Motives for Participation in Physical Activity and Observance of Physical Activity Recommendations among Adults with Type 2 Diabetes
Motives for Participation in Physical Activity and Observance of Physical Activity Recommendations among Adults with Type 2 Diabetes
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DOI：
10.1016/j.jcjd.2016.02.009
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发表时间：
2016-10-01
影响因子：
2.5
通讯作者：
Castonguay, Alexandre
中科院分区：
文献类型：
--
作者：
Miquelon, Paule;Castonguay, Alexandre
目的：本研究以自我决定理论为基础，研究从事体力活动的动机如何影响成年2型糖尿病患者对体力活动建议的遵守。总共有365名成人2型糖尿病患者(181名男性和184名女性，平均年龄=60.39岁；SD=6.47)完成了一份问卷，评估他们关于PA的动机和行为。在闲暇时间，通过每周练习中等到剧烈的PA(MVPA)来评估PA的行为。结果：分层二元Logistic回归分析结果显示，在闲暇时间每周至少积累150分钟MVPA的参与者更有可能在内在动机和识别动机上表现出更高的得分，而在闲暇时间每周不积累150分钟MVPA的参与者更有可能在外部调节和动机方面表现出更高的得分。此外，多变量协方差分析(MANCOVA)的结果表明，在闲暇时间每周至少积累150分钟MVPA的参与者经历的疲劳和高血糖症状较少。结论：这些发现表明，遵守PA推荐治疗2型糖尿病的成年人具有更高的自主练习PA动机。结果进一步强调了成人2型糖尿病患者参与PA的动机的重要性，因为遵守PA建议与经历较少的疲劳和较少的高血糖症状之间存在正相关关系。(C)2016年加拿大糖尿病协会。
Objectives: Drawing on self-determination theory, this study examined how motivation to engage in physical activity (PA) influences the observance of PA recommendations by adults with type 2 diabetes.Methods: This study used a cross-sectional design. In total, 365 adults with type 2 diabetes (181 men and 184 women, mean age = 60.39 years; SD=6.47) completed a questionnaire assessing their motivations and behaviours regarding PA. PA behaviour was assessed by means of the weekly practice of moderate-to-vigorous PA (MVPA) during leisure time. A symptom checklist was also used to assess diabetes-related symptoms experienced over the past month.Results: Results of a hierarchic binary logistic regression revealed that participants accumulating at least 150 minutes per week of MVPA during their leisure time were more likely to display higher scores on intrinsic and identified motives, whereas participants not accumulating 150 minutes per week of MVPA during their leisure time were more likely to present higher scores on external regulation and amotivation. In addition, results of a multivariate analysis of covariance (MANCOVA) showed that participants accumulating at least 150 minutes per week of MVPA during their leisure time experienced less fatigue and fewer hyperglycemic symptoms.Conclusions: These findings suggest that adults who observe PA recommendations for type 2 diabetes possess higher levels of autonomous motives to practise PA. Results further highlight the importance of motives for engaging in PA by adults with type 2 diabetes in terms of the positive relationship between observing PA recommendations and experiencing less fatigue and fewer hyperglycemic symptoms. (C) 2016 Canadian Diabetes Association.