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对中等至剧烈身体活动的认知:关于指南的信息能否防止高估?

Awareness of moderate-to-vigorous physical activity: can information on guidelines prevent overestimation?

作者信息

Knox Emily C L, Taylor Ian M, Biddle Stuart J H, Sherar Lauren B

机构信息

British Heart Foundation National Centre for Physical Activity and Health, Loughborough University, Loughborough, LE113TU, UK.

School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, LE113TU, UK.

出版信息

BMC Public Health. 2015 Apr 17;15:392. doi: 10.1186/s12889-015-1705-6.

Abstract

BACKGROUND

Mass-media campaigns such as Change4Life use messaging to promote physical activity guidelines. Raising knowledge of MVPA guidelines within UK adults is a main goal of current mass media campaigns aimed at increasing engagement in MVPA. As this may help to inform accurate perceptions of adults' own MVPA level it is an important area of investigation. Subjective norms, health status and normal walking intensity may also influence adult's awareness of their own MVPA behaviour. The aim of this study was to examine the hypothesis that greater knowledge of MVPA guidelines, supportive subjective norms, lower self-reported health status and intensity of typical walking pace are associated with accurate awareness of MVPA engagement within a sample of UK adults.

METHODS

A cross-sectional study of UK adults was conducted. UK adults who subscribed to the National Academic Mailing List Service (JISCMail) were sent an invitation to complete an online survey. 1,724 UK adults completed the online survey which included items on minutes spent in MVPA, awareness of MVPA using constructs highlighted by the precaution adoption process model, subjective norms, knowledge of guidelines, health status and demographics.

RESULTS

The sample was 70% female, 57% aged under 45, 93% White and 69% in full-time employment. 62% reported their health to be above average, while 62% demonstrated accurate awareness of their own physical activity level, only 18% correctly reported the MVPA guidelines and 51% reported high subjective norms towards MVPA. Logistic regression analyses identified high subjective norms (OR = 1.84, CI: 1.29, 2.63, p = .001), average or below average health status (OR = .71, CI: .53 .97, p = .001), and a self-reported regular walking pace of moderate-to-vigorous (OR = 1.31, CI: 1.05, 1.63, p = .02) to be associated with accurate MVPA awareness. Knowledge of MVPA guidelines was not associated with MVPA awareness.

CONCLUSIONS

Mass media campaigns, such as Change4Life, inform the general public of MVPA guidelines. Campaign messages may be more influential targeting subjective norms instead of knowledge of guidelines, thereby raising awareness of personal MVPA behaviour amongst inactive adults and increasing motivation to engage in more MVPA.

摘要

背景

诸如“为生活改变”(Change4Life)这样的大众媒体宣传活动通过传递信息来推广身体活动指南。提高英国成年人对中等至剧烈身体活动(MVPA)指南的认知是当前旨在增加MVPA参与度的大众媒体宣传活动的主要目标。由于这可能有助于形成对成年人自身MVPA水平的准确认知,所以这是一个重要的研究领域。主观规范、健康状况和正常步行强度也可能影响成年人对自身MVPA行为的认知。本研究的目的是检验以下假设:在英国成年人样本中,对MVPA指南有更多了解、有支持性的主观规范、自我报告的健康状况较低以及典型步行速度的强度与对MVPA参与情况的准确认知相关。

方法

对英国成年人进行了一项横断面研究。向订阅了国家学术邮件列表服务(JISCMail)的英国成年人发送了完成在线调查的邀请。1724名英国成年人完成了在线调查,调查内容包括在MVPA中花费的分钟数、使用预防采纳过程模型强调的结构对MVPA的认知、主观规范、指南知识、健康状况和人口统计学信息。

结果

样本中70%为女性,57%年龄在45岁以下,93%为白人,69%为全职工作。62%的人报告自己的健康状况高于平均水平,而62%的人对自己的身体活动水平有准确认知,只有18%的人正确报告了MVPA指南,51%的人报告对MVPA有较高的主观规范。逻辑回归分析确定,较高的主观规范(比值比[OR]=1.84,置信区间[CI]:1.29,2.63,p=.001)、平均或低于平均水平的健康状况(OR=.71,CI:.53,.97,p=.001)以及自我报告的中等至剧烈的常规步行速度(OR=1.31,CI:1.05,1.63,p=.02)与对MVPA的准确认知相关。对MVPA指南的了解与MVPA认知无关。

结论

诸如“为生活改变”这样的大众媒体宣传活动向公众宣传MVPA指南。宣传信息可能针对主观规范而非指南知识更具影响力,从而提高不活跃成年人对个人MVPA行为的认知,并增加参与更多MVPA的动力。

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