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Barriers to exercise and the role of general practitioner: A cross-sectional survey among people with multiple sclerosis
INTRODUCTION: Regular exercise is strongly recommended for people with MS (pwMS), but recent studies still describe them as sedentary and insufficiently active. The purpose of this study is to identify the major barriers that prevent pwMS from exercising and underline the importance of the general p...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9719978/ https://www.ncbi.nlm.nih.gov/pubmed/36479057 http://dx.doi.org/10.3389/fneur.2022.1016143 |
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author | Correale, Luca Martinis, Luca Tavazzi, Eleonora Pedullà, Ludovico Mallucci, Giulia Brichetto, Giampaolo Bove, Marco Ponzio, Michela Borrelli, Paola Monti, Maria Cristina Bergamaschi, Roberto Montomoli, Cristina |
author_facet | Correale, Luca Martinis, Luca Tavazzi, Eleonora Pedullà, Ludovico Mallucci, Giulia Brichetto, Giampaolo Bove, Marco Ponzio, Michela Borrelli, Paola Monti, Maria Cristina Bergamaschi, Roberto Montomoli, Cristina |
author_sort | Correale, Luca |
collection | PubMed |
description | INTRODUCTION: Regular exercise is strongly recommended for people with MS (pwMS), but recent studies still describe them as sedentary and insufficiently active. The purpose of this study is to identify the major barriers that prevent pwMS from exercising and underline the importance of the general practitioner (GP) in promoting an active lifestyle. MATERIALS AND METHODS: We performed a multicenter cross-sectional study using a self-administered questionnaire among pwMS. Data about demographics, the disease, current exercise practice, barriers, previous GP's advice to practice, and motivation were collected. RESULTS: A total of 741 pwMS (age 55.6 ± 12.5 years, 66% females) completed the survey. Most responders (75.3%) did not practice any exercise. Fatigue was the most limiting factor to attending and/or starting an exercise program, followed by travel and/or moving issues, and the lack of time. Only 25.5% of participants received GP's advice to practice exercise, but 48.6% of them attended an exercise program. A greater likelihood of practice was evidenced for people that received the GP's advice than those who had not received it (OR 2.96; p < 0.001). Finally, among those who did not practice exercise but received advice from GPs, 69 out of 99 (69.7%) were motivated to start an exercise program. CONCLUSION: Fatigue and physical issues are the main barriers to exercise for pwMS, but also other factors not related to the disease seem to be relevant, like travel issues and lack of time. Although few participants received advice to exercise from their general practitioner, his role proved effective in encouraging the practice. |
format | Online Article Text |
id | pubmed-9719978 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97199782022-12-06 Barriers to exercise and the role of general practitioner: A cross-sectional survey among people with multiple sclerosis Correale, Luca Martinis, Luca Tavazzi, Eleonora Pedullà, Ludovico Mallucci, Giulia Brichetto, Giampaolo Bove, Marco Ponzio, Michela Borrelli, Paola Monti, Maria Cristina Bergamaschi, Roberto Montomoli, Cristina Front Neurol Neurology INTRODUCTION: Regular exercise is strongly recommended for people with MS (pwMS), but recent studies still describe them as sedentary and insufficiently active. The purpose of this study is to identify the major barriers that prevent pwMS from exercising and underline the importance of the general practitioner (GP) in promoting an active lifestyle. MATERIALS AND METHODS: We performed a multicenter cross-sectional study using a self-administered questionnaire among pwMS. Data about demographics, the disease, current exercise practice, barriers, previous GP's advice to practice, and motivation were collected. RESULTS: A total of 741 pwMS (age 55.6 ± 12.5 years, 66% females) completed the survey. Most responders (75.3%) did not practice any exercise. Fatigue was the most limiting factor to attending and/or starting an exercise program, followed by travel and/or moving issues, and the lack of time. Only 25.5% of participants received GP's advice to practice exercise, but 48.6% of them attended an exercise program. A greater likelihood of practice was evidenced for people that received the GP's advice than those who had not received it (OR 2.96; p < 0.001). Finally, among those who did not practice exercise but received advice from GPs, 69 out of 99 (69.7%) were motivated to start an exercise program. CONCLUSION: Fatigue and physical issues are the main barriers to exercise for pwMS, but also other factors not related to the disease seem to be relevant, like travel issues and lack of time. Although few participants received advice to exercise from their general practitioner, his role proved effective in encouraging the practice. Frontiers Media S.A. 2022-11-21 /pmc/articles/PMC9719978/ /pubmed/36479057 http://dx.doi.org/10.3389/fneur.2022.1016143 Text en Copyright © 2022 Correale, Martinis, Tavazzi, Pedullà, Mallucci, Brichetto, Bove, Ponzio, Borrelli, Monti, Bergamaschi and Montomoli. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology Correale, Luca Martinis, Luca Tavazzi, Eleonora Pedullà, Ludovico Mallucci, Giulia Brichetto, Giampaolo Bove, Marco Ponzio, Michela Borrelli, Paola Monti, Maria Cristina Bergamaschi, Roberto Montomoli, Cristina Barriers to exercise and the role of general practitioner: A cross-sectional survey among people with multiple sclerosis |
title | Barriers to exercise and the role of general practitioner: A cross-sectional survey among people with multiple sclerosis |
title_full | Barriers to exercise and the role of general practitioner: A cross-sectional survey among people with multiple sclerosis |
title_fullStr | Barriers to exercise and the role of general practitioner: A cross-sectional survey among people with multiple sclerosis |
title_full_unstemmed | Barriers to exercise and the role of general practitioner: A cross-sectional survey among people with multiple sclerosis |
title_short | Barriers to exercise and the role of general practitioner: A cross-sectional survey among people with multiple sclerosis |
title_sort | barriers to exercise and the role of general practitioner: a cross-sectional survey among people with multiple sclerosis |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9719978/ https://www.ncbi.nlm.nih.gov/pubmed/36479057 http://dx.doi.org/10.3389/fneur.2022.1016143 |
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