Psychological and environmental factors for older adults to exercise : a systematic review

  1. Martín-Moya, Ricardo 1
  2. Ruíz-Montero, Pedro Jesús 1
  3. Rivera-García, Enrique 1
  4. Leeson, George 2
  1. 1 Universidad de Granada, (Espanya)
  2. 2 University of Oxford, (Regne Unit)
Revista:
Revista de psicología del deporte

ISSN: 1132-239X 1988-5636

Año de publicación: 2020

Volumen: 29

Número: 2

Páginas: 93-104

Tipo: Artículo

Otras publicaciones en: Revista de psicología del deporte

Resumen

Las investigaciones sobre los posibles factores motivadores e influencias psicológicas sobre la salud y la participación en el ejercicio físico han aumentado en todo el mundo en las últimas dos décadas. En contraste, pocas investigaciones han analizado este fenómeno en adultos mayores que viven en varios contextos. Los adultos mayores sufren una disminución notable de las funciones físicas que pueden ser seguidas por trastornos psicológicos y un detrimento de las relaciones afectivas y sociales. Por lo tanto, es de suma importancia encontrar estrategias para aumentar la participación regular de los adultos mayores en prácticas de ejercicio físico dirigido. Se realizó una revisión sistemática de 945 estudios. Todos los 27 estudios revisados, que cumplieron con los criterios de inclusión, han adoptado métodos mixtos, cuantitativos y cualitativos. Los datos se extrajeron de acuerdo con las siguientes variables: metodología científica, el instrumento / cuestionario utilizado, tipo de artículo, número de participantes, duración e intensidad de las intervenciones, perfil del colectivo de adultos mayores, los hallazgos más relevantes y el país donde se realizó el estudio. Los instrumentos utilizados en los estudios fueron principalmente entrevistas semiestructuradas, grupos de discusión y cuestionarios, centrados principalmente en Estados Unidos y Canadá. El conocimiento sobre los factores psicológicos y ambientales es un aspecto clave que se encuentra adyacente tanto a los aspectos físicos como a los sociales y tiene una influencia relevante en el ejercicio y el bienestar de los adultos mayores. El objetivo de este estudio fue explorar las barreras y los facilitadores a la hora de realizar un programa de ejercicio físico para adultos mayores.

