Reasons for adhesion, adherence and dropout of obese adults in a exercise program

Authors

  • Anne Ribeiro Streb Universidade Federal de Santa Catarina, Departamento de Educação Física, Florianópolis, Santa Catarina, Brasil. https://orcid.org/0000-0001-9195-4210
  • Willen Remon Tozetto Universidade Federal de Santa Catarina, Departamento de Educação Física, Florianópolis, Santa Catarina, Brasil. https://orcid.org/0000-0001-8856-1678
  • Cecília Bertuol Universidade Federal de Santa Catarina, Departamento de Educação Física, Florianópolis, Santa Catarina, Brasil. https://orcid.org/0000-0003-1277-775X
  • Jucemar Benedet Universidade Federal de Santa Catarina, Departamento de Educação Física, Florianópolis, Santa Catarina, Brasil. https://orcid.org/0000-0002-2058-6040
  • Giovani Firpo Del Duca Universidade Federal de Santa Catarina, Departamento de Educação Física, Florianópolis, Santa Catarina, Brasil. https://orcid.org/0000-0003-0893-2032

DOI:

https://doi.org/10.12820/rbafs.27e0289

Keywords:

Treatment adherence and compliance, Exercise, Young adult, Motivation, Patient dropouts

Abstract

The study aimed to determine the reasons for adherence, adherence and dropout of adults with obesity in a physical exercise intervention program. This is a descriptive study with 69 adults with obesity, who were involved in a controlled clinical trial. In the physical exercise groups, the sessions contained aerobic and strength training, totaling 60 minutes, during 16 weeks. The reasons for adhesion, adherence and dropout were determined by questionnaire and a descriptive analysis (quantitative and qualitative) was carried out, according to the frequency with which the reasons were reported by the participants. There was low adherence to training, as well as high dropout rates. Health, quality of life and aesthetics were the main reasons for adhesion. For adherence, the most prevalent aspects were health, commitment and motivation. However, for dropout, work and lack of motivation were more reported. It is important for professional intervention in the field of physical activity and health to consider these different reasons and the changes in them during the process and direct actions in order to increase adhesion and adherence and reduce dropouts.

Downloads

Download data is not yet available.

References

Angelantonio ED, Bhupathiraju SN, Wormser D, Gao P, Kaptoge S, Gonzalez AB, et al. Body-mass index and all-cause mortality: individual-participant-data meta-analysis of 239 prospective studies in four continents. The Lancet. 2016;388(10046):776–86. DOI: https://doi.org/10.1016/S0140-6736(16)30175-1

World Health Organization. Global Recommendations on Physical Activity for Health. 2011.

BRASIL. Vigitel Brasil 2017: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2017 / Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde. 2018. DOI: https://doi.org/10.5123/S1679-49742017000400003

Dhar AK, Barton DA. Depression and the link with cardiovascular disease. Front Psychiatry. 2016;7:33. DOI: https://doi.org/10.3389/fpsyt.2016.00033

Guedes DP, Legnani RFS, Legnani E. Motivação para a adesão ao exercício físico: diferenças de acordo com experiência de prática. Rev Bras Ci e Mov. 2012;20(3):55–62.

Guedes DP, Legnani RFS, Legnani E. Motivos para a prática de exercício físico em universitários e fatores associados. Rev Bras Educ Fís Esporte. 2012;26(4):679–89. DOI: https://doi.org/10.1590/S1807-55092012000400012

Shell AL, Hsueh L, Vrany EA, Clark DO, Keith NR, Xu H, et al. Depressive symptom severity as a predictor of attendance in the HOME behavioral weight loss trial. J. Psychosom. Res. 131;(2020):109970. DOI: https://doi.org/10.1016/j.jpsychores.2020.109970

Pippi R, Di Blasio A, Aiello C, Fanelli C, Bullo V, Gobbo S, et al. Effects of a supervised nordic walking program on obese adults with and without type 2 diabetes: The CURIA Mo. Centre experience. J. funct. Morfol. 2020;5(3):62. DOI: https://doi.org/10.3390/jfmk5030062

Sallis R, Franklin B, Joy L, Ross R, Sabgir D, Stone J. Strategies for promoting physical activity in clinical practice. Prog Cardiovasc Dis. 2015;57(4):375–86. DOI: https://doi.org/10.1016/j.pcad.2014.10.003

Lemos E, Bastos L, Silva G, Luna C, Gouveia G. Factors associated with adherence to the Academia da Cidade Program in Recife. Rev Bras Ativ Saude. 2016;21(5). DOI: https://doi.org/10.12820/rbafs.v.21n5p470-482

Abdi J, Eftekhar H, Mahmoodi M, Shojayzadeh D, Sadeghi R. Physical activity status and position of governmental employees in changing stage based on the trans-theoretical model in Hamadan, Iran. Glob J Health Sci. 2015;7(5):23. DOI: https://doi.org/10.5539/gjhs.v7n5p23

Bevilaqua CA, Pelloso SM, Marcon SS. Estágio de mudança de comportamento em mulheres de um programa multiprofissional de tratamento da obesidade. Rev Latino-Am Enfermagem. 2016;24:1–10. DOI: https://doi.org/10.1590/1518-8345.0549.2809

Streb AR, Silva RP, Leonel LS, Tozetto WR, Gerage AM, Benedet J, et al. Comparison of linear periodized and non-periodized combined training in health markers and physical fitness of adults with obesity: Clinical trial protocol. Contemporary Clinical Trials Communications. 2019;15:21. DOI: https://doi.org/10.1016/j.conctc.2019.100358

World Health Organization et al. Adherence to long-term therapies: evidence for action. World Health Organization, 2003.

