title: Sedentary patients with venous or mixed leg ulcers: determinants of physical activity.
abstract: OBJECTIVE
  This paper is a report of a study to identify the determinants of physical activity (PA) in patients with venous leg ulcers to develop recommendations for behavioural interventions aimed at enhancing physical activity.
  
  
  BACKGROUND
  Physical activity promotes wound healing and prevents the recurrence of wounds in venous patients with leg ulcers. Many patients with leg ulcers, however, have a sedentary lifestyle.
  
  
  METHODS
  A random sample of 25 patients from two clinics were interviewed in 2003 using a combination of prestructured and open-ended questions. All these patients were being treated at an outpatient dermatology clinic and had a leg ulcer with venous or mixed aetiology at the time of the interview or in the month prior to the interview.
  
  
  RESULTS
  Only nine of the 25 patients (36%) reported sufficient levels of moderate strenuous physical activity, defined as 30 minutes a day on at least 5 days a week. The results show limited knowledge about the relationship between physical activity and leg ulceration, and low self-efficacy for increasing physical activity. In addition, multi-morbidity, pain and social support were identified as main determinants of physical activity.
  
  
  CONCLUSIONS
  Suggestions for improving physical activity levels include influencing knowledge, beliefs and self-efficacy. Patient's individual physical limitations, pain, adequate footwear and social support should be taken into account. Programmes offered by specialized dermatology nurses to stimulate physical activity might fulfil patient needs and help enhance physical activity levels.
authors.affiliation: Centre for Quality of Care Research, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. m.heinen@kwazo.umcn.nl
authors.forename: M M
authors.initials: MM
authors.lastname: Heinen
authors.forename: A W M
authors.initials: AW
authors.lastname: Evers
authors.forename: C J T
authors.initials: CJ
authors.lastname: Van Uden
authors.forename: C J M
authors.initials: CJ
authors.lastname: Van der Vleuten
authors.forename: P C M
authors.initials: PC
authors.lastname: van de Kerkhof
authors.forename: T
authors.initials: T
authors.lastname: Van Achterberg
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D015444:Exercise / Q000523:psychology; D005260:Female; D015438:Health Behavior; D006801:Humans; D007871:Leg Ulcer / Q000628:therapy*; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014647:Varicose Ulcer / Q000628:therapy*