Motivational Determinants of Objective Physical Activity in Women with Fibromyalgia Who Attended Rehabilitation Settings

Being physically active has positive effects on fibromyalgia functioning. However, promoting an active lifestyle in these patients continues to be a relevant clinical challenge. Our aim was to test a motivational model to explain light (LPA) and moderate-vigorous physical activity (MVPA). A cross-se...

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Detalhes bibliográficos
Autores: Pastor-Mira, María Ángeles, López Roig, Sofía, Martínez-Zaragoza, Fermín, Toribio, Eva, Nardi-Rodríguez, Ainara, Peñacoba, Cecilia
Tipo de documento: artigo
Data de publicação:2021
País:España
Recursos:Universidad Miguel Hernández de Elche
Repositório:REDIUMH. Depósito Digital de la UMH
OAI Identifier:oai:dspace.umh.es:11000/31318
Acesso em linha:https://hdl.handle.net/11000/31318
Access Level:Acceso aberto
Palavra-chave:biopsychosocial
chronic pain
fibromyalgia
physical activity self-efficacy
goal preferences
activity avoidance
physical activity behavior
CDU::6 - Ciencias aplicadas::61 - Medicina::613 - Higiene en general. Higiene y salud personal
Descrição
Resumo:Being physically active has positive effects on fibromyalgia functioning. However, promoting an active lifestyle in these patients continues to be a relevant clinical challenge. Our aim was to test a motivational model to explain light (LPA) and moderate-vigorous physical activity (MVPA). A cross-sectional prospective study was conducted at a tertiary level of care. Participants completed sociodemographic, clinical, motivational (physical activity self-efficacy and goal preferences) and behavioral measures (activity avoidance). LPA and MVPA were measured with triaxial accelerometers, starting the same day of the aforementioned assessment. Out of 211 women, 183 completed this measure. Structural models were performed. Our results show that the best fit indices (CFI = 0.97, SRMR = 0.04) showed a model with direct influence of PA self-efficacy on MVPA (p < 0.01) and indirect influence on LPA (p < 0.001). LPA received the influence of PA self-efficacy mainly through activity avoidance (p < 0.01). Clinical variables did not have any effect on PA intensities. Thus, the motivational variables showed different paths to explain two PA intensities. Targeting PA self-efficacy in rehabilitation settings is needed to enhance both daily LPA and MVPA intensities