Benefits and Barriers to Exercise among Individuals with Class III Obesity

Bibliographic Data

ID15330383
AuthorsPAMELA LAYA JOSEPH (0000-0002-9133-8888, University of Toronto, corresponding author), Alis Bonsignore (0000-0003-3392-1001, University of Toronto), Gail F Kunkel (Gail F. Kunkel, Trillium Health Partners, Toronto, ON (Canada)), Sherry L Grace (0000-0001-7063-3610, York University), Sanjeev Sockalingam (0000-0002-9626-1509, Sanjeev Sockalingam, Department of Psychiatry, University of Toronto, University Health Network and Centre for Mental Health, Toronto, ON (Canada)), Paul Oh (0000-0002-0603-6958, Paul Oh, Medical Director, Cardiovascular Disease Prevention & Rehabilitation, University Health Network – Toronto Rehabilitation Institute, Toronto, ON (Canada);, Email: [email protected])
Year2019
Volume43
Issue6
Pages1136-1147
Publication date2019-10-30
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Health Behavior (JOURNAL)
Journal identifiersISSN: 1087-3244 • E-ISSN: 1945-7359
PublisherPNG Publications (PUBLISHER • US)
DOI10.5993/ajhb.43.6.11
PMID31662172
OpenAlexW2982659923
LanguageEN
Citations received1

Objectives: In this paper, we describe the degree of exercise and sedentary behavior among individuals with class III obesity, identify perceived benefits and barriers to exercise, and discuss the association of exercise barriers with activity and sedentary behavior. Methods: This was a cross-sectional study at a tertiary care center. Adults with class III obesity referred to the Bariatric Program completed the exercise benefits/barriers scale, the International Physical Activity Questionnaire Short-Form, and the Sedentary Behavior Questionnaire. Participants were asked to list additional exercise barriers. Results: The 80 participants engaged in a median of 699.0 MET-minutes/week of physical activity, and were sedentary 10.4 ± 4.5 hours/day. The mean exercise benefits/barriers score was 126.3 ± 12.8 (barrier score = 31.6 ± 5.3, benefit score = 87.8 ± 9.4). Less than 60% identified exercise as enjoyable, or a form of social interaction. More than 60% identified exercise barriers related to physical exertion. Additional barriers included pain and musculoskeletal comorbidities (39.4%), psychological factors (14.7%), and weight (12.6%). There was no statistically significant association between exercise barriers and sedentary behavior (p = .69) or physical activity (p = .08). Conclusions: Participants reported low physical activity, with high sedentary behavior and exercise barriers. Physical exertion, pain and musculoskeletal comorbidities were common barriers, which highlights importance of thoughtful exercise with attention to exercise barriers in this population

Environmental health · Exertion · Obesity · Physical activity · Physical therapy · Population · Sedentary lifestyle · Eating Disorders and Behaviors · Medicine · Obesity, Physical Activity, Diet · Physical Activity and Health · Gerontology · Internal Medicine

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