Perceived need to increase physical activity levels among adults at high risk of type 2 diabetes. A cross-sectional analysis within a community-based diabetes prevention project FIN-D2D

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dc.contributor.author Vähäsarja, Kati
dc.contributor.author Salmela, Sanna
dc.contributor.author Villberg, Jari
dc.contributor.author Rintala, Pauli
dc.contributor.author Vanhala, Mauno
dc.contributor.author Saaristo, Timo
dc.contributor.author Peltonen, Markku
dc.contributor.author Keinänen-Kiukaanniemi, Sirkka
dc.contributor.author Korpi-Hyövälti, Eeva
dc.contributor.author Kujala, Urho M.
dc.contributor.author Moilanen, Leena
dc.contributor.author Niskanen, Leo
dc.contributor.author Oksa, Heikki
dc.contributor.author Poskiparta, Marita
dc.date.accessioned 2012-12-04T10:22:45Z
dc.date.available 2012-12-04T10:22:45Z
dc.date.issued 2012 fi
dc.identifier.citation Vähäsarja, K., Salmela, S., Villberg, J., Rintala, P., Vanhala, M., Saaristo, T., Peltonen, M., Keinänen-Kiukaanniemi, S., Korpi-Hyövälti, E., Kujala, U., Moilanen, L., Niskanen, L., Oksa, H. & Poskiparta, M. (2012). Perceived need to increase physical activity levels among adults at high risk of type 2 diabetes. A cross-sectional analysis within a community-based diabetes prevention project FIN-D2D. BMC Pulic Health, 12 (514). doi:10.1186/1471-2458-12-514 fi
dc.identifier.issn 1471-2458
dc.identifier.uri http://dx.doi.org/10.1186/1471-2458-12-514
dc.identifier.uri http://hdl.handle.net/123456789/40525
dc.description.abstract Background. Increased physical activity is a cornerstone of type 2 diabetes prevention. The perception of a need to change is considered essential in behaviour change processes. However, the existing literature on individuals' perceived need to change health behaviour is limited. In order to improve understanding of diabetes prevention through increased physical activity levels (PAL), we assessed factors associated with perceiving a need to increase PAL among adults at high risk of diabetes. Methods. Opportunistic screening was used within a primary-care based lifestyle intervention covering 10 149 men and women at high risk of type 2 diabetes. Data were obtained at baseline visits. The explored determinants were demographic, anthropometric/clinical, behavioural and psychosocial characteristics, along with four categories of PAL awareness. Logistic regression was used in the analysis. Results. 74% of men (n=2 577) and 76% of women (n=4 551) perceived a need to increase their PAL. The participants most likely to perceive this need were inactive, had a larger waist circumference, rated their PAL as insufficient, and were at the contemplation stage of change. Smoking, elevated blood pressure, dyslipidaemia, and a family history of diabetes were not associated with this perception. The likelihood was also greater among women with less perceived fitness and less education. Demographic factors other than education did not determine participants' perceived need to increase PAL. PAL overestimators were less likely to perceive the need to increase their PAL than realistic inactive participants. Conclusions. Subjective rather than objective health factors appear to determine the perception of a need to increase PAL among adults at high risk of diabetes. Client perceptions need to be evaluated in health counselling in order to facilitate a change in PAL. Practical descriptions of the associations between metabolic risk factors, PAL, and diabetes are needed in order to make the risk factors concrete for at-risk individuals. fi
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries BMC Pulic Health
dc.rights © 2012 Vähäsarja et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.uri http://creativecommons.org/licenses/by/2.0
dc.subject.other liikunta
dc.subject.other fyysinen aktiivisuus
dc.subject.other elintapamuutos
dc.subject.other ehkäisy
dc.subject.other tyypin 2 diabetes
dc.subject.other elintapainterventio
dc.subject.other physical activity
dc.subject.other exercise
dc.subject.other behaviour change
dc.subject.other type 2 diabetes
dc.subject.other prevention
dc.subject.other FIN-D2D
dc.subject.other lifestyle intervention
dc.title Perceived need to increase physical activity levels among adults at high risk of type 2 diabetes. A cross-sectional analysis within a community-based diabetes prevention project FIN-D2D fi
dc.type Article en
dc.subject.kota 314
dc.type.uri http://purl.org/eprint/type/JournalArticle
dc.identifier.doi 10.1186/1471-2458-12-514
dc.date.updated 2012-11-27T11:24:59Z
dc.description.version Published version
eprint.status http://purl.org/eprint/type/status/PeerReviewed

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