The purpose of this study was to compare and contrast Southern Ontarian and South Carolinian adults to examine adults' psychological, lack of time and physical barriers to PA and exercise. We also sought to determine whether any gender differences existed in the identification of prominent barriers to PA. In each geographical location (Southern Ontario and South Carolina), focus groups were first held amongst diverse groups to identify common perceptions and attitudes towards PA and exercise, followed by a more in-depth survey to quantify these perceptions and attitudes. Lack of time was consistently the most commonly identified type of general barrier to PA among adults aged 18-64 years, in both South Carolina and Southern Ontario. This was true of both males and females. The most commonly indicated barriers across both age groups and populations were: "Other things are more important and require my time and energy", "I have a difficult time finding the time needed to fit the gym into my day", "Once I get home, it's difficult to find time to be active", and "There are so many other things for me to do, it's easy to make excuses rather than exercise". The only significant difference in responses amongst genders was in Southern Ontario, where females indicated "inclement weather" as a significant physical barrier. Interestingly, negative perceptions of exercise (pain, lack of interest) do not appear to be significant barriers. Overall, lack of time, whether perceived or real, is the major barrier to PA in adults 18-64 years old. Examining and identifying perceived barriers to exercise and PA is necessary in order to develop successful intervention programs. Meeting the PA guidelines require creative methods with a better appreciation for personal preferences. This will help improve the way we promote, educate and inspire others to have the confidence to be more active.
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