A systematic review of barriers and motivators to physical activity in elderly adults in Iran and worldwide

Yarmohammadi, Soudabeh; Saadati, Hossein Mozafar; Ghaffari, Mohtasham; Ramezankhani, Ali

doi:10.4178/epih.e2019049

Cited by 70 publications

(99 citation statements)

References 46 publications

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“…This is in agreement with a recent review studying physical activity in the elderly, where the authors concluded that facilitators of and barriers to physical activity are more closely related to intrapersonal factors than to interpersonal and environmental factors (Yarmohammadi, Saadati, Ghaffari, & Ramezankhani, 2019). Contrary to this, an Australian population study with 2,194 adults found that the level and likelihood of participation in physical activity was strongly associated with various types of perceived barriers, but also with perceived benefits, social support, and environmental factors (Cerin, Leslie, Sugiyama, & Owen, 2010).…”

Section: Discussionsupporting

confidence: 92%

Physical activity in people with axial spondyloarthritis and the impact of overall attitudes, barriers, and facilitators: A cross‐sectional study

Rasmussen¹,

Primdahl

Fick³

et al. 2020

Musculoskeletal Care

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Objective: To study the association between self-reported physical activity level and overall attitudes and barriers to and facilitators of physical activity in people with axial spondyloarthritis (axSpA), and to compare health status and quality of life (QoL) in people with different levels of physical activity. Methods: Four hundred forty-five members of the Danish Patient Association for Axial Spondyloarthritis completed an online survey including questions on physical activity, overall attitudes, barriers, and facilitators to physical activity, health, and QoL. Nonparametric tests and logistic regression analyses were performed. Results: The response rate was 46%, median age 56 years (range 22-85), and 54% were men. In all, 23% reported low physical activity (physical activity ≥30 min on a moderate intensity level ≤1 day/week), 36% were moderately physically active (2-3 days/week), and 41% reported high physical activity (≥4 days/week). In a multivariate model, high physical activity was associated with a positive overall attitude ("physical activity is ok," OR 5.44, 95%CI [1.24, 23.87], and "I like physical activity," OR 14.22, 95%CI [3.34, 60.61]), and higher disagreement with barriers to physical activity, OR 1.12, 95%CI [1.07, 1.17]). People with moderate or high physical activity levels reported better self-perceived health and QoL, compared with those with low physical activity level (p ≤ 0.003). Conclusion: To support changes in physical activity level in people with axSpA, health professionals need to discuss attitudes and barriers to physical activity with their clients. Barriers seem to be of greater significance than facilitators of any kind.

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Section: Discussionsupporting

confidence: 92%

Physical activity in people with axial spondyloarthritis and the impact of overall attitudes, barriers, and facilitators: A cross‐sectional study

Rasmussen¹,

Primdahl

Fick³

et al. 2020

Musculoskeletal Care

View full text Add to dashboard Cite

show abstract

“…Another limit was search terms are rather limited. Indeed, we did not include “Ageing” in our keywords because previous systematic and integrative reviews have not used this keyword [ 9 , 14 , 15 , 28 , 29 ]. However, we conducted an extensive literature search of several databases to identify as many publications as possible in order to include the most relevant ones.…”

Section: Discussionmentioning

confidence: 99%

“…With sedentary older people, the identification of reliable predictors allows healthcare providers to effectively structure interventions to promote changes in patterns of physical activity. Several reviews of the literature examining qualitative and quantitative studies on barriers and physical activity have identified conditions such as lack of time, lack of safe place and weather, environmental factors, physical problems and having no companions as mainly reported by sedentary older people [ 9 , 10 , 11 , 12 , 13 , 14 , 15 ]. In contrast, there is a lack of information concerning the barriers for exercisers; attrition most commonly occurs within 6 months of exercise initiation, with approximately 50% of participants dropping out before realizing any health benefits [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Are Barriers the Same Whether I Want to Start or Maintain Exercise? A Narrative Review on Healthy Older Adults

André

Agbangla

2020

IJERPH

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To help older adults begin or adhere to regular physical exercise, several studies have endeavored to identify barriers to active behavior. However, there is a lack of information about barriers for active older people. In addition, most of the reviews of the literature compare only active people to inactive or sedentary people without examining in detail the barriers with respect to the degree of commitment to behavioral change. Finally, there is no consistency in the results of studies investigating the effects of barriers on the relationship between stages of change and exercise behavior. The first aim of this narrative review is to compare barriers that affect exercise stages of change from those that affect levels of exercise behavior in a healthy older population and the factors that can lead to relapse or dropout; the second aim is to identify the extent to which barriers hinder the relationships between stages of change and exercise behaviors. The results showed that barriers are well identified in sedentary people and in the first two stages of change (pre-contemplation and contemplation) compared to active seniors and other stages of change (preparation, action and maintenance). Consistency between the formulations of the different stages in comparison with the transtheoretical model and the definition of barriers and the limitations of measuring physical activity in the different studies are discussed. Finally, novel perspectives of research are proposed to address the flaws in the reviewed studies.

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“…There were some barriers for elderly engaging in LTPA, such as health status, fear, and weather [ 14 ]. Poor health was reported as a barrier for elderly physical activity [ 15 , 16 ]. Fear form different origins was another reported barrier for elderly physical activity, including fear for exercising outside, fear for injury, fear for falling, and so on [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison Study of Perceived Neighborhood-Built Environment and Elderly Leisure-Time Physical Activity between Hangzhou and Wenzhou, China

Yang

Zhang

et al. 2020

IJERPH

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Physical activity and health are of significant importance for the rapid aging population in China. Built environment has been suggested to be associated with elderly physical activity and health. However, the association differences between cities remain unclear. Perceived built environment scores and elderly leisure-time physical activity (LTPA) of 308 elderly in Hangzhou and 304 elderly in Wenzhou were collected using Neighborhood Environment Walkability Scale and International Physical Activity Questionnaire, respectively. A multivariate linear regression method and T-test were used to analyze of the associations between elderly LTPA and built environment and the differences between the two cities, respectively. The results showed that LTPA was positively associated with walking/cycling facilities and crime safety in both cities. LTPA was positively correlated with residential density, aesthetics, pedestrian/traffic safety in Wenzhou and negatively correlated with access to services in Hangzhou. The perceived scores of aesthetics (2.71 vs. 2.45) and pedestrian/traffic safety (2.11 vs. 1.71) in Hangzhou were significantly higher than those in Wenzhou. The results suggested that built environment elements like higher walking/cycling facilities and crime safety may motivate elderly engaging LTPA in both cities. However, LTPA was affected by different factors in these two cities. In the urban redevelopment, survey conducted in its own city would provide meaningful information and cannot be neglected.

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A systematic review of barriers and motivators to physical activity in elderly adults in Iran and worldwide

Cited by 70 publications

References 46 publications

Physical activity in people with axial spondyloarthritis and the impact of overall attitudes, barriers, and facilitators: A cross‐sectional study

Physical activity in people with axial spondyloarthritis and the impact of overall attitudes, barriers, and facilitators: A cross‐sectional study

Are Barriers the Same Whether I Want to Start or Maintain Exercise? A Narrative Review on Healthy Older Adults

Comparison Study of Perceived Neighborhood-Built Environment and Elderly Leisure-Time Physical Activity between Hangzhou and Wenzhou, China

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