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Cited by 723

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Older people's perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature

Franco, Marcia R, Tong, Allison, Howard, Kirsten, Sherrington, Catherine, Ferreira, Paulo H, Pinto, Rafael Z, Ferreira, Manuela L·2015·British Journal of Sports Medicine

Abstract

Background: Physical inactivity accounts for 9% of all deaths worldwide and is among the top 10 risk factors for global disease burden. Nearly half of people aged over 60 years are inactive. Efforts to identify which factors influence physical activity behaviour are needed. Objective: To identify and synthesise the range of barriers and facilitators to physical activity participation. Methods: Systematic review of qualitative studies on the perspectives of physical activity among people aged 60 years and over. MEDLINE, EMBASE, CINAHL, PsychINFO and AMED were searched. Independent raters assessed comprehensiveness of reporting of included studies. Thematic synthesis was used to analyse the data. Results: From 132 studies involving 5987 participants, we identified six major themes: social influences (valuing interaction with peers, social awkwardness, encouragement from others, dependence on professional instruction); physical limitations (pain or discomfort, concerns about falling, comorbidities); competing priorities; access difficulties (environmental barriers, affordability); personal benefits of physical activity (strength, balance and flexibility, self-confidence, independence, improved health and mental well-being); and motivation and beliefs (apathy, irrelevance and inefficacy, maintaining habits). Conclusions: Some older people still believe that physical activity is unnecessary or even potentially harmful. Others recognise the benefits of physical activity, but report a range of barriers to physical activity participation. Strategies to enhance physical activity participation among older people should include (1) raising awareness of the benefits and minimise the perceived risks of physical activity and (2) improving the environmental and financial access to physical activity opportunities.

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Metadata

Authors
Franco, M. R., Tong, A., Howard, K., Sherrington, C., Ferreira, P. H., Pinto, R. Z., & Ferreira, M. L.
Venue
British Journal of Sports Medicine
Publisher
BMJ
Published
2015-01-13
Volume
49
Issue
19
Pages
1268-1276
ISSN
  • 0306-3674 (ISSN-L)
  • 1473-0480
OpenAlex
W2153131550
Cited by
723
References
7
FWCI
5.32
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Older people's perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature. https://app.cochat.ai/papers/10.1136/bjsports-2014-094015
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Franco, M. R., Tong, A., Howard, K., Sherrington, C., Ferreira, P. H., Pinto, R. Z., & 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. https://doi.org/10.1136/bjsports-2014-094015

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