Chen Yang, Shah Shivangi, Chen Yuquan, Owen Alice J, Ekegren Christina L, Ilic Dragan, Gasevic Danijela
School of Public Health and Preventive Medicine, Monash University Faculty of Medicine Nursing and Health Sciences, Melbourne, Victoria, Australia.
School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
BMJ Open. 2025 Aug 25;15(8):e095260. doi: 10.1136/bmjopen-2024-095260.
This study aims to systematically review the evidence on barriers to and facilitators of physical activity (PA) engagement among community-dwelling older adults.
Systematic review.
Electronic databases MEDLINE, Embase, APA PsycINFO, SPORTDiscus, CINAHL Plus, AgeLine and Scopus were searched from their inception to 14 April 2024.
Eligible studies were qualitative, quantitative or mixed-methods studies, published in English and investigating barriers to and/or facilitators of PA among independently living adults aged ≥65 years.
Content analysis was performed using a narrative synthesis adapted from the socioecological model of health behaviour by three independent assessors. Barriers and facilitators were categorised into intrapersonal, interpersonal and environmental factors.
Of 27 779 screened articles, 20 eligible studies were synthesised (11 qualitative, 1 mixed-method and 8 quantitative), with a total of 18 597 participants. The main barriers to PA included intrapersonal factors: fear of injury, pain, low motivation and lack of spare time; interpersonal factors: lack of social support and family obligations; environmental factors: poor weather, poor built environment/high cost accessing PA facilities. The main facilitators to PA included intrapersonal: health and well-being, fitness devices, better self-perceived body image, sense of bodily control and enjoyment; interpersonal: social support and having a partner/group/pet to engage in PA together; environmental: age-friendly built environment and access to PA programmes.
There are multiple barriers to and facilitators of PA engagement among community-dwelling older adults that should be considered by policy makers when designing PA programmes to help increase PA in older adults.
CRD42023417404.
本研究旨在系统评价有关社区居住的老年人参与体育活动（PA）的障碍和促进因素的证据。
系统评价。
检索电子数据库MEDLINE、Embase、APA PsycINFO、SPORTDiscus、CINAHL Plus、AgeLine和Scopus，检索时间从各数据库建库至2024年4月14日。
纳入的研究为定性、定量或混合方法研究，以英文发表，调查65岁及以上独立生活的成年人参与PA的障碍和/或促进因素。
由三名独立评估员采用基于健康行为社会生态模型改编的叙述性综合分析方法进行内容分析。障碍和促进因素分为个人、人际和环境因素。
在筛选的27779篇文章中，综合了20项符合条件的研究（11项定性研究、1项混合方法研究和8项定量研究），共有18597名参与者。参与PA的主要障碍包括个人因素：害怕受伤、疼痛、动力不足和缺乏空闲时间；人际因素：缺乏社会支持和家庭义务；环境因素：天气恶劣、建筑环境差/使用体育活动设施成本高。参与PA的主要促进因素包括个人因素：健康和幸福感、健身设备、自我感觉更好的身体形象、身体控制感和愉悦感；人际因素：社会支持以及有伴侣/团体/宠物一起参与体育活动；环境因素：对老年人友好的建筑环境和参与体育活动项目的机会。
社区居住的老年人参与体育活动存在多种障碍和促进因素，政策制定者在设计体育活动项目以帮助增加老年人的体育活动时应予以考虑。
PROSPERO注册号：CRD42023417404。
