DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20191553

Physical activity and perceived barriers among doctors working in King Abdulaziz Hospital, Jeddah, 2018

Eyad Khateeb, Turki AlKharji, Sulafa AlQutub

Abstract


Background: Physical inactivity is a major public health problem worldwide, and Saudi Arabia has been identified as one of the countries with the highest prevalence of physical inactivity. This study seeks to determine the physical activity levels and to identify the perceived barriers against physical activity among doctors.

Methods: We performed a cross-sectional study involving all physicians practicing in King Abdulaziz Hospital in Jeddah, Saudi Arabia. All doctors holding administrative positions during the conduct of the survey were excluded from the study. Systematic random sampling was used to select the doctors. A previously published and validated self-administered questionnaire was used in the study. The results of the study were analyzed using IBM SPSS version 23.

Results: Among the 178 physicians surveyed, more than half (74.6%) reported having regular physical activity. Among the 129 doctors who reported low to high physical activity, 50.0% were in the moderate to high category, meanwhile only 23.7% were in the low category. We found a significant relationship between the level of physical activity and perceived total exercise benefits/barriers (p<0.001), exercise benefits (p-value=0.009), and exercise barriers (p<0.001).

Conclusions: Most of the physicians were physically active. However, there is still a need to encourage physicians to improve their physical activity, which would improve their perception of exercise and set them as better role models for physical activity among their patients and the communityz.

 


Keywords


Physical activity, Doctors, Barriers, Healthy lifestyle

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References


Alsubaie ASR, Omer EOM. Physical Activity Behavior Predictors, Reasons and Barriers among Male Adolescents in Riyadh, Saudi Arabia: Evidence for Obesogenic Environment. Int J Health Sci (Qassim) 2015;9(4):400–8.

Awadalla NJ, Aboelyazed AE, Hassanein MA, Khalil SN, Aftab R, Gaballa II, et al. Assessment of physical inactivity and perceived barriers to physical activity among health college students, south-western Saudi Arabia. East Mediterr Health J 2014;20(10):596–604.

Al-Hazzaa HM, Abahussain NA, Al-Sobayel HI, Qahwaji DM, Musaiger AO. Physical activity, sedentary behaviors and dietary habits among Saudi adolescents relative to age, gender and region. Int J Behav Nutr Phys Act 2011;8:140.

Al-Nozha MM, Al-Hazzaa HM, Arafah MR, Al-Khadra A, Al-Mazrou YY, Al-Maatouq MA, et al. Prevalence of physical activity and inactivity among Saudis aged 30-70 years. A population-based cross-sectional study. Saudi Med J 2007;28(4):559–68.

Al Harbi R, Al Matrafi H, Al Wafi O. Prevalence of physical activity and perceived barriers among 6th year medical students in Umm Al-Qura University in Makkah Al-Mukarramah, in 2016. International Journal of Advanced Research 2017;5(8):715–26.

Al-Otaibi HH. Measuring stages of change, perceived barriers and self efficacy for physical activity in Saudi Arabia. Asian Pac J Cancer Prev 2013;14(2):1009–16.

AlQuaiz AM, Tayel SA. Barriers to a healthy lifestyle among patients attending primary care clinics at a university hospital in Riyadh. Ann Saudi Med 2009;29(1):30–5.

Victor JF, Ximenes LB, Almeida PC de. Reliability and validity of the Exercise Benefits/Barriers scale in the elderly. Acta Paulista de Enfermagem 2012;25(SPE1):48–53.

Banday AH, Want FA, Alris FFA, Alrayes MF, Alenzi MJ. A Cross-sectional Study on the Prevalence of Physical Activity Among Primary Health Care Physicians in Aljouf Region of Saudi Arabia. Mater Sociomed 2015;27(4):263–6.

Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995;273(5):402–7.

World Health Organization. WHO | Physical status: the use and interpretation of anthropometry . WHO. Available at https://www.who.int/childgrowth/ publications/physical_status/en/. Accessed on 27 March 2019.

