Näytä suppeat kuvailutiedot

dc.contributor.authorVähäsarja, Kati
dc.contributor.authorSalmela, Sanna
dc.contributor.authorVillberg, Jari
dc.contributor.authorRintala, Pauli
dc.contributor.authorVanhala, Mauno
dc.contributor.authorSaaristo, Timo
dc.contributor.authorPeltonen, Markku
dc.contributor.authorKeinänen-Kiukaanniemi, Sirkka
dc.contributor.authorKorpi-Hyövälti, Eeva
dc.contributor.authorKujala, Urho M.
dc.contributor.authorMoilanen, Leena
dc.contributor.authorNiskanen, Leo
dc.contributor.authorOksa, Heikki
dc.contributor.authorPoskiparta, Marita
dc.date.accessioned2012-12-04T10:22:45Z
dc.date.available2012-12-04T10:22:45Z
dc.date.issued2012fi
dc.identifier.citationVähäsarja, 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 Public Health, 12 (514). doi:10.1186/1471-2458-12-514fi
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-12-514
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/40525
dc.description.abstractBackground. 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.isoeng
dc.publisherBioMed Central
dc.relation.ispartofseriesBMC Public Health
dc.subject.otherliikunta
dc.subject.otherfyysinen aktiivisuus
dc.subject.otherelintapamuutos
dc.subject.otherehkäisy
dc.subject.othertyypin 2 diabetes
dc.subject.otherelintapainterventio
dc.subject.otherphysical activity
dc.subject.otherexercise
dc.subject.otherbehaviour change
dc.subject.othertype 2 diabetes
dc.subject.otherprevention
dc.subject.otherFIN-D2D
dc.subject.otherlifestyle intervention
dc.titlePerceived 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-D2Dfi
dc.typeArticle
dc.identifier.urnURN:NBN:fi:jyu-201804202298
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.identifier.doi10.1186/1471-2458-12-514
dc.date.updated2012-11-27T11:24:59Z
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.relation.issn1471-2458
dc.type.versionpublishedVersion
dc.rights.copyright© 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.accesslevelopenAccessfi
dc.rights.urlhttp://creativecommons.org/licenses/by/2.0


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Näytä suppeat kuvailutiedot

© 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.
Ellei muuten mainita, aineiston lisenssi on © 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.