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Capability, opportunity, and motivation : identifying constructs for increasing physical activity behaviours in women with polycystic ovary syndrome (PCOS)

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Kite, Chris, Atkinson, Lou, McGregor, Gordon, Clark, Cain C. T., Randeva, Harpal S. and Kyrou, Ioannis (2023) Capability, opportunity, and motivation : identifying constructs for increasing physical activity behaviours in women with polycystic ovary syndrome (PCOS). International Journal of Environmental Research and Public Health, 20 (3). 2309. doi:10.3390/ijerph20032309 ISSN 1660-4601.

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Official URL: http://dx.doi.org/10.3390/ijerph20032309

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Abstract

Polycystic ovary syndrome (PCOS) is the commonest endocrinopathy in reproductive-aged women. Because increased adiposity is pivotal in the severity of PCOS-related symptoms, treatment usually incorporates increasing energy expenditure through physical activity (PA). This study aimed to understand the reasons why women with PCOS engage in PA/exercise, which could support the development of targeted behavioural interventions in this at-risk population. Validated questionnaires were administered for self-reported PA levels, quality of life, mental health, illness perception, sleep quality, and capability, opportunity, and motivation (COM) for PA. Using categorical PA data, outcomes were compared between groups; ordinal logistic regression (OLR) was used to identify whether COM could explain PA categorisation. A total of 333 participants were eligible; favourable differences were reported for body mass index, depression, mental wellbeing, self-rated health, illness perception, and insomnia severity for those reporting the highest PA levels. COM scores increased according to PA categorisation, whilst OLR identified conscious and automatic motivation as explaining the largest PA variance. The most active participants reported favourable data for most outcomes. However, determining whether health is protected by higher PA or ill health is a barrier to PA was not possible. These findings suggest that future behavioural interventions should be targeted at increasing patient motivation.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RG Gynecology and obstetrics
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Polycystic ovary syndrome, Exercise, Quality of life, Exercise -- Physiological aspects, Polycystic ovary syndrome -- Treatment, Exercise -- Psychological aspects
Journal or Publication Title: International Journal of Environmental Research and Public Health
Publisher: M D P I AG
ISSN: 1660-4601
Official Date: February 2023
Dates:
DateEvent
February 2023Published
28 January 2023Available
26 January 2023Accepted
Volume: 20
Number: 3
Number of Pages: 17
Article Number: 2309
DOI: 10.3390/ijerph20032309
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 8 March 2023
Date of first compliant Open Access: 9 March 2023
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
6/2020General Charities of the City of CoventryUNSPECIFIED
6/2020ResMed Foundationhttp://dx.doi.org/10.13039/100003305

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