J Phys Act Health. 2020 Nov 3;17(12):1205-1212. doi: 10.1123/jpah.2020-0114.
To examine the relationship between early physical activity (PA) adoption (2, 3, and 4 mo) and longer-term PA adherence (1 y) among individuals who were inactive at baseline and received a lifestyle intervention.
Participants (n = 637) received weekly behavioral weight loss sessions, calorie reduction, and PA goals (50-175 min/wk progression). PA was assessed via self-reported measures at baseline, months 2 to 4, and 1 year.
PA at months 2 to 4 was significantly correlated with PA at 1 year (rs = .29-.35, P < .01). At all early time points, those failing to meet the prescribed PA goal (early nonadopters) engaged in significantly less PA at 1 year than those meeting the early PA goal (initial adopters). For example, using 2-month criteria, initial adopters engaged in 108.3 minutes per week more at 1 year compared with early nonadopters (P < .01) and had 2.8 times the odds (95% confidence interval, 1.9-4.2) of meeting the 1-year PA goal (≥175 min/wk, P < .01).
Failure to achieve PA goals at 2, 3, or 4 months results in less overall PA at 1 year. Thus, PA observed as early as month 2 may be a useful indicator for identifying at-risk individuals who may benefit from more intensive PA intervention strategies.
本研究旨在探讨基线时不活跃且接受生活方式干预的个体,早期(2、3、4 个月)开始进行身体活动(PA)与长期(1 年)PA 坚持之间的关系。
参与者(n=637)接受每周行为减肥课程、卡路里减少和 PA 目标(50-175 分钟/周递增)。基线、2-4 个月和 1 年时通过自我报告的措施评估 PA。
2-4 个月的 PA 与 1 年的 PA 显著相关(rs=.29-.35,P<.01)。在所有早期时间点,未能达到规定 PA 目标(早期不坚持者)的个体在 1 年时的 PA 明显少于达到早期 PA 目标的个体(初始坚持者)。例如,根据 2 个月的标准,初始坚持者在 1 年时每周多进行 108.3 分钟的 PA(P<.01),并且达到 1 年 PA 目标(≥175 分钟/周)的可能性是早期不坚持者的 2.8 倍(95%置信区间,1.9-4.2,P<.01)。
未能在 2、3 或 4 个月达到 PA 目标会导致 1 年时的整体 PA 减少。因此,在 2 个月时观察到的 PA 可能是识别有风险的个体的有用指标,这些个体可能受益于更强化的 PA 干预策略。