Promoting Physical Activity Behavior: Interventions and Mediators

Abstract Background Physical activity behavior is a complex and multidimensional phenomenon. For its analysis, transdisciplinary biopsychosocial approaches yield great potential. In health research, the biopsychosocial model has experienced a renaissance. Researchers have tried to grasp the complex interplay of biological, psychological, and social factors. With this scoping review, we aimed to examine how the ‘biopsychosocial’ has been conceptualized in scientific work related to physical activity behavior. Methods The scoping review was informed by the PRISMA guidelines for scoping reviews (PRISMA-ScR). A systematic literature search was conducted in Web of Science, SportDiscus, PsycArticles, PsycInfo, and PubMed. Only articles published in peer-reviewed journals that contained all three components of a biopsychosocial approach (e.g., bio/physio/genetic, psycho/mental, and socio/cultural/environmental) were included. We only included articles in our narrative synthesis that integrated physical activity behavior into a biopsychosocial model, or investigated or described physical activity behavior on the basis of such a model. Results Thirteen studies met the inclusion criteria; eight articles pursued a biopsychosocial approach in the tradition of Engel, five employed a socio-ecological approach. The models in the analyzed articles referred to either correlates of physical activity behavior, or the influence of physical activity on health or aging. Only a minority of the articles, however, referred to interactions between biological, psychological, and social factors. Conclusions The included articles were quite heterogeneous in their approach to physical activity from a biopsychosocial perspective. The included articles illustrate that the adoption of a biopsychosocial perspective may assist to capture and understand the complex phenomenon of physical activity behavior and might inform future transdisciplinary physical activity research.

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Applying Self-Determination Theory to College Students’ Physical-Activity Behavior: Understanding the Motivators for Physical (In)Activity

Communication Studies ◽

10.1080/10510974.2016.1212911 ◽

2016 ◽

Vol 67 (5) ◽

pp. 489-508 ◽

Cited By ~ 2

Author(s):

Jennifer Fletcher

Keyword(s):

Physical Activity ◽

College Students ◽

Physical Activity Behavior ◽

Self Determination Theory ◽

Self Determination ◽

Behavior Understanding ◽

Activity Behavior

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Physical Activity Behavior and Related Characteristics of Highly Active Eighth-Grade Girls

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2012.12.003 ◽

2013 ◽

Vol 52 (6) ◽

pp. 745-751 ◽

Cited By ~ 4

Author(s):

Sharon E. Taverno Ross ◽

Marsha Dowda ◽

Michael W. Beets ◽

Russell R. Pate

Keyword(s):

Physical Activity ◽

Physical Activity Behavior ◽

Eighth Grade ◽

Highly Active ◽

Activity Behavior

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Self-Regulatory Strategies as Correlates of Physical Activity Behavior in Persons With Multiple Sclerosis

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2017.12.037 ◽

2018 ◽

Vol 99 (5) ◽

pp. 920-926 ◽

Cited By ~ 2

Author(s):

Katie L. Cederberg ◽

Julia M. Balto ◽

Robert W. Motl

Keyword(s):

Physical Activity ◽

Multiple Sclerosis ◽

Physical Activity Behavior ◽

Regulatory Strategies ◽

Activity Behavior

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Habitual Physical Activity Behavior of Patients After Primary Total Hip Arthroplasty

Physical Therapy ◽

10.2522/ptj.20070375 ◽

2008 ◽

Vol 88 (9) ◽

pp. 1039-1048 ◽

Cited By ~ 22

Author(s):

Robert Wagenmakers ◽

Martin Stevens ◽

Wiebren Zijlstra ◽

Monique L Jacobs ◽

Inge van den Akker-Scheek ◽

...

Keyword(s):

Physical Activity ◽

Total Hip Arthroplasty ◽

Odds Ratio ◽

Physical Activity Behavior ◽

Moderate Intensity ◽

Physically Active ◽

Normative Population ◽

Activity Behavior ◽

Charnley Class ◽

Health Enhancing Physical Activity

Background and Purpose Despite recognized health benefits of physical activity, little is known about the habitual physical activity behavior of patients after total hip arthroplasty (THA). The purpose of this study was to analyze this behavior and the fulfillment of guidelines for health-enhancing physical activity of these patients compared with a normative population. Subjects and Methods The participants were 273 patients who had undergone a primary THA (minimum of 1 year postoperatively). Comparisons were made between this group and 273 age- and sex-matched individuals from a normative population. Comparisons also were made between participants with THA under 65 years of age and those 65 years of age and older and among participants with THA in different Charnley classes. Level of physical activity was assessed with the Short QUestionnaire to ASsess Health-enhancing physical activity (SQUASH). Results No significant differences in total amount of physical activity or time spent in different categories of physical activity were found between the THA group and the normative group. Participants with THA spent significantly more minutes in activities of moderate intensity compared with the normative group. Participants with THA who were under 65 years of age were significantly more active than older participants with THA. Charnley class had significant effects on time spent at work, time spent in moderate-intensity activities, and total amount of activity, with the least activity performed by participants in Charnley class C. The guidelines were met by 51.2% of the participants with THA and 48.8% of the normative population. Female participants met the guidelines less frequently than male participants in both the combined groups (odds ratio=0.50, 95% confidence interval=0.35–0.72, P<.001) and the THA group (odds ratio=0.48, 95% confidence interval=0.28–0.80, P=.001). Discussion and Conclusion The results suggest that patients after THA are at least as physically active as a normative population. Nevertheless, a large percentage of these patients do not meet the guidelines; therefore, they need to be stimulated to become more physically active.

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