Barriers and Motivators of Physical Activity Participation in Middle-Aged and Older Adults—A Systematic Review

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Karl Spiteri
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David Broom
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Amira Hassan Bekhet
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John Xerri de Caro
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Bob Laventure
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Kate Grafton
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Identifying the difference in the barriers and motivators between middle-aged and older adults could contribute toward the development of age-specific health promotion interventions. The aim of this review was to synthesize the literature on the barriers and motivators for physical activity in middle-aged (50–64 years) and older (65–70 years) adults. This review examined qualitative and quantitative studies using the theoretical domain framework as the guiding theory. The search generated 9,400 results from seven databases, and 55 articles meeting the inclusion criteria were included. The results indicate that the barriers are comparable across the two age groups, with environmental factors and resources being the most commonly identified barriers. In older adults, social influences, reinforcement, and assistance in managing change were the most identified motivators. In middle-aged adults, goal-setting, the belief that an activity will be beneficial, and social influences were identified as the most important motivators. These findings can be used by professionals to encourage engagement with and adherence to physical activity.

Spiteri, Broom, and Grafton are with the Faculty of Health and Wellbeing, Sheffield Hallam University, Sheffield, United Kingdom. Spiteri is also with the Ministry for the Family, Children’s Rights, and Social Solidarity, Valletta, Malta. Hassan Bekhet is with the Faculty of Physical Therapy, Cairo University, Cairo, Egypt. Xerri de Caro is with the Faculty of Health Sciences, University of Malta, Msida, Malta. Laventure is with Later Life Training, Northumberland, United Kingdom.

Spiteri (Karl.Spiteri@student.shu.ac.uk) is the corresponding author.

Supplementary Materials

    • Supplementary Material 1 (PDF 268 KB)
    • Supplementary Material 2 (PDF 267 KB)
    • Supplementary Material 3 (PDF 435 KB)