A Multimethod Investigation Into Physical Activity in Midlife Women

Dugan, Sheila A.; Karavolos, Kelly; Lynch, Elizabeth B.; Hollings, Chiquia S.; Fullam, Francis; Lange‐Maia, Brittney S.; Powell, Lynda H.

doi:10.1123/jpah.2015-0565

Cited by 5 publications

(22 citation statements)

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“…38 Others adapted validated measures to determine menopause status, 51 Viljoen and Christie 52 used age to determine postmenopause, whereas Froehle et al 42 included serum hormone assays to confirm menopause. The most common description of menopause was 12 months of consecutive amenorrhea, 34,35,39,42,43,50 although several studies provided no clear definition, 36,37,40,41,[44][45][46][47]49,53 but some used measures (eg, Green Climacteric Scale) of menopausal symptoms. 44,46,47,50 Participant's baseline physical activity was mostly assessed using self-reports, but one study used energy expenditure 41 and another, a pedometer.…”

Section: Participantsmentioning

confidence: 99%

“…The studies reviewed covered three research objectives. Six studies aimed to identify barriers and/or enablers associated with physical activity, 37,[39][40][41]46,47 and five studies specifically investigated the barriers and enablers to an intervention or program. 34,43,[50][51][52] The remaining nine studies explored the relationship of specific elements on physical activity behavior (eg, kinesiophobia, mood, exercise preferences).…”

Section: Aims Of Studies Reviewedmentioning

confidence: 99%

“…45,46 Most studies (n = 9) defined specific leisure-time physical activities into categories such as walking, swimming, and exercise, 34,39,42,43,47,48,[50][51][52] although six studies focused on a single domain of leisure-time activity. 35,37,38,40,41,53…”

Section: Physical Activity Domainmentioning

confidence: 99%

“…Most barriers and enablers of activity were identified at the intrapersonal level with existing health complaints 36,37,46,47,50,52 and, specifically, menopausal symptoms 50,51,53 prominent, although menopausal symptoms were not a common barrier in one qualitative study. 47 A lack of intrinsic motivation, such as negative attitudes 39 or feelings toward physical activity, 37,39,46,47 and feeling tired, 40 exhausted, 45 and fatigued 47 were common barriers. Other studies reported that women lacked motivation because they feared they were not fit enough to participate 39 and feared experiencing physical or psychological discomfort due to physical activity.…”

Section: Socioecological Factors Influencing Physical Activity Intrap...mentioning

confidence: 99%

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Socioecological factors influencing physical activity engagement for women across the menopausal transition: a systematic review

Casey,

Dabkowski,

de Gracia

et al. 2024

Menopause

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Importance Physical activity during menopause can be effective in reducing the physiological changes associated with reproductive aging that increase risks for noncommunicable diseases, yet many women do not meet the recommendations for physical activity. Objective This study aimed to synthesize factors influencing physical activity for women across menopausal transition phases using a socioecological approach. Evidence Review The Preferred Reporting Items for Systematic Reviews and Meta-Analysis was used to systematically search 10 databases between 2001 and 2021. A comprehensive search strategy was used to identify studies on physical activity of women in various stages of menopause. A socioecological model was used to categorize the reported barriers and enablers. Findings Twenty studies met the inclusion criteria. The findings highlight several intrapersonal barriers such as existing health complaints versus enablers such as awareness of the health benefits of physical activity during menopause. Ensuring women's safety, preventing injury, and enhancing exercise self-efficacy were important components of programs. Social support was also an important enabler of women's engagement in activities. Conclusions and Relevance Several barriers and enablers were identified and can inform practitioners and future interventions to encourage physical activity among women in various stages of menopause. For instance, when encouraging physical activity during menopause, practitioners should consider other health complaints, safety, and injury prevention while discussing the benefits of physical activity related to managing menopausal symptoms. There was a lack of theoretically informed studies exploring the barriers and enablers to physical activity for women in various stages of menopause; thus, research designs may not have fully accounted for influences. Future research that combines socioecological and individual theories of behavior is needed to comprehensively understand the complexity of physical activity among women across the menopausal transition.

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Section: Participantsmentioning

confidence: 99%

Section: Aims Of Studies Reviewedmentioning

confidence: 99%

Section: Physical Activity Domainmentioning

confidence: 99%

Section: Socioecological Factors Influencing Physical Activity Intrap...mentioning

confidence: 99%

See 2 more Smart Citations

Socioecological factors influencing physical activity engagement for women across the menopausal transition: a systematic review

Casey,

Dabkowski,

de Gracia

et al. 2024

Menopause

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“…The current study is a secondary analysis of raw data from a parallel-randomized controlled trial (RCT) assessing the impact of a web-based worksite intervention on PA behaviour and cardiovascular health among nurses working in a tertiary-care cardiovascular institute [ 32 ]. A web-based worksite intervention strategy was chosen to address common barriers to PA, including lack of time and fatigue [ 33 , 34 ], that may be exacerbated by the long hours and irregular shifts of nurses [ 35 ]. The purpose of this study was to assess whether work-related characteristics (i.e., number of hours worked per week, shift schedule, shift length, work role) and mood states (i.e., tension, depression, anger, confusion, fatigue, vigour) predicted changes in total weekly moderate-to-vigorous intensity PA (MVPA) and average daily step-count among nurses who participated in a 6-week web-based worksite intervention.…”

