Therapeutic perception of physical exercise and its association with routine, medical evaluation, and knowledge
DOI:
https://doi.org/10.47197/retos.v67.115175Keywords:
Exercise, Self-perception, Health behavior, Health promotion, University studentsAbstract
Introduction: Physical inactivity continues to be a major public health issue, especially among university students, who exhibit a low perception of exercise as a therapeutic resource.
Objective: This study aimed to analyze the therapeutic perception of physical exercise and its association with the physical routine performed, the practice of pre-participation medical examinations, and formal knowledge in exercise science. It was hypothesized that this perception is significantly associated with these three behavioral and cognitive variables.
Methodology: A quantitative, non-experimental, descriptive, and correlational study was conducted. A total of 908 university students from a private institution in Guayaquil, Ecuador, participated. A structured questionnaire, validated by experts and showing high internal consistency (Cronbach’s alpha = 0.944), was applied. Data were analyzed using Chi-square tests and ordinal logistic regression.
Results: The results showed a significant association between the therapeutic perception of exercise and the type of physical routine performed (χ² = 35.01; p < 0.001), being higher among those who engaged in fitness routines. A significant association with gender was also identified (OR = 1.37; p = 0.04). The variables of pre-participation medical examination and formal knowledge were not statistically significant, although consistent trends were observed.
Discussion: These findings are consistent with previous studies that highlight the importance of exercise structuring and the influence of context on its perception as a therapeutic tool.
Conclusion: It is concluded that strengthening the therapeutic perception of exercise requires educational strategies, guided routines, and environments that actively promote self-care.
References
Alkhawaldeh, A., Abdalrahim, A., ALBashtawy, M., Ayed, A., Al Omari, O., ALBashtawy, S., Suliman, M., Oweidat, I. A., Khatatbeh, H., Alkhawaldeh, H., Dameery, K. A., Alsaraireh, M., & Alhroub, N. (2024). University students’ physical activity: Perceived barriers and benefits to physical activ-ity and its contributing factors. SAGE Open Nursing, 10, 23779608241240490. https://doi.org/10.1177/23779608241240490
Cadavid-Ruiz, N., Herrán-Murillo, Y. F., Patiño-Gil, J. C., Ochoa-Muñoz, A. F., & Varela-Arévalo, M. T. (2023). Physical activity and perceived well-being at the university: longitudinal study during covid-19. Retos, 50, 102–112. https://doi.org/10.47197/retos.v50.98968
Cena, H., Porri, D., De Giuseppe, R., Kalmpourtzidou, A., Salvatore, F. P., El Ghoch, M., Itani, L., Kreidieh, D., Brytek-Matera, A., Pocol, C. B., Arteta Arteta, D. S., Utan, G., & Kolčić, I. (2021). How healthy are health-related behaviors in university students: The HOLISTic study. Nutrients, 13(2), 675. https://doi.org/10.3390/nu13020675
Eck, K. M., Quick, V., & Byrd-Bredbenner, C. (2022). Body dissatisfaction, eating styles, weight-related behaviors, and health among young women in the United States. Nutrients, 14(18), 3876. https://doi.org/10.3390/nu14183876
Fackler, C. A., Baugh, N., Lovegren, A. A., Nemeroff, C., & Whatley Blum, J. (2021). Technology-enhanced health promotion for college students: A seed development project. Nursing Reports, 11(1), 143–151. https://doi.org/10.3390/nursrep11010014
Ghozayel, M., Ghaddar, A., Farhat, G., Nasreddine, L., Kara, J., & Jomaa, L. (2020). Energy drinks con-sumption and perceptions among University Students in Beirut, Lebanon: A mixed methods ap-proach. PloS One, 15(4), e0232199. https://doi.org/10.1371/journal.pone.0232199
Hui, T. T., Garvey, L., & Olasoji, M. (2024). Perspectives of mental health clinicians on physical health of young people with early psychosis. International Journal of Mental Health Nursing, 33(3), 649–659. https://doi.org/10.1111/inm.13268
Hussien, F. M., Hassen, A. M., Asfaw, Z. A., Ahmed, A. Y., & Hassen, H. Y. (2021). The effect of mobile text messages on knowledge and perception towards cancer and behavioral risks among college students, Northeast Ethiopia: A randomized controlled trial protocol. PloS One, 16(7), e0253839. https://doi.org/10.1371/journal.pone.0253839
Imaz-Aramburu, I., Fraile-Bermúdez, A.-B., Martín-Gamboa, B. S., Cepeda-Miguel, S., Doncel-García, B., Fernandez-Atutxa, A., Irazusta, A., & Zarrazquin, I. (2021). Influence of the COVID-19 pandemic on the lifestyles of health sciences university students in Spain: A longitudinal study. Nutrients, 13(6), 1958. https://doi.org/10.3390/nu13061958
