Influence Exercise Adherence Research Articles

BARRIERS AND ENABLERS TO EXERCISE ADHERENCE IN PEOPLE WITH CHRONIC LOW BACK PAIN: A SYSTEMATIC REVIEW OF QUALITATIVE EVIDENCE

INTRODUCTION Exercise is a first line treatment for chronic low back pain, reducing pain and disability in the short-term. However, exercise benefits decrease over time, with a lack of long-term exercise adherence a potential reason for this. This study aimed to synthesize the perceptions and beliefs of individuals with chronic low back pain and identify their barriers and enablers to exercise adherence. METHODS We searched CENTRAL, EMBASE, CINAHL, SPORTDiscus, PubMed, PsycINFO, CINAHL, and Scopus databases from inception to 28th February 2023 for qualitative studies that explored the factors influencing exercise adherence for people with chronic low back pain. A hybrid approach combining inductive analysis using thematic synthesis and a deductive analysis, which included the Theoretical Domains Framework of behaviour change was used to analyse data. We assessed methodological quality using the Critical Appraisal Skills Programme checklist and the level of confidence of the themes found using the Confidence in the Evidence from Reviews of Qualitative Studies (GRADE-CERQual). RESULTS Twenty-three papers (n=21 studies) were included (n=478 participants). Four main themes impacted exercise adherence: 1) exercise, pain, and the body, 2) psychological factors, 3) social factors and 4) external factors. These themes contained 16 subthemes that were predominantly both barriers and enablers to exercise adherence. There was moderate to high confidence across the findings. CONCLUSION Our analysis found that individual’s experiences of barriers and enablers were most appropriately represented across a spectrum, where influencing factors could be a barrier or enabler to exercise adherence. Barriers and enablers were also found to be specific to pre-exercise, during exercise and post-exercise situations. This may lead to an improved and targeted approach to increasing exercise adherence. Further research is required to develop interventions that can use these findings for a more personalised and patient centred approach to treatment.

Determinants of exercise adherence in sedentary middle-aged and older adults.

Regular exercise positively impacts neurocognitive health, particularly in aging individuals. However, low adherence, particularly among older adults, hinders the adoption of exercise routines. While brain plasticity mechanisms largely support the cognitive benefits of exercise, the link between physiological and behavioral factors influencing exercise adherence remains unclear. This study aimed to explore this association in sedentary middle-aged and older adults. Thirty-one participants underwent an evaluation of cortico-motor plasticity using transcranial magnetic stimulation (TMS) to measure changes in motor-evoked potentials following intermittent theta-burst stimulation (iTBS). Health history, cardiorespiratory fitness, and exercise-related behavioral factors were also assessed. The participants engaged in a 2-month supervised aerobic exercise program, attending sessions three times a week for 60 min each, totaling 24 sessions at a moderate-to-vigorous intensity. They were divided into Completers (n = 19), who attended all sessions, and Dropouts (n = 12), who withdrew early. Completers exhibited lower smoking rates, exercise barriers, and resting heart rates compared to Dropouts. For Completers, TMS/iTBS cortico-motor plasticity was associated with better exercise adherence (r = -.53, corrected p = .019). Exploratory hypothesis-generating regression analysis suggested that post-iTBS changes (β = -7.78, p = .013) and self-efficacy (β = -.51, p = .019) may predict exercise adherence (adjusted-R2 = .44). In conclusion, this study highlights the significance of TMS/iTBS cortico-motor plasticity, self-efficacy, and cardiovascular health in exercise adherence. Given the well-established cognitive benefits of exercise, addressing sedentary behavior and enhancing self-efficacy are crucial for promoting adherence and optimizing brain health. Clinicians and researchers should prioritize assessing these variables to improve the effectiveness of exercise programs.

Barriers and enablers to exercise adherence in people with nonspecific chronic low back pain: a systematic review of qualitative evidence.

