背景：
已知身體活動對健康有許多的好處，特別是中強程度度的身體活動。不少研究發現，增加中高強度體力活動可以預防或延遲發生II型糖尿病。如何增加個中高強度身體活動一致的結論。
目的：
調查印尼偏遠地區可能罹患糖尿病之高危險成年居民下列議題，確認其身體活動量每星期至少可達150分鐘中等強度或90分鐘高等強度之相關特徵因素。
方法：
藉由相關性橫斷性研究設計來確認增加身體活動之有關因素。透過美國糖尿病學會發展之糖尿病高危險測試工具，在印尼四個偏遠地區對842個成年居民進行篩檢，其中有342位高危險糖尿病居民。分別以短版國際身體活動工具(International Physical Activity Questionnaire-short form; IPAQ)及影響身體活動工具(Influence Physical Activity Instrument; IPAI)來評估身體活動程度與影響身體活動之因素。使用二項式預測性邏輯回歸模式分析是否符合2010年健康成人之建議的身體活動程度(即每星期達到至少有150分鐘中等強度或90分鐘的高等強度)之相關因素。
結果：
在342位參與研究的對象中，有40.6%者自述其身體活動程度每星期至少達到150分鐘中等強度或90分鐘高等強度。在控制干擾因素與交互作用下，有關增加身體活動之有關因素，在人口學變項中僅性別達顯著意義，男性比女性有4.51倍的勝算比達到建議量(95% CI 2.00~10.24), 若促進身體活動量之議題被排序較低者其身體活動達建議量之勝算比是排序較前者的0.43倍 (95% CI 0.21- 0.88)。
結論與實務應用
根據研究結果顯示，偏遠地區糖尿病高危險成年居民中，若為男性及增加高強度身體活動議題排序較前者，有較高的勝算達到每星期150分鐘中等強度或90分鐘高等強度身體活動量。這些發現可提供偏遠社區之相關專業人員設計如何增加不愛進行身體的活動糖尿病高危險成人之身體活動量的介入方案參考。

Background:
The effects of physical activity on health have been known in particularly moderate and vigorous levels. Several studies have found that promoting physical activity with high intensity may prevent or delay onset of type II diabetes. It is a challenge to promote physical activity to high intensity for individuals. However, there were no consistent findings between associated factors and adherence of taking physical activities with high intensity in some studies.
Purpose:
The aim of this study was to identify factors associated with physical activity to 150 minutes each week of moderate-intensity or 90 minutes of vigorous-intensity among adult rural residents at risk with diabetes in Indonesia.
Method:
The correlative and cross-sectional design was applied in this study. The criteria of study participants should be identified at risk for diabetes by American Diabetes Association’s (ADA) diabetes risk tests. Of 342 were recruited who were out of 842 adult residents from four rural communities of Indonesia. The International Physical Activity Questionnaire-short form (IPAQ) and the Influence Physical Activity Instrument (IPAI) were used to identify high-density physical activity and associated factors, respectively. The predictive logistic regression model was applied for the dichotomous outcome; the meeting recommended Healthy people 2010 activity levels to identify the associated factors.
Results
Of the 342 participants, 40.6% of the respondents reported at least 150 minutes of moderate or 90 minutes of vigorous activity per week. Gender was a significant demographic predictor of activity with male more likely to high-intensity than female with OR of 4.51 times (95% CI 2.00–10.24). Participants with low priority on physical activity were less likely to physically active in high-intensity with OR of 0.43 times (95% CI 0.21- 0.88).
Conclusion and Application
According to the findings, adults at risk for diabetes who were male and prioritized physical activity had higher odds of being physically active. These findings can be used as standard protocol to help community professionals, as a reference to create an effective diabetes intervention program to promote high-intensity physical activity in sedentary individual at risk for diabetes.

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