Assessment of the factors and impact of obese sedentary employee membership in the composite structured exercise program

Yıl 2019, Cilt: 5 Sayı: 3, 124 - 132, 20.09.2019

Godefroid Kusuayi Mabele Constant Nkiama Ekisawa Christophe Delecluse François Lepira Bompeka Aliocha Nkodila Natuhoyila Betty Miangindula Pierre Akilimali

https://doi.org/10.31459/turkjkin.594982

Öz

The
objective is to determine the factors influencing and the impact of obese
worker membership in the structured mixed exercise program. Analytical
cross-sectional study of 157 obese workers, aged 18 to 59, randomly selected
and subjected to a 3-day, one-day, moderate-intensity, structured exercise
program of moderate-intensity to high including jogging, aerobic gymnastics,
basketball, volleyball, swimming, abdominals, and walk of 10,000 not at the
rate of three working days and two days of weekend recorded using a pedometer.
This program has been combined with low-calorie nutrition education, rich in
fiber and vitamins and have been associated with spontaneous physical exercise.
The factors influencing the adherence of obese workers to the mixed structured
exercise program were measured by the positive personal motivation associated
with membership. Motivation to undertake the intervention program resulted from
the home exercise program, attendance at appointments, better follow-up of
prescribed protocols, and better self-reported adherence. Logistic regression
was used to identify independent determinants of adherence to the intervention
program. The value of p <0.05 defined the threshold of statistical significance.
The overall adherence rate of obese workers to the exercise program was 84.1%.
Cardiovascular risk factors were significantly higher in the more adherent
compared to the less adherent (p = 0.001). Obesity, age under 50, and females
were the major determinants of joining the structured mixed exercise program
and multiplied by 5 if employees were obese and older. Less than 50 years (OR
aj = 4.91 95% CI (1.36-6.14), p = 0.001 for the obese and OR aj = 4.87 95% CI
(1.53-6.48), p = 0,000 for age under 50), and 2 for obese women (OR aj = 2.06
95% CI (1.23-4.79), p = 0.000). Obesity, female gender, and age under 50 influence
and increase obese adherence to the mixed structured exercise program. The
latter positively improve the associated cardiovascular, metabolic and
behavioral risks in the context of occupational health.

Anahtar Kelimeler

Adherence, obese, nutrition, physical exercises, sedentary lifestyle

Kaynakça

• Bassett SF. The assessment of patient adherence to physiotherapy rehabilitation. New Zeeland Journal of Physiotherapy, 2003; 30(2): 60-66.
• Browning LM, Hsieh SD, Ashwell M. A systematic review of waist-to-weight ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0.5 could be a suitable global boundary value. Nutr Res Rev, 2010; 23: 247-269.
• Burkhart PV, Sabate E. Adherence to long-term therapies: evidence for action. Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau, 2003; 35(3): 207.
• Carr A. Barriers to the effectiveness of any intervention in OA. Best practice & Research Clinical Rheumatology, 2001; 15(4): 645-656.
• Chan DK, Lonsdale C, Ho PY, Yung PS, Chan KM. Patient motivation and adherence to post surgery rehabilitation exercise recommendations: the influence of physiotherapists' autonomy-supportive behaviors. Arch Phys Med Rehabil, 2009; 90(12): 1977-1982.
• Contegal F, Osseby G-V, Menassa M, Rouaud O, Benatru I, Giroud M. La relation entre Hypertension arterielle et Accidents Vasculaires Cérébraux: une équation modifiable. La Lettre du Cardiologue, 2005; 381: 26-29.
• Cramer JA, Roy A, Burrell A, Fairchild CJ, Fuldeore MJ, Ollendorf DA, Wong PK. Medication compliance and persistence: terminology and definitions. Value in Health, 2008; 11(1): 44-47.
• Desbrus-Qochih A, Cathébras P. Obéir ou adhérer? L’observance thérapeutique en question. Elsevier Masson, 2012; 4(34): 111-122.
• Di Matteo MR. Variations in patients' adherence to medical recommendations: a quantitative review of 50 years of research. Medical Care, 2004; 42(3): 200-209.
• Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr, 2000; 72(3): 694–701.
• Granquist MD, Gill DL, Appaneal RN. Development of a measure of rehabilitation adherence for athletic training. Journal of Sport Rehabilitation, 2010; 19(3): 249-267.
• Jack K, Mc Lean SM, Moffett JK, Gardiner E. Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review. Manual Therapy, 2010; 15(3): 220-228.
• Kardas P, Lewek P, Matyjaszczyk M. Determinants of patient adherence: a review of systematic reviews. Frontiers in Pharmacology, 2013; 4: 91.
• Kyngas H, Duffy ME, Kroll T. Conceptual analysis of compliance. Journal of Clinical Nursing, 2000; 9(1): 5-12.
• Logan D, Zelikovsky N, Labay L, Spergel J. The Illness Management Survey: identifying adolescents' perceptions of barriers to adherence. Journal of Pediatric Psychology, 2003; 28(6): 383-392.
• Lutfey KE, Wishner WJ. Beyond "compliance" is "adherence". Improving the prospect of diabetes care. Diabetes care, 1999; 22(4): 635-639.
• Misdrahi D. L’observance thérapeutique: un objectif essentiel. L'Encéphale, 2006; 32(6): 1076-1079.
• Oppert JM. Exercice du corps: une arme contre les maladies chroniques. La santé de l'homme. INPES, 2007; 387: 21-23.
• Plotnikoff RC, Brez S, Hotz SB. Exercise behavior in a community sample with diabetes: understanding the determinants of exercise behavioral change. The Diabetes Educator, 2000; 26(3): 450-459.
• Puel MA. Comprendre l’inobservance: l’approche Balint. La Revue du Praticien Médecine Générale, 2010; 24(847): 644-646.
• Rostan F, Simon C, Ulmer Z. Promouvoir l’activité physique des jeunes. Elaborer et développer un projet de type Icaps. Saint-Denis: Inpes, coll. Sante en action, 2011.
• Simon C, Riviere D, Guezennec CY, Oppert JM. Activite physique: arguments scientifiques, pistes pratiques. Ministère de la santé, de la jeunesse, des sports et de la vie associative, 2005.
• Tarquinio C, Tarquinio MP. L'observance thérapeutique: déterminants et modèles théoriques. Pratiques Psychologiques, 2007; 13(1): 1-19.
• Tourette-Turgis T. Le degré d’observance n’est pas corrèle à la sévérité de la maladie. Le Concours Médical-Education Thérapeutique, 2010; 132: 19-20.
• Wolf MS, Davis TC, Osborn CY, Skripkauskas S, Bennett CL, Makoul G. Literacy, self-efficacy, and HIV medication adherence. Patient Education and Counseling, 2007; 65(2): 253-260.