Lee CD, Folsom AR, Blair SN. Physical activity and stroke risk: a meta-analysis. Stroke 2003;34(10):2475–81.

Lee I-M, Sesso HD, Oguma Y, Paffenbarger RS. Relative intensity of physical activity and risk of coronary heart disease. Circulation 2003;107(8):1110–6.

Tashev T. Nutritional aspects of obesity and diabetes and their relation to cardiovascular diseases and mortality: preventive health and social measures. Food and nutrition bulletin (USA), 1986. Available at http://agris.fao.org/agris-search/search.do?recordID=US8836109. Accessed 27 March 2019.

Whelton SP, Chin A, Xin X, He J. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann Intern Med 2002;136(7):493–503.

Berman DM, Rogus EM, Busby-Whitehead MJ, Katzel LI, Goldberg AP. Predictors of adipose tissue lipoprotein lipase in middle-aged and older men: relationship to leptin and obesity, but not cardiovascular fitness. Metab Clin Exp 1999;48(2):183–9.

Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002;346(6):393–403.

Gaertner PH, Firor WB, Edouard L. Physical inactivity among physicians. CMAJ. 1991;144(10):1253–6.

Rady M, Sabbour SM. Behavioral risk factors among physicians working at Faculty of Medicine - Ain Shams University. J Egypt Public Health Assoc 1997;72(3–4):233–56.

Bahram S, Kamal J, Fakhro E. Leisure -Time Physical Activity Habits Among Physicians. Ann Agric Environ Med. 2003;25:80-2.

Biernat E, Poznańska A, Gajewski AK. Is physical activity of medical personnel a role model for their patients. Ann Agric Environ Med. 2012;19(4):707–10.

Gnanendran A, Pyne DB, Fallon KE, Fricker PA. Attitudes of medical students, clinicians and sports scientists towards exercise counselling. J Sports Sci Med. 2011;10(3):426–31.

Medscape. Medscape 2012 Physician Lifestyle Report. Available at: https://www.medscape. com/sites/public/lifestyle/2012. Accessed 27 March 2019.

World Health Organization. WHO | The Global Strategy on Diet, Physical Activity and Health (DPAS). WHO. Available at http://www.who.int/nmh/wha/59/dpas/en/. Accessed 27 March 2019.

Pitsavos C, Panagiotakos DB, Lentzas Y, Stefanadis C. Epidemiology of leisure-time physical activity in socio-demographic, lifestyle and psychological characteristics of men and women in Greece: the ATTICA Study. BMC Public Health. 2005;5:37.

Al-Hazzaa HM. Health-enhancing physical activity among Saudi adults using the International Physical Activity Questionnaire (IPAQ). Public Health Nutr. 2007;10(1):59–64.

Jilcott SB, Evenson KR, Laraia BA, Ammerman AS. Association Between Physical Linking clinical care to community resources for cardiovascular disease prevention: the North Carolina Enhanced WISEWOMAN project. J Womens Health (Larchmt). 2006;15(5):569-83.

Wiesemann A, Ludt S, Szecsenyi J, Scheuermann W, Scheidt R. Cardiovascular risk factors and motivation for a healthy life-style in a German community--results of the GP-based Oestringen study. Patient Educ Couns 2004;55(1):40–7.

American Heart Association. Physically active health-care providers more likely to give physical activity counseling. American Heart Association Meeting Report, 2013. Available at http://www.eurekalert.org/pub_releases/2013-03/aha-pah031413.php. Accessed 27 March 2019.

Garcia de Quevedo I, Lobelo F. Abstract P420: Healthcare providers as role models for physical activity. Circulation 2018;127((Suppl 12)):AP420.

Stanford F, Durkin M, Stallworth J, Blair S. Comparison of physical activity levels in physicians and medical students with the general adult population of the United States. Phys Sportsmed 2013;41(4):86-92.