Modelo transteórico y su asociación con la actividad física en pacientes con hipertensión arterial

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria Pub Date : 2024-10-04 DOI:10.1016/j.aprim.2024.103092

Jannett Padilla López , Karina Lizbeth Ortega Covarrubias , Carolina Quiñones Villalobos , Carlos Alberto Prado Aguilar , Juan Manuel Márquez Romero , Alicia Alanis Ocádiz

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引用次数: 0

Abstract

Objective

To identify the association between the transtheoretical model (TTM) and physical activity (PA) carried out in free time in patients with arterial hypertension in the central region of Mexico.

Design

Comparative cross-sectional study.

Site

The study was carried out in the Family Medicine Unit No. 1 (UFM 1) of the Mexican Social Security Institute in Aguascalientes, Mexico.

Participants

Four hundred thirty-five adults aged 40 to 70 with arterial hypertension who attended the outpatient clinic at UFM 1 were included.

Interventions

The Global Physical Activity Questionnaire and the Stages of Change algorithm from the TTM were applied.

Main measurements

A descriptive, bivariate analysis and ordinal logistic regression were performed to evaluate the association between TTM stages and PA.

Results

As patients progress through the stages of change, their weekly PA increased. Individuals in the action, maintenance and consolidation stages were significantly more likely to perform higher levels of exercise: 20 times more likely in the action stage with an ordinal odds ratio (OR) of 20.07 (CI 95%: 10,52-38,25), 24 times more in the maintenance stage with OR 24 (CI 95%: 12,79-47,63) and 40 times more in the consolidation stage with OR 40,35 (IC 95%: 19,25-84,59).

Conclusions

The strong association between the stages of change and PA reveals the importance of applying the TTM to achieve success in programs to promote healthy habits by designing strategies that suit each subject.

查看原文本刊更多论文

[高血压患者的跨理论模型与体育锻炼之间的关系]。

目的确定墨西哥中部地区动脉高血压患者的跨理论模型（TTM）与空闲时间体育锻炼（PA）之间的关联：设计：横断面比较研究。地点：研究在墨西哥阿瓜斯卡连特斯的墨西哥社会保障局第一家庭医学科（UFM1）进行：研究对象：435 名年龄在 40 岁至 70 岁之间、患有动脉高血压的成年人，他们都在 UFM1 的门诊就诊：干预措施：采用全球体力活动调查问卷和 TTM 变化阶段算法：主要测量指标：采用描述性分析、双变量分析和序数逻辑回归评估 TTM 阶段与 PA 之间的关系：结果：随着患者在各个改变阶段的进展，他们每周的 PA 也在增加。处于行动阶段、维持阶段和巩固阶段的患者更有可能进行更高水平的运动：行动阶段的运动量是维持阶段的20倍，OR值为20.07（CI95%：10,52-38,25）；维持阶段的运动量是行动阶段的24倍，OR值为24（CI95%：12,79-47,63）；巩固阶段的运动量是行动阶段的40倍，OR值为40,35（IC95%：19,25-84,59）：变化阶段与 PA 之间的密切联系揭示了应用 TTM 的重要性，即通过设计适合每个受试者的策略，在促进健康习惯的计划中取得成功。

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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来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.