Iranian adolescents’ insufficient physical activity: a mixed methods explanatory sequential study
-
Azam Baheiraei
, Mohammad Reza Mohammadi
Abstract
Background: Adolescents’ physical activity decreases from the stage of childhood to adulthood. This study was addressed to explain adolescents’ insufficient physical activity (IPA) and its related factors. The subjects were 1201 adolescents in the quantitative phase and 25 adolescents in the quantitative phase.
Methods: An explanatory sequential mixed methods design with follow-up explanations variant was used, which involved collecting quantitative data (1201 adolescents) first and then explaining the quantitative results with in-depth interviews and written narrative (25 adolescents) during a qualitative study.
Results: The quantitative results showed that 98.8% of adolescents did not have the recommended physical activity. Five themes were extracted in the qualitative phase including the inhibitory effect of the school environment and peers, as well as the inhibitory effect of the family environment, lack of availability and cultural barriers for the presence of girls in the community, the effect of self-feeling and self-understanding, and physical and mental exhaustion and permutation. According to the qualitative findings of the study, physical and mental exhaustion expressed the fact that, although adolescents had an unfavorable sense of IPA, they were under the effects of the intrinsic and extrinsic factors.
Conclusion: The comparison of these themes indicates that this behavior is imposable but not optional.
Acknowledgments
We would like to thank all the adolescents and their parents for their participation. This project was funded and supported by Tehran University of Medical Sciences (TUMS); grant no.89-01-28-10494.
Competing interests: The author(s) declared no potential conflicts of interests.
Funding: This project is funded and supported by Tehran University of Medical Sciences (TUMS); grant no.89-01-28-10494.
References
1. Waxman A. WHO global strategy on diet, physical activity and health. Food Nutr Bull 2004;25:292–302.10.1177/156482650402500310Suche in Google Scholar PubMed
2. Kimm S, Glynn N, Kriska A, Barton B, Kronsberg S, et al. Decline in physical activity in black girls and white girls during adolescence. N Engl J Med 2002;347:709–15.10.1056/NEJMoa003277Suche in Google Scholar PubMed
3. Allender S, Cowburn G, Foster C. Understanding participation in sport and physical activity among children and adults: a review of qualitative studies. Health Educ Res 2006;21:826–35.10.1093/her/cyl063Suche in Google Scholar PubMed
4. Holm K, Li S, Spector N, Hicks F, Carlson E, et al. Obesity in adults and children: a call for action. J Adv Nurs 2001;36:266–9.10.1046/j.1365-2648.2001.01967.xSuche in Google Scholar PubMed
5. Thomas J, Nelson J, Silverman S. Research methods in physical activity. Champaign: Human Kinetics Publishers, 2010.Suche in Google Scholar
6. Kelishadi R. Childhood overweight, obesity, and the metabolic syndrome in developing countries. Epidemiol Rev 2007;29: 62–76.10.1093/epirev/mxm003Suche in Google Scholar PubMed
7. Kelishadi R, Alikhani S, Delavari A, Alaedini F, Safaie A, et al. Obesity and associated lifestyle behaviours in Iran: findings from the first National Non-communicable Disease Risk Factor Surveillance Survey. Public Health Nutr 2008;11:246–51.10.1017/S1368980007000262Suche in Google Scholar PubMed
8. Kelishadi R, Mohammad M, Adeli K, Ardalan G, Gheiratmand R, et al. Factors associated with the metabolic syndrome in a national sample of youths: CASPIAN Study. Nutr Metab Cardiovasc Dis 2008;18:461–70.10.1016/j.numecd.2007.02.014Suche in Google Scholar PubMed
