Physical activity and perceived barriers in individuals with moderate-to-severe traumatic brain injury.
Journal
PM & R : the journal of injury, function, and rehabilitation
ISSN: 1934-1563
Titre abrégé: PM R
Pays: United States
ID NLM: 101491319
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
revised:
22
04
2022
received:
06
10
2021
accepted:
03
05
2022
pmc-release:
01
06
2024
medline:
15
6
2023
pubmed:
21
5
2022
entrez:
20
5
2022
Statut:
ppublish
Résumé
Regular physical activity (PA), especially aerobic exercise, may benefit cognitive function in middle-aged and older adults, but promoting regular PA in individuals with traumatic brain injury (TBI) remains a challenge. To characterize PA and perceived barriers to PA in younger (<45 years) and middle age and older (≥45 years) individuals ≥1 year after moderate-to-severe TBI. Multicenter survey study. Community. Persons who met the following criteria were included in the study: (1) 18 years and older; (2) English speaking; (3) History of moderate-to-severe TBI; (4) Followed in a TBI Model Systems Center for at least 1 year; and (5) Able to complete the survey independently. Not applicable. PA level measured by Rapid Assessment of Physical Activity questionnaire (RAPA) and self-reported barriers to PA. A total of 472 participants completed the survey (response rate of 21%). More individuals in the younger group (<45 years old) met Centers for Disease Control and Prevention (CDC) recommended aerobic PA guidelines compared to the middle-aged and older group (≥ 45 years old) (62% vs 36%, p < .001). Lack of motivation, lack of time, and fatigue were the most reported barriers. Perceived barriers to PA varied by age and PA level: the middle-aged and older individuals (≥ 45 years old) were more likely to report no barriers and inactive individuals (RAPA ≤5) more likely to report lack of motivation and money, pain, and lack of resources. Participants ≥45 years of age were less likely to meet the CDC PA guidelines than younger individuals after moderate-to-severe TBI. Because perceived barriers to PA varied between age groups and PA levels, individualized approaches may be needed to promote PA in this population.
Identifiants
pubmed: 35596121
doi: 10.1002/pmrj.12854
pmc: PMC9675876
mid: NIHMS1809580
doi:
Types de publication
Multicenter Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
705-714Subventions
Organisme : NIA NIH HHS
ID : R34 AG061304
Pays : United States
Organisme : NCRR NIH HHS
ID : UL1 RR024982
Pays : United States
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2022 American Academy of Physical Medicine and Rehabilitation.
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