Exercise and Health Flashcards
knowledge vs action
•Stay Well in Wales survey (2018) found that 71.6% of the public in Wales believe physical inactivity is an important contributor to poor health and well being…
BUT
•According to the National Survey for Wales (2017) only 54% of the public in Wales were active for at least 150 minutes
what is a determinant?
“A factor which decisively affects the nature or outcome of something”
what are some determinants of physical activity?
1.Person Characteristics
•Demographic
•Psycho-behavioural
2.Environmental Characteristics
•Human
•Physical
3.Activity Characteristics
what are some person characteristics: Demographics?
- Sex
- Age
- Social Economic Status
- Education
- Ethnicity
what are some person characteristics: Demographics: Sex?
- Males more active from pre-school
- Particularly vigorous and team sports
- Males more active in the workplace
- Females more active at home
57% of adult males and 51% of females reported being active for at least 150 minutes
Females consistently identified as 6-10% less physical active than males
what are some person characteristics: Demographics: Age?
•Physical Activity Decreases with age:
- 6-16 years: 50% decrease
- Steady decline through 18-75
- Natural progression?•Cohort effect?
•Decreases from 7 to 15 years (longitudinal study)•Decline initiates earlier than adolescence
Individuals aged 75+ years are on average 2.5 times more likely than 60-64 year olds to be insufficiently active
•Decline occurs sooner in females
what are some person characteristics: Demographics: Socio Economic Status?
- SES influences attitudes, experiences and exposures to risk
- High SES more likely to exercise
- At work
- Low SES males and high SES females more active
- At home
- High SES males and low SES females most active
- SES impacts adherence to pulmonary rehabilitation in COPD*
Adults: •Higher earners were 1.9 times more likely than lower earners to meet PA guidelines
Children: •Sig. difference in steps per day across income groups
•When controlling for BMI and sex no longer significant
•Sig difference in MVPA –high SES did more
what are some person characteristics: Demographics: Education?
- Graduates more active
- Children of educated parents more active
- Educational level of community better predictor of PA than individuals education*
what are some person characteristics: Demographics: Ethnicity?
- England*
- Caucasian and Afro-Caribbean most active
- USA
- Caucasian most active
- Black and Hispanic least active
- Gap is widening
what are some psycho-behavioural factors
- Self-efficacy
- Motivation
- Enjoyment
- Beliefs
- Body Image
what are some psycho-behavioural factors: Self-Efficacy?
“Belief in ability to engage in a behaviour with a specific outcome (Bandura, 1997)”
- Impacts PA choice, effort and persistence
- Among strongest predictors for initiating and maintaining PA (van Stralenet al, 2009)
- Sex differences (Spencer et al., 2010)
- Boys: overcome bad weather
- Girls: overcome tiredness and homework
what are some psycho-behavioural factors: Motivation?
•Achievement goals/climate
- Self-determined motivation:
- Autonomy
- Competence
- Self-motivation:
- Commitment
- Flexibility
what are some psycho-behavioural factors: Enjoyment?
“The best type of exercise is the exercise you will do”
- Enjoyment of PE is the strongest determinant of physical activity in youth aged 9-13 years*
- Lack of enjoyment is the number one reason for dropout in youth sports
what are some psycho-behavioural factors: Beliefs?
- Knowledge of benefits has little impact
- Expectation of benefits has a moderate effect
- Perceived barriers:
- Lack of time
- Lack of access to facilities
- Lack of safe environment
what are some psycho-behavioural factors: Body Image?
- Body dissatisfaction and social physique anxiety:
- Less PA in leisure time
- Dropout in exercise programmes*
- Opposite effect in exercise dependency/anorexia
“Feeling of distress associated with the perceived evaluation of one’s physical self”