Section: Introductionmentioning

confidence: 99%

Work-related factors predict changes in physical activity among nurses participating in a web-based worksite intervention: A randomized controlled trial

et al. 2021

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Background Despite the numerous benefits associated with physical activity (PA), most nurses are not active enough and few interventions have been developed to promote PA among nurses. A secondary analysis of raw data from a single-centre, three-arm parallel-group randomized controlled trial was conducted to assess whether work-related characteristics and general mood states predict changes in total weekly moderate-to-vigorous intensity PA (MVPA) and average daily step-count among nurses participating in a 6-week web-based worksite intervention. Methods Seventy nurses (meanage: 46.1 ± 11.2 years) were randomized to an individual-, friend-, or team-based PA challenge. Participants completed questionnaires pre- and post-intervention assessing work-related characteristics (i.e., shift schedule and length, number of hours worked per week, work role) and general mood states (i.e., tension, depression, anger, confusion, fatigue, vigour). Participants received a PA monitor to wear before and during the 6-week PA challenge, which was used to assess total weekly MVPA minutes and average daily step-count. Data were analyzed descriptively and using multilevel modeling for repeated measures. Results Change in total weekly MVPA minutes, but not change in average daily step-count, was predicted by shift schedule (rotating vs. fixed) by time (estimate = − 17.43, SE = 6.18, p = .006), and work role (clinical-only vs. other) by time (estimate = 18.98, SE = 6.51, p = .005). General mood states did not predict change in MVPA or change in average daily step-count. Conclusions Given that nurses who work rotating shifts and perform clinical work showed smaller improvements in MVPA, it may be necessary to consider work-related factors/barriers (e.g., time constraints, fatigue) and collaborate with nurses when designing and implementing MVPA interventions in the workplace. Trial registration ClinicalTrials.gov: NCT04524572. August 24, 2020. This trial was registered retrospectively. This study adheres to the CONSORT 2010 statement guidelines.

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A Wearable Activity Tracker Intervention With and Without Weekly Behavioral Support Emails to Promote Physical Activity Among Women Who Are Overweight or Obese: Randomized Controlled Trial

Black¹,

Brunet²

2021

JMIR Mhealth Uhealth

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Background Physical activity (PA) plays a fundamental role in combating the current obesity epidemic; however, most women who are overweight or obese are generally physically inactive. Wearable activity tracker interventions can help increase the PA levels in this population. Supplementing such interventions with behavioral support emails may further improve their effectiveness, but this remains to be confirmed. Objective This study aims to determine if adding behavioral support emails to a wearable activity tracker intervention can further increase PA levels among women who are overweight or obese in comparison to a wearable activity tracker–only intervention and a control condition. Methods Women with a BMI ≥25 kg/m2 who were not meeting the Canadian PA guidelines for aerobic and strength training were randomized into 1 of 3 groups. Group 1 received 6 weekly behavioral support emails, a wearable activity tracker, and a copy of the Canadian PA guidelines. Group 2 received a wearable activity tracker and a copy of the Canadian PA guidelines, and group 3 (control condition) received a copy of the Canadian PA guidelines. Self-reported data for walking and moderate to vigorous intensity PA were collected preintervention (week 0; prerandomization), postintervention (7 weeks postrandomization), and at follow-up (21 weeks postrandomization) and analyzed as metabolic equivalent of task minutes per week. In addition, potential mechanisms of behavior change (ie, basic psychological needs satisfaction and motivational regulations) were assessed for within- and between-group differences at all 3 time points. Data were analyzed using nonparametric statistical tests. Results A total of 49 women were recruited; data from 47 women (mean age 37.57 years, SD 11.78 years; mean BMI 31.69 kg/m2, SD 5.97 kg/m2) were available for analysis. Group 1 reported a significant increase in walking from preintervention to postintervention (χ22=7.5; P=.02) but not in moderate to vigorous intensity PA (P=.24). Group 1 also reported significant increases in perceptions of competence from preintervention to follow-up (χ22=7.6; P=.02) and relatedness from preintervention to follow-up (χ22=8.7; P=.005). Increases in perceived autonomy were observed for group 2 (χ22=7.0) and group 3 (χ22=10.6). There were no significant changes in the motivational regulations within the groups. The difference between the groups was not significant for any outcome variable. Conclusions The results suggest that adding behavioral support emails to a wearable activity tracker intervention may help to increase time spent walking and perceptions of competence and relatedness for PA among women who are overweight or obese. Trial Registration ClinicalTrials.gov NCT03601663; http://clinicaltrials.gov/ct2/show/NCT03601663

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A Multimethod Investigation Into Physical Activity in Midlife Women

Cited by 5 publications

References 0 publications

Socioecological factors influencing physical activity engagement for women across the menopausal transition: a systematic review

Socioecological factors influencing physical activity engagement for women across the menopausal transition: a systematic review

Work-related factors predict changes in physical activity among nurses participating in a web-based worksite intervention: A randomized controlled trial

A Wearable Activity Tracker Intervention With and Without Weekly Behavioral Support Emails to Promote Physical Activity Among Women Who Are Overweight or Obese: Randomized Controlled Trial

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