Exercise is a first-line treatment for chronic low back pain (CLBP), reducing pain and disability in the short term. However, exercise benefits decrease over time, with a lack of long-term exercise adherence a potential reason for this. This study aimed to synthesize the perceptions and beliefs of individuals with CLBP and identify their barriers and enablers to exercise adherence. We searched CENTRAL, Embase, CINAHL, SPORTDiscus, PubMed, PsycINFO, and Scopus databases from inception to February 28, 2023, for qualitative studies that explored the factors influencing exercise adherence for people with CLBP. A hybrid approach combining thematic synthesis with the Theoretical Domains Framework was used to analyze data. We assessed methodological quality using the Critical Appraisal Skills Programme checklist and the level of confidence of the themes generated using the Confidence in the Evidence from Reviews of Qualitative Studies. Twenty-three papers (n = 21 studies) were included (n = 677 participants). Four main themes affected exercise adherence: (1) exercise, pain, and the body, (2) psychological factors, (3) social factors, and (4) external factors. These themes contained 16 subthemes that were predominantly both barriers and enablers to exercise adherence. The individual's experiences of barriers and enablers were most appropriately represented across a spectrum, where influencing factors could be a barrier or enabler to exercise adherence, and these could be specific to pre-exercise, during-exercise, and post-exercise situations. These findings may be used to improve exercise adherence and ultimately treatment outcomes in people with CLBP.

Assessing affective valence and activation in resistance training with the feeling scale and the felt arousal scale: A systematic review

Evidence suggests affective responses to exercise can influence exercise adherence. However, there is a limited understanding of how and when to measure core affect in resistance training. As such, the objective of this systematic review was to analyze how the Feeling Scale and/or the Felt Arousal Scale have been used in resistance training to assess core affect. Focus was given to the contextual feasibility, timing, and frequency of assessment. A search in PubMed, SPORTDiscus, and PsycINFO databases was conducted (last search date July, 2022) with the purpose of including experimental and non-experimental studies, utilizing the Feeling Scale and/or the Felt Arousal Scale in resistance training, and focused on apparently healthy individuals of any age. Twenty-seven studies (N = 718 participants) published between 2009–2022 were qualitatively analyzed. Both scales appeared to be able to detect core affect within a wide array of intensities, ages, and equipment. As for the timing and frequency of measurement, no apparent standardization was evident. The use of the Feeling Scale, the Felt Arousal Scale, or both, to measure core affect appears to be feasible in resistance training practices. However, a lack of methodological background raises concerns regarding the quality of previous studies’ assessments and comparisons of results across studies.

English

The interruption of regular physical exercise among Chinese college students is a key cause of the lack of motivation to exercise. Therefore, on the basis of self-efficacy theory, this study analysed the interrelationships between the perception of transformational leadership in physical education (PE) by teachers, physical self-efficacy, and exercise adherence among Chinese college students. A questionnaire survey was conducted using a convenience sample of 448 students from five universities in Hebei Province, China. They perceived transformational leadership by PE teachers to significantly positively influence exercise adherence. In addition, physical self-efficacy partially mediated the relationship between college students’ perceptions of transformational leadership by PE teachers and exercise adherence. These findings suggest that university administrators could encourage PE teachers to make greater use of transformational leadership and improve education and guidance regarding physical self-efficacy for college students to promote exercise adherence.   Key words: Transformational leadership, physical self-efficacy, exercise adherence, college students.

Awareness of Social Presence on Virtual Fitness Platforms and Relationship with Exercise Motivation and Physical Activity Levels

The health benefits of physical activity are well-known, however, only 20% of the U.S. population meets the Physical Activity Guidelines for Americans. This study aimed to explore the association of awareness of social presence in a virtual fitness platform with motivation and physical activity levels (PAL). Virtual fitness users (n = 590, 42 ± 12.7 years old) completed the International Physical Activity Questionnaire and Behavioral Regulation of Exercise Questionnaire. Relative autonomy was correlated with PAL (r = .21, p < .001, 95.00% CI = [.13, .29]) and predicted PAL (F(1,588) = 27.03, p < .001). Awareness of social presence was significantly related to motivation (U = 41864.5, z = –5.99, p < .001), and predictive of relative autonomy (F(1,588) = 27.03, p < .001). The results suggest that higher relative autonomy is associated with higher PAL in virtual fitness users. Awareness of social presence on virtual platform appears to correlate to higher levels of relative autonomy, which may influence exercise adherence.

