Barriers and Facilitators for Adherence to Physical Activity
Recommendations among Adults and Children in a Multi-Site Cross-
Sectional Study
JPHSM: Volume 2: Issue 1, February-2019: Page No: 18-30
Page: 18
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Journal of Physical Health and Sports Medicine
Research Article Open Access
Barriers and Facilitators for Adherence to Physical Activity
Recommendations among Adults and Children in a Multi-Site Cross-
Sectional Study
Theresa Nicklas
1*
, Debbe Thompson
1
and Yan Liu
2
1
Department of Pediatrics, Baylor College of Medicine, USDA/ARS Children Nutrition Research
Center, Bates Avenue, Houston, TX. USA
2
Medicine-Gastroenterology, Baylor College of Medicine, Houston, TX. USA
*Correspondig Author: Theresa Nicklas. DRPH, Children's Nutrition Research Center, Baylor
College of Medicine, Department of Pediatrics, 1100 Bates Avenue, Houston, Texas 77030, USA, Tel:
713-798-7087; Email: tnicklas@bcm.edu
Received Date: Jan 31, 2019 / Accepted Date: Feb 06, 2019 / Published Date: Feb 08, 2019
Abstract: Qualitative research on barriers and facilitators to meeting the physical activity
recommendations (PAR) among adults and children are limited. Most studies focused on correlates of
children’s physical activity and sedentary behavior. The goal of this research was to examine the barriers
and facilitators to following federal PAR among adults and children enrolled in a multi-site study.
Adult’s reported barriers included lack of motivation (interest), time, and competing life demands.
Although financial constraints were a reported barrier, the predominant barrier was chaotic life events
that limited time available to adhere to the PAR. Children reported competing activities, health and
psychological limitations as barriers to meeting the PAR. Adults perceived health benefits as a facilitator
to being physically active. And children reported peer support and ways to be physically active as
facilitators. Barriers and facilitators to following PAR reported by adults and children should be taken
into consideration when designing interventions.
Keywords: Physical activity/Exercise; Recommendations for physical activity; Barriers; Facilitators;
Adults; Children
Cite this article as: Theresa N, Debbe T, Yan Liu. 2019. Barriers and Facilitators for Adherence to
Physical Activity Recommendations among Adults and Children in a Multi-Site Cross-Sectional Study.
J Phy Hea Spt Med. 2: 18-30.
Copyright: This is an open-access article distributed under the terms of the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium,
provided the original author and source are credited. Copyright © 2019; Theresa N
Introduction
Physical activity is a component of the energy
balance equation. The current recommendation
is that children and adolescents up to age 17 get
at least 60 minutes of moderate-to-vigorous
physical activity every day [1,2]. Adults ages
18-65 should get at least 150 minutes per week
of moderate-intensity physical activity on five
days of the week [1,2]. Only 21.6% of 6 to 19-
year-old children and adolescents in the United