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Cross-sectional analysis links exercise behavior to health beliefs and self-efficacy in premenopausal women, suggesting improved strategies for osteoporosis prevention.
Background Although the benefits of exercise in osteoporosis prevention are well documented, research indicates that women’s engagement in physical activity remains suboptimal. Objectives The aim of this study was to assess the Health Belief Model constructs and the self-regulation concept derived from Social Cognitive Theory concerning exercise behaviors for osteoporosis prevention. Methods The study used a cross-sectional survey of 250 women who were premenopausal (ages 30–49 years). The data collection instruments were comprised of health beliefs, self-regulation, awareness, and exercise behavior questionnaires. Results The average score for exercise behavior was notably low. Within the integrated model, exercise behavior was significantly linked to increased levels of perceived benefits, perceived susceptibility, self-efficacy, health motivation, and self-regulation, as well as decreased levels of perceived barriers. Discussion In the final model, perceived benefits and self-efficacy emerged as the most influential predictors of exercise behavior. Therefore, implementing strategies to improve effectiveness in practice, such as boosting self-efficacy through motivational counseling and educating individuals on the advantages of the recommended behavior, is likely to result in more successful health promotion initiatives for middle-aged women aimed at preventing osteoporosis.
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Mohammadnabizadeh et al. (2025) studied this question.
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