Health Action Process Approach for Predicting Exercising in Mexican Adults with Cardio-metabolic Risk

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Dagmara Wrzecionkowska
Adriana Robles Cabrera
Nazira Calleja
Rolando Díaz Loving
Sofía Rivera Aragón


A test of the Health Action Process Approach (HAPA) model for predicting physical exercise and its effects on body, cardio-metabolic, and psychological outcomes in a sample of Mexican adults at cardio-metabolic risk who wanted to lose weight was conducted. The HAPA variables (self-efficacy, outcome expectancies, risk perception, intention, maintenance self-efficacy, action planning); outcome variables: body health (weight & fat), cardio-metabolic health (cholesterol LDL & triglycerides), perceived psychological health (quality of life & psychological distress); BMI and waist/height ratio were measured at baseline, week 6, and week 12 after the intervention. A total of 82 adults met inclusion criteria: BMI ≥ 25 and/or weight/height ratio ≥ .5cm, out of these, 50 finished the program. The model tested via structural equations did not exhibit adequate fit: CFI = .782, GFI = .858, SRMR = .111. However, the expectations variable had a significant effect on intentions and action-self efficacy on maintenance self-efficacy, accounting for 24% and 17% of the variance respectively, other model relationships were not found significant. In addition, changes in exercising had a positive effect on body health, explaining 11% of the variance. Further studies are necessary to understand other crucial predictors for physical activity in samples outside western, educated, industrialized, rich, and democratic countries. 

HAPA exercising overweight structural equations


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Article Details

Author Biographies

Dagmara Wrzecionkowska, UNAM, Ciudad de México, México

Doctora en Ciencias Políticas y Sociales. UNAM, Ciudad de México, México

Adriana Robles Cabrera, UNAM, Ciudad de México, México

Licenciada en Medicina. UNAM, Ciudad de México, México

Nazira Calleja, UNAM, Ciudad de México, México

Doctora en Psicología Social. UNAM, Ciudad de México, México

Rolando Díaz Loving, UNAM, Ciudad de México, México

PhD. en Psicología Social. UNAM, Ciudad de México, México

Sofía Rivera Aragón, UNAM, Ciudad de México, México

Doctora en Psicología Social. UNAM, Ciudad de México, México

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