Kim, Y., Kim, S. K., & Park, I. (2021). Application of the transtheoretical model to understand physical activity in college students. Asian Journal of Sport and Exercise Psychology, 1(2–3), 98–102. https://doi.org/10.1016/j.ajsep.2021.09.003
Kinnafick, F.-E., Papathomas, A., & Regoczi, D. (2018). Promoting exercise behaviour in a secure mental health setting: Healthcare assistant perspectives. International Journal of Mental Health Nurs-ing, 27(6), 1776–1783. https://doi.org/10.1111/inm.12484
Kobik, W., & Aryee, P. A. (2024). Energy drinks in Tamale: Understanding youth perceptions, consump-tion patterns, and related factors. PloS One, 19(4), e0289391. https://doi.org/10.1371/journal.pone.0289391
König, D., Jendricke, P., Poggel, K., Staab, L., & Gollhofer, A. (2023). Study protocol for evaluating the current status and needs assessment of health-related characteristics among students at Albert-Ludwigs-University Freiburg. PloS One, 18(12), e0295166. https://doi.org/10.1371/journal.pone.0295166
Kumar, P., Srivastava, S., Mishra, P. S., Sinha, D., & Dhillon, P. (2020). Does depressive symptoms, physi-cal inactivity and substance use catalyze the suicidal tendency among adolescents? Evidence from a cross-sectional study. Children and Youth Services Review, 119(105661), 105661. https://doi.org/10.1016/j.childyouth.2020.105661
Leu, J., Rebello, S. A., Sargent, G. M., Kelly, M., & Banwell, C. (2024). Working young adults’ engagement with public and workplace health promotion efforts in Singapore: A qualitative study. PloS One, 19(10), e0309983. https://doi.org/10.1371/journal.pone.0309983
Li, W., Li, S., Lu, P., Chen, H., Zhang, Y., Cao, Y., & Li, G. (2020). Sexual dysfunction and health condition in Chinese doctor: prevalence and risk factors. Scientific Reports, 10(1), 15180. https://doi.org/10.1038/s41598-020-72072-w
Ma, C., Yue, M., & Zhu, X. (2024). Knowledge, attitudes and practices toward physical literacy among the college students during COVID-19 school closure. Journal of Multidisciplinary Healthcare, 17, 1629–1640. https://doi.org/10.2147/JMDH.S449880
Maffoni, S., Brazzo, S., De Giuseppe, R., Biino, G., Vietti, I., Pallavicini, C., & Cena, H. (2021). Lifestyle changes and body mass index during COVID-19 pandemic lockdown: An Italian online-survey. Nutrients, 13(4), 1117. https://doi.org/10.3390/nu13041117
Martínez-de-Quel, Ó., Suárez-Iglesias, D., López-Flores, M., & Pérez, C. A. (2021). Physical activity, die-tary habits and sleep quality before and during COVID-19 lockdown: A longitudinal study. Appetite, 158(105019), 105019. https://doi.org/10.1016/j.appet.2020.105019
Mathew Joseph, N., Ramaswamy, P., & Wang, J. (2018). Cultural factors associated with physical activi-ty among U.S. adults: An integrative review. Applied Nursing Research: ANR, 42, 98–110. https://doi.org/10.1016/j.apnr.2018.06.006
Napolitano, M. A., Tjaden, A. H., Bailey, C. P., DiPietro, L., & Rimal, R. (2022). What moves young people? Applying the risk perception attitude framework to physical activity behavior and cardiometa-bolic risk. Translational Behavioral Medicine, 12(6), 742–751. https://doi.org/10.1093/tbm/ibac012
Peñarrubia-Lozano, C., Romero-Roso, L., Olóriz-Nivela, M., & Lizalde-Gil, M. (2021). Challenge as a strategy to promote physical activity in university students. Retos, 39, 58–64. https://doi.org/10.47197/retos.v0i39.78228
Porri, D., Luppino, G., Morabito, L. A., La Rosa, E., Pepe, G., Corica, D., Valenzise, M., Messina, M. F., Zirilli, G., Li Pomi, A., Alibrandi, A., Di Mauro, D., Aversa, T., & Wasniewska, M. G. (2024). The preven-tion of childhood obesity is a priority: The preliminary results of the “EpPOI: Education to pre-vent childhood obesity” project. Nutrients, 16(15), 2538. https://doi.org/10.3390/nu16152538
Monterrosa Quintero, A. (2024). Physical activity, psychological well-being, and physiological variables in university administrative staff. Retos, 51, 1061–1069. https://doi.org/10.47197/retos.v51.100731
Romain, A. J., Trottier, A., Karelis, A. D., & Abdel-Baki, A. (2020). Do mental health professionals pro-mote a healthy lifestyle among individuals experiencing serious mental illness? Issues in Mental Health Nursing, 41(6), 531–539. https://doi.org/10.1080/01612840.2019.1688436
Rosado Alvarez, M. M., Espinoza Burgos, A. D., Cordova Alvarez, L. R., Valle Flores, J. A., Sierra Nieto, V. H., Jurado Auria, S. A., Almeida Pacheco, M. E., Silva, T., & Abasolo, M. J. (2025). Preventing falls using March TV at home: a case study with independent older people. Retos, 63, 590–597. https://doi.org/10.47197/retos.v63.111179
Saghafi-Asl, M., Aliasgharzadeh, S., & Asghari-Jafarabadi, M. (2020). Factors influencing weight man-agement behavior among college students: An application of the Health Belief Model. PloS One, 15(2), e0228058. https://doi.org/10.1371/journal.pone.0228058
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