Lack of willpower or lack of wherewithal? “Internal” and “external” barriers to changing diet and exercise in a three year follow-up of participants in a health check

Ziébland, Sue; Thorogood, Margaret; Yudkin, Pat; Jones, Lesley; Coulter, Angela

doi:10.1016/s0277-9536(97)00190-1

Cited by 58 publications

(45 citation statements)

References 5 publications

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“…Consistently with previous surveys (Ziebland et al, 1998), we found that internal barriers such as willpower, lack of time and resistance to change were more important than external barriers (cost of food, in¯uence of other people or selection in¯uences) both in Spain and in the rest of the European countries.…”

Section: Barrierssupporting

confidence: 91%

“…Sociological and attitudinal variables which determine change toward healthier nutrition patterns have been reported to be seriously under-researched (Anderson et al 1998;Ziebland et al, 1998;Story, 1997). Nevertheless, a better understanding of the factors that motivate people to select healthy diets can provide a substantial help to conducting a more rational design and evaluation of nutritional intervention programs.…”

Section: Discussionmentioning

confidence: 99%

“…These perceived obstacles are therefore prevalent and they have been previously reported to represent an important limitation to improving nutrition in the population (Kristal et al, 1995;Trudeau et al, 1998;Anderson et al, 1998;Harnack et al, 1997;Ziebland et al, 1998). Thus, only 20.6% of interviewed subjects from Spain and 18.0% from the rest of the European Union stated that they would not ®nd any dif®culty in adopting a healthy eating.…”

Section: Barriersmentioning

confidence: 99%

“…Attitudes and beliefs such as the perceived bene®ts of behavioral change are crucial determinants before change (Ziebland et al, 1998;Kristal et al, 1995).…”

Section: Bene®tsmentioning

confidence: 99%

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Barriers and benefits of a healthy diet in Spain: comparison with other European member states

et al. 2000

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Objective: Our purpose was to identify the main barriers and bene®ts perceived by the European citizens in regard to following a healthy diet and to assess the differences in expected bene®ts and dif®culties between Spain and the remaining countries of the European Union. Design: A cross-sectional study in which quota-controlled, nationally representative samples of approximately 1000 adults from each country completed a questionnaire. Setting: The survey was carried out between October 1995 and February 1996 in the 15 member states of the European Union. Subjects: Participants (aged 15 y and older) were selected and interviewed in their homes about their attitudes towards healthy diets. They were asked to select two options from a list of 22 potential barriers to achieve a healthy diet and the bene®ts derived from a healthy diet. The associations of the perceived bene®ts of barriers with the sociodemographic variables within Spain and the rest of the European Union were compared with the Pearson chi-squared test and the chi-squared linear trend test. Two multivariate logistic regression models were also ®tted to assess the characteristics independently related to the selection of`Resistance to change' among the main barriers and to the selection of`Prevent diseaseastay healthy' as the main perceived bene®ts. Results: The barrier most frequently mentioned in Spain was`Irregular work hours' (29.7%) in contrast with the rest of the European Union where`Giving up foods that I like' was the barrier most often chosen (26.2%). In the multivariate logistic regression model studying resistance to change, Spaniards were less resistant to change than the rest of the European Union. The bene®t more frequently mentioned across Europe was`Prevent diseaseastay healthy'. In the multivariate logistic regression model women, older individuals, and people with a higher educational level were more likely to choose this bene®t. Conclusions: It is apparent that there are many barriers to achieve healthy eating, mostly lack of time. For this reason a higher availability of food in line with the nutrition guidelines could be helpful. The population could have a better knowledge of the bene®ts derived from a healthy diet.

