Perceived need to increase physical activity levels among adults at high risk of type 2 diabetes. A cross-sectional analysis within a community-based diabetes prevention project FIN-D2D

BMC Public Health

Marita Poskiparta⁸  Heikki Oksa⁴  Leo Niskanen²  Leena Moilanen³  Urho M Kujala⁸  Eeva Korpi-Hyövälti⁵  Sirkka Keinänen-Kiukaanniemi⁷  Markku Peltonen¹  Timo Saaristo⁴  Mauno Vanhala²  Pauli Rintala⁶  Jari Villberg⁸  Sanna Salmela⁸  Kati Vähäsarja⁸ 

[1] National Institute for Health and Welfare, Helsinki, 00271, Finland;University of Eastern Finland, Kuopio, 70211, Finland;Department of Medicine, Kuopio University Hospital, Kuopio, 70210, Finland;Pirkanmaa Hospital District, Tampere, 33680, Finland;Department of Internal Medicine, Seinäjoki Central Hospital, Seinäjoki, 60220, Finland;Department of Sport Sciences, University of Jyväskylä, Jyväskylä, 40014, Finland;Institute of Health Sciences, University of Oulu, Oulu, 90014, Finland;Department of Health Sciences, University of Jyväskylä, Jyväskylä, 40014, Finland

关键词: Lifestyle intervention;    FIN-D2D;    Prevention;    Type 2 diabetes;    Awareness;    Perception;    Behaviour change;    Exercise;    Physical activity;   

Others  :  1163461
DOI  :  10.1186/1471-2458-12-514

 received in 2011-12-14, accepted in 2012-06-21,  发布年份 2012

【 摘 要 】

Background

Increased physical activity is a cornerstone of type 2 diabetes prevention. The perception of a need to change is considered essential in behaviour change processes. However, the existing literature on individuals’ perceived need to change health behaviour is limited. In order to improve understanding of diabetes prevention through increased physical activity levels (PAL), we assessed factors associated with perceiving a need to increase PAL among adults at high risk of diabetes.

Methods

Opportunistic screening was used within a primary-care based lifestyle intervention covering 10 149 men and women at high risk of type 2 diabetes. Data were obtained at baseline visits. The explored determinants were demographic, anthropometric/clinical, behavioural and psychosocial characteristics, along with four categories of PAL awareness. Logistic regression was used in the analysis.

Results

74% of men (n = 2 577) and 76% of women (n = 4 551) perceived a need to increase their PAL. The participants most likely to perceive this need were inactive, had a larger waist circumference, rated their PAL as insufficient, and were at the contemplation stage of change. Smoking, elevated blood pressure, dyslipidaemia, and a family history of diabetes were not associated with this perception. The likelihood was also greater among women with less perceived fitness and less education. Demographic factors other than education did not determine participants’ perceived need to increase PAL. PAL overestimators were less likely to perceive the need to increase their PAL than realistic inactive participants.

Conclusions

Subjective rather than objective health factors appear to determine the perception of a need to increase PAL among adults at high risk of diabetes. Client perceptions need to be evaluated in health counselling in order to facilitate a change in PAL. Practical descriptions of the associations between metabolic risk factors, PAL, and diabetes are needed in order to make the risk factors concrete for at-risk individuals.

【 授权许可】

   
2012 Vähäsarja et al.; licensee BioMed Central Ltd.

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