9. WHO. Orientation programme on adolescent health for health-care providers. Geneva: Department of Child and Adolescent Health and Development (CAH), World Health Organization; Commonwealth Medical Association Trust and UNICEF. Available at: http://www.who.int/child_adolescent_health/documents/9241591269/en/index.html. Accessed on 2006.Suche in Google Scholar
10. Castro FG, Kellison JG, Boyd SJ, Kopak A. A methodology for conducting integrative mixed methods research and data analyses. J Mix Methods Res 2010;4:342–61.10.1177/1558689810382916Suche in Google Scholar PubMed PubMed Central
11. Creswell JW, Clark VLP. Designing and conducting mixed methods research. New York: Sage Publications, Inc, 2011.Suche in Google Scholar
12. Baheiraei A, Hamzehgardeshi Z, Mohammadi MR, Nedjat S, Mohammadi E. Psychometric properties of the Persian version of the Youth Risk Behavior Survey Questionnaire. Iran Red Crescent Med J 2012;14:1–8.Suche in Google Scholar
13. Holdford D. Content analysis methods for conducting research in social and administrative pharmacy. Res Social Adm Pharm 2008;4:173–81.10.1016/j.sapharm.2007.03.003Suche in Google Scholar PubMed
14. Kuckartz AM, Kuckartz U, Andaluces FnCdE. Qualitative text analysis with Maxqda. Fundacín Centro de Estudios Andaluces, 2002.Suche in Google Scholar
15. Given LM. The Sage encyclopedia of qualitative research methods. New York: Sage Publications, 2008.10.4135/9781412963909Suche in Google Scholar
16. Ziaee V, Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh S, et al. Physical activity in Iranian students CASPIAN Study. Iran J Pediatr 2006;16:157–64.Suche in Google Scholar
17. Pate R, Freedson P, Sallis J, Taylor W, Sirard J, et al. Compliance with physical activity guidelines: prevalence in a population of children and youth. Ann Epidemiol 2002;12:303–8.10.1016/S1047-2797(01)00263-0Suche in Google Scholar
18. Buckenmeyer PJ, Hokanson J, Adams C, Hamilton J, Jaconski C. Physical activity patterns of children in a central New York community. Med Sci Sports Exerc 2004;36:S264.10.1249/00005768-200405001-01263Suche in Google Scholar
19. Riddoch CJ, Bo A. Physical activity levels and patterns of 9-and 15-yr-old European children. Med Sci Sports Exerc 2004;36:86–92.10.1249/01.MSS.0000106174.43932.92Suche in Google Scholar PubMed
20. Trost SG, Pate RR, Saunders R, Ward DS, Dowda M, et al. A prospective study of the determinants of physical activity in rural fifth-grade children. Prev Med 1997;26:257–63.10.1006/pmed.1996.0137Suche in Google Scholar PubMed
21. Tergerson JL, King KA. Do perceived cues, benefits, and barriers to physical activity differ between male and female adolescents? J Sch Health 2002;72:374–80.10.1111/j.1746-1561.2002.tb03562.xSuche in Google Scholar PubMed
22. Humbert ML, Chad KE, Spink KS, Muhajarine N, Anderson KD, et al. Factors that influence physical activity participation among high-and low-SES youth. Qual Health Res 2006;16:467–83.10.1177/1049732305286051Suche in Google Scholar PubMed
23. Sallis JF, Owen N. Physical activity and behavioral medicine. New York: Sage Publications, 2003.Suche in Google Scholar
24. Coe DP, Pivarnik JM, Womack CJ, Reeves MJ, Malina RM. Effect of physical education and activity levels on academic achievement in children. Med Sci Sports Exerc 2006;38:1515–9.10.1249/01.mss.0000227537.13175.1bSuche in Google Scholar PubMed
25. François T, Roy S. Physical education, school physical activity, school sports and academic performance. Int J Behav Nutr Phys Act 2008;5:10.10.1186/1479-5868-5-10Suche in Google Scholar PubMed PubMed Central
26. Tomporowski PD, Davis CL, Miller PH, Naglieri JA. Exercise and children’s intelligence, cognition, and academic achievement. Educ Psychol Rev 2008;20:111–31.10.1007/s10648-007-9057-0Suche in Google Scholar PubMed PubMed Central
27. Ploughman M. Exercise is brain food: the effects of physical activity on cognitive function. Dev Neurorehabil 2008;11: 236–40.10.1080/17518420801997007Suche in Google Scholar PubMed
