Department of Health Promotion and e-Health, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Grzegórzecka Str. 20, 31-531 Krakow, Poland.
Int J Environ Res Public Health. 2020 Sep 1;17(17):6360. doi: 10.3390/ijerph17176360.
The growth of the fitness industry observed in the last decade has been accompanied by the emergence of an occupation as a social media fitness influencer. The most popular are able to accumulate millions of followers. The marketing potential of fitness influencers is a subject of interest, not only for the fitness industry but also for other sectors offering products related to health, wellness, or healthy nutrition. However, the activities of fitness influencers related to the promotion of physical activity and healthy lifestyle converge with the aims of those promoting public health. The main objective of this study was to make an assessment of the determinants of regular access to fitness influencers' sites (FIS) and their relationship with the health behaviors of young adult women. It was based on the data originating from an online survey on a representative sample of Polish women aged 18-35 years. Chi test, univariate, and multiply logistic regression models were used to determine the relationships between FIS and the variables related to the respondents' characteristics of and their health behaviors. FIS were accessed by 29.3% of respondents ( = 1030) at least once a week. It was found that those living in cities with a population ranging from 20,000 to 100,000 were more likely to access FIS than those living in rural areas. Similarly, greater access was made by those in a high-income household rather than those with the lowest income, by those with inadequate rather than those with problematic health literacy and by those with high rather than low e-health literacy. The use of FIS was significantly associated with the consumptions of fruit and vegetables (OR, 95%CI: 2.77, 2.01-3.82), physical activity (1.74, 1.27-2.38), breast self-examination (1.54, 1.11-2.13), and also with the greater use of e-cigarettes (1.63, 1.09-2.43) and increased consumption of alcohol (1.37, 1.01-1.88). In conclusion, as access to Internet resources run by fitness influencers was a prevailing predictor of young adult Polish women's health behaviors, FIS may play a potentially important role in promoting a healthy lifestyle in this population. However, it should be remembered that there are complex patterns of associations with specific behaviors, e.g., the use of e-cigarettes or alcohol consumption.
过去十年，健身行业的发展催生了社交媒体健身网红这一职业。其中最受欢迎的网红能够积累上百万的粉丝。健身网红的营销潜力不仅是健身行业关注的焦点，也是提供与健康、保健或健康营养相关产品的其他行业关注的焦点。然而，健身网红推广身体活动和健康生活方式的活动与促进公共健康的目标是一致的。本研究的主要目的是评估定期访问健身网红网站（FIS）的决定因素及其与年轻成年女性健康行为的关系。该研究基于对 18-35 岁波兰女性代表性样本的在线调查数据。使用卡方检验、单变量和多变量逻辑回归模型来确定 FIS 与受访者特征及其健康行为相关变量之间的关系。每周至少访问一次 FIS 的受访者比例为 29.3%（n=1030）。结果发现，与生活在农村地区的受访者相比，生活在人口规模在 2 万至 10 万之间的城市中的受访者更有可能访问 FIS。同样，与收入最低的受访者相比，收入较高的受访者更有可能访问 FIS，与健康素养不足的受访者相比，健康素养有问题的受访者更有可能访问 FIS，与 e 健康素养较低的受访者相比，e 健康素养较高的受访者更有可能访问 FIS。使用 FIS 与水果和蔬菜的消费（OR，95%CI：2.77，2.01-3.82）、身体活动（1.74，1.27-2.38）、乳房自我检查（1.54，1.11-2.13）显著相关，还与电子烟使用量增加（1.63，1.09-2.43）和酒精摄入量增加（1.37，1.01-1.88）相关。总之，由于访问健身网红运营的互联网资源是年轻成年波兰女性健康行为的主要预测因素，因此 FIS 可能在促进该人群健康生活方式方面发挥重要作用。然而，应该记住，与特定行为存在复杂的关联模式，例如电子烟或酒精的使用。