Fulfilling of exercise training program scheduled: a secondary analysis of influencing factors in a clinical study on chronic kidney patients

Chronic Kidney Patients (CKP) present a negative clinical status, with structural and functional changes in the musculoskeletal system and mental health partly due to a sedentary lifestyle. An effective physical stimulus for CKP is as important as to be able to follow it in the long-term. This study aimed to analyzethe association between some of the most influencing exercise adherence factors in CKP performing an exercise prescription programme. 67 subjects (23.9% women) participated in 14-week exercise programme in 3 dialysis centersin Madrid (Spain). Social-economic, educational, demographics, physical fitness, psychological and quality of life-related factors, were analyzedby a binary logistic regression model. Exercise adherence was established according to the number of training sessions attended per total sessions scheduled (cut-off point >75%). According to our binary logistic regression model performed with CKP, actual side effects symptoms/problems (OR:0.925: 95% CI [0.871, 0.983]) and depressionstatus (OR:0.882: 95% CI [0.788, 0.987]),showed significant negative associations(B= -0.078; B= -0.126, respectively)andState-Trait Anxiety level (OR: 1.122: 95% CI [1.007, 1.250]) and emotional well-being dimension (OR:1.046: 95% CI [1.001, 1.094]),showed significant positive associations (B=0.115; B=0.045, respectively). Thesewerethe most influencing factors related tothefulfilling >75% sessions of the exercise training program scheduled, explaining33.20% in our model.From the total of variables analyzedin our model, psychological issues such asanxiety and depression, besides thehealth-related quality of life factors such as actual side effects (symptoms/problems) and emotional well-beingwere the most influencing factors related to the exercise prescription adherence in CKP.

Barreras y facilitadores del programa de ejercicio EfiKroniK para pacientes con enfermedad crónica en atención primaria

ObjectiveExplore patients’ perceptions during a supervised exercise program and detect the barriers and facilitators that influence exercise adherence after the supervision period. DesignA qualitative observational study with three focus groups as the main data collection technique was conducted. SitePrimary Health centers of Bizkaia. ParticipantsOut of the 175 randomized patients in the hybrid effectiveness-implementation trial, a sample of 19 patients from the intervention group were included in the qualitative study (12 advanced-stage onco-haematological patients and seven with severe mental disorders). MethodsContent analysis of the generated transcripts was performed by combining a deductive approach, based on the domains of the PRACTIS theoretical framework, and an inductive one, based on the postulates of the Grounded Theory. ResultsThe data analysis showed that participants were satisfied with the EfiKroniK program and that the main identified benefits were discovery of the benefits of physical exercise, the psychological and emotional management of the disease, the benefits from peer communication and emotional support, and the break from routine of their illness. Participants decreased the levels of physical exercise at the end of the supervision6 due to the confluence of several barriers. ConclusionA supervised exercise program carried out in Primary Care contributed to the improvement of the quality of life as well as the emotional and social well-being of patients with advanced-stage diseases. Our study identified potential barriers and facilitators associated with exercise participation and its continuity, however, it is necessary to encourage inter-sectoral coordination within the socio-health system to promote integrated and continuous care for chronic patients.

Minimal-Dose Resistance Training for Improving Muscle Mass, Strength, and Function: A Narrative Review of Current Evidence and Practical Considerations.

Resistance training (RT) is the only non-pharmacological intervention known to consistently improve, and therefore offset age-related declines in, skeletal muscle mass, strength, and power. RT is also associated with various health benefits that are underappreciated compared with the perceived benefits of aerobic-based exercise. For example, RT participation is associated with reduced all-cause and cancer-related mortality and reduced incidence of cardiovascular disease, hypertension, and symptoms of both anxiety and depression. Despite these benefits, participation in RT remains low, likely due to numerous factors including time constraints, a high-perceived difficulty, and limited access to facilities and equipment. Identification of RT strategies that limit barriers to participation may increase engagement in RT and subsequently improve population health outcomes. Across the lifespan, declines in strength and power occur up to eight times faster than the loss of muscle mass, and are more strongly associated with functional impairments and risks of morbidity and mortality. Strategies to maximise healthspan should therefore arguably focus more on improving or maintaining muscle strength and power than on increasing muscle mass per se. Accumulating evidence suggests that minimal doses of RT, characterised by lower session volumes than in traditional RT guidelines, together with either (1) higher training intensities/loads performed at lower frequencies (i.e. low-volume, high-load RT) or (2) lower training intensities/loads performed at higher frequencies and with minimal-to-no equipment (i.e. resistance 'exercise snacking'), can improve strength and functional ability in younger and older adults. Such minimal-dose approaches to RT have the potential to minimise various barriers to participation, and may have positive implications for the feasibility and scalability of RT. In addition, brief but frequent minimal-dose RT approaches (i.e. resistance 'exercise snacking') may provide additional benefits for interrupting sedentary behaviour patterns associated with increased cardiometabolic risk. Compared to traditional approaches, minimal-dose RT may also limit negative affective responses, such as increased discomfort and lowered enjoyment, both of which are associated with higher training volumes and may negatively influence exercise adherence. A number of practical factors, including the selection of exercises that target major muscle groups and challenge both balance and the stabilising musculature, may influence the effectiveness of minimal-dose RT on outcomes such as improved independence and quality-of-life in older adults. This narrative review aims to summarise the evidence for minimal-dose RT as a strategy for preserving muscle strength and functional ability across the lifespan, and to discuss practical models and considerations for the application of minimal-dose RT approaches.

