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Title: | What Motivates Patients with COPD to Be Physically Active? A Cross-Sectional Study | Authors: | Pimenta, Sara Silva, Cândida G. Flora, Sofia Hipólito, Nádia BURTIN, Chris Oliveira, Ana Morais, Nuno Brites-Pereira, Marcelo Carreira, Bruno P. Januário, Filipa Andrade, Lília Martins, Vitória Rodrigues, Fátima Brooks, Dina Marques, Alda Cruz, Joana |
Issue Date: | 2021 | Publisher: | Source: | Journal of clinical medicine, 10 (23) (Art N° 5631) | Abstract: | Motivation can be broadly defined as what moves people to act. Low motivation is a frequently reported factor for the reduced physical activity (PA) levels observed in patients with chronic obstructive pulmonary disease (COPD). This study assessed patients' motives to be physically active, according to three pulmonary rehabilitation (PR) participation groups (Never PR, Previous PR and Current PR) and explored whether these motives were related to the PA levels and clinical characteristics. The motives to be physically active were assessed with the Exercise Motivation Inventory-2 (EMI-2, 14 motivational factors, five dimensions) and PA with accelerometry (PA groups: <5000 steps/day vs. ≥5000 steps/day). The clinical variables included symptoms, impact of the disease, exercise capacity and comorbidities. Ninety-two patients (67.4 ± 8.1 years, 82.6% male, forced expiratory volume in 1s (FEV 1) 48.3 ± 18.9% predicted; 30.4% Never PR, 51% Previous PR and 18.5% Current PR) participated. The motivational dimensions related to health/fitness presented the highest scores (3.8 ± 1.1; 3.4 ± 1.3). The motives to be active were not significantly different between PA groups (p > 0.05) but having less symptoms and ≥two comorbidities were associated with higher scores in psychological/health and body-related motives, respectively (p < 0.05). The findings may encourage health professionals to actively explore with patients their motives to be physically active to individualise PA promotion. | Keywords: | active lifestyle;behaviour change;chronic obstructive pulmonary disease;motivation;physical activity;pulmonary rehabilitation | Document URI: | http://hdl.handle.net/1942/36397 | ISSN: | 2077-0383 | e-ISSN: | 2077-0383 | DOI: | 10.3390/jcm10235631 | ISI #: | 000734968500001 | Rights: | Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2023 |
Appears in Collections: | Research publications |
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jcm-10-05631-v2.pdf | Published version | 945.44 kB | Adobe PDF | View/Open |
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