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首页> 外文期刊>Scandinavian journal of medicine & science in sports. >Physical activity and motivational predictors of changes in health behavior and health among DM DM 2 and CAD CAD patients
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Physical activity and motivational predictors of changes in health behavior and health among DM DM 2 and CAD CAD patients

机译：DM DM 2和CAD CAD患者健康行为和健康变化的身体活动和励磁预测因子

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摘要

This study tested a physical activity intervention and the self‐determination theory ( SDT ) process model of health‐behavior change and health among 108 adult patients with both diabetes mellitus type 2 ( DM 2) and coronary artery disease ( CAD ). Patients were randomly assigned to an organized physical activity intervention group (led by instructors) or a non‐physical activity control group. At baseline and after 12?months, we measured the following: needs satisfaction, autonomous and controlled motivation for physical activity, perceived competence for physical activity and blood sugar testing, physical activity and blood sugar testing, body weight, glucose control (HbA1c), and self‐perceptions of general health and vitality. The intervention produced, as hypothesized, significant changes in all study variables in favor of the experimental group (Cohen's d effect sizes: 0.23–0.72), except the non‐significant result for controlled motivation and body weight. The data supported the SDT process model, in which the effect of the intervention significantly predicted indirect changes in behavior and health through motivation variables. Considering the moderate to large effects on increases in motivation, behavior, and health, promoting organized physical activity programs that are perceived as need‐supportive may have important health implications for patients with DM 2 and CAD .
机译：该研究测试了108名成年患者糖尿病2（DM 2）和冠状动脉疾病（CAD）中的108名成年患者健康行为变革和健康状况的身体活动干预和自我确定理论（SDT）过程模型。患者随机分配给有组织的身体活动干预组（由教师领导）或非身体活动对照组。在基线和12个月之后，我们测量了以下内容：需要满足满意度，自主和控制的体育活动动机，感知体育活动和血糖测试，身体活性和血糖试验，体重，葡萄糖对照（HBA1c），以及一般健康和活力的自我认识。作为假设的干预，作为假设的，所有研究变量有利于实验组（Cohen的D效应大小：0.23-0.72），除了受控动机和体重的非显着结果。数据支持SDT过程模型，其中干预的效果通过动机变量显着预测行为和健康的间接变化。考虑到对动机，行为和健康的增加，促进被授予的有组织的身体活动计划，这些效果适得，这些计划可为需要对DM 2和CAD的患者具有重要的健康影响。

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