Understanding barriers and facilitators of exercise adherence after total-knee arthroplasty

Purpose The purpose of this qualitative study is to understand the perceived patient barriers and facilitators of post-surgical exercise adherence in patients undergoing TKA. Material and Methods We used an interpretive description approach. Data was gathered using semi-structured qualitative interviews. Participants were interviewed at 8 weeks post-operatively to capture physical, psychological, social and contextual changes and information. Topics that were explored included participants’ experience with physical activity and exercise, motivation to perform physical activity, beliefs that exercise will reduce pain, factors that limit their ability to engage in exercise, and the importance of self-regulation in exercise adherence. Results This study identified 4 themes within the WHO adherence framework: patient-related factors, condition-related factors, health care system, and social support. In particular, self-regulation, knowledge of exercise, post-operative complications, comorbidities, social support, and lack of guidance from health care providers were identified as personal and environmental characteristics that influence exercise adherence. Conclusion Exercise adherence is a multidimensional, interconnected construct and future research should focus on understanding the factors, particularly health care system, that impact adherence. IMPLICATIONS FOR REHABILITATION Rehabilitation therapists should aim to foster competence and confidence in post-operative rehabilitation by implementing strategies such as positive-reinforcement, goal setting, and increased education regarding the benefits of exercise. Clinical strategies to improve exercise adherence should be implemented both pre-and-post-operatively. Health care providers should clearly discuss post-operative outcomes and expectations (e.g., complications, etc.) with patients prior to surgery.

Better Together? A Pilot Study of Romantic Partner Influence on Exercise Adherence and Cardiometabolic Risk in African-American Couples.

BackgroundAfrican-Americans (AAs) have higher rates of inactivity, obesity, and cardiometabolic risk compared to other races/ethnicities. Romantic partners can positively influence health habits, yet whether or not couples have to exercise together in order to adopt regular exercise remains unclear. This study examined whether exercising together influences exercise adherence and cardiometabolic risk in AA couples.MethodsNine AA romantic couples (age 62.8 ± 7.7 years; body mass index 31.0 ± 4.4 kg/m2; 6105 ± 1689 average steps/day) completed a 12-week walking (≥ 30 min, 3 days/week) plus resistance training (RT; 2 days/week) pilot intervention. Couples were randomized to either exercise together (ET) or separately (ES). Waist and hip circumferences, iDXA-measured body composition, blood pressure, and blood biomarkers (glucose, hemoglobin A1c (HbA1c), total cholesterol, high-density lipoprotein (HDL) cholesterol, triglycerides, C-reactive protein, and fibrinogen) were assessed pre- and post-intervention. Independent-sample t tests and generalized linear mixed models, controlling for gender, were used to analyze data. Significance was accepted at P < 0.05.ResultsThere were no significant group × time interactions for any outcome. However, ET trended toward more walking (86.5 ± 57.7 min/week) than ES (66.1 ± 31.7 min/week). There were also significant overall time effects for waist circumference (P < 0.001), body fat (P = 0.020), fat mass (P = 0.007), gynoid fat (P = 0.041), HbA1c (P = 0.020), and HDL (P = 0.047), where all variables decreased.ConclusionsTrends showed exercising together may promote walking prescription adherence, although more research is needed in a larger sample. This intervention may also improve cardiometabolic risk factors in this population. These pilot data will inform the current investigators’ future exercise intervention research in AA adult dyads.

