Factors Associated With Ongoing Participation in Structured Exercise Among People Aged 50 Years and Older.

To document the characteristics of participants aged 50 years and older in a local government group exercise program (Strong Seniors), to investigate the motivators and barriers to ongoing exercise, and to identify factors associated with more frequent exercise class attendance. Ninety-three participants completed a survey about exercise class attendance, motivators and barriers to participation, and exercise perceptions and self-reported exercise. The authors conducted a mixed-methods study involving both quantitative and qualitative analyses. Personal benefits of exercise and social influences were the most common motivators for regular exercise. Barriers to participation included health problems and lack of time (competing priorities). A higher score on the perceived exercise benefits scale is the only factor associated with a higher frequency of attendance at Strong Seniors classes. Exercise programs for people aged 50 years and older that emphasize associated health benefits and promote social support may be more likely to facilitate long-term attendance.

[1]  Petra Platen,et al.  Barriers to physical activity in older adults in Germany: a cross-sectional study , 2011, The international journal of behavioral nutrition and physical activity.

[2]  Catherine Sherrington,et al.  Older people's perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature , 2015, British Journal of Sports Medicine.

[3]  Denise Taylor,et al.  Physical activity is medicine for older adults , 2013, Postgraduate Medical Journal.

[4]  W Jack Rejeski,et al.  Promoting physical activity for older adults: the challenges for changing behavior. , 2003, American journal of preventive medicine.

[5]  M. Mcmurdo,et al.  Why older people do not participate in leisure time physical activity: a survey of activity levels, beliefs and deterrents. , 2004, Age and ageing.

[6]  Jaap J. A. Denissen,et al.  Age and sex differences in prospective effects of health goals and motivations on daily leisure-time physical activity. , 2012, Preventive medicine.

[7]  Klaus Hauer,et al.  Evaluation of the incidental and planned activity questionnaire for older people , 2009, British Journal of Sports Medicine.

[8]  S. Walker,et al.  Development and psychometric evaluation of the exercise benefits/barriers scale. , 1987, Research in nursing & health.

[9]  A. Bauman,et al.  Effect of Moderate to Vigorous Physical Activity on All-Cause Mortality in Middle-aged and Older Australians. , 2015, JAMA internal medicine.

[10]  E. McAuley,et al.  Predictors of adherence to behavior change interventions in the elderly. , 2000, Controlled clinical trials.

[11]  David Watson,et al.  The PANAS-X manual for the positive and negative affect schedule , 1994 .

[12]  A. King Interventions to promote physical activity by older adults. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[13]  N. Burton,et al.  Gender differences in physical activity motivators and context preferences: a population-based study in people in their sixties , 2017, BMC Public Health.

[14]  Kerri Winters-Stone,et al.  Motivating older adults to exercise: what works? , 2011, Age and ageing.

[15]  F. Bull,et al.  Progress in physical activity over the Olympic quadrennium , 2016, The Lancet.

[16]  Edward McAuley,et al.  Social cognitive influences on physical activity behavior in middle-aged and older adults. , 2012, The journals of gerontology. Series B, Psychological sciences and social sciences.

[17]  K. Watson,et al.  Physical Inactivity Among Adults Aged 50 Years and Older - United States, 2014. , 2016, MMWR. Morbidity and mortality weekly report.

[18]  Felipe Montes,et al.  Evidence-based intervention in physical activity: lessons from around the world , 2012, The Lancet.

[19]  I. Norman,et al.  Physical activity in older people: a systematic review , 2013, BMC Public Health.

[20]  M. Murphy,et al.  Prevalence and Correlates of Physical Inactivity in Community-Dwelling Older Adults in Ireland , 2015, PloS one.

[21]  Catherine Sherrington,et al.  Adherence to exercise programs for older people is influenced by program characteristics and personal factors: a systematic review. , 2014, Journal of physiotherapy.

[22]  A. Dobson,et al.  A life-course perspective on physical functioning in women. , 2013, Bulletin of the World Health Organization.

[23]  Steven Allender,et al.  Understanding participation in sport and physical activity among children and adults: a review of qualitative studies. , 2006, Health education research.

[24]  B. Kendall,et al.  Barriers, Motivations, and Preferences for Physical Activity Among Female African American Older Adults , 2016, Gerontology & geriatric medicine.

[25]  Oscar H Franco,et al.  Effects of physical activity on life expectancy with cardiovascular disease. , 2005, Archives of internal medicine.

[26]  E. Phillips,et al.  Motivating elders to initiate and maintain exercise. , 2004, Archives of Physical Medicine and Rehabilitation.

[27]  Johnny Saldaña,et al.  The Coding Manual for Qualitative Researchers , 2009 .

[28]  R. Horton,et al.  Rethinking our approach to physical activity , 2012, The Lancet.

[29]  Karen A Schutzer,et al.  Barriers and motivations to exercise in older adults. , 2004, Preventive medicine.

[30]  B. Chadwick,et al.  Analysing and presenting qualitative data , 2008, BDJ.