Predicting Quality of Life in Women with Breast Cancer Who Engage in Physical Exercise: The Role of Psychological Variables.

In this study, we aimed to conduct a descriptive analysis of the primary physiological and psychological factors influencing the quality of life in women with breast cancer who engage in physical exercise. The study examined the key psychological variables predicting patients' quality of life, perceived support from family and friends, and the perception of physical condition. The sample consisted of 46 women from Cáceres (Spain) aged between 30 and 75 years undergoing breast cancer treatment. The Functional Evaluation Scale in Cancer Therapy (FACT-B+4) was used to measure quality of life; the Basic Psychological Needs Satisfaction Scale was used to measure autonomy, competence, and social relationships; the Behavior Regulation Questionnaire in Exercise (BREQ-3) was used to measure the types of self-determined motivation for sports participation; the General Evaluation of Self-Esteem Scale was used to measure self-esteem; the International Fitness Scale (IFIS) was used to measure perceived physical condition; and the Perceived Autonomy Support Scale for Exercise Settings (PASSES) was used to measure the perceived autonomy support from family and friends. A multiple regression analysis revealed that perceived physical condition and self-esteem were significant positive predictors of a variance in quality of life, while intrinsic motivation did not significantly predict it. The findings underscore the importance of promoting autonomous motivation in patients to enhance their physical and psychological well-being through physical activity.

Validity and Reliability of the Portuguese Version of the Healthy Lifestyle Questionnaire-EVS III.

The main objective of this study was to validate the Healthy Lifestyle Questionnaire-EVS III, using confirmatory factor analysis of the measurement model. A total of 822 Portuguese individuals of both genders, aged between 18 and 66 years old (M = 28.43 SD = 12.07), participated in this study, of which 382 were male (46.5%) and 440 were female (53.5%). The main results obtained revealed that the psychometric qualities prove the adequacy of the factor structure of the Healthy Lifestyles Questionnaire-EVS III (7 factors/32 items) and that it has acceptable validity indices: χ2 = 644.6828, p = 0.000, df = 168, χ2/df = 3.84, NFI = 0.901, TLI = 0.902, CFI = 0.921, IFI = 0.922, MFI = 0.900, GFI = 0.909, AGFI = 0.901, RMR = 0.073, SRMR = 0.059 and RMSEA = 0.059, enabling the assessment of factors related to a balanced diet, respect for mealtimes, tobacco consumption, alcohol consumption, consumption of other drugs, resting habits and physical activity habits. The Portuguese version of the Healthy Lifestyles Questionnaire-EVS III can be used with reasonable confidence for the assessment of healthy lifestyles.

Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review.

Physical inactivity is a major concern and poor adherence to exercise programs is often reported. The aim of this paper was to systematically review published reviews on the study of adherence to physical exercise in chronic patients and older adults and to identify those adherence-related key factors more frequently suggested by reviews for that population. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Results were classified considering the target population and participants' characteristics to identify the most repeated factors obtained for each condition. Fifty-five articles were finally included. Fourteen key factors were identified as relevant to increase adherence to physical exercise by at least ten reviews: (a) characteristics of the exercise program, (b) involvement of professionals from different disciplines, (c) supervision, (d) technology, (e) initial exploration of participant's characteristics, barriers, and facilitators, (f) participants education, adequate expectations and knowledge about risks and benefits, (g) enjoyment and absence of unpleasant experiences, (h) integration in daily living, (i) social support and relatedness, (j) communication and feedback, (k) available progress information and monitoring, (l) self-efficacy and competence, (m) participant's active role and (n) goal setting. Therefore, adherence to physical exercise is affected by several variables that can be controlled and modified by researchers and professionals.

Validation of the Spanish Healthy Lifestyle Questionnaire.

Background/Objective: It is essential to carry out a diagnosis of people's healthy lifestyles, in order to apply strategies to improve them. The aim of the study was to validate the Healthy Lifestyles Questionnaire (CEVS-II), collecting all factors that make up the concept of a healthy lifestyle, such as a balanced diet, respect for mealtimes, tobacco consumption, rest habits, alcohol consumption, other drug use and physical activity. Method: The questionnaire was completed by 1,132 people between 18 and 89 (M = 42.43; SD = 18.69) years from different parts of Spain. Results: The seven-factor model proposed by the Confirmatory Factor Analysis, according to the goodness indices, presented an acceptable fit (SRMR = .059; CFI = .973; RMSEA = .049; 90% CI [.046, .052]; χ 2/df = 3.76), also presented good reliability indices and was endowed with concurrent validity. Conclusions: The results of the present study proved the validity and reliability of the Healthy Lifestyles Questionnaire in a Spanish population, which is an adequate instrument for the diagnosis of a healthy lifestyles in the Spanish population.

