Canada's physical activity guides: has their release had an impact?

Canada's physical activity guides: has their release had an impact?
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DOI:
10.1139/h07-106
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发表时间:
2007-01-01
影响因子:
3.4
通讯作者:
Bauman, Adrian
Bauman, Adrian
中科院分区:
医学3区
文献类型:
--
作者:
Cameron, Christine;Craig, Cora L.;Bauman, Adrian

文献摘要

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本文的目的是研究加拿大的身体活动指南(CPAG)的不同版本的范围及其影响,包括直接影响(意识,知识,信念,未来的意图是积极的,行为改变的第一步)和人口水平的身体活动。该分析基于2003年身体活动监测(PAM)调查中包括的18岁及以上的合格成年人(n = 8,892)。2003年的PAM是一个代表性人口样本的横断面电话访谈。使用全国人口健康和加拿大社区健康调查的代表性样本,对12岁及以上加拿大人的长期趋势进行了研究。对任何体力活动指南的自发回忆率非常低(4%),而对CPAG的提示回忆率较高(37%)。女性和高收入者的自发和提示回忆率较高,并随着教育水平的提高而增加。与“寻求信息”和“主动行动”相关的行为与无提示和提示回忆相关。关于身体活动的好处和积极的意图的信念也与提示回忆有关。主动的CPAG回忆、满足CPAG所需活动量的知识、积极的意图、“寻求信息”和“发起行动”与“足够积极”相关。CPAG是一套关于身体活动的适当的公共卫生指南或建议。自发召回率低表明,需要采取协调一致、资金充足的方法来宣传这些准则,让政府和非政府合作伙伴以及市政当局、学校、工作场所、娱乐、公共卫生和保健系统的中介机构参与进来。
The purpose of this paper is to examine the reach of different versions of Canada's physical activity guide (CPAG) and their impacts, including immediate effects (awareness, knowledge, beliefs, future intention to be active, first steps towards behavioural change) and population levels of physical activity. The analysis is based on eligible adults aged 18 years and older (n = 8,892) included in the 2003 Physical Activity Monitor (PAM) survey. The 2003 PAM was a cross-sectional, telephone interview of a representative population sample. Secular trends of Canadians aged 12 years and older were examined, using representative samples from the National Population Health and Canadian Community Health Surveys. Unprompted recall of any guidelines for physical activity was very low (4%), whereas prompted recall of the CPAG was higher (37%). Unprompted and prompted recall were higher among women and high-income earners, and increased with level of education. Behaviours associated with "seeking information" and "initiating action" were associated With Unprompted and prompted recall. Beliefs about the benefits of physical activity and intention to be active were also associated with prompted recall. Unprompted CPAG recall, knowledge about the amount of activity required to meet the CPAG, intention to be active, "seeking information", and "initiating action" were associated with being "sufficiently active". The CPAG is an appropriate set of public health guidelines or recommendations around physical activity. The low unprompted recall rate points to the need for a coordinated, well-funded approach to communication of these guidelines, involving governmental and non-governmental partners and intermediaries in municipalities, schools, workplaces, and the recreational, public health, and health-care systems.