PMID- 29077564 OWN - NLM STAT- MEDLINE DCOM- 20190709 LR - 20211120 IS - 1428-345X (Print) IS - 2354-0060 (Electronic) IS - 1428-345X (Linking) VI - 21 IP - 3 DP - 2017 TI - Perceived barriers for physical activity in overweight and obese adolescents and their association with health motivation. PG - 248-258 AB - THE AIM: to identify the barriers to engaging in physical activity that are perceived by adolescents with overweight and obesity, and to establish whether a correlation exists among the barriers they perceive and the health-oriented motivation for undertaking physical activity. MATERIAL AND METHODS: The study was conducted on a representative sample of 2,300 students aged 13-16 years. The data was collected through an anonymous survey. Young people were asked about their body weight and height, the barriers to physical activity and the health-related motives to engaging in it. The IOTF (International Obesity Task Force) standard by T. J. Cole was used to categorise overweight and obesity, while the PCA - Principal Component Analysis - to assess the motivation for physical activity. Logistic regression was used in the analyses of the correlations among the body weight, the level of health-oriented motivation and the occurrence of accumulated barriers to physical activity. RESULTS: Overweight and obesity was found in 12.4% of the respondents; more often in boys (17.8%) than in girls (7.8%). The most frequently perceived barriers to undertaking physical activity among overweight adolescents include deficiencies in energy, time and support. Three barriers (lack of energy, skills and willpower), as well as the perception of several barriers occurring simultaneously, were reported more frequently by overweight students in comparison with their peers with a normal weight. Among the health-oriented motivation for physical activity in the group of adolescents with overweight and obesity, the most important one was the need to improve health, while the least important the need to look good. The excess of body weight turn out to be an important predictor of the perception of cumulative barriers to physical activity only among adolescents with a weak motivation to undertake physical activity [OR 2.51; CI (1.43-4.42), <0.001]. CONCLUSIONS: Young people with overweight and obesity, but with a strong health-oriented motivation, perceive barriers to physical activity similarly to their peers with a normal weight. Thus, motivation is a key element shaping the physical activity of overweight and obese young people by changing their perception of the barriers. In overcoming the barriers to physical activity in obese adolescents, one should aim to comprehensively reduce body weight and to support health-oriented motivation. FAU - Jodkowska, Maria AU - Jodkowska M AD - Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland. FAU - Oblacinska, Anna AU - Oblacinska A AD - Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland. FAU - Nalecz, Hanna AU - Nalecz H AD - Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland. FAU - Mazur, Joanna AU - Mazur J AD - Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland. LA - eng PT - Journal Article PL - Poland TA - Dev Period Med JT - Developmental period medicine JID - 101636421 SB - IM MH - Adolescent MH - Adolescent Behavior/*psychology MH - Attitude to Health MH - Body Mass Index MH - Exercise/*psychology MH - Female MH - *Health Behavior MH - Humans MH - *Intention MH - Male MH - Motivation MH - Overweight/prevention & control/*psychology MH - Time Management PMC - PMC8522946 OAB - CELEM PRACY: byla identyfikacja barier w podejmowaniu aktywnosci fizycznej postrzeganych przez mlodziez z nadwaga i otyloscia oraz zbadanie czy istnieje zwiazek pomiedzy postrzeganymi przez te mlodziez barierami, a ukierunkowana na zdrowie motywacja do podejmowania aktywnosci fizycznej. MATERIAL I METODY: Badanie przeprowadzono w reprezentatywnej grupie 2300 uczniow w wieku 13-16 lat. Dane zebrano metoda sondazu za pomoca anonimowej ankiety audytoryjnej. Mlodziez pytano o ich mase i wysokosc ciala, bariery w aktywnosci fizycznej oraz motywy zdrowotne jej podejmowania. Do klasyfikacji nadwagi i otylosci posluzono sie Miedzynarodowym Standardem IOTF (International Obesity Task Force). W ocenie motywow podejmowania aktywnosci fizycznej wykorzystano analize czynnikowa metoda glownych skladowych (PCA - Principal Component Analysis). W analizach zaleznosci miedzy masa ciala oraz poziomem motywacji ukierunkowanej na zdrowie a wystepowaniem skumulowanych barier w podejmowaniu aktywnosci fizycznej, zastosowano metode regresji logistycznej. WYNIKI: Nadwaga i otylosc wystepowala u 12,4% badanych, czesciej u chlopcow (17,8%) niz u dziewczat (7,8%). Do najczesciej postrzeganych barier w aktywnosci fizycznej u mlodziezy z nadwaga nalezy brak energii, czasu oraz wsparcia. Trzy bariery (brak energii, umiejetnosci, silnej woli) oraz postrzeganie kilku barier jednoczesnie istotnie czesciej zglaszala mlodziez z nadwaga w porownaniu z rowiesnikami o prawidlowej masie ciala. Wsrod zorientowanych na zdrowie motywow podejmowania aktywnosci fizycznej, w grupie mlodziezy z nadwaga i otyloscia najwazniejsza byla potrzeba poprawy zdrowia, natomiast najmniej wazna, potrzeba dobrego wygladu. Nadmiar masy ciala okazal sie istotnym predyktorem postrzegania kilku barier w aktywnosci fizycznej tylko u mlodziezy o malym poziomie motywacji [OR 2,51; CI (1,43-4,42)]. WNIOSKI: Mlodziez z nadwaga i otyloscia, ale o duzej motywacji ukierunkowanej na zdrowie postrzega bariery w aktywnosci fizycznej podobnie jak rowiesnicy z normalna masa ciala. Motywacja jest wiec kluczowym elementem, ktory poprzez zmiane postrzegania barier, modeluje aktywnosc fizyczna mlodziezy z nadwaga i otyloscia. W pokonywaniu barier w aktywnosci fizycznej u mlodziezy otylej nalezy kompleksowo dazyc do redukcji masy ciala oraz wspierac ukierunkowana na zdrowie motywacje. OABL- eng OTO - NOTNLM OT - BMI OT - adolescents OT - barriers OT - body mass index OT - body weight control OT - motivation OT - physical activity COIS- Conflict of interest Conflicts of interest/Konflikt interesu: The Authors declare no conflict of interest. Autorzy pracy nie zglaszaja konfliktu interesow. EDAT- 2017/10/28 06:00 MHDA- 2019/07/10 06:00 PMCR- 2017/10/28 CRDT- 2017/10/28 06:00 PHST- 2017/10/28 06:00 [entrez] PHST- 2017/10/28 06:00 [pubmed] PHST- 2019/07/10 06:00 [medline] PHST- 2017/10/28 00:00 [pmc-release] AID - devperiodmed.20172103.248258 [pii] AID - 10.34763/devperiodmed.20172103.248258 [doi] PST - ppublish SO - Dev Period Med. 2017;21(3):248-258. doi: 10.34763/devperiodmed.20172103.248258.