Referencias bibliográficas

  • Agha, A., Liu-Ambrose, T. Y. L., Backman, C. L., Leese, J., and Li, L. C. (2015). Understanding the Experiences of Rural Community-Dwelling Older Adults in Using a New DVD-Delivered Otago Exercise Program: A Qualitative Study. Interactive Journal of Medical Research, 4(3), e17. https://doi.org/10.2196/ijmr.4257
  • Annear, M., Keeling, S., Wilkinson, T., Cushman, G., Gidlow, B., and Hopkins, H. (2014). Environmental influences on healthy and active ageing: A systematic review. Ageing and Society, 34(4), 590–622. https://doi.org/10.1017/S0144686X1200116X
  • Arango, C. M., Páez, D. C., Reis, R. S., Brownson, R. C., and Parra, D. C. (2013). Association between the perceived environment and physical activity among adults in Latin America: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 10. https://doi.org/10.1186/1479-5868-10-122
  • Aro, A. A., Agbo, S., and Omole, O. B. (2018). Factors influencing regular physical exercise among the elderly in residential care facilities in a South African health district. African Journal of Primary Health Care and Family Medicine, 10(1). https://doi.org/10.4102/ phcfm.v10i1.1493
  • Aronson, R. E., and Oman, R. F. (2004). Views on Exercise and Physical Activity among Rural-Dwelling Senior Citizens. Journal of Rural Health, 20(1), 76–79. https://doi.org/10.1111/j.1748-0361.2004.tb00010.x
  • Aspvik, N. P., Viken, H., Ingebrigtsen, J. E., Zisko, N., Mehus, I., Wisløff, U., and Stensvold, D. (2018). Do weather changes influence physical activity level among older adults? – The Generation 100 study. PLoS ONE, 13(7). https://doi.org/10.1371/journal.pone.0199463
  • Bandura, A. (1978). Self-efficacy: Toward a unifying theory of behavioral change. Advances in Behaviour Research and Therapy, 1(4), 139–161. https://doi.org/10.1016/0146-6402(78)90002-4
  • Bangsbo, J., Blackwell, J., Boraxbekk, C. J., Caserotti, P., Dela, F., Evans, A. B., … Viña, J. (2019). Copenhagen Consensus statement 2019: Physical activity and ageing. British Journal of Sports Medicine, 53(14), 856–858. https://doi.org/10.1136/bjsports-2018-100451
  • Bidwell, S., Chalmers, S. I., Clarke, M., Crosbie, G., Eastwood, A., Fry-smith, A., … Lewis, R. (2001). Undertaking Systematic Reviews of Research on Effectiveness CRD ’ s Guidance for those Carrying Out or Commissioning Reviews. CRD Report Number 4 2nd Edition, 4(4), 152. https://doi.org/1900640201
  • Brassington, G. S., Atienza, A. A., Perczek, R. E., DiLorenzo, T. M., and King, A. C. (2002). Intervention-related cognitive versus social mediators of exercise adherence in the elderly. American Journal of Preventive Medicine, 23(2 SUPPL. 1), 80–86. https://doi. org/10.1016/S0749-3797(02)00477-4
  • Brawley, L. R., Rejeski, W. J., and King, A. C. (2003). Promoting physical activity for older adults: The challenges for changing behavior. American Journal of Preventive Medicine, 25(3 SUPPL. 2), 172–183. https://doi.org/10.1016/S0749-3797(03)00182-X
  • Cohen-Mansfield, J., Marx, M. S., and Guralnik, J. M. (2003). Motivators and barriers to exercise in an older community-dwelling population. Journal of Aging and Physical Activity, 11(2), 242–253. https://doi.org/10.1123/japa.11.2.242
  • Dunn, A. L., and Jewell, J. S. (2010). The effect of exercise on mental health. Current Sports Medicine Reports, 9(4), 202–207. https://doi. org/10.1249/JSR.0b013e3181e7d9af
  • Franco, M. R., Tong, A., Howard, K., Sherrington, C., Ferreira, P. H., Pinto, R. Z., and Ferreira, M. L. (2015). Older people’s perspectives on participation in physical activity: A systematic review and thematic synthesis of qualitative literature. British Journal of Sports Medicine, Vol. 49, pp. 1268–1276. https://doi.org/10.1136/bjsports-2014-094015
  • Gebel, K., Bauman, A., Owen, N., Foster, S., and Giles-corti, B. (2009). Position statement The built environment and walking. National Heart Foundation of Australia, 1–16.
  • Graham, L. J., and Connelly, D. M. (2013). “Any Movement at All Is Exercise”: A focused ethnography of rural community-dwelling older adults’ perceptions and experiences of exercise as self-care. Physiotherapy Canada, 65(4), 333–341. https://doi.org/10.3138/ ptc.2012-31
  • Grant-savela, S. D. (2010). Journal of. Journal of Applied Gerontology, 29(5), 531–553. https://doi.org/10.1177/073346480341470
