Physical activity motives, barriers, and preferences in people with obesity: A systematic review.

Physical activity motives, barriers, and preferences in people with obesity: A systematic review.
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DOI:
10.1371/journal.pone.0253114
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发表时间:
2021
期刊:
影响因子:
3.7
通讯作者:
Romain AJ
Romain AJ
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Baillot A;Chenail S;Barros Polita N;Simoneau M;Libourel M;Nazon E;Riesco E;Bond DS;Romain AJ

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虽然体育锻炼的好处众所周知,但缺乏体育锻炼在肥胖人群中非常普遍。本系统综述的目的是:1)评估肥胖个体的PA动机、障碍和偏好的知识;2)量化该人群中最常报道的PA动机、障碍和偏好。独立审稿人检索了六个数据库(Pubmed、CINAHL、Psyarticle、SportDiscus、Web of science和Proquest),以确定报告体重指数≥30 kg/m2成人PA动机、障碍或偏好的相关定量或定性文章(最后一次检索于2020年6月)。每项研究的偏倚风险由两名独立评论者使用混合方法评估工具(MMAT)进行评估。从5899篇论文中,共纳入27项研究,14项定量研究,10项定性研究和3项混合研究。大约30%的研究的MMAT分数低于50% (k = 8)。据报道,肥胖人群的三个主要动机是体重管理、能量/身体健康和社会支持。三个最常见的障碍是缺乏自律/动力,疼痛或身体不适,以及缺乏时间。根据仅有的4项研究,步行似乎是肥胖人群首选的PA模式。体重管理、缺乏动力和疼痛是肥胖患者PA的主要动机和障碍,应在未来的干预措施中加以解决,以促进PA的启动和维持。需要进一步的研究来调查肥胖人群对PA的偏好。
Although the benefits of physical activity (PA) are well known, physical inactivity is highly prevalent among people with obesity. The objective of this systematic review was to i) appraise knowledge on PA motives, barriers, and preferences in individuals with obesity, and ii) quantify the most frequently reported PA motives, barriers and preferences in this population. Six databases (Pubmed, CINAHL, Psyarticle, SportDiscus, Web of science and Proquest) were searched by independent reviewers to identify relevant quantitative or qualitative articles reporting PA motives, barriers or preferences in adults with body mass index ≥ 30 kg/m2 (last searched in June 2020). Risk of bias for each study was assessed by two independent reviewers with the Mixed Methods Appraisal Tool (MMAT). From 5,899 papers identified, a total of 27 studies, 14 quantitative, 10 qualitative and 3 mixed studies were included. About 30% of studies have a MMAT score below 50% (k = 8). The three most reported PA motives in people with obesity were weight management, energy/physical fitness, and social support. The three most common PA barriers were lack of self-discipline/motivation, pain or physical discomfort, and lack of time. Based on the only 4 studies available, walking seems to be the preferred mode of PA in people with obesity. Weight management, lack of motivation and pain are key PA motives and barriers in people with obesity, and should be addressed in future interventions to facilitate PA initiation and maintenance. Further research is needed to investigate the PA preferences of people with obesity.
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