Exercise and exercise intentions among obese and overweight individuals

Abstract

Purpose: To determine the relationship between exercise stage and decisional balance in overweight and obese individuals seeking advanced practice nurse (APN) care. Data sources: A convenience sample of 175 persons aged 40 or above with the values of body mass index (BMI) exceeding 25. Conclusions: One fourth of the respondents were considering beginning exercise within the next month; 23% had exercised regularly for more than 6 months and 39% indicated that they exercised regularly. Most respondents believed the pros of exercise outweighed the cons, and as the pros increased, so did the likelihood of exercising. Implications for practice: In approaching the subject of exercise among obese and overweight individuals it is important for the APN to understand behavioral change. Thus, it would be more fruitful to ask, "What would it take to move those who intend to begin exercising to the next stage?" For health behavior change to occur, the pros must be twice as numerous as the cons. In clinical practice, reviewing and adding to the pros of exercise as outlined by the patient might tip the decisional balance in favor of exercise.Exercise, while studied in the general population, has been less studied in the overweight and obese population in the primary care setting. In particular, no studies looked at obese and overweight people who seek primary care from advanced practice nurses (APNs) in independent APN practice. The present descriptive correlational study was designed to determine the relationship between exercise stage and decisional balance in overweight and obese individuals seeking primary care from APNs. The methodology box summarizes reasons for selection of this approach.

El balance decisional, etapas de cambio y nivel de actividad física en estudiantes de bachillerato

“…Respecto a las etapas de cambio y la percepción de los pros, contras y el balance decisional, los resultados se presentaron de forma convincente con la teoría (Marcus y Simkin, 1994;Prochaska et al, 1992;Prochaska et al, 1994) y con los resultados de estudios previos (Callaghan, Eves, Norman, Chang y Cheung, 2002;Cardinal et al, 2009;Cardinal et al, 2006;Jordan, Nigg, Norman, Rossi y Benisovich, 2002;Kim, 2004;Marshall y Biddle, 2001;Nigg y Courneya, 1998;Quiroz-Villanueva, 2002;Smith et al, 2011). En la percepción de los contras, las personas inactivas y sin intención de cambiar presentaron puntuaciones significativamente más bajas que los sujetos en el resto de las etapas, incluida la contemplación.…”

The association of physical activity, sedentary behaviors, and body mass index classification in a cross-sectional analysis: are the effects homogenous?

“…The current federal guidelines for PA recommend 150 min per week of moderate intensity activity or 75 min per week of vigorous intensity activity [17]. Despite these recommendations, however, there is an inverse relationship between BMI and the likelihood of exercising [18]. This represents a key challenge for healthcare providers to address.…”