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Barriers to Physical Activity Following Rehabilitation: Perspectives of Older Adults with Chronic Disease

Laura Desveaux, Roger Goldstein, Sunita Mathur, and Dina Brooks

Nonadherence to exercise is a main cause of reduced function for older adults with chronic disease following completion of rehabilitation. This quantitative study used a questionnaire to evaluate the barriers and facilitators to community-based exercise following rehabilitation, from the perspectives of older adults with chronic diseases and their healthcare professionals (HCPs). Questionnaires were administered one-on-one to 83 older adults and 35 HCPs. Those with chronic disease perceived cost (43%), travel time (43%), and physical symptoms (39%) as primary barriers to program participation, with similar perceptions across all chronic conditions. Access to a case manager (82%), a supported transition following rehabilitation (78%), and a condition-specific program (78%) were the primary facilitators. Significant between group differences were found between HCPs and older adults with chronic disease across all barriers (p < .001), with a greater number of HCPs perceiving barriers to exercise participation. There were no between-group differences in the perception of factors that facilitate participation in exercise.

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Sedentary Behavior and Chronic Disease: Mechanisms and Future Directions

Paddy C. Dempsey, Chuck E. Matthews, S. Ghazaleh Dashti, Aiden R. Doherty, Audrey Bergouignan, Eline H. van Roekel, David W. Dunstan, Nicholas J. Wareham, Thomas E. Yates, Katrien Wijndaele, and Brigid M. Lynch

. However, as limited evidence is available, concerning “optimal” amounts and patterns of sedentary behavior and light-intensity physical activity in relation to chronic disease risk, only general recommendations are possible to guide time spent in these behaviors at present (ie, “Sit less, move more

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Physical Exercise as an Immunomodulator of Chronic Diseases in Aging

Emmanuel Gomes Ciolac, José Messias Rodrigues da Silva, and Rodolfo Paula Vieira

services, which brings serious concern to both governments and populations. 1 The functional and structural deterioration of almost all physiological systems that occur during aging, even in the absence of a discernible disease, results in an increased incidence/progression of chronic diseases and reduced

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Physical Activity and Sitting Time Are Specifically Associated With Multiple Chronic Diseases and Medicine Intake in Brazilian Older Adults

Alex S. Ribeiro, Luiz C. Pereira, Danilo R.P. Silva, Leandro dos Santos, Brad J. Schoenfeld, Denilson C. Teixeira, Edilson S. Cyrino, and Dartagnan P. Guedes

There is compelling evidence that both low levels of physical activity and sedentary behavior are distinct risk factors in the development of chronic diseases ( Hamilton, Healy, Dunstan, Zderic, & Owen, 2008 ). Given that sedentary behavior and levels of physical activity are independent behaviors

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Cross-Sectional and Prospective Relationship Between Low-to-Moderate–Intensity Physical Activity and Chronic Diseases in Older Adults From 13 European Countries

Adilson Marques, Miguel Peralta, João Martins, Élvio R. Gouveia, and Miguel G. Valeiro

Chronic diseases, such as heart attack, hypertension, diabetes, chronic lung disease, cancer, stomach or duodenal ulcer, and Alzheimer’s disease, are the major cause of mortality and disability worldwide ( World Health Organization [WHO], 2015 ). Chronic diseases have a negative effect on quality

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Conceptualizing Obesity as a Chronic Disease: An Interview With Dr. Arya Sharma

Arya M. Sharma, Donna L. Goodwin, and Janice Causgrove Dunn

). Understanding disability as a chronic illness with the associated stigma of weakness, vulnerability, and dependency is no longer a dominant paradigm of understanding and runs contrary to thinking in APA. At first glance, Dr. Sharma’s appeal to consider obesity a chronic disease appears incompatible with current

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Prevalence and Sociodemographic Correlates of Meeting the 24-Hour Movement Guidelines Among Low-Income Brazilian Older Adults With Chronic Diseases

Antonio Henrique Germano Soares, Andrea Wendt, Inácio Crochemore-Silva, Clarice Martins, Arthur Oliveira Barbosa, Mauro Virgílio Gomes de Barros, and Rafael M. Tassitano

movement guidelines among Brazilian community-dwelling older adults with chronic diseases, while the secondary aim was to identify the sociodemographic correlates of meeting the recommendations. Methods Study Design This cross-sectional study has been written in accordance with the Strengthening the

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Healthy Public Policy Options to Promote Physical Activity for Chronic Disease Prevention: Understanding Canadian Policy Influencer and General Public Preferences

Jennifer Ann McGetrick, Krystyna Kongats, Kim D. Raine, Corinne Voyer, and Candace I.J. Nykiforuk

Physical inactivity is a leading risk factor for global mortality 1 and contributes to the development of chronic diseases including obesity, diabetes, cardiovascular and respiratory illnesses, and cancers. 1 – 3 In Canada, 80% of adults do not meet the recommended 150 minutes of physical

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TV Viewing in 60,202 Adults From the National Brazilian Health Survey: Prevalence, Correlates, and Associations With Chronic Diseases

André O. Werneck, Edilson S. Cyrino, Paul J. Collings, Enio R.V. Ronque, Célia L. Szwarcwald, Luís B. Sardinha, and Danilo R. Silva

hypertension, and 7.5% of heart disease cases. The highest population attributable fraction was observed for heart disease among males (10.1%). Table 3 Associations Between TV Viewing Duration With Self-Reported Physician Diagnoses of Chronic Disease in Brazilian Adults (Male = 22,627 and Female = 29,466) Type

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Sedentary Behaviors, Leisure-Time Physical Inactivity, and Chronic Diseases in Brazilian Workers: A Cross Sectional Study

Leandro Martin Totaro Garcia, Kelly Samara da Silva, Giovâni F. Del Duca, Filipe Ferreira da Costa, and Markus Vinicius Nahas


Our purpose was to examine the association of television viewing (hours/day), sedentary work (predominantly sitting at work), passive transportation to work (car or motorcycle), and the clustering of these behaviors (“sedentary lifestyle”), as well as leisure-time physical inactivity (LTPI), with chronic diseases (hypertension, hypercholesterolemia, type 2 diabetes, obesity, and clustering of chronic diseases) in Brazilian workers.


Cross-sectional study conducted from 2006 to 2008 in 24 Brazilian federal units (n = 47,477). A questionnaire was applied. Descriptive statistics, binary and multinomial logistic regressions were used.


Magnitude of association with chronic diseases varied greatly across domains and gender. Sedentariness at work was the most consistent behavior associated with chronic diseases, especially in men (ORhypertension = 1.10, 95% CI: 1.01–1.20; ORhypercholesterolemia = 1.34, 95% CI: 1.21–1.48; ORobesity = 1.27, 95% CI: 1.15–1.41; OR1chronic disease = 1.17, 95% CI: 1.09–1.26; OR≥2chronic diseases = 1.61, 95% CI: 1.46–1.78) compared with women (ORhypercholesterolemia = 1.15, 95% CI: 1.01–1.31; ORobesity = 1.24, 95% CI: 1.04–1.48). LTPI was associated with all diseases in men (except type 2 diabetes), but only with obesity in women.


Adverse health consequences may be differently associated according to behavior domain and gender. Sedentary work and LTPI were consistently associated with chronic disease in Brazilian workers, especially in men.