A review of enablers and barriers to older people’s participation in strength and balance activities
ISPAH ePoster Library. Cavill N. Oct 15, 2018; 225114
Nick Cavill
Nick Cavill
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Abstract Introduction . The UK Chief Medical Officers recommend that Adults and older adults should undertake physical activity to improve muscle strength on at least two days a week, and Older adults at risk of falls should incorporate physical activity to improve balance and co‑ordination on at least two days a week. These recommendations are often ignored, in favour of the mainstream advice on aerobic physical activity. This review set out to answer the question: What are the key barriers and enablers for individuals undertaking muscle strengthening and balance activities, and how can these be addressed by individuals and practitioners? Methods. A review of reviews, identified through a PUBMED search and expert input. Results. 43 studies were found; following screening twelve papers were included: four systematic reviews two reviews; and six primary studies for context. This review found 92 motivators and 24 barriers to resistance exercise. The most common motivator was the physical health benefit of experiencing an increase in strength, endurance, flexibility balance and coordination. At an individual level the most commonly reported barriers included poor health, pain, tiredness/fatigue, and lack of willpower. There were few barriers or motivators reported for balance activities. Overall the review showed that older people identify many positive facets of strength activity, but also face barriers to taking part. Conclusion. Physical activity promotion needs to take account of the importance of the strength and balance guidelines, and be designed around the needs of participants, addressing the barriers they identify.
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