28. Ratey JJ, Hagerman E. Spark: the revolutionary new science of exercise and the brain. New York: Little, Brown and Company, 2008.Suche in Google Scholar
29. Carlson SA, Fulton JE, Lee SM, Maynard LM, Brown DR, et al. Physical education and academic achievement in elementary school: data from the early childhood longitudinal study. Am J Public Health 2008;98:721–7.10.2105/AJPH.2007.117176Suche in Google Scholar PubMed PubMed Central
30. Sallis J, Prochaska J, Taylor W. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc 2000;32:963–75.10.1097/00005768-200005000-00014Suche in Google Scholar PubMed
31. Ammouri AA, Kaur H, Neuberger GB, Gajewski B, Choi WS. Correlates of exercise participation in adolescents. Public Health Nurs 2007;24:111–20.10.1111/j.1525-1446.2007.00615.xSuche in Google Scholar PubMed
32. Ries AV, Voorhees CC, Gittelsohn J, Roche KM, Astone NM. Adolescents’ perceptions of environmental influences on physical activity. Am J Public Health 2008;32:26–39.10.5993/AJHB.32.1.3Suche in Google Scholar
33. Trost SG, Pate RR, Sallis JF, Freedson PS, Taylor WC, et al. Age and gender differences in objectively measured physical activity in youth. Med Sci Sports Exerc 2002;34:350–5.10.1097/00005768-200202000-00025Suche in Google Scholar PubMed
34. Jago R, Anderson CB, Baranowski T, Watson K. Adolescent patterns of physical activity: differences by gender, day, and time of day. Am J Prev Med 2005;28:447–52.10.1016/j.amepre.2005.02.007Suche in Google Scholar PubMed
35. Abildso C, Zizzi S, Gilleland D, Thomas J, Bonner D. A mixed methods evaluation of a 12-week insurance-sponsored weight management program incorporating cognitive-behavioral counseling. J Mix Methods Res 2010;4:278–94.10.1177/1558689810376949Suche in Google Scholar
36. Zakarian JM, Hovell MF, Hofstetter CR, Sallis JF, Keating KJ. Correlates of vigorous exercise in a predominantly low SES and minority high school population. Prev Med 1994;23:314–21.10.1006/pmed.1994.1044Suche in Google Scholar PubMed
37. Bungum T, Pate R, Dowda M, Vincent M. Correlates of physical activity among African-American and Caucasian female adolescents. Am J Health Behav 1999;23:25–31.10.5993/AJHB.23.1.3Suche in Google Scholar
38. Tappe MK, Duda JL, Ehrnwald PM. Perceived barriers to exercise among adolescents. J Sch Health 1989;59:153–5.10.1111/j.1746-1561.1989.tb04689.xSuche in Google Scholar PubMed
39. Stark LJ, Collins Jr F, Osnes PG, Stokes TF. Using reinforcement and cueing to increase healthy snack food choices in preschoolers. J Appl Behav Anal 1986;19:367–79.10.1901/jaba.1986.19-367Suche in Google Scholar
40. Arredondo EM, Elder JP, Ayala GX, Campbell N, Baquero B, et al. Is parenting style related to children’s healthy eating and physical activity in Latino families? Health Educ Res 2006;21:862–71.10.1093/her/cyl110Suche in Google Scholar
41. Ornelas IJ, Perreira KM, Ayala GX. Parental influences on adolescent physical activity: a longitudinal study. Int J Behav Nutr Phys Act 2007;4:3.10.1186/1479-5868-4-3Suche in Google Scholar
42. Gordon-Larsen P, McMurray R, Popkin B. Determinants of adolescent physical activity and inactivity patterns. Pediatrics 2000;105:e83.10.1542/peds.105.6.e83Suche in Google Scholar
43. Lasheras L, Aznar S, Merino B, Ĺpez EG. Factors associated with physical activity among Spanish youth through the National Health Survey. Prev Med 2001;32:455–64.10.1006/pmed.2001.0843Suche in Google Scholar
44. Kelishadi R, Ghatrehsamani S, Hosseini M, Mirmoghtadaee P, Mansouri S, et al. Barriers to Physical Activity in a Population-based Sample of Children and Adolescents in Isfahan, Iran. Int J Prev Med 2010;1:131–7.Suche in Google Scholar
45. Dagkas S, Stathi A. Exploring social and environmental factors affecting adolescents’ participation in physical activity. Eur Phys Educ Rev 2007;13:369–84.10.1177/1356336X07081800Suche in Google Scholar
