Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
Journal website https://www.jocmr.org |
Original Research
Volume 16, Number 2-3, March 2024, pages 94-105
Barriers to Exercise in Patients With Metabolic Dysfunction-Associated Steatotic Liver Disease: A Patient Survey
Figures
Tables
MASLD (n = 81) | Hepatic steatosis grade | Hepatic fibrosis stage | ||||||
---|---|---|---|---|---|---|---|---|
S1 | S2 | S3 | F1 | F2 | F3 | F4 | ||
Mean and SD values of 81 participants are shown. S1: steatosis grade 1; S2: steatosis grade 2; S3: steatosis grade 3; F1: fibrosis grade 1; F2: fibrosis grade 2; F3: fibrosis grade 3; F4: fibrosis grade 4; SD: standard deviation; MASLD: metabolic dysfunction-associated steatotic liver disease. | ||||||||
Age (years) | 55 (13.4) | 60 (15.2) | 49 (11.6) | 55 (13.6) | 53 (11.4) | 55 (13.3) | 66 (9.07) | 58 (12.1) |
Male, n (%) | 35 (43) | 5 (33.3) | 6 (46.2) | 22 (45.8) | 2 (50) | 5 (55.6) | 0 (0) | 12 (38.7) |
Female, n (%) | 46 (57) | 10 (66.6) | 7 (53.8) | 26 (54.2) | 2 (50) | 4 (44.4) | 5 (100) | 19 (61.3) |
Ethnicity, n (%) | ||||||||
Caucasian | 49 (60.5) | 9 (60) | 10 (76.9) | 28 (58.3) | 2 (50) | 4 (44.4) | 4 (80) | 22 (71) |
Indian | 2 (2.5) | 1 (6.7) | - | 1 (2.1) | 1 (25) | - | - | - |
African | 2 (2.5) | - | - | 2 (4.2) | - | - | - | - |
Asian | 12 (14.8) | 3 (20) | 2 (15.4) | 5 (10.4) | - | 3 (33.3) | 1 (20) | 1 (3.2) |
Aboriginal and Torres Strait Islander | 1 (1.2) | 1 (6.7) | - | - | - | - | - | - |
Other | 15 (18.5) | 1 (6.7) | 1 (7.7) | 12 (25) | 1 (25) | 2 (22.2) | - | 8 (25.8) |
BMI | 33.8 (6.4) | 30.4 (4.8) | 31.2 (5.0) | 36 (6.7) | 33.9 (3.6) | 29.7 (4.7) | 31.9 (6.3) | 36.7 (7.5) |
Do you perform at least 150 min/week of exercise? | Predictors | B | OR | P value |
---|---|---|---|---|
P value was significant at < 0.05. S1: steatosis 1; S2: steatosis 2; S3: steatosis 3; F1: fibrosis 1; F2: fibrosis 2; F3: fibrosis 3; F4: fibrosis 4; B: regression coefficient; OR: odds ratio. | ||||
Yes | S1 | -2.81 | 0.06 | 0.12 |
S2 | -46.18 | 8.74 | 0.99 | |
S3 | 0 | - | - | |
F1 | -28.76 | 3.23 | 0.99 | |
F2 | -0.75 | 0.47 | 1 | |
F3 | 22.13 | 411.8 | 0.99 | |
F4 | -42.22 | 4.59 | 0.98 | |
Fib4 (57) | -0.34 | 0.71 | 0.50 | |
No | S1 | -2.61 | 0.07 | 0.06 |
S2 | -29.12 | 2.24 | 0.98 | |
S3 | 0 | - | - | |
F1 | -30.25 | 7.22 | 0.98 | |
F2 | -0.64 | 0.52 | 1.00 | |
F3 | 3.61 | 36.99 | - | |
F4 | -41.44 | 9.99 | 0.98 | |
Fib4 (57) | -0.27 | 0.75 | 0.48 |
Barrier | Frequency (%) |
---|---|
Health issues, lack of time, lack of enjoyment in exercising, other barriers, and fatigue caused during and after exercise were the leading barriers to achieve recommended amounts of exercise for participants. | |
1. Lack of time | 43 |
2. Lack of enjoyment in exercising | 31 |
3. Boredom or nothing innovative in exercising | 15 |
4. Lack of support (from family, friends, society) | 13 |
5. Health issues (physical and mental) | 57 |
6. Lack of self-confidence to engage in exercise | 14 |
7. Lack of knowledge about exercise and how to perform them correctly | 15 |
8. Peer pressure | 0 |
9. Lack of money | 19 |
10. Energy requirement and fatigue during and after exercise | 24 |
11. Discouragement or body shaming by others | 9 |
12. Safety, accessibility or traffic issues | 4 |
13. Other | 25 |
Barriers | Predictors | B | 95% CI | OR | P value |
---|---|---|---|---|---|
*P value was significant at < 0.05. SES: socioeconomic index; Eduocc: education and occupation index; B: regression coefficient; OR: odds ratio; CI: confidence interval. | |||||
Lack of time | Age | -0.07 | 0.89 - 0.97 | 0.93 | 0.002* |
Gender | 0.36 | 0.49 - 4.18 | 1.43 | 0.50 | |
Ethnicity | -0.48 | 0.68 - 1.33 | 0.95 | 0.78 | |
SES | 0.11 | 0.72 - 1.73 | 1.12 | 0.59 | |
Eduocc | -0.098 | 0.59 - 1.38 | 0.90 | 0.65 | |
Lack of enjoyment | Age | -0.01 | 0.94 - 1.03 | 0.98 | 0.57 |
Gender | -0.89 | 0.14 - 1.16 | 0.40 | 0.09 | |
Ethnicity | -0.26 | 0.52 - 1.11 | 0.76 | 0.16 | |
SES | 0.08 | 0.70 - 1.68 | 1.08 | 0.70 | |
Eduocc | -0.13 | 0.56 - 1.35 | 0.87 | 0.55 | |
Health issues | Age | 0.04 | 1.00 - 1.08 | 1.04 | 0.03* |
Gender | 0.16 | 0.42 - 3.23 | 1.17 | 0.75 | |
Ethnicity | 0.04 | 0.75 - 1.45 | 1.04 | 0.78 | |
SES | 0.01 | 0.66 - 1.54 | 1.01 | 0.94 | |
Eduocc | -0.08 | 0.60 - 1.38 | 0.91 | 0.68 | |
Energy requirement and fatigue | Age | -0.54 | 0.90 - 0.99 | 0.94 | 0.02* |
Gender | 1.11 | 0.84 - 10.9 | 3.04 | 0.09 | |
Ethnicity | 0.11 | 0.78 - 1.60 | 1.12 | 0.52 | |
SES | -0.26 | 0.46 - 1.25 | 0.76 | 0.29 | |
Eduocc | 0.22 | 0.77 - 2.03 | 1.25 | 0.35 | |
Others | Age | -0.004 | 0.95 - 1.04 | 0.99 | 0.86 |
Gender | 0.22 | 0.38 - 4.09 | 1.25 | 0.71 | |
Ethnicity | -0.25 | 0.49 - 1.21 | 0.77 | 0.26 | |
SES | 0.21 | 0.74 - 2.07 | 1.24 | 0.40 | |
Eduocc | 0.07 | 0.67 - 1.73 | 1.07 | 0.75 |