Antecedentes/Objetivo: Resulta primordial realizar un diagnóstico de los estilos de vida saludables de las personas, con el fin de aplicar estrategias para la mejora de estos. El objetivo del estudio fue validar el Cuestionario de Estilos de Vida Saludables (CEVS-II), recogiendo todos los factores que componen el concepto de estilo de vida saludable como son la alimentación equilibrada, el respeto al horario de las comidas, el consumo de tabaco, los hábitos de descanso, el consumo de alcohol, el consumo de otras drogas y la práctica de actividad física. Método: El cuestionario fue cumplimentado por 1.132 personas de 18-89 (M = 42,43; DT = 18,69) años de diferentes partes de España. Resultados: El modelo de siete factores propuesto por el Análisis Factorial Confirmatorio presentó un ajuste aceptable (SRMR = 0,059; CFI = 0,973; RMSEA = 0,049; 90% CI [0,046 - 0,052]; χ 2/df = 3,76), buenos índices de fiabilidad y de validez concurrente. Conclusiones: Los resultados del presente estudio probaron la validez y fiabilidad del Cuestionario de Estilos de Vida Saludables en una muestra española, dando lugar a un instrumento adecuado para la medición de estilos de vida saludables en la población española.

Validation of the Portuguese Version of the Healthy Lifestyle Questionnaire.

The main objective of this study was the validation of the Healthy Lifestyle Questionnaire (EVS II), using a confirmatory factorial analysis of the measurement model, with veteran athletes. A total of 348 veteran Portuguese athletes of both genders, aged between 30 and 60 years (M = 41.64, SD = 9.83), of whom 200 were males and 148 were females, from several sports. The results of the confirmatory factor analysis demonstrate the adequacy of the adapted version of the EVS II, as the factorial structure (6 factors/24 items) has acceptable validity indexes: χ2 = 305.925, p = 0.000, df = 120.017, χ2/df = 2.549, NFI (Normed Fit Index) = 0.909, TLI (Tucker Lewis Index) = 0.918, CFI (Comparative Fit Index) = 0.944, GFI (Goodness of Fit Index) = 0.944, AGFI (Adjusted Goodness of Fit Index) = 0.909, SRMR (Standardized Root Mean Square Residual) = 0.048, RMSEA (Root Mean Square of Approximation) = 0.060, allowing evaluation of the dimensions of balanced diet, respect for mealtime, tobacco and alcohol consumption, other drugs consumption and resting habits. The adaptation to sport of the Portuguese version of EVS II can be used with reasonable confidence in the evaluation of healthy lifestyles in the context of sport.

Motivación y estadios de cambio para el ejercicio físico en adolescentes / Motivation and stages of change for physical exercise in adolescents

Resulta primordial que los adolescentes adquieran un estilo de vida activo; por ello, el objetivo de este estudio fue averiguar qué variables de la Teoría de Metas de Logro y del Modelo Jerárquico de la Motivación predecían los estadios de cambio para el ejercicio físico del Modelo Transteórico. Para ello, se empleó un diseño de investigación descriptivo transversal, con una muestra de 359 estudiantes de segundo ciclo de ESO y primero de Bachillerato, que respondieron el Cuestionario de Orientación al Aprendizaje y al Rendimiento en las Clases de Educación Física (LAPOPECQ), la Escala de Motivación Educativa (EME), la Escala de medición de las Necesidades Psicológicas Básicas (BPNES) y el Cuestionario de Estadios de Cambio para el ejercicio físico - Medida continua (URICA-E2), y se realizaron los análisis factorial exploratorio, confirmatorio, de fiabilidad, descriptivo y de regresión. Los resultados más relevantes mostraron que el estadio de precontemplación fue predicho negativamente por la competencia y positivamente por la desmotivación y la percepción del clima motivacional que implica al ego; el estadio de contemplación-preparación fue predicho positivamente por la competencia y la motivación intrínseca-perfección, la motivación extrínseca-introyectada, y negativamente por la autonomía; y el estadio de acción-mantenimiento fue predicho positivamente por la competencia. Estos resultados sugieren que la necesidad psicológica básica de competencia es la variable más relevante para adherirse a los estadios de práctica de ejercicio físico más activos.

It is essential for adolescents to acquire an active lifestyle. Therefore, the purpose of this study was to determine which variables of Achievement Goal Theory and the Hierarchical Model of Motivation predicted the change stages for exercise in the Transtheoretical Model. To this effect, a descriptive and cross-section study was carried out with 359 secondary school and undergraduate students. The Learning and Performance Orientations in Physical Education Classes Questionnaire (LAPOPECQ), Academic Motivation Scale (AMS), Basic Psychological Needs Scale (BPNES), and Stages of Change in Exercise - Continuous Measure (URICA-E2) were applied. Exploratory and confirmatory factorial, reliability, descriptive and regression analyses were subsequently conducted. The most relevant results showed that the Pre-contemplation Stage was predicted negatively by Competence, and positively by Amotivation and perception of ego-involving environment. The Contemplation-Preparation Stage was predicted positively by competence and Perfection Intrinsic Motivation - Introjected Extrinsic Motivation and negatively by autonomy. The Action-Maintenance Stage was positively predicted by competence. These results suggesting that basic psychological need of competence is the most relevant variable for the engagement to the more active stages of physical activity.