Relative Effects of Demographic, Psychological, Behavioral, and Social Factors on the Initiation and Maintenance of Leisure-time Physical Activity: Results From a Confirmatory Path Analysis in a Longitudinal Study
Background: There is a lack of evidence of the complicated pathways of underlying determinants in the phases of physical activity. The purpose of this study was to evaluate simultaneously a set of potential determinants on the initiation and maintenance phases of leisure-time physical activity (LTPA...
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Japan Epidemiological Association
2021
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oai:doaj.org-article:29ddad4695fc49dd886cd910739c33ba2021-11-05T08:43:52ZRelative Effects of Demographic, Psychological, Behavioral, and Social Factors on the Initiation and Maintenance of Leisure-time Physical Activity: Results From a Confirmatory Path Analysis in a Longitudinal Study0917-50401349-909210.2188/jea.JE20200073https://doaj.org/article/29ddad4695fc49dd886cd910739c33ba2021-11-01T00:00:00Zhttps://www.jstage.jst.go.jp/article/jea/31/11/31_JE20200073/_pdfhttps://doaj.org/toc/0917-5040https://doaj.org/toc/1349-9092Background: There is a lack of evidence of the complicated pathways of underlying determinants in the phases of physical activity. The purpose of this study was to evaluate simultaneously a set of potential determinants on the initiation and maintenance phases of leisure-time physical activity (LTPA). Methods: The longitudinal data of 54,359 Korean adults aged 40–69 years from the Health Examinees study were used. The median follow-up duration was 4.2 years. The self-reported durations per week of LTPA was repeatedly assessed. Based on previous longitudinal studies, the potential determinants were selected, and hypothetical models were constructed that consider the complex associations between the determinants. The standardized coefficients for direct and indirect effects were estimated using path analysis to differentiate contributions of mediation from the total effects. Results: In the total population, age, education, chronic diseases, smoking, depression symptoms, and self-rated health were significantly associated with both initiation and maintenance phases. Income (B = 0.025) and social supports (B = 0.019) were associated only with the initiation phase. Waist-to-hip ratio (B = −0.042) and stress (B = −0.035) were associated only with the maintenance phase. After stratifying by sex, the significant effects of education, chronic diseases, and smoking were found only in men. The initiation phase-specific effects of income and social supports and the maintenance phase-specific effects of stress were found only in women. It was estimated that indirect effects contributed approximately 15% of the total effect. Conclusion: The findings suggested that there were initiation- or maintenance-specific determinants of leisure-time physical activity according to sex.Jaesung ChoiJooYong ParkJi-Eun KimJong-koo LeeDaehee KangMiyoung LeeIck-Joong ChungJi-Yeob ChoiJapan Epidemiological Associationarticledeterminantsphysical activityinitiationmaintenancepath analysisMedicine (General)R5-920ENJournal of Epidemiology, Vol 31, Iss 11, Pp 557-565 (2021) |
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determinants physical activity initiation maintenance path analysis Medicine (General) R5-920 |
| spellingShingle |
determinants physical activity initiation maintenance path analysis Medicine (General) R5-920 Jaesung Choi JooYong Park Ji-Eun Kim Jong-koo Lee Daehee Kang Miyoung Lee Ick-Joong Chung Ji-Yeob Choi Relative Effects of Demographic, Psychological, Behavioral, and Social Factors on the Initiation and Maintenance of Leisure-time Physical Activity: Results From a Confirmatory Path Analysis in a Longitudinal Study |
| description |
Background: There is a lack of evidence of the complicated pathways of underlying determinants in the phases of physical activity. The purpose of this study was to evaluate simultaneously a set of potential determinants on the initiation and maintenance phases of leisure-time physical activity (LTPA). Methods: The longitudinal data of 54,359 Korean adults aged 40–69 years from the Health Examinees study were used. The median follow-up duration was 4.2 years. The self-reported durations per week of LTPA was repeatedly assessed. Based on previous longitudinal studies, the potential determinants were selected, and hypothetical models were constructed that consider the complex associations between the determinants. The standardized coefficients for direct and indirect effects were estimated using path analysis to differentiate contributions of mediation from the total effects. Results: In the total population, age, education, chronic diseases, smoking, depression symptoms, and self-rated health were significantly associated with both initiation and maintenance phases. Income (B = 0.025) and social supports (B = 0.019) were associated only with the initiation phase. Waist-to-hip ratio (B = −0.042) and stress (B = −0.035) were associated only with the maintenance phase. After stratifying by sex, the significant effects of education, chronic diseases, and smoking were found only in men. The initiation phase-specific effects of income and social supports and the maintenance phase-specific effects of stress were found only in women. It was estimated that indirect effects contributed approximately 15% of the total effect. Conclusion: The findings suggested that there were initiation- or maintenance-specific determinants of leisure-time physical activity according to sex. |
| format |
article |
| author |
Jaesung Choi JooYong Park Ji-Eun Kim Jong-koo Lee Daehee Kang Miyoung Lee Ick-Joong Chung Ji-Yeob Choi |
| author_facet |
Jaesung Choi JooYong Park Ji-Eun Kim Jong-koo Lee Daehee Kang Miyoung Lee Ick-Joong Chung Ji-Yeob Choi |
| author_sort |
Jaesung Choi |
| title |
Relative Effects of Demographic, Psychological, Behavioral, and Social Factors on the Initiation and Maintenance of Leisure-time Physical Activity: Results From a Confirmatory Path Analysis in a Longitudinal Study |
| title_short |
Relative Effects of Demographic, Psychological, Behavioral, and Social Factors on the Initiation and Maintenance of Leisure-time Physical Activity: Results From a Confirmatory Path Analysis in a Longitudinal Study |
| title_full |
Relative Effects of Demographic, Psychological, Behavioral, and Social Factors on the Initiation and Maintenance of Leisure-time Physical Activity: Results From a Confirmatory Path Analysis in a Longitudinal Study |
| title_fullStr |
Relative Effects of Demographic, Psychological, Behavioral, and Social Factors on the Initiation and Maintenance of Leisure-time Physical Activity: Results From a Confirmatory Path Analysis in a Longitudinal Study |
| title_full_unstemmed |
Relative Effects of Demographic, Psychological, Behavioral, and Social Factors on the Initiation and Maintenance of Leisure-time Physical Activity: Results From a Confirmatory Path Analysis in a Longitudinal Study |
| title_sort |
relative effects of demographic, psychological, behavioral, and social factors on the initiation and maintenance of leisure-time physical activity: results from a confirmatory path analysis in a longitudinal study |
| publisher |
Japan Epidemiological Association |
| publishDate |
2021 |
| url |
https://doaj.org/article/29ddad4695fc49dd886cd910739c33ba |
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