农村患者减肥与运动动机的差异
Discrepancy in Motivation for Weight Loss and Exercise in Rural Patients.
作者信息
Warren Jacob C, Smalley K Bryant, Barefoot K Nikki
机构信息
Director, Center for Rural Health and Health Disparities, Mercer University School of Medicine, Macon, GA;, Email:
Executive Director, Rural Health Research Institute, Georgia Southern University, Statesboro, GA.
出版信息
Am J Health Behav. 2017 Nov 1;41(6):803-809. doi: 10.5993/AJHB.41.6.14.
OBJECTIVES
We explored the extent to which discrepancy between motivation for weight loss and exercise is related to obesity among rural patients with chronic disease, and identified the psychosocial correlates of this discrepancy.
METHODS
497 patients with diabetes and/or hypertension were recruited from a network of Federally Qualified Health Centers in the rural South and completed a battery of assessments.
RESULTS
Most persons in the sample (83.1%) were overweight and 65.0% were obese. For motivation for change, 70.8% reported being in the Action stage or higher for weight loss, whereas only 24.9% reported being in the Action stage or higher for motivation for exercise. When controlling for age, education level, income, sex, and race/ethnicity, individuals who were motivated for weight loss but not exercise were twice as likely to be obese (p = .005). Race and sex were significantly associated with this discrepancy, with African-American patients 1.7 times as likely (p = .05) and women 2.3 times as likely to be discrepant (p = .001).
CONCLUSIONS
Findings underscore the importance of focusing not simply on weight loss among rural patients with chronic disease, but rather to incorporate specific activities designed to build simultaneous motivation for engaging in exercise.
目的
我们探讨了农村慢性病患者体重减轻动机与运动动机之间的差异与肥胖的相关程度，并确定了这种差异的社会心理相关因素。
方法
从美国南部农村地区的联邦合格健康中心网络招募了497名糖尿病和/或高血压患者，并完成了一系列评估。
结果
样本中的大多数人（83.1%）超重，65.0%肥胖。对于改变动机，70.8%的人报告处于减肥行动阶段或更高阶段，而只有24.9%的人报告处于运动动机行动阶段或更高阶段。在控制年龄、教育水平、收入、性别和种族/民族后，有减肥动机但无运动动机的个体肥胖的可能性是其他人的两倍（p = 0.005）。种族和性别与这种差异显著相关，非裔美国患者出现差异的可能性是其他人的1.7倍（p = 0.05），女性出现差异的可能性是其他人的2.3倍（p = 0.001）。
结论
研究结果强调，对于农村慢性病患者，不仅要关注体重减轻，还应纳入旨在同时激发运动动机的特定活动。
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