ABSTRACT
Objective Young and middle-aged people have become the fastest growing group of diabetes, but the compliance of regular exercise is poor. It is urgent to formulate effective intervention strategies or measures to promote the change of their behavior. The article is Objective ly based on the attitude-social influence-self efficacy model, to investigate the stages distribution and influencing factors of regular exercise behavior in young and middle-aged patients with type 2 diabetes.Methods A convenience sampling was used to select 430 young and middle-aged type 2 diabetic patients from the department of endocrinology in two Nanjing 3A grade hospitals. A cross-sectional survey was conducted with a general questionnaire, a regular exercise behavioral stage questionnaire, a diabetes behavioral attitude and social impact scale, and a diabetes self-efficacy scale.Results The proportion of regular exercise behavior in young and middle-aged patients with type 2 diabetes is as follows. There were 14.9% patients at the precontemplation, 25.8% at the contemplation,15.8% at the preparation, 12.3% at the action, 31.2% at the maintenance. Logistic regression analysis showed that on-the-job (OR=1.77), accepting health education (OR=0.49), HbA1c level (OR=0.78), attitude (OR=5.32), subjective norm (OR=2.43), social support (OR=1.87) and self-efficacy (OR=1.28) are main factors to affect the stages of physical activity (P<0.05) .Conclusion Most of the young and middle-aged patients with type 2 diabetes are in the pre-action stages of regular exercise behavior, which needs to be improved, and many factors can affect the stages of regular exercise behavior. Clinical medical staff should provide individualized interventions for these patients with reference to the characteristics of different behavioral stages of patients.
ABSTRACT
PURPOSE: This study examined the dietary behavior and the effects of nutrition education according to the stages of behavioral changes in sodium reduction of healthy male adults (20~69 years) in Gwangju·Chonnam Regions. METHODS: The research subjects were 200 male adults. RESULTS: A significantly higher mean age was observed in the stage of Action·Maintenance (A·M) than in the stage of Precontemplation (PC) and stage of Contemplation·Preparation (C·P). Significant differences in the frequency of exercise, eating out, and preference for salty food, intake frequency of Udon, Ramen and Sundae according to the stages of behavior change in sodium reduction were observed. The dietary behavior scores and intake frequency-related dietary behavior scores of A·M were significantly higher than PC and C·P. Nutrition education for sodium reduction improved the dietary behavior score significantly in PC and C·P, as well as the rate of correct answers of sodium-related nutrition knowledge in all stages. After the nutrition education, PC decreased greatly, and A·M increased. CONCLUSION: Subjects in PC and C·P had an undesirable propensity in dietary behavior, and nutrition knowledge compared to A·M, but the nutrition education for sodium reduction greatly improved their dietary behavior and nutrition knowledge.
Subject(s)
Adult , Humans , Male , Eating , Education , Research Subjects , SodiumABSTRACT
O objetivo deste estudo foi analisar o impacto de um programa supervisionado de caminhada sobre o nível de atividade física e mudança dos estágios de comportamento na comunidade. A amostra foi composta por 114 indivíduos, de ambos os gêneros, com média de idade de 38,14±11,41 anos. O presente estudo foi dividido em dois momentos, totalizando 33 semanas, sendo: 16 semanas com orientação de um profissional e 17 semanas sem supervisão do grupo de caminhada por um profissional. Foi utilizada análise descritiva, análise de variância não paramétrica, delta percentual, Qui-Quadrado e análise de regressão univariada, sendo o nível de significância adotado de p<0,05. Foram classificados como insuficientemente ativos 68% dos indivíduos e apenas 32% como suficientemente ativos. Após o período de orientação foi observado 43% de indivíduos insuficientemente e 57% indivíduos suficientemente ativos. Após 17 semanas sem supervisão as proporções foram parecidas com o momento de orientação, sendo estas diferentes do baseline (p<0,05). Foi observada uma diminuição de 97,14% entre os indivíduos classificados como pré-contemplativos entre o momento inicial e o momento de orientação e aumento de 96,3% nos indivíduos classificados no estágio de manutenção no mesmo período.. Programas não supervisionados de caminhada aumentam o nível de atividade física. O conhecimento adquirido durante o processo de orientação e o desenvolvimento da habilidade para a caminhada possivelmente influenciaram na manutenção do nível de atividade física a curto e médio prazo após a suspensão da orientação para a prática da caminhada.
The aim of this study was to examine the impact of a non supervised walking program on the physical activity level and change in behavior stages in the community. Sample comprised 114 individuals of both genders, with average age of 38.14 ± 11.41 years old. This study was divided into two periods, totalizing 33 weeks, being 16 professionally oriented weeks and 17 weeks without supervision of the walking group. The analysis methods used were: descriptive analysis, non-parametric analysis of variance, delta percentage, chi-square test and univariate regression, with the adopted level of significance p< 0.05. The subjects were classified as insufficiently active (68%) and as sufficiently active (only 32%). After an orientation period, 43% of individuals were classified as insufficiently active, and 57% as sufficiently active. After 17 weeks without supervision, the proportions were similar to the period of orientation, being significantly different from the baseline (p <0.05). A 97,14% decrease in the number of individuals classified as pre-contemplative was observed between baseline and orientation period, also an increase of 96,3% in subjects classified in the maintenance stage in the same period was noticed. Non supervised walking interventions are able to increase the level of physical activity. The knowledge obtained during the supervision and the development of the ability to walk probably influenced the maintenance of the physical activity level in the short and medium term after the suspension of the orientation of the walking program.