Muna Ali Alali, Lorraine B Robbins, Tsui-Sui Annie Kao, Jiying Ling, Dola Pathak, Alan L Smith
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Compared to male adolescents, very few Saudi female adolescents meet the World Health Organization recommendation of achieving 60 minutes of moderate-to-vigorous PA per day, putting them at a higher risk of overweight and obesity.</p><p><strong>Objective: </strong>This cross-sectional study aimed to examine the relationship between the theory of planned behavior and psychosocial factors, including attitude toward PA, subjective norms, perceived behavioral control (PBC), PA intention, and self-reported PA among Saudi female adolescents.</p><p><strong>Methods: </strong>A convenience sample of 329 Saudi female adolescents was recruited from all-female public intermediate and high schools in the Eastern Region of Saudi Arabia. Data were collected using online self-administered questionnaires. The theoretical model was examined using structural equation modeling.</p><p><strong>Results: </strong>The findings revealed a higher prevalence of overweight compared to obesity among participants. About half the participants were from families with a medium monthly income. The mean PA score indicated a low level of PA. The model demonstrated significant explanatory power for both PA intention and PA behavior, respectively. The strongest predictor of adolescents' intention was attitude, followed by PBC.Moreover, the female adolescents' attitudes and PBC had significant indirect effects on self-reported PA through intention, whereas intention had a direct effect on PA. The model did not support a direct or indirect relationship between subjective norms and PA.</p><p><strong>Discussion: </strong>The findings provide essential support for targeting attitude and perceived behavior control of female adolescents in order to enhance their PA intention. 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引用次数: 0
摘要
背景：沙特阿拉伯是全球儿童肥胖率最高的国家之一：沙特阿拉伯是全球儿童肥胖率最高的国家之一。青少年肥胖率高的主要原因是缺乏体育锻炼（PA）。与男性青少年相比，只有极少数沙特女性青少年达到了世界卫生组织建议的每天 60 分钟中度到剧烈运动的标准，这使她们面临更高的超重和肥胖风险：本横断面研究旨在探讨计划行为理论与社会心理因素（包括对 PA 的态度、主观规范、感知行为控制（PBC）、PA 意向以及沙特女性青少年自我报告的 PA）之间的关系：从沙特阿拉伯东部地区的所有女子公立初中和高中招募了 329 名沙特女性青少年作为样本。数据通过在线自填问卷收集。采用结构方程模型对理论模型进行了检验：研究结果表明，与肥胖相比，参与者中超重的比例更高。大约一半的参与者来自月收入中等的家庭。平均活动量得分表明活动量水平较低。该模型分别对青少年的锻炼意向和锻炼行为具有很强的解释力。此外，女性青少年的态度和 PBC 通过意向对自我报告的 PA 有明显的间接影响，而意向则对 PA 有直接影响。该模型不支持主观规范与 PA 之间的直接或间接关系：研究结果为针对女性青少年的态度和感知行为控制以增强其 PA 意向提供了重要支持。这一理论认识有助于设计有效的基于理论的干预措施，以促进沙特女性青少年的 PA。
Physical Activity Behaviors of Female Adolescents in Saudi Arabia.
Background: Saudi Arabia has one of the highest childhood obesity rates worldwide. The primary factor associated with the high prevalence of obesity among adolescents is a lack of physical activity (PA). Compared to male adolescents, very few Saudi female adolescents meet the World Health Organization recommendation of achieving 60 minutes of moderate-to-vigorous PA per day, putting them at a higher risk of overweight and obesity.
Objective: This cross-sectional study aimed to examine the relationship between the theory of planned behavior and psychosocial factors, including attitude toward PA, subjective norms, perceived behavioral control (PBC), PA intention, and self-reported PA among Saudi female adolescents.
Methods: A convenience sample of 329 Saudi female adolescents was recruited from all-female public intermediate and high schools in the Eastern Region of Saudi Arabia. Data were collected using online self-administered questionnaires. The theoretical model was examined using structural equation modeling.
Results: The findings revealed a higher prevalence of overweight compared to obesity among participants. About half the participants were from families with a medium monthly income. The mean PA score indicated a low level of PA. The model demonstrated significant explanatory power for both PA intention and PA behavior, respectively. The strongest predictor of adolescents' intention was attitude, followed by PBC.Moreover, the female adolescents' attitudes and PBC had significant indirect effects on self-reported PA through intention, whereas intention had a direct effect on PA. The model did not support a direct or indirect relationship between subjective norms and PA.
Discussion: The findings provide essential support for targeting attitude and perceived behavior control of female adolescents in order to enhance their PA intention. This theoretical understanding can help design effective theory-based interventions that promote PA among Saudi female adolescents.
期刊介绍：
Nursing Research is a peer-reviewed journal celebrating over 60 years as the most sought-after nursing resource; it offers more depth, more detail, and more of what today''s nurses demand. Nursing Research covers key issues, including health promotion, human responses to illness, acute care nursing research, symptom management, cost-effectiveness, vulnerable populations, health services, and community-based nursing studies. Each issue highlights the latest research techniques, quantitative and qualitative studies, and new state-of-the-art methodological strategies, including information not yet found in textbooks. Expert commentaries and briefs are also included. In addition to 6 issues per year, Nursing Research from time to time publishes supplemental content not found anywhere else.
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