What Motivates Patients with COPD to Be Physically Active? A Cross-Sectional Study
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...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-11-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/23/5631 |
| _version_ | 1797507646348066816 |
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| author | Sara Pimenta Cândida G. Silva Sofia Flora Nádia Hipólito Chris Burtin Ana Oliveira Nuno Morais Marcelo Brites-Pereira Bruno P. Carreira Filipa Januário Lília Andrade Vitória Martins Fátima Rodrigues Dina Brooks Alda Marques Joana Cruz |
| author_facet | Sara Pimenta Cândida G. Silva Sofia Flora Nádia Hipólito Chris Burtin Ana Oliveira Nuno Morais Marcelo Brites-Pereira Bruno P. Carreira Filipa Januário Lília Andrade Vitória Martins Fátima Rodrigues Dina Brooks Alda Marques Joana Cruz |
| author_sort | Sara Pimenta |
| collection | DOAJ |
| description | 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<sub>1</sub>) 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 (<i>p</i> > 0.05) but having less symptoms and ≥two comorbidities were associated with higher scores in psychological/health and body-related motives, respectively (<i>p</i> < 0.05). The findings may encourage health professionals to actively explore with patients their motives to be physically active to individualise PA promotion. |
| first_indexed | 2024-03-10T04:51:29Z |
| format | Article |
| id | doaj.art-85f286c86cc849ccb2bfcc0e2831fee3 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T04:51:29Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-85f286c86cc849ccb2bfcc0e2831fee32023-11-23T02:37:01ZengMDPI AGJournal of Clinical Medicine2077-03832021-11-011023563110.3390/jcm10235631What Motivates Patients with COPD to Be Physically Active? A Cross-Sectional StudySara Pimenta0Cândida G. Silva1Sofia Flora2Nádia Hipólito3Chris Burtin4Ana Oliveira5Nuno Morais6Marcelo Brites-Pereira7Bruno P. Carreira8Filipa Januário9Lília Andrade10Vitória Martins11Fátima Rodrigues12Dina Brooks13Alda Marques14Joana Cruz15Center for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, 2410-541 Leiria, PortugalCenter for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, 2410-541 Leiria, PortugalCenter for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, 2410-541 Leiria, PortugalCenter for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, 2410-541 Leiria, PortugalREVAL—Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, B-3590 Diepenbeek, BelgiumSchool of Rehabilitation Science, McMaster University, Hamilton, ON L8S 1C7, CanadaCenter for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, 2410-541 Leiria, PortugalCenter for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, 2410-541 Leiria, PortugalCenter for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, 2410-541 Leiria, PortugalPhysical Medicine and Rehabilitation Department, Leiria Hospital Center, 2410-197 Leiria, PortugalPulmonology Department, Baixo Vouga Hospital Center, 3810-501 Aveiro, PortugalPulmonology Department, District Hospital of Figueira da Foz, 3094-001 Figueira da Foz, PortugalPulmonology Department, Northern Lisbon University Hospital Centre (CHULN), 1769-001 Lisboa, PortugalSchool of Rehabilitation Science, McMaster University, Hamilton, ON L8S 1C7, CanadaLab 3R—Respiratory Research and Rehabilitation Laboratory, School of Health Sciences (ESSUA), University of Aveiro, 3810-193 Aveiro, PortugalCenter for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, 2410-541 Leiria, PortugalMotivation 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<sub>1</sub>) 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 (<i>p</i> > 0.05) but having less symptoms and ≥two comorbidities were associated with higher scores in psychological/health and body-related motives, respectively (<i>p</i> < 0.05). The findings may encourage health professionals to actively explore with patients their motives to be physically active to individualise PA promotion.https://www.mdpi.com/2077-0383/10/23/5631active lifestylebehaviour changechronic obstructive pulmonary diseasemotivationphysical activitypulmonary rehabilitation |
| spellingShingle | Sara Pimenta Cândida G. Silva Sofia Flora Nádia Hipólito Chris Burtin Ana Oliveira Nuno Morais Marcelo Brites-Pereira Bruno P. Carreira Filipa Januário Lília Andrade Vitória Martins Fátima Rodrigues Dina Brooks Alda Marques Joana Cruz What Motivates Patients with COPD to Be Physically Active? A Cross-Sectional Study Journal of Clinical Medicine active lifestyle behaviour change chronic obstructive pulmonary disease motivation physical activity pulmonary rehabilitation |
| title | What Motivates Patients with COPD to Be Physically Active? A Cross-Sectional Study |
| title_full | What Motivates Patients with COPD to Be Physically Active? A Cross-Sectional Study |
| title_fullStr | What Motivates Patients with COPD to Be Physically Active? A Cross-Sectional Study |
| title_full_unstemmed | What Motivates Patients with COPD to Be Physically Active? A Cross-Sectional Study |
| title_short | What Motivates Patients with COPD to Be Physically Active? A Cross-Sectional Study |
| title_sort | what motivates patients with copd to be physically active a cross sectional study |
| topic | active lifestyle behaviour change chronic obstructive pulmonary disease motivation physical activity pulmonary rehabilitation |
| url | https://www.mdpi.com/2077-0383/10/23/5631 |
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