Sport Sciences - Performance and Technology, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark; Department of Research and Development, University College of Northern Jutland (UCN), Aalborg, Denmark.
Sport Sciences - Performance and Technology, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Disabil Health J. 2021 Oct;14(4):101119. doi: 10.1016/j.dhjo.2021.101119. Epub 2021 May 23.
Individuals with disabilities are sub-optimally active and at increased risk for chronic diseases. Limited knowledge exists about how differences among wheelchair-dependent individuals may affect their perception of physical activity barriers.
We examined whether the perception of physical activity barriers are associated with wheelchair user sociodemographic characteristics.
Danish manual wheelchair users (MWCUs) (N = 181; 52.5% females, mean ± SD: age 48 ± 14 yrs) completed the 'Barriers to Physical Activity Questionnaire for People with Mobility Impairments' (BPAQ-MI) online. The BPAQ-MI queries physical activity barriers in four domains (intrapersonal, interpersonal, organizational, and community) and eight subdomains. Participant characteristics evaluated as potentially associated with physical activity barriers included age, sex, years in chair, body mass index (BMI), spinal cord injury (SCI) (if any), education, employment, and resident city size. Simple linear regression (step 1) and multiple regression models (step 2) were created to assess associations between MWCU characteristics and barriers.
Multiple regression models revealed that MWCUs who were obese, who did not complete high school, or were unemployed rated physical activity barriers higher across several subdomains (all r≤0.226, p<0.05). Resident city size was associated with safety subdomain barrier impact (r=0.039, p<0.05). Sex, age, years in chair and SCI were not associated with any barrier domains (all p ≥ 0.064).
Our results provide new evidence that MWCUs with BMI ≥30; who are not employed; or who only have completed high school, may need special consideration and resources to overcome distinct physical activity barriers. Behavioral strategies and interventions focusing on reducing physical activity barriers should be tailored to the individuals above.
残疾个体的活动量不足，患慢性病的风险增加。目前对于导致轮椅依赖个体对身体活动障碍感知存在差异的因素知之甚少。
本研究旨在探讨轮椅使用者的社会人口学特征是否与身体活动障碍的感知有关。
丹麦手动轮椅使用者（MWCU）（n=181；女性占 52.5%，平均年龄±标准差：48±14 岁）在线完成了《身体活动障碍问卷（适用于行动障碍人群）》（BPAQ-MI）。BPAQ-MI 询问了四个领域（个体内部、人际间、组织和社区）和八个子领域的身体活动障碍。评估与身体活动障碍相关的参与者特征包括年龄、性别、坐轮椅时间、身体质量指数（BMI）、脊髓损伤（SCI）（如有）、教育程度、就业状况和居住城市规模。采用简单线性回归（步骤 1）和多元回归模型（步骤 2）来评估 MWCU 特征与障碍之间的关联。
多元回归模型显示，肥胖、未完成高中学业或失业的 MWCU 在多个子领域对身体活动障碍的评价更高（所有 r≤0.226，p<0.05）。居住城市规模与安全子领域的障碍影响相关（r=0.039，p<0.05）。性别、年龄、坐轮椅时间和 SCI 与任何障碍领域均无关（所有 p≥0.064）。
我们的研究结果提供了新的证据，即 BMI≥30 的 MWCU、失业者或仅完成高中学业者，可能需要特别关注和资源来克服特定的身体活动障碍。针对上述人群，应制定专门的行为策略和干预措施来减少身体活动障碍。