46. Gordon-Larsen P, Harris K, Ward D, Popkin B. Acculturation and overweight-related behaviors among Hispanic immigrants to the US: the National Longitudinal Study of Adolescent Health. Soc Sci Med 2003;57:2023–34.10.1016/S0277-9536(03)00072-8Suche in Google Scholar
47. Sattelmair J, Ratey J. Physically active play and cognition: an academic matter. Am J Play 2009;1:365–74.Suche in Google Scholar
48. DiPietro L. Physical activity in the prevention of obesity: current evidence and research issues. Med Sci Sports Exerc 1999;31(Suppl 11):S542–6.10.1097/00005768-199911001-00009Suche in Google Scholar
49. Fogelholm M, Kukkonen Harjula K. Does physical activity prevent weight gain–a systematic review. Obes Rev 2000;1: 95–111.10.1046/j.1467-789x.2000.00016.xSuche in Google Scholar
50. Leslie J, Yancy A, McCarthy W, Albert S, Wert C, et al. Development and implementation of a school-based nutrition and fitness promotion program for ethnically diverse middle-school girls. J Am Diet Assoc 1999;99:967–70.10.1016/S0002-8223(99)00230-8Suche in Google Scholar
51. Taylor WC, Yancey AK, Leslie J, Murray NG, Cummings SS, et al. Physical activity among African American and Latino middle school girls: consistent beliefs, expectations, and experiences across two sites. Women Health 2000;30:67–82.10.1300/J013v30n02_05Suche in Google Scholar
52. Centers for Disease Control and Prevention. Physical activity for everyone. Available at: http://www.cdc.gov/physicalactivity/everyone/guidelines/children.html. Accessed on March, 2012.Suche in Google Scholar
53. CDC. The CDC guide to strategies for increasing physical activity in the community. Available at: http://hwww.cdph.ca.gov/.../StratsforIncPAintheCommunity.pdf. Accessed on 2010.Suche in Google Scholar
54. Galper DI, Trivedi MH, Barlow CE, Dunn AL, Kampert JB. Inverse association between physical inactivity and mental health in men and women. Med Sci Sports Exerc 2006;38:173.10.1249/01.mss.0000180883.32116.28Suche in Google Scholar PubMed
©2016 by De Gruyter
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Artikel in diesem Heft
- Frontmatter
- Editorial
- Smoking: do you really know the risk?
- Original Articles
- Practices and perceptions of adolescent girls regarding the impact of dysmenorrhea on their routine life: a comparative study in the urban, rural, and slum areas of Chandigarh
- Needs and expectations of adolescent in-patients: the experience of Gaslini Children’s Hospital
- Prevalence and determinants of cigarette smoking among adolescents in secondary schools in Port Harcourt, Southern Nigeria
- Comprehensive obesity evaluation and treatment of three adolescents: a case series
- Exercise, bodyweight perception and related weight loss behavior among adolescents in Trinidad and Tobago
- Oral health habits, attitudes and behaviors of Portuguese adolescents
- Using UV photoaged photography to better understand Western Australian teenagers’ attitudes towards adopting sun-protective behaviors
- Adolescent pesticide exposures reported to Texas poison centers
- Can a healthy youth development clinic serving latino families be youth friendly and family oriented? A mixed-methods evaluation
- Insights into Facebook Pages: an early adolescent health research study page targeted at parents
- Iranian adolescents’ insufficient physical activity: a mixed methods explanatory sequential study
- Sensation seeking indirectly affects perceptions of risk for co-occurrent substance use
- The understanding of risk factors for eating disorders in male adolescents
- Case Reports
- The role of temperament in traumatic hearing loss: a single case study of a cochlear-implanted patient
- Congenital megalourethra: a case report of an isolated delayed presentation
- Short Communication
- Problematic internet use and social networking site use among Dutch adolescents
- Letter to the Editor
- A teen’s perspective: adolescent access to their own electronic medical records