Physical activity in sleep apnea and obesity: personal incentives, challenges, and facilitators for success
2012 (English)In: Behavioural Sleep Medicine, ISSN 1540-2002, Vol. 10, no 2, 122-137 p.Article in journal (Refereed) Published
Physical activity combined with changes in eating habits is recommended for weight reduction in obstructive sleep apnea (OSA). Studies of how to enhance such health behaviours in persons with OSA and obesity are scarce.
To explore aspects associated with engagement in physical activity in individuals with OSA and obesity.
7 women and 8 men with moderate or severe OSA (apnea-hypopnea index >15) and obesity (mean BMI 38.2) were selected from the Sleep clinic at Uppsala University Hospital, Sweden. Using semi-structured interviews, following content areas were covered: 1) health perceptions and susceptibility, 2) outcome expectations, and 3) facilitating and hindering factors for physical activity. Transcribed data were analysed according to content analysis using researcher triangulation.
Two comprehensive themes evolved exploring influences on engagement: 1) Incentives strong enough, and 2) Facilitators for success and challenges to overcome. Five categories reflected the meaning of theme 1: Consequences of OSA and obesity, Reasons to devote oneself to physical activity, Perceived benefits, Perceived disadvantages, and Ambivalence. Three categories reflected theme 2: Cognitions, Context, and Disease and physical symptoms.
What constitutes strong incentives to change seems crucial for the understanding of how physical activity is initiated and maintained. Identified challenges and facilitators concerned a broad spectrum of cognitions and contextual aspects and were not only related to disease and physical symptoms. Future interventions aiming at enhanced physical activity may benefit from integrating these aspects.
Place, publisher, year, edition, pages
2012. Vol. 10, no 2, 122-137 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-153826DOI: 10.1080/15402002.2011.574763ISI: 000304277100004PubMedID: 22468930OAI: oai:DiVA.org:uu-153826DiVA: diva2:418040