Disease-related factors associated with exercise adherence in postmenopausal women with osteoporosis.

Objectives:Exercise is the most widely-used intervention for reducing bone loss and the incidence of falls and fractures in osteoporosis patients. However, disease-related changes can alter these patients’ adherence to exercise programs. This study attempted to describe the factors influencing exercise adherence in a group of postmenopausal women with osteoporosis.Methods:We conducted a retrospective cohort of postmenopausal women with osteoporosis. We collected data from each patient’s last clinical evaluation, as well as from their clinical file of the previous year.Results:A total of 288 women were included in the study, with an average age of 69.45 (Standard deviation ± 9.2 years). Around a quarter, 76 (26.3%), of the patients did not adhere to exercise, 91 (31.5%) did partially, and 121 (41.9%) did completely. In univariate analysis, the variables significantly associated with exercise adherence were age, height, spine pain intensity, joint pain, and prevalent fracture. In a logistic regression model, pharmacological treatment for osteoporosis and polypharmacy were associated with exercise adherence, while poor balance and hyperkyphosis were associated with non-adherence.Conclusion:Pharmacological treatment, polypharmacy, poor balance, and hyperkyphosis all appear to be associated with exercise adherence. As these findings are the significant predictors of exercise engagement, it is necessary to explore balance and postural changes and emphasize the importance of postural and balance training prescription in this group of patients.

Effects Of A Personalized Six-week Resistance Exercise Program On Senior Citizens’ Cardiometabolic Health And Adherence

The cardiometabolic benefits of resistance training in senior populations are well documented however, adoption and adherence remain low. Rigidly structured resistance-training interventions and lack of quality, personalized instruction may be to blame. PURPOSE: We tested the hypothesis that a community-based, personalized, resistance-training program offered to senior citizens would improve cardiometabolic health and positively influence exercise adherence by accommodating a wide range of fitness levels. METHODS: Five senior citizens (2M/3F; 74 ± 5 years) completed a personalized resistance-training program that consisted of meeting with a trainer twice a week, for 60-minutes, over the course of six weeks. Pre and post exercise intervention, physical fitness and body composition were determined with the Senior Fitness Test and anthropometric measures, respectively. Metabolic health was assessed by measuring circulating plasma lipids (total cholesterol, high-density lipoprotein, low-density lipoprotein, and triglycerides) and glucose, and determination of blood pressure. Adherence was calculated as the percentage of resistance-training sessions attended. Semi-structured interviews were conducted on a weekly basis to grasp detailed approaches trainers utilized in each exercise session to promote adherence. RESULTS: In support of our hypothesis, a six week, community-based, resistance-training program improved performance in the Senior Fitness Test (chair stand test: 13 ± 3 vs 18 ± 4 repetitions, p = 0.03 and chair sit and reach test: -6 ± 12 vs 4 ± 6 centimeters, p = 0.03) and decreased waist circumference (91 ± 12 vs 88 ± 14 centimeters; p = 0.04). In contrast to our hypothesis, there were no changes in circulating plasma lipids, glucose, or blood pressure. Adherence to exercise sessions was high at 86%. Qualitative analysis revealed that instructors provided physical and psychological assistance for their participants, while making accommodations to their fitness levels and welcoming feedback. CONCLUSIONS: These preliminary data indicate that a six-week, community-based, personalized, resistance-training program offered to senior citizens is an effective method to improve cardiometabolic health while encouraging adherence. Support: Western New Mexico University Research Grant

Motivation to CrossFit training: a narrative review

Considering the ongoing growth of CrossFit training, it is pertinent to examine the motivational characteristics of individuals who engage in this type of training modality. This study aimed to examine the motivational characteristics displayed by individuals participating in CrossFit training through a narrative review. Four electronic databases (PubMed, SCOPUS, SPORTDiscus, and Web of Science) were searched from their inception to June 2019, with search criteria including terms related to motivation and exercise. We selected only original articles that investigated motivation among CrossFit training participants. Fourteen studies met the inclusion criteria. The individuals’ motivation was mainly characterized by more autonomous forms of extrinsic motivation (identified and integrate regulations). The role of extrinsic motives is explained by the possibility of improving physical abilities/skills, health-related factors and well-being, and performance and competition affective responses. Compared with other forms of resistance training, motivational characteristics of individuals engaged in CrossFit training seem to be different, whereby those engaged in CrossFit training exude a high level of self-determination, and may experience a greater sense of satisfaction and pleasure. The present narrative review adds to the limited evidence related to CrossFit training and suggests that participation in CrossFit training is conducted with a great sense of belief and identify. Moreover, CrossFit training seems to provide inherent rewards, which may influence exercise adherence. Future studies should explore motivations and reasons as to why individuals dropout of participating in CrossFit training.

