<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_abm-2019-0005_s_004_w2aab3b7b4b1b6b1aab1c17b1Aa"><h3>Background</h3><p>Hypertension is the leading preventable cause of premature deaths worldwide. Physical activity reduces the levels of blood lipids and blood pressure in people suffering from hypertension.</p></sec><sec id="j_abm-2019-0005_s_005_w2aab3b7b4b1b6b1aab1c17b2Aa"><h3>Objectives</h3><p>To apply the theory of planned behavior (TPB) to determine factors associated with physical activity by women with hypertension who were referred to health care centers in Kiashahr in 2016.</p></sec><sec id="j_abm-2019-0005_s_006_w2aab3b7b4b1b6b1aab1c17b3Aa"><h3>Methods</h3><p>The present observational study was conducted in a cross-section of 215 women diagnosed with hypertension who had records in health care centers in Kiashahr and who were recruited through census from August to September 2016. The data collection tool was a custom-designed questionnaire based on the TPB, and the collected data were analyzed using descriptive and analytical statistical methods.</p></sec><sec id="j_abm-2019-0005_s_007_w2aab3b7b4b1b6b1aab1c17b4Aa"><h3>Results</h3><p>The mean scores of knowledge, attitudes, subjective norms, perceived behavioral control, and intention to undertake physical activity were significantly (<italic>P</italic> &lt; 0.01) higher among women who performed regular physical activity than in those without regular physical activity. Constructs including behavioral intention (<italic>P</italic> &lt; 0.001, odds ratio (OR) 1.36, 95% confidence interval (CI) 1.15, 1.61) and attitude (<italic>P</italic> = 0.004, OR 1.27, 95% CI 1.08, 1.50) were significant predictors for undertaking physical activities.</p></sec><sec id="j_abm-2019-0005_s_008_w2aab3b7b4b1b6b1aab1c17b5Aa"><h3>Conclusions</h3><p>Attitude and behavioral intention were predictors for undertaking physical activities. We recommended the design of interventional programs based on these 2 factors for women with hypertension living in rural areas of Iran.</p></sec></abstract>

BackgroundHypertension is the leading preventable cause of premature deaths worldwide. Physical activity reduces the levels of blood lipids and blood pressure in people suffering from hypertension.ObjectivesTo apply the theory of planned behavior (TPB) to determine factors associated with physical activity by women with hypertension who were referred to health care centers in Kiashahr in 2016.MethodsThe present observational study was conducted in a cross-section of 215 women diagnosed with hypertension who had records in health care centers in Kiashahr and who were recruited through census from August to September 2016. The data collection tool was a custom-designed questionnaire based on the TPB, and the collected data were analyzed using descriptive and analytical statistical methods.ResultsThe mean scores of knowledge, attitudes, subjective norms, perceived behavioral control, and intention to undertake physical activity were significantly (P < 0.01) higher among women who performed regular physical activity than in those without regular physical activity. Constructs including behavioral intention (P < 0.001, odds ratio (OR) 1.36, 95% confidence interval (CI) 1.15, 1.61) and attitude (P = 0.004, OR 1.27, 95% CI 1.08, 1.50) were significant predictors for undertaking physical activities.ConclusionsAttitude and behavioral intention were predictors for undertaking physical activities. We recommended the design of interventional programs based on these 2 factors for women with hypertension living in rural areas of Iran.

Applying the theory of planned behavior to determine factors associated with physical activity by women with hypertension in rural areas of Iran

Asian Biomedicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

BackgroundHypertension is the leading preventable cause of premature deaths worldwide. Physical activity reduces the levels of blood lipids and blood pressure...

Variable	P	OR	95% confidence interval
			Lower	Higher
Knowledge	<0.001	1.31	1.17	1.47
Attitude	0.004	1.27	1.08	1.50
Subjective norms	0.621	0.96	0.82	1.13
Perceived behavioral	0.623	1.05	0.87	1.25
control
Intention to do	<0.001	1.36	1.15	1.61
physical activities

	Having regular physical activity (n = 102); mean ± SD	Lack of regular physical activity (n = 113); mean ± SD	P
Knowledge	5.13 ± 2.29	8.07 ± 1.55	0.001
Attitude	20.79 ± 2.68	17.35 ± 3.56	0.001
Subjective	20.93 ± 2.35	19.85 ± 2.84	0.003
norm
Perceived	16.64 ± 2.20	14.05 ± 2.86	0.001
behavioral
control
Intention to	12.46 ± 2.35	9.31 ± 2.50	0.001
do activity

	Frequency	Percentage
Marital status
Single	2	0.9
Married	186	86.5
Divorced	1	0.5
Widow	26	12.1
Education
Illiterate	104	48.4
Primary	53	24.7
Junior	37	17.2
Senior	13	6.0
Academic	8	3.7
Age (y)
<40	16	7.4
40–49	43	20.0
50–59	85	39.6
≥60	71	33.0
Occupation
Housewife	171	79.5
Farmer	30	14.0
Employee	8	3.7
Retired	3	1.4
Others	3	1.4
Number of children
1–3	100	49.3
4–6	73	36.0
7–10	26	12.8
>10	4	2.0
History of hypertension among relatives
Yes	157	73.0
No	58	27.0
Regular physical activity
Yes	102	47.4
No	113	52.6

Applying the theory of planned behavior to determine factors associated with physical activity by women with hypertension in rural areas of Iran

Article Category: Original article

Online veröffentlicht: 30. Apr. 2019

Seitenbereich: 83 - 90

DOI: https://doi.org/10.1515/abm-2019-0005

Schlüsselwörter
exercise, hypertension, Iran, rural population, women

© 2018 Effat Hatefnia et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Logistic regression to determine factors associated with regular physical activity

Independent t test to compare the mean score of the TPB constructs in hypertensive women with and without physical activity

Demographic characteristics of the participants

Applying the theory of planned behavior to determine factors associated with physical activity by women with hypertension in rural areas of Iran

Article Category: Original article

Online veröffentlicht: 30. Apr. 2019

Seitenbereich: 83 - 90

DOI: https://doi.org/10.1515/abm-2019-0005

Schlüsselwörterexercise, hypertension, Iran, rural population, women

© 2018 Effat Hatefnia et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Logistic regression to determine factors associated with regular physical activity

Independent t test to compare the mean score of the TPB constructs in hypertensive women with and without physical activity

Demographic characteristics of the participants

Schlüsselwörter
exercise, hypertension, Iran, rural population, women