Gillett PA. Self-reported factors influencing exercise adherence in overweight women. Nurs Res. 1988; 37(1):25-29. DOI: https://doi.org/10.1097/00006199-198801000-00006

Balbinotti MAA, Zambonato F, Barbosa MLL, Saldanha RP, Balbinotti CAA. Motivação à prática regular de atividades físicas e esportivas: um estudo comparativo entre estudantes com sobrepeso, obesos e eutróficos. Motriz. 2011;17(3):384–94. DOI: https://doi.org/10.1590/S1980-65742011000300002

Helland MH, Nordbotten GL. Dietary changes, motivators, and barriers affecting diet and physical activity among overweight and obese: a mixed methods approach. Int. J. Environ. Res. Public Health. 2021;18(20):10582. DOI: https://doi.org/10.3390/ijerph182010582

Costa ACP, Torre MCMD, Alvarenga MS. Atitudes em relação ao exercício e insatisfação com a imagem corporal de frequentadores de academia. Rev Bras Educ Fís Esporte. 2015;29(3):453–64. DOI: https://doi.org/10.1590/1807-55092015000300453

Lemstra M, Bird Y, Nwankwo C, Rogers M, Moraros J. Weight-loss intervention adherence and factors promoting adherence: a meta-analysis. Patient Prefer Adherence. 2016; 10:1547. DOI: https://doi.org/10.2147/PPA.S103649

Khaled SA, Elfakharany AT, Elazab DR. Effect of Body mass index on adherence to physical activity in females. Int J Adv Res Biol Sci. 2016;3(11):211–9. DOI: https://doi.org/10.22192/ijarbs.2016.03.11.027

Forechi L, Mill JG, Griep RH, Santos I, Pitanga F, Molina MCB, et al. Adherence to physical activity in adults with chronic diseases: ELSA-Brasil. Rev Saúde Pública. 2018;52:31. DOI: https://doi.org/10.11606/S1518-8787.2018052000215

Hemmingsson E, Page A, Fox K, Rössner S. Influencing adherence to physical activity behaviour change in obese adults. Näringsforskning. 2001;45(1):114–9. DOI: https://doi.org/10.3402/fnr.v45i0.1788

Burgess E, Hassmén P, Pumpa KL. Determinants of adherence to lifestyle intervention in adults with obesity: a systematic review: Adherence to lifestyle intervention in obesity. Clin Obes. 2017;7(3):123–35. DOI: https://doi.org/10.1111/cob.12183

Moroshko I, Brennan L, O’Brien P. Predictors of dropout in weight loss interventions: a systematic review of the literature. Obes Rev. 2011;12(11):912–34. DOI: https://doi.org/10.1111/j.1467-789X.2011.00915.x

Fleck SJ, Kraemer WJ. Fundamentos do treinamento de força muscular. Porto Alegre: Artmed Editora, 2017.

Strohacker K, Fazzino D, Breslin WL, Xu X. The use of periodization in exercise prescriptions for inactive adults: A systematic review. Prev Med Rep. 2015;2:385–96. DOI: https://doi.org/10.1016/j.pmedr.2015.04.023

Hameed MA, Tebbit L, Jacques N, Thomas M, Dasgupta I. Non-adherence to antihypertensive medication is very common among resistant hypertensives: results of a directly observed therapy clinic. J Hum Hypertens. 2016;30(2):83–9. DOI: https://doi.org/10.1038/jhh.2015.38

Grave RD, Calugi S, Molinari E, Petroni ML, Bondi M, Compare A, et al. Weight loss expectations in obese patients and treatment attrition: an observational multicenter study. Obes Res. 2005;13(11):1961–9. DOI: https://doi.org/10.1038/oby.2005.241

Sawamoto R, Nozaki T, Furukawa T, Tanahashi T, Morita C, Hata T, et al. Predictors of dropout by female obese patients treated with a group cognitive behavioral therapy to promote weight loss. Obes Facts. 2016;9(1):29–38. DOI: https://doi.org/10.1159/000442761

Sheets CS, Peat CM, Berg KC, White EK, Bocchieri-Ricciardi L, Chen EY, et al. Post-operative Psychosocial Predictors of Outcome in Bariatric Surgery. Obes Surg. 2015;25(2):330–45. DOI: https://doi.org/10.1007/s11695-014-1490-9

Colombo O, Ferretti VV, Ferraris C, Trentani C, Vinai P, Villani S, et al. Is drop-out from obesity treatment a predictable and preventable event? Nutr J. 2014;13:13. DOI: https://doi.org/10.1186/1475-2891-13-13

Downloads

Published

2023-03-21

How to Cite

1.
Streb AR, Tozetto WR, Bertuol C, Benedet J, Del Duca GF. Reasons for adhesion, adherence and dropout of obese adults in a exercise program. Rev. Bras. Ativ. Fís. Saúde [Internet]. 2023 Mar. 21 [cited 2024 Jul. 3];27:1-9. Available from: https://rbafs.org.br/RBAFS/article/view/15013

Issue

Vol. 27 (2022)

Section

Original Articles

License

Copyright (c) 2023 Brazilian Journal of Physical Activity & Health

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

When submitting a manuscript to the Revista Brasileira de Atividade Física & Saúde, the authors retain the copyright to the article and authorize the Revista Brasileira de Atividade Física & Saúde to publish the manuscript under the Creative Commons Attribution 4.0 License and identify it as the original publication source.