Department of Family and Community Medicine, College of Medicine, University of Ha'il, Ha'il 81451, Saudi Arabia.
College of Medical Rehabilitation Sciences, Taibah University, Madinah 42353, Saudi Arabia.
Int J Environ Res Public Health. 2022 Apr 1;19(7):4228. doi: 10.3390/ijerph19074228.
The promotion of physical activity (PA) in various subgroups of the population such as people with physical disabilities has been spotlighted in the revised guidelines of The World Health Organization (WHO), Geneva, Switzerland. In order to update public health interventions, there is a need to identify factors that may promote or prevent engagement in PA for special subgroups of the population. This study aims to calculate the PA levels of individuals with and without physical disabilities in Saudi Arabia, their assessment of the environmental (EQoL), and the predictive role of EQoL in PA. The International Physical Activity Questionnaire (IPAQ) and the EQoL domain in standardized WHOQoL Questionnaire were administered on both groups of the population. The study sample comprised 116 individuals with physical disabilities and 243 individuals without any form of disability as a control group. A regression analysis was performed to analyze the predictors of PA in both groups. Findings showed that among the individuals with disabilities, older people were more likely to engage in PA as compared to the younger age group (p < 0.05) and males were significantly less likely to meet the PA criteria. Some of the EQoL features such as safety increased the likelihood of PA up to 2.3 times (p < 0.05) in individuals with physical disabilities. In addition, opportunities for leisure activities were a significant predictor of PA among both groups of individuals with and without physical disabilities (p < 0.05). Our findings suggest that upcoming public health interventions should focus on improving various dimensions of EQoL for the promotion of physical activity among individuals with physical disabilities. Additional studies are needed to further explore various sociodemographic and environmental factors which can affect the PA status of disabled groups.
世界卫生组织（瑞士日内瓦）修订指南强调了在不同人群亚组（如身体残疾者）中促进身体活动（PA）的重要性。为了更新公共卫生干预措施，需要确定可能促进或阻碍特殊人群亚组参与 PA 的因素。本研究旨在计算沙特阿拉伯有身体残疾和无身体残疾个体的 PA 水平、他们对环境（EQoL）的评估，以及 EQoL 在 PA 中的预测作用。在这两组人群中都使用国际体力活动问卷（IPAQ）和标准化 WHOQoL 问卷的 EQoL 域进行了评估。研究样本包括 116 名身体残疾者和 243 名无任何残疾形式的对照组个体。进行回归分析以分析两组人群中 PA 的预测因素。研究结果表明，在残疾个体中，与年轻年龄组相比，老年人更有可能进行 PA（p<0.05），而男性则明显不太可能达到 PA 标准。EQoL 的一些特征，如安全性，使身体残疾个体进行 PA 的可能性增加了 2.3 倍（p<0.05）。此外，休闲活动机会是身体残疾和无身体残疾个体进行 PA 的重要预测因素（p<0.05）。研究结果表明，未来的公共卫生干预措施应重点改善 EQoL 的各个方面，以促进身体残疾个体的身体活动。需要进一步研究各种社会人口和环境因素，以进一步探讨可能影响残疾人群体 PA 状况的因素。
