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Title: What motivates patients with COPD to be physically active? A cross-sectional study
Author: Pimenta, Sara
Silva, Cândida G.
Flora, Sofia
Hipólito, Nádia
Burtin, Chris
Oliveira, Ana
Morais, Nuno
Brites-Pereira, Marcelo
Carreira, Bruno P.
Januário, Filipa
Andrade, Lília
Martins, Vitória
Rodrigues, Fátima
Brooks, Dina
Marques, Alda
Cruz, Joana
Keywords: Active lifestyle
Behaviour change
Chronic obstructive pulmonary disease
Physical activity
Pulmonary rehabilitation
Issue Date: 29-Nov-2021
Publisher: MDPI
Abstract: Motivation can be broadly defined as what moves people to act. Low motivation is a frequently reported factor for the reduced physical activity (PA) levels observed in patients with chronic obstructive pulmonary disease (COPD). This study assessed patients' motives to be physically active, according to three pulmonary rehabilitation (PR) participation groups (Never PR, Previous PR and Current PR) and explored whether these motives were related to the PA levels and clinical characteristics. The motives to be physically active were assessed with the Exercise Motivation Inventory-2 (EMI-2, 14 motivational factors, five dimensions) and PA with accelerometry (PA groups: <5000 steps/day vs. ≥5000 steps/day). The clinical variables included symptoms, impact of the disease, exercise capacity and comorbidities. Ninety-two patients (67.4 ± 8.1 years, 82.6% male, forced expiratory volume in 1s (FEV1) 48.3 ± 18.9% predicted; 30.4% Never PR, 51% Previous PR and 18.5% Current PR) participated. The motivational dimensions related to health/fitness presented the highest scores (3.8 ± 1.1; 3.4 ± 1.3). The motives to be active were not significantly different between PA groups (p > 0.05) but having less symptoms and ≥two comorbidities were associated with higher scores in psychological/health and body-related motives, respectively (p < 0.05). The findings may encourage health professionals to actively explore with patients their motives to be physically active to individualise PA promotion.
Peer review: yes
DOI: 10.3390/jcm10235631
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Appears in Collections:IBIMED - Artigos
ESSUA - Artigos
Lab3R - Artigos

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