Bidirectional Associations of Momentary Affect with Physical Activity and Sedentary Behaviors in Working Adults.

Affective experiences and movement-based behaviors form a system that has been shown to influence exercise adherence and mental health outcomes. Little is known about the naturalistic dynamics of the reciprocal associations in this system. We examined the time intervals at which momentary affect precedes and follows movement-based behaviors in everyday life. A community sample of working adults (n = 111) completed ecological momentary assessments (EMA) asking about current affect states (sad, happy, tired, and interested) six times a day for three consecutive days. Ratings were used to generate scores for momentary affective arousal and valence. Participants also wore an activity monitor. Total activity counts and sedentary duration in the shorter to longer time intervals (5-120 min) before or after EMA were used as indicators of movement-based behaviors. Multilevel modeling showed that current affective arousal predicted higher subsequent activity counts in the longer time intervals (120 min) and less subsequent sedentary behavior in the shorter to longer time intervals (5, 60, and 120 min). For the reversed sequence, neither movement-based behavior predicted subsequent momentary arousal or valence. Affective valence was unrelated to movement-based behaviors in either temporal direction. Some naturally occurring affective experiences (i.e., arousal) might precede, rather than follow, movement-based behaviors. Understanding affective arousal may contribute to improved management of subsequent movement-based behaviors in everyday life.

Perceptions of groupness during fitness classes positively predict recalled perceptions of exertion, enjoyment, and affective valence: An intensive longitudinal investigation.

Group contexts such as fitness classes are popular forms of physical activity, and studying them can uncover new ways to promote exercise adherence. Focusing on the potential for group fitness experiences to vary from class-to-class, we examined how exercisers' dynamic perceptions of groupness relate to recalled perceptions of exercise enjoyment, affective valence, and exertion. These outcome variables are in focus because they are theoretically construed to be determinants of physical activity. Using an intensive sampling methodology across a two-week period, 97 adult exercisers (M age = 42.35 years) completed surveys following each fitness class attended (695 unique responses). Using multilevel confirmatory factor analysis, we confirmed a theorized two-factor structure of groupness at both the within-and between-person levels. Multilevel modeling revealed that class-to-class fluctuations in exercisers' perceptions of groupness explained a considerable portion of variance in recalled perceptions of exertion, enjoyment, and affective valence. Specifically, during classes in which exercisers' perceptions of groupness were relatively higher, exercisers reported more recalled enjoyment, affective valence, and exertion. Focusing on how variability in groupness perceptions may influence exercise adherence, these findings demonstrate the value in fitness classes feeling like authentic groups. In studying the dynamic aspects of group evaluations, the current study makes novel advancements to group theories applied to exercise settings. Perhaps most notably, individuals' variations in their cognitive evaluations of fitness groups were closely linked to their affective responses to exercise.

“It’s important to buy in to the new lifestyle”: barriers and facilitators of exercise adherence in a population with persistent musculoskeletal pain

Introduction Exercise and physical activity may improve pain and function in people with persistent musculoskeletal pain, but adherence is often low. Understanding the barriers and facilitators of exercise adherence could aid in the development of an intervention to promote exercise adherence. This study explored the factors influencing adherence to prescribed exercise in people with persistent musculoskeletal pain. Methods Qualitative semi-structured interviews were conducted with patients with persistent musculoskeletal pain. Registered physiotherapists specializing in the treatment of persistent musculoskeletal pain were recruited to two focus groups. Data was analyzed using framework analysis informed by the Theoretical Domains Framework. Findings Twenty patient participants (mean age = 44 years, standard deviation = 14) and ten physiotherapists (mean duration registered = 11 years, standard deviation = 5) were included. Four themes were identified: the role of environment, the therapeutic relationship, facilitating engagement with self-management and the influence of pain and negative affect. The Health Action Process Approach was identified as an appropriate model to inform intervention development. Conclusions Personal, social, and environmental factors as well as the relationship with the physiotherapist influences exercise adherence. These findings may inform practice and the development of theoretically-informed interventions to enhance exercise adherence in people with persistent musculoskeletal pain. Implications for rehabilitation Exercise and physical activity can decrease pain while improving mobility in a population with persistent musculoskeletal pain, but adherence to prescribed programs is low. The physical and social environment, the influence of pain, and negative affect may act as barriers to exercise adherence, while fostering a collaborative therapeutic relationship and facilitating self-management may enhance exercise adherence. The findings from the current study align with the constructs theorized by the Health Action Process Approach to support initiation and maintenance of behavior. This may provide a suitable theoretical framework to support the development of a targeted intervention. Healthcare providers, specifically physiotherapists, may find that facilitating self-management strategies that emphasize coping skills to overcome personal, social and environmental barriers may enhance exercise adherence in their patients.

