Fear as a barrier to physical activity in young adults with obesity: a qualitative study

IF 8 2区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM Qualitative Research in Sport Exercise and Health Pub Date : 2021-12-05 DOI:10.1080/2159676X.2021.2012243
O. Hamer, D. Larkin, N. Relph, P. Dey
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引用次数: 3

Abstract

ABSTRACT Obesity continues to be a growing public health problem worldwide. In adults with obesity, physical activity has health benefits beyond those directly attributable to weight loss. However, adults with obesity encounter various barriers to physical activity. Some barriers including fear, have received little academic attention, particularly in adults under 45 years. The aim of this qualitative study was to explore how fears about physical activity are experienced by, and impact on, adults with obesity aged 18 to 45 years. Semi-structured interviews were undertaken in a sample of 10 participants with a body mass index greater than 30 kg/m2. Analysis was conducted using the six phases of thematic analysis from the guidelines of Braun and Clarke. Participants gave detailed accounts of their experiences of fear and how it impacted on physical activity. Three themes were extracted: (1) fear as a barrier to physical activity; (2) threats, concerns and worries about weight underpinning fear(s) of activity; and (3) the consequences of fear(s). The findings suggest that the emotion of fear, particularly pain-related fear(s), were a frequent and important barrier to physical activity among younger adults with obesity. This is an important finding because of the risk it poses to health behaviour change. The findings provide some evidence that younger adults experience fear avoidance beliefs aligned to the conceptual principles of the Fear Avoidance Model. Further research is needed to further explore this relationship in a larger sample of younger adults with obesity, and explore its implications for promoting behaviour change in this group.
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恐惧是肥胖青年身体活动的障碍:一项定性研究
摘要肥胖仍然是世界范围内日益严重的公共卫生问题。对于肥胖的成年人来说,体育活动对健康的益处超过了直接归因于减肥的益处。然而,肥胖的成年人在体育活动中会遇到各种障碍。包括恐惧在内的一些障碍很少受到学术界的关注,尤其是在45岁以下的成年人中。这项定性研究的目的是探索18至45岁肥胖成年人对体育活动的恐惧是如何经历的,以及对他们的影响。对10名体重指数大于30 kg/m2的参与者进行了半结构化访谈。根据Braun和Clarke的指导方针,使用六个阶段的主题分析进行了分析。参与者详细描述了他们的恐惧经历及其对身体活动的影响。提取了三个主题:(1)恐惧是身体活动的障碍;(2) 对体重的威胁、担忧和担忧支撑了对活动的恐惧;以及(3)恐惧的后果。研究结果表明,恐惧情绪,特别是与疼痛相关的恐惧,是肥胖年轻人身体活动的一个常见而重要的障碍。这是一个重要的发现,因为它对健康行为的改变构成了风险。这些发现提供了一些证据,证明年轻人的恐惧回避信念符合恐惧回避模型的概念原则。需要进一步的研究,在更大的肥胖年轻人样本中进一步探索这种关系,并探索其对促进这一群体行为改变的影响。
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来源期刊
CiteScore
10.60
自引率
10.20%
发文量
36
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