  • Hall, K. S., and McAuley, E. (2010). Individual, social environmental and physical environmental barriers to achieving 10 000 steps per day among older women. Health Education Research, 25(3), 478–488. https://doi.org/10.1093/her/cyq019
  • Hallgren, M., Herring, M. P., Owen, N., Dunstan, D., Ekblom, Ö., Helgadottir, B., … Forsell, Y. (2016). Exercise, physical activity, and sedentary behavior in the treatment of depression: Broadening the scientific perspectives and clinical opportunities. Frontiers in Psychiatry, 7(MAR), 36. https://doi.org/10.3389/fpsyt.2016.00036
  • Higgins, J. P. T., and Green, S. (2011). Manual Cochrane de revisiones sistemáticas de intervenciones. In Cochrane. https://doi.org/Available from www.cochrane-handbook.org.
  • Hopkins, S. E., Kwachka, P., Lardon, C., and Mohatt, G. V. (2007). Keeping busy: a Yup’ik/Cup’ik perspective on health and aging. International Journal of Circumpolar Health, 66(1), 42–50. https://doi.org/10.3402/ijch.v66i1.18224
  • Horne, M., Skelton, D. A., Speed, S., and Todd, C. (2012). Attitudes and beliefs to the uptake and maintenance of physical activity among community-dwelling South Asians aged 60-70 years: A qualitative study. Public Health, 126(5), 417–423. https://doi.org/10.1016/j. puhe.2012.02.002
  • Hsu, W. H., Chen, C. L., Kuo, L. T., Fan, C. H., Lee, M. S., and Hsu, R. W. W. (2014). The relationship between health-related fitness and quality of life in postmenopausal women from Southern Taiwan. Clinical Interventions in Aging, 9, 1573–1579. https://doi. org/10.2147/CIA.S66310
  • Ii, N., Andrew, A., Ot, D., Shakespeare, W., Viii, H., Organization, W. H., … Lamb, S. (2007). 8 Falls. Community Health, 9(9), 1–16. https://doi.org/http://whqlibdoc.who.int/publications/2007/9789241547307_eng.pdf?ua=1
  • Kosma, M., and Cardinal, B. J. (2016). Theory-based physical activity beliefs by race and activity levels among older adults. Ethnicity and Health, 21(2), 181–195. https://doi.org/10.1080/13557858.2015.1047741
  • Kosteli, M. C., Williams, S. E., and Cumming, J. (2016). Investigating the psychosocial determinants of physical activity in older adults: A qualitative approach. Psychology and Health, 31(6), 730–749. https://doi.org/10.1080/08870446.2016.1143943
  • Krug, R. D. R., Barbosa, A. R., Monego, E. A., Mello, A. L. S. F. de, and França, V. F. (2015). Perception of the older adults regarding the practise of physical activity and healthy eating. Revista de La Universidad Industrial de Santander. Salud, 47(2), 115–124.
  • Lang, P. O., Bréchat, P. H., Vogel, T., Lebreton, C., Bellanger, M., Rivière, D., … Lonsdorfer, J. (2016). Determinants of the benefits of a short-term personalized intermittent work exercise program (IWEP) among seniors: Results from the CAPS program. European Geriatric Medicine, 7(4), 333–339. https://doi.org/10.1016/j.eurger.2016.05.004
  • Lee, H. S., and Park, E. Y. (2015). Associations of neighborhood environment and walking in Korean elderly women: A comparison between urban and rural dwellers. Asian Women, 31(4), 1–21. https://doi.org/10.14431/aw.2015.12.31.4.1
  • Lindsay-Smith, G., O’Sullivan, G., Eime, R., Harvey, J., and Van Uffelen, J. G. Z. (2018). A mixed methods case study exploring the impact of membership of a multi-activity, multicentre community group on social wellbeing of older adults. BMC Geriatrics, 18(1), 243. https://doi.org/10.1186/s12877-018-0913-1
  • McMahon, S. K., Wyman, J. F., Belyea, M. J., Shearer, N., Hekler, E. B., and Fleury, J. (2016). Combining Motivational and Physical Intervention Components to Promote Fall-Reducing Physical Activity Among Community-Dwelling Older Adults: A Feasibility Study. American Journal of Health Promotion : AJHP, 30(8), 638–644. https://doi.org/10.4278/ajhp.130522-ARB-265
  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., Altman, D., Antes, G., … Tugwell, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, Vol. 6. https://doi.org/10.1371/journal.pmed.1000097
  • Moreno Doña, A., Rivera García, E., and Trigueros Cervantes, C. (2014). Sistema de medición de la calidad de la Educación Física chilena: un análisis crítico. Movimento: Revista Da Escola de Educação Física, 20(1), 145–167.
