Relation of the Stages of Change for Exercise Behaviors, Health Behaviors, Health Check-up Results and QOL in Health Check-up Participants

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  • Kuwabara Yumi
    School of Nursing and Social Services, Health Sciences University of Hokkaido

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  • 健診受診者における運動の行動変容ステージと生活習慣,健診結果およびQOLとの関連
  • ケンシン ジュシンシャ ニ オケル ウンドウ ノ コウドウ ヘンヨウ ステージ ト セイカツ シュウカン ケンシン ケッカ オヨビ QOL ト ノ カンレン

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Abstract

Purpose : To clarify the relationship between the stages of behavior change in exercise and its related factors focusing on health behaviors, health check-up results and QOL among adults who participated in a health checkup. Methods : Self-administerd questionnaires were mailed to 396 adults recruited from a health-check up in a suburb of Sapporo, Hokkaido from April 2006 to March 2007. Data on the stages of change for exercise, socio-demographic data, utilization of health care, health behaviors, health check-up results and the MOS 36-item short-form health survey (SF-36) were collected. Data were analyzed using the chi-square test, ANOVA, Kruskal Wallis test and ANCOVA. This study obtained consent of the Ethics Committee of the Health Sciences University of Hokkaido and considered privacy protection. Results : There were 363 respondents who completed the questionnaire (response rate: 91.7%). The mean age was 50.2 and the majority was female (n = 263; 72.5%). The participants were classified into one of the five stages of change for exercise: precontemplation (n = 196; 54.0%), contemplation (n = 57; 15.7%), preparation (n = 26; 7.2%), action (n = 25; 6.9%), and maintenance (n = 59; 16.3%). Most of the respondents in the precontemplation stage were male. The respondents in the action and maintenance stages were older than those in other stages. According to gender with age as a co-variate, ANCOVA was conducted. There was no significant difference in health behaviors and check-up results for any stage of behavior change. In female respondents only, six of eight subscale SF-36 scores were significantly lower in the contemplation and preparation stages than in the action and maintenance stages. Conclusions : The results suggest that understanding the stages of behavior change and their relevant factors can effectively be utilized for individual health counseling as well as for planning and evaluation of health check-ups and health counseling in the community at large.

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