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Section: Barrierssupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Barriersmentioning

confidence: 99%

“…Attitudes and beliefs such as the perceived bene®ts of behavioral change are crucial determinants before change (Ziebland et al, 1998;Kristal et al, 1995).…”

Section: Bene®tsmentioning

confidence: 99%

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Barriers and benefits of a healthy diet in Spain: comparison with other European member states

et al. 2000

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“…People often report that they are busy and therefore do not have enough time to practice health-promoting behaviors in modern life, and previous studies have found that being busy can be seen as a barrier to prac-DISPARITIES IN HEALTH-PROMOTING LIFESTYLES BY OCCUPATION ticing health-promoting behaviors 19,20) . However, the relationship between the levels of perceived busyness in daily life and the practice of health-promoting behaviors has seldom been examined.…”

mentioning

confidence: 99%

Comparing Disparities in the Health-promoting Lifestyles of Taiwanese Workers in Various Occupations

Huang

Tang

2010

INDUSTRIAL HEALTH

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[[abstract]]In Taiwan, workplace health promotion programs have been designed on an organizational basis, and the specific health needs for workers within different occupational categories have not usually been taken into account. This study describes the various levels of overall health-promoting lifestyles and health-promoting behaviors of workers within different occupational categories, and examines the effects of occupational category, perceived busyness, and BMI level on overall health-promoting lifestyles and health-promoting behaviors. A cross-sectional survey with convenient sampling, comprising a self-reporting questionnaire (which included the Chinese version of the Health-Promoting Lifestyle Profile), was used to measure the overall HPLP and six health-promoting behaviors (nutrition, health responsibility, self-actualization, interpersonal support, exercise, and stress management). A total of 796 participants were recruited. Multiple regression analysis showed that the various occupational categories sustained significant differences in overall HPLP, nutrition, self-actualization, interpersonal support, and stress management (after controlling for some specific factors). Perceived busyness showed positive effects on the overall HPLP, self-actualization, interpersonal support, and stress management. The obese group had less participation in overall health-promoting lifestyles and stress management when compared with the moderate BMI group. Workplace health promotion practitioners should therefore develop specific strategies to target the laborers and workers who demonstrate obesity

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Socioeconomic status relates to exercise habits and cardiorespiratory fitness among workers in the Tokyo area

Matsuo

2021

Journal of Occupational Health

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Objectives This survey aims to investigate consciousness regarding habitual exercise among workers in urban areas and to analyze the associations of workers’ socioeconomic status with their habitual exercise and cardiorespiratory fitness (CRF). Methods Ten thousand participants, who worked in the Tokyo area of Japan, were recruited for the questionnaire‐based survey. The questionnaire elicited participant's characteristics, socioeconomic status (eg, employment status and annual income), habitual exercise status, and consciousness regarding exercising. After the data‐cleaning procedure, 9406 participants were selected for analyses. CRF was estimated by a validated equation model. Results Some (32.9%) participants had an exercise habit, and 93% recognized that exercise is good for health. Of the nonexercise habit group (n = 6308), 73% wanted to develop an exercise habit, and “spare time (40%)” and “financial capability (16%)” were the two most necessary conditions for habituating exercise. As socioeconomic statuses increased, the odds ratios (ORs) for engaging in habitual exercise increased among full‐time (1.22) versus part‐time (reference) employees and those having high (1.76) versus low (reference) incomes, whereas the ORs for low CRF risk decreased among full‐time (0.78) versus part‐time (reference) employees and those having high (0.53) versus low (reference) incomes. Conclusions Although most workers recognized the benefits of exercise, many were unable to develop exercise habits and believed that they could develop exercise habits if they had the time and financial capabilities. The survey suggests that workers with a higher socioeconomic status more likely to obtain favorable physical fitness, indicating a health disparity among workers in urban areas.

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Lack of willpower or lack of wherewithal? “Internal” and “external” barriers to changing diet and exercise in a three year follow-up of participants in a health check

Cited by 58 publications

References 5 publications

Barriers and benefits of a healthy diet in Spain: comparison with other European member states

Barriers and benefits of a healthy diet in Spain: comparison with other European member states

Comparing Disparities in the Health-promoting Lifestyles of Taiwanese Workers in Various Occupations

Socioeconomic status relates to exercise habits and cardiorespiratory fitness among workers in the Tokyo area

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