Booth M L, Bauman A, Owen N, Gore C J
Department of Public Health and Community Medicine, University of Sydney, New South Wales, Australia.
Prev Med. 1997 Jan-Feb;26(1):131-7. doi: 10.1006/pmed.1996.9982.
Participation in regular moderate or vigorous physical activity substantially reduces risk for all-cause and cardiovascular-disease mortality and confers other health benefits. Efforts to decrease the population prevalence of inactivity will have a greater impact if they are tailored to the needs and preferences of the community.
In the Pilot Survey of the Fitness of Australians, a questionnaire was administered to a randomly selected sample of 2,298 adults and included questions on the preferred sources of assistance or support to become physically active, preferred activities, and barriers to regular participation. The responses of those who were identified as insufficiently physically active (n = 1,232; 53.6%) were examined for men and women separately and for those aged 18 to 39, 40 to 59, and 60 to 78 years.
The most-preferred activity was walking (38 and 68% of the youngest and oldest age groups, respectively). The most frequently cited barriers to more-regular participation in the youngest age group were insufficient time, lack of motivation and child care responsibilities. Among those aged 60 to 78 years, injury or poor health were the most frequently cited barriers to activity. The most-preferred source of advice or assistance changed with age: more than 50% of the oldest age group wanted advice from a health professional (compared with 22% of the youngest group) and the opportunity to exercise with a group was the most preferred source of support for the youngest age group.
The physical activity-related attributes of men and women and of younger and older age groups described in this study may be used to provide more relevant and appealing options for those who might otherwise be missed by "one-size-fits-all" physical activity promotion strategies.
定期参与适度或剧烈的体育活动可大幅降低全因死亡率和心血管疾病死亡率,并带来其他健康益处。如果根据社区的需求和偏好来开展减少人群中缺乏运动情况的工作,将会产生更大的影响。
在澳大利亚人健康状况试点调查中,对随机抽取的2298名成年人进行了问卷调查,其中包括关于参与体育活动的首选援助或支持来源、首选活动以及定期参与的障碍等问题。分别对被认定为体育活动不足的人群(n = 1232;53.6%)的男性和女性,以及18至39岁、40至59岁和60至78岁的人群的回答进行了研究。
最受欢迎的活动是散步(最年轻年龄组和最年长年龄组分别为38%和68%)。在最年轻年龄组中,最常被提及的阻碍更频繁参与体育活动的因素是时间不足、缺乏动力和育儿责任。在60至78岁的人群中,受伤或健康状况不佳是最常被提及的活动障碍。首选的建议或援助来源随年龄而变化:最年长年龄组中超过50%的人希望从健康专业人员那里获得建议(最年轻年龄组为22%),而与团体一起锻炼的机会是最年轻年龄组首选的支持来源。
本研究中描述的男性和女性以及年轻和年长年龄组与体育活动相关的特征,可用于为那些可能会被“一刀切”的体育活动推广策略遗漏的人群提供更相关、更有吸引力的选择。