The mediating role of self-efficacy in the relationship of obesity and physical activity among adult females

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Abstract

Obesity is a significant global public health issue. The incidence of improper physical activity (PA) has increased in recent decades. A lack of self-efficacy and the necessity to perform PA associated with excess body weight may limit its potential benefits for obese individuals. Consequently, this study investigated the mediating role of self-efficacy in the relationship between obesity and PA in adult females. In this cross-sectional study, 149 adult females aged 20 to 50 years with a body mass index >25 were recruited. The participants in this study completed a self-administered questionnaire containing the official Arabic version of the long form of the International Physical Activity Questionnaire and the General Self-Efficacy Scale. The associations between the measured variables were tested using a multiple linear regression model. This study demonstrated that obesity negatively predicted PA (B = −0.954, P < .001) and self-efficacy (B = −2.63, P < .001). When both variables were considered, obesity remained a negative predictor of PA (B = −1.63, P < .05), while self-efficacy positively predicted it (B = 0.963, P < .01). Furthermore, there were statistically significant direct and indirect associations between obesity and PA through the role of self-efficacy (P ≤ .05). These results indicate that self-efficacy partially mediates the effect of obesity on PA among adult females. Self-efficacy had a mediating effect on the association between obesity and PA in female adults. These findings highlight the importance of self-efficacy as a potential target for clinicians and researchers aiming to increase PA in obese populations.

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Atya, A. M., Alotaibi, A. N., Albogami, A. M., Takroni, M. A., Alsaygh, N. M., Alsaleh, R., … Mahmoud, N. F. (2025). The mediating role of self-efficacy in the relationship of obesity and physical activity among adult females. Medicine (United States), 1–8. https://doi.org/10.1097/MD.0000000000046840

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