  • Park, S., Ntoumanis, N., Fenton, S. A. M., Stenling, A., Veldhuijzen van Zanten, J. J. C. S., and Thøgersen-Ntoumani, C. (2019). A Person-Centered Analysis of Motivation for Physical Activity and Perceived Neighborhood Environment in Residents of Assisted Living Facilities. International Journal of Aging and Human Development, 89(3), 257–278. https://doi.org/10.1177/0091415018784763
  • Rasinaho, M., Hirvensalo, M., Leinonen, R., Lintunen, T., and Rantanen, T. (2007). Motives for and barriers to physical activity among older adults with mobility limitations. Journal of Aging and Physical Activity, 15(1), 90–102. https://doi.org/10.1123/japa.15.1.90
  • Samra, P. K., Rebar, A. L., Parkinson, L., Van Uffelen, J. G. Z., Schoeppe, S., Power, D., … Alley, S. (2019). Physical activity attitudes, preferences, and experiences of regionally-based Australia adults aged 65 years and older. Journal of Aging and Physical Activity, 27(4), 446–451. https://doi.org/10.1123/japa.2017-0426
  • Schoster, B., Callahan, L. F., Meier, A., Mielenz, T., and DiMartino, L. (2005). The people with Arthritis Can Exercise (pace) program: A qualitative evaluation of participant satisfaction. Preventing Chronic Disease, 2(3), A11. https://doi.org/A11 [pii]
  • Schutzer, K. A., and Graves, B. S. (2004a). Barriers and motivations to exercise in older adults. Preventive Medicine, 39(5), 1056–1061. https://doi.org/10.1016/j.ypmed.2004.04.003
  • Schutzer, K. A., and Graves, B. S. (2004b). Barriers and motivations to exercise in older adults. Preventive Medicine, Vol. 39, pp. 1056– 1061. https://doi.org/10.1016/j.ypmed.2004.04.003
  • Stevenson, A., Pearce, J., Blakely, T., Ivory, V., and Witten, K. (2009). Neighbourhoods and health: A review of the New Zealand literature. New Zealand Geographer, 65(3), 211–221. https://doi.org/10.1111/j.1745-7939.2009.01164.x
  • Strand, K. A., Francis, S. L., Margrett, J. A., Franke, W. D., and Peterson, M. J. (2014). Community-based exergaming program increases physical activity and perceived wellness in older adults. Journal of Aging and Physical Activity, 22(3), 364–371. https://doi. org/10.1123/JAPA.2012-0302
  • Tate, L. M. (2015). Temporal discounting rates and their relation to exercise behavior in older adults. Physiology and Behavior, 152, 295–299. https://doi.org/10.1016/j.physbeh.2015.10.003
  • Tompkins, T. H., Belza, B., and Brown, M. A. (2009). Nurse practitioner practice patterns for exercise counseling. Journal of the American Academy of Nurse Practitioners, 21(2), 79–86. https://doi.org/10.1111/j.1745-7599.2008.00388.x
  • VanBeveren, P. J., and Avers, D. (2012). Exercise and physical activity for older adults. Geriatric Physical Therapy, 41(7), 64–85. https:// doi.org/10.1016/B978-0-323-02948-3.00014-6
  • Waites, C. (2013). Examining the perceptions, preferences, and practices that influence healthy aging for African American older adults: An ecological perspective. Journal of Applied Gerontology, 32(7), 855–875. https://doi.org/10.1177/0733464812446020
  • Warburton, D. E. R., Nicol, C. W., and Bredin, S. S. D. (2006). Health benefits of physical activity: The evidence. Cmaj, 174(6), 801–809. https://doi.org/10.1503/cmaj.051351
  • Wilcox, S., Bopp, M., Oberrecht, L., Kammermann, S. K., and McElmurray, C. T. (2003). Psychosocial and Perceived Environmental Correlates of Physical Activity in Rural and Older African American and White Women. Journals of Gerontology Series B Psychological Sciences and Social Sciences, 58(6), 329–337. https://doi.org/10.1093/geronb/58.6.P329
  • WORLD HEALTH ORGANIZATION. (2002). Active aeging: a policy framework. In World Health Organization. Retrieved from http:// apps.who.int/iris/bitstream/10665/67215/1/WHO_NMH_NPH_02.8.pdf
  • Wu, B., Goins, R. T., Laditka, J. N., Ignatenko, V., and Goedereis, E. (2009). Gender differences in views about cognitive health and healthy lifestyle behaviors among rural older adults. Gerontologist, 49(SUPPL. 1), S72–S78. https://doi.org/10.1093/geront/gnp077
  • Yen, I. H., Michael, Y. L., and Perdue, L. (2009). Neighborhood Environment in Studies of Health of Older Adults. A Systematic Review. American Journal of Preventive Medicine, 37(5), 455–463. https://doi.org/10.1016/j.amepre.2009.06.022
  • Yeom, H. A., and Fleury, J. (2014). A Motivational Physical Activity Intervention for Improving Mobility in Older Korean Americans. Western Journal of Nursing Research, 36(6), 713–731. https://doi.org/10.1177/0193945913511546