Effect of Prescribing Exercise through Verbal Commands on Psychophysiological Responses in Walkers or Runners

PURPOSE: To compare the effect of prescribing exercise intensity through verbal commands on physiological, perceptual and affective responses in habitual walkers or runners. METHODS: Fifteen walkers or runners (11 men, 4 women; age: 39.9 ± 9.9 years; height: 172.0 ± 6.1 cm; body mass: 72.6 ± 9.5 kg; BMI: 24.5 ± 2.5 kg.m-2; VO2max: 46.3 ± 7.4 ml.kg-1.min-1; HRmax: 177.2 ± 11.5 bpm) were submitted to four trials of walking or running at self-selected intensities corresponding to the following verbal commands: Preferred, Low, Moderate and High. All trials were performed in a randomized order. Heart rate (%HRmax), ratings of perceived exertion (RPE 0-10, OMNI-Walk/run scale) and feelings of pleasure/displeasure (-5 to +5, Feeling Scale) were recorded at the end of each trial. RESULTS: Walking or running based on the Preferred-intensity verbal command elicited similar speed, %HRmax and RPE values, and pleasant feelings compared to the Moderate trial. The High trial was the most effortful and the least pleasant one. All trials elicited %HRmax values that are within the range proposed by the ACSM to promote health-related outcomes.CONCLUSION: Prescribing walking or running through verbal commands seems highly attractive due to its effectiveness and simplicity. Walking or running at the Preferred-intensity verbal command may promote health-related outcomes and elicit a positive affective experience, which might influence exercise adherence.

The Relationship between Body Image and Exercise Adherence in Fitness Centre Exercising Sample

Research background and hypothesis. The analysis of factors which might infl uence exercise adherence is important issue for physical activity promotion. Studies show that exercisers’ body image is important factor associated with well being, exercise motivation and specifi c exercise–related behaviour.Research aim was is to examine the relationship between exercise adherence, body image and social physique anxiety in a sample of fi tness centre participants. Research methods. Members of fi tness centres (n = 217, 66 of them were women) provided their answers on exercise experience, in three subscales (appearance evaluation, appearance orientation and overweight preoccupation) of The Multidimensional Body-Self Relations Questionnaire (MBSRQ-AS; Brown et al., 1990) and Social Physique Anxiety Scale (SPAS; Hart et al., 1989). Mean age of the sample was 29.02 (9.85) years (range = 18–68 years).Research results. Women demonstrated higher appearance orientation, overweight preoccupation and social physique anxiety compared to men. However, we observed no signifi cant differences in appearance evaluation, appearance orientation and overweight preoccupation in the groups of different exercise experience of men and women. When overweight respondents (≥ 25 kg / m²) were excluded from the analysis, there were no statistically signifi cant differences observed in body image and social physique anxiety in exercise experience groups of men and women. Exercising longer than 6 years signifi cantly predicted overweight preoccupation [95% CI: 1.25–16.94] controlled by age and gender. Discussion and conclusions. Exercising men demonstrated more positive body image and lower social physique anxiety compared to women, except for appearance evaluation. There were observed no body image and social physique relationships with exercise adherence observed in the sample of fi tness centre participants, however, exercise experience longer than 6 years predicted overweight preoccupation.Keywords: body image concerns, exercise experience, self-presentation.

Psychological Factors Influencing Exercise Adherence among Young Adult Females in Pune City

Psychological Factors Influencing Exercise Adherence among Young Adult Females in Pune City