Readiness to change level of physical activity in leisure time among physically inactive Danish adults

Abstract

Aims: The study examined readiness to change the level of physical activity in leisure time among physically inactive adults, the sociodemographic, lifestyle-related and social factors associated with readiness to change, and finally the various kinds of help to become more physically active required by people who are ready to change and by those not ready to change. Materials and methods: Data were derived from the national representative Danish Health Interview Survey 2005 and included 9,160 physically inactive persons between 16 and 79 years of age. Data were analysed using multiple logistic regression and multiple correspondence analysis. Results: In all, 52 % of the physically inactive respondents stated they were ready to change their level of physical activity. Men had higher odds of being ready to change than women. Readiness to change decreased with age and increased with increasing levels of education. Those ready to change led an active and social lifestyle characterized by considerable health-oriented engagement, while the opposite characterised those not ready to change. Those ready to change wanted help to become more physically active in the form of e.g. opportunities for physical activity at work or help and support from the family. Those not ready to change wanted help from a general practitioner or did not want help at all. Conclusions: Those ready to change and those not ready to change were characterized by very different sociodemographic, lifestyle-related and social factors. This knowledge will benefit prevention initiatives and elucidates the necessity of targeting the initiatives.

Keywords

Denmark health health behaviour lifestyle physical activity physical inactivity social inequality socioeconomic factors

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References

Bauman AE Updating the evidence that physical activity is good for health: an epidemiological review 2000-2003. J Sci Med Sport 2004;7:6-19.

Juel K. , Sørensen J. , Brønnum-Hansen H. Risk factors and public health in Denmark [Risikofaktorer og folkesundhed i Danmark]. Copenhagen: National Institute of Public Health; 2006.

Schnohr P. , Lange P. , Scharling H. , Jensen HS Long-term physical activity in leisure time and mortality from coronary heart disease, stroke, respiratory diseases, and cancer. The Copenhagen City Heart Study. Eur J Cardiovasc Prev Rehabil 2006;13:173-9.

Haapanen N. , Miilunpalo S. , Vuori I. , Oja P. , Pasanen M. Association of leisure time physical activity with the risk of coronary heart disease, hypertension and diabetes in middle-aged men and women. Int J Epidemiol 1997;26:739-47.

Fung TT , Hu FB , Yu J. , Chu NF , Spiegelman D. , Tofler GH , et al. Leisure-time physical activity, television watching, and plasma biomarkers of obesity and cardiovascular disease risk. Am J Epidemiol 2000; 152:1171-8.

Schnohr P. , Scharling H. , Jensen JS Changes in leisure-time physical activity and risk of death: an observational study of 7,000 men and women. Am J Epidemiol 2003; 158:639-44.

Backer TE Assessing and enhancing readiness for change: implications for technology transfer. In: Backer, TE, David SL, Saucy G , editors. Reviewing the behavioral science knowledge base on technology transfer. NIDA Res Monogr 1995 ;155:21-41.

Bandura A. Health promotion by social cognitive means . Health Educ Behav 2004;31:143-64.

Bandura A. Social foundations of thought and action. Englewood Cliffs , New Jersey: Prentice-Hall; 1986 .

10.

Bandura A. Self-efficacy. New York: W.H. Freeman and Company; 1997.

11.

Baranowski T. , Perry CL , Parcel GS How individuals, environments, and health behavior interact: social cognitive theory. In: Glanz K , Lewis FM , Rimer BK , editors. Health behaviour and health education. Theory, research and practice, 3rd edn. San Francisco: Jossey-Bass; 2002 . pp. 165-85.

12.

Bandura A. Preface. In: Bandura A , editor. Self-efficacy in changing societies. Cambridge: Cambridge University Press; 1995.

13.

Kelly RB , Zyzanski SJ , Alemagno SA Prediction of motivation and behaviour change following health promotion: role of health beliefs, social support, and self-efficacy. Soc Sci Med 1991;32:311-20.

14.

Sherwood NE , Jeffery RW The behavioural determinants of exercise: implications for physical activity interventions. Annu Rev Nutr 2000;20:21-44.

15.

Bock BC , Marcus BH , Redding CA Motivational readiness for change: diet, exercise, and smoking. Am J Health Behav 1998;22:248-59.

16.

Zimmermann E. , Ekholm O. , Grønbæk M. , Curtis T. Predictors of changes in physical activity in a prospective cohort study of Danish adult population . Scand J Public Health 2008;36:235-41.

17.

Ekholm O. , Kjøller M. , Davidsen M. , Hesse U. , Eriksen L. , Christensen AI , Grønbæk M. Health and morbidity in Denmark 2005 and the trend since 1987 [Sundhed og sygelighed i Danmark 2005 og udviklingen siden 1987]. Copenhagen: National Institute of Public Health; 2006.

18.

Andersen LB , Schnohr P. , Schroll M. , Hein HO All cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. Arch Intern Med 2000;160:1621-8.

19.

Jørgensen ME , Rosenlund M. National monitoring of the official recommendation on physical activity [National monitorering af den officielle anbefaling om fysisk aktivitet - Et metodestudie]. Copenhagen : National Institute of Public Health; 2005.

20.

Rosenlund L. Correspondence analysis [Korrespondanseanalyse] . Sosiologisk Tidsskrift 1995;1:55-77.

21.

Le Roux B. , Rouanet H. Geometric data analysis: from correspondence analysis to structured data analysis. Dordrecht: Kluwer Academic Publishers; 2004.

22.

Hjellbrekke J. Introduction to correspondence analysis [Innføring i korrespondanseanalyse]. Bergen- Sandviken: Fagbokforlaget; 1999.

23.

Greenacre M. , Pardo R. Subset correspondence analysis: visualizing relationships among a selected set of response categories from a questionnaire survey. Sociological Methods Research 2006 ;35:193-218.

24.

Marmot M. Status syndrome. London: Bloomsbury; 2004.

25.

Davidsen M. Note - Danish Health Interview Survey 2005 - sample construction, response rate, weighting, and non-response, and consequences hereof [Notat - Sundheds- og sygelighedsundersøgelsen 2005 - stikprøvekonstruktion, opnåelse, vægtning samt bortfald og konsekvenser af dette]. Copenhagen: National Institute of Public Health, University of Southern Denmark; 2007.