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Review

Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review

1
Centre for Sport Studies, Rey Juan Carlos University, Fuenlabrada, 28943 Madrid, Spain
2
GO fitLAB, Ingesport, 28003 Madrid, Spain
3
Department of Psychology, Rey Juan Carlos University, Alcorcón, 28922 Madrid, Spain
4
Department of Physical Education, Sport and Human Motricity, Autónoma Univesity, Ciudad Universitaria de Cantoblanco, 28049 Madrid, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(4), 2023; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18042023
Received: 26 January 2021 / Revised: 12 February 2021 / Accepted: 13 February 2021 / Published: 19 February 2021
(This article belongs to the Special Issue Adherence to Physical Exercise in Patients with Chronic Diseases)
Physical inactivity is a major concern and poor adherence to exercise programs is often reported. The aim of this paper was to systematically review published reviews on the study of adherence to physical exercise in chronic patients and older adults and to identify those adherence-related key factors more frequently suggested by reviews for that population. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Results were classified considering the target population and participants’ characteristics to identify the most repeated factors obtained for each condition. Fifty-five articles were finally included. Fourteen key factors were identified as relevant to increase adherence to physical exercise by at least ten reviews: (a) characteristics of the exercise program, (b) involvement of professionals from different disciplines, (c) supervision, (d) technology, (e) initial exploration of participant’s characteristics, barriers, and facilitators, (f) participants education, adequate expectations and knowledge about risks and benefits, (g) enjoyment and absence of unpleasant experiences, (h) integration in daily living, (i) social support and relatedness, (j) communication and feedback, (k) available progress information and monitoring, (l) self-efficacy and competence, (m) participant’s active role and (n) goal setting. Therefore, adherence to physical exercise is affected by several variables that can be controlled and modified by researchers and professionals. View Full-Text
Keywords: barriers; facilitators; physical activity; lifestyle; cancer; cardiovascular disease; elderly; musculoskeletal disorders; obesity barriers; facilitators; physical activity; lifestyle; cancer; cardiovascular disease; elderly; musculoskeletal disorders; obesity
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MDPI and ACS Style

Collado-Mateo, D.; Lavín-Pérez, A.M.; Peñacoba, C.; Del Coso, J.; Leyton-Román, M.; Luque-Casado, A.; Gasque, P.; Fernández-del-Olmo, M.Á.; Amado-Alonso, D. Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review. Int. J. Environ. Res. Public Health 2021, 18, 2023. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18042023

AMA Style

Collado-Mateo D, Lavín-Pérez AM, Peñacoba C, Del Coso J, Leyton-Román M, Luque-Casado A, Gasque P, Fernández-del-Olmo MÁ, Amado-Alonso D. Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review. International Journal of Environmental Research and Public Health. 2021; 18(4):2023. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18042023

Chicago/Turabian Style

Collado-Mateo, Daniel, Ana M. Lavín-Pérez, Cecilia Peñacoba, Juan Del Coso, Marta Leyton-Román, Antonio Luque-Casado, Pablo Gasque, Miguel Á. Fernández-del-Olmo, and Diana Amado-Alonso. 2021. "Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review" International Journal of Environmental Research and Public Health 18, no. 4: 2023. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18042023

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