Department of Healthcare Economics and Quality Management, Graduate School of Medicine, Kyoto University, Yoshida Konoe-cho, Sakyo-ku, Kyoto City, Kyoto 606-8501, Japan.
International Institute of Socio-Epidemiology, Kyoto 606-8336, Japan.
Health Promot Int. 2023 Jun 1;38(3). doi: 10.1093/heapro/daac045.
The main objective of this research was to explore promoting and inhibiting factors of exercise among older women in Kyoto, Japan to seek effective strategies for exercise promotion. More specifically, this research aimed to explore the role of possible selves, which can influence the current view of self and act as an incentive for future behavior, as a facilitator and/or barrier to exercise. Data were collected using semi-structured questionnaires and in-depth interviews among women aged 65 and above in Kyoto city through snowball sampling from August to September 2018. Transcripts were analyzed using thematic analysis, then were summarized into a conceptual model. This research revealed a wide range of factors that promote or inhibit exercise. Beside well-known factors such as social factors, physical factors and beliefs about exercise, unexpected factors that seem strongly related to culture and aging in Japan were identified. The unique factors encapsulated in the category of {altruism} emerged as the significant barrier to exercise. In contrast, {egoism} emerged as an important facilitator of exercise. In conclusion, it may be possible to suggest that integrating the role of mother, wife, daughter or grandmother into exercise and its promotion may be beneficial for women aged 65 and above in Kyoto city. To generalize recommendations made, further research is required with a larger sample size and geographical area. Furthermore, findings may differ depending on the cultural background, generations and gender studied.
本研究的主要目的是探讨日本京都老年女性锻炼的促进和阻碍因素，以寻求有效的锻炼促进策略。更具体地说，本研究旨在探讨可能自我的作用，它可以影响当前的自我观念，并作为未来行为的激励因素，作为锻炼的促进因素和/或障碍。研究人员于 2018 年 8 月至 9 月，通过滚雪球抽样，在京都市收集了 65 岁及以上女性的半结构化问卷和深入访谈数据。使用主题分析对转录本进行分析，然后总结为一个概念模型。本研究揭示了促进或阻碍锻炼的一系列广泛因素。除了社会因素、身体因素和对锻炼的信念等众所周知的因素外，还确定了一些似乎与日本文化和老龄化密切相关的意外因素。在“利他主义”这一类别中包含的独特因素是锻炼的重要障碍。相比之下，“自我主义”则是锻炼的重要促进因素。总之，将母亲、妻子、女儿或祖母的角色融入锻炼及其推广中，可能对京都市 65 岁及以上的女性有益。为了推广建议，需要进一步进行具有更大样本量和地理区域的研究。此外，研究结果可能因研究的文化背景、世代和性别而异。
