这些因素可能成为针对农村人群的干预措施的重点,并表明需要将农村成年人与城市成年人分开进行研究。
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