Physical activity and behavioral regulations for exercise in patients with noncommunicable disease in central Saudi Arabia

Franziska V. I. Saller, A. Mohammed, Fahad Al Dhaferi
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引用次数: 3

Abstract

Objective: Saudi Arabia's population has experienced a significant raise of noncommunicable diseases (NCD) over the past decade. Physical activity (PA) is recognized to positively impact the course of NCD, but existing evidence indicates poor PA protocol adherence across the nation. The self-determination theory (SDT) proposes that perceived autonomy and motivational quality for exercise play a determining role in behavioral regulation. The aim of this study was to explore SDT-based constructs and PA-related characteristics in Saudi patients with four major NCD. Materials and Methods: A questionnaire-based, cross-sectional study was conducted to evaluate the relations between PA and relative autonomy for exercise in patients with cardiovascular disease (CVD), diabetes (T1DM and T2DM), and hypertension (HTN) in a hospital in Riyadh. Results: Two hundred and sixty-three patients >18 years participated in the study. Patients accumulated 2016 metabolic equivalent minutes of PA per week (standard deviation = 1683.40). PA levels differed significantly between CVD and HTN, CVD, and T1DM patients (P < 0.00). T1DM was the most active and CVD the least active patient group. PA levels were highly correlated with the degree of perceived autonomy for exercise (r (244) = 0.65, P = 0.000) and differed significantly between some patient groups (P < 0.05). Motivational quality significantly predicted PA level in the sample (F[4, 241] = 48.639, P < 0.000, R = 0.447). Conclusion: Our results indicate that perceived autonomy and motivational quality are underestimated determinants of PA in patients with T1DM, T2DM, HTN, and CVD in Saudi Arabia. Differing NCD-PA profiles suggest the need for disease-specific treatment approaches.
沙特阿拉伯中部非传染性疾病患者的身体活动和运动行为规范
目的:沙特阿拉伯的人口在过去十年中经历了非传染性疾病(NCD)的显著增加。体育活动(PA)被认为对非传染性疾病的病程有积极影响,但现有证据表明,在全国范围内,体育活动协议的依从性较差。自我决定理论(SDT)认为感知自主性和运动动机质量在行为调节中起决定性作用。本研究的目的是探讨沙特阿拉伯四种主要非传染性疾病患者的基于sdt的结构和pa相关特征。材料与方法:在利雅得的一家医院进行了一项基于问卷的横断面研究,以评估心血管疾病(CVD)、糖尿病(T1DM和T2DM)和高血压(HTN)患者PA与运动相对自主性的关系。结果:263名年龄在18岁以下的患者参与了研究。患者每周累积的PA代谢等效分钟为2016分钟(标准差= 1683.40)。CVD与HTN、CVD与T1DM患者之间PA水平差异有统计学意义(P < 0.00)。T1DM患者组最活跃,CVD患者组最不活跃。PA水平与运动自主程度高度相关(r (244) = 0.65, P = 0.000),部分患者组间差异有统计学意义(P < 0.05)。动机质量显著预测样本的PA水平(F[4,241] = 48.639, P < 0.000, R = 0.447)。结论:我们的研究结果表明,感知自主性和动机质量是沙特阿拉伯T1DM、T2DM、HTN和CVD患者PA的决定因素。不同的NCD-PA特征表明需要针对特定疾病的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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