Qualitative study of practices and attitudes towards physical activity among prediabetic men and women in urban and rural Malawi.
Qualitative study of practices and attitudes towards physical activity among prediabetic men and women in urban and rural Malawi.
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DOI：
10.1136/bmjopen-2021-058261
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发表时间：
2023-01-17
期刊：
影响因子：
2.9
通讯作者：
Gray, Cindy M.
中科院分区：
文献类型：
--
作者：
Banda, Jethro;Bunn, Christopher;Crampin, Amelia C.;Gill, Jason M. R.;Gray, Cindy M.
与其他撒哈拉以南非洲国家一样，马拉维的体力活动水平有所下降，其对非传染性疾病(NCD)预防的影响，这项研究旨在比较和对比马拉维男女(以前被认为患有糖尿病前期)在城市和农村环境中对体力活动的做法和态度的描述。两个社区：一个是城市社区(利隆圭)，一个是农村社区(卡隆加)。14名男性(城市N=6名，农村N=8名)和18名女性(城市N=9名，农村N=9名)在3-5年前参加NCD调查期间被归类为糖尿病前期。定性的焦点小组研究(N=4)和主题分析，以生态模型为框架，描述人们从事的体育活动的类型，以及支持他们更多锻炼的潜在方法。参与者报告说，在所有生态模型领域(家庭、职业、交通、娱乐)进行了不同类型的体力活动。农村参与者报告的体力活动比城市参与者更活跃，女性报告的家务活动比男性更多。许多与会者认识到在马拉维推广体育活动的必要性，以及这样做的健康益处，包括体育活动对帮助他们保持强壮以维持身体机能的重要性。体力活动的障碍包括相互竞争的优先事项(尤其是城市男性)、社会对财富的期望、使用机动交通工具、缺乏为女性提供的便利设施、老龄化和健康状况不佳。马拉维的体力活动正在减少，因为工作和交通习惯随着经济发展而改变，这使得推广替代形式的体力活动成为公共卫生的优先事项。应考虑采取多层次干预措施，强调所有年龄段的体育活动的个人益处/价值，以及常规和基于团体的锻炼，以及对无障碍娱乐设施(包括妇女)和活跃的旅行基础设施的投资，以提高马拉维的体育活动水平。
Given the decline in physical activity levels in Malawi, like other sub-Saharan African countries, and its implication for non-communicable disease (NCD) prevention, this study aimed to compare and contrast accounts of practices and attitudes towards physical activity among Malawian men and women (previously identified as having pre-diabetes) in urban and rural settings. Two communities: one urban (Lilongwe) and one rural (Karonga). 14 men (urban N=6, rural N=8) and 18 women (urban N=9, rural N=9) classified as prediabetic during their participation in an NCD survey 3-5 years previously. A qualitative focus group study (N=4) and thematic analysis, with the ecological model used as a framework to characterise the types of physical activity people engaged in and potential ways to support them to exercise more. Participants reported undertaking different types of physical activity across all ecological model domains (household, occupational, transport, recreational). Rural participants reported more vigorous physical activities than urban participants, and women reported more household activities than men. Many participants recognised a need to promote physical activity in Malawi, and the health benefits of doing so, including the importance of physical activity in helping them stay strong to maintain physical functioning. Barriers to physical activity included competing priorities (especially urban men), societal expectations around wealth, use of motorised transport, lack of accessible facilities for women, ageing and ill health. Physical activity is declining in Malawi as working and transport practices change in response to economic development, making promotion of alternative forms of physical activity a public health priority. Multilevel interventions emphasising the personal benefits/value of physical activity for all ages, and routine and group-based exercising, as well as investment in accessible recreational facilities (including for women) and active travel infrastructure should be considered to improve physical activity levels in Malawi.
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影响因子：
4.5
作者：
Divala OH;Amberbir A;Ismail Z;Beyene T;Garone D;Pfaff C;Singano V;Akello H;Joshua M;Nyirenda MJ;Matengeni A;Berman J;Mallewa J;Chinomba GS;Kayange N;Allain TJ;Chan AK;Sodhi SK;van Oosterhout JJ
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van Oosterhout JJ
影响因子：
4.6
作者：
Chaabane, Sonia;Chaabna, Karima;Cheema, Sohaila
通讯作者：
Cheema, Sohaila
影响因子：
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作者：
Anderson, Elizabeth;Durstine, J. Larry
通讯作者：
Durstine, J. Larry
影响因子：
2.9
作者：
Brandt, Carl Joakim;Clemensen, Jane;Sondergaard, Jens
通讯作者：
Sondergaard, Jens
DOI：
10.22540/jfsf-03-066
发表时间：
2018-06-01
期刊：
Journal of frailty, sarcopenia and falls
影响因子：
--
作者：
Hillsdon, Melvyn;Foster, Charlie
通讯作者：
Foster, Charlie