Barriers to Physical Activity and Exercise Amongst Persons With Physical Disability in a Government-funded Teaching Hospital, Kuala Lumpur
Main Article Content
Abstract
Introduction: Physical inactivity is common among persons with disabilities (PWDs), thereby leading to harmful secondary complications. Therefore, this cross-sectional study aimed to identify the barriers to physical activity and exercise amongst PWDs in Malaysia. Methods: A total of 102 adults (age 15–65 years) with physical disabilities were recruited from a government-funded hospital. The participants completed the ‘Barriers to Physical Exercise and Disability’ questionnaire via interview by telephone calls or a one-to-one approach. Results: Most participants (90.2%) were interested in engaging in exercise programs. However, the mean concern index score was 2.83 ± 1.35. The majority of the respondents identified five major barriers. These barriers include health concerns (36.3%), transport barriers (36.3%), lack of energy and motivation (36.3%, 31.4%), and exercise program costs (23.54%). Conclusion: Many participants were interested in beginning an exercise program despite the barriers. This observation shows that if the barrier is eliminated, then, this community would be able to participate in an exercise program regularly. Results from the study can inspire health care providers to devise strategies for the promotion of physical activity participation and long-term adherence between PWDs.
Downloads
Article Details
References
Cloix L, Caille A, Helmer C, Bourdel-Marchasson I, Fagot-Campagna A, Fournier C et al. Physical activity at home, at leisure, during transportation and at work in French adults with type 2 diabetes: The ENTRED physical activity study. Diabetes Metab. 2015;41(1):37-44.
Scelza WM, Kalpakjian CZ, Zemper ED, Tate DG. Perceived Barriers to Exercise in People with Spinal Cord Injury. Am J Phys Med Rehabil. 2005;84(8):576-583.
Aguiar LT, Nadeau S, Martins JC, Teixeira- Salmela LF, Britto RR, Faria CDC de M. Efficacy of interventions aimed at improving physical activity in individuals with stroke: a systematic review. Disabil Rehabil. 2018:1-16.
Oberlin L, Waiwood A, Cumming T, Marsland AL, Bernhardt J, Erickson KI. Effects of physical activity on poststroke cognitive function: a meta-analysis of randomized controlled trials. Am Hear Assoc. 2017;48(11):3093-3100.
Centers for Disease Control and Prevention. Increasing Physical Activity among Adults with Disabilities. U.S. Department of Health & Human Services; 2017.
Kinne S, Patrick DL, Doyle DL. Prevalence of Secondary Conditions among People with Disabilities. Am J Public Health. 2004;94(3):443- 445.
Hu FB, Leitzmann MF, Stampfer MJ, Colditz GA, Willett WC, Rimm EB. Physical activity and television watching in relation to risk for type 2 diabetes mellitus in men. Arch Intern Med. 2001;161:1542-1548.
Pietiläinen KH, Kaprio J, Borg P, Plasqui G, Yki- Jarvinen H, Kujala UM, Rose RJ, Westerterp KR, Rissanen A. Physical Inactivity and Obesity: A Vicious Circle. Obesity. 2008;16(2):409-414.
Rimmer J, Lai B. Framing new pathways in transformative exercise for individuals with existing and newly acquired disability. Disabil Rehabil. 2017;39(2):173-180.
Furberg AS, Thune I. Metabolic abnormalities (hypertension, hyperglycemia and overweight), lifestyle (high energy intake and physical inactivity) and endometrial cancer risk in a Norwegian cohort. Int J Cancer. 2003;104(6):669-676.
Hwang K, Johnston M, Tulsky D, Wood K, Dyson- Hudson T, Komaroff E. Access and Coordination of Health Care Service for People With Disabilities. J Disabil Policy Stud. 2009;20(1):28-34.
Thilarajah S, Mentiplay BF, Bower KJ, Tan D, Pua YH, Williams G, Koh G, Clark RA. Factors Associated With Post-Stroke Physical Activity: A Systematic Review and Meta-Analysis. Arch Phys Med Rehabil. 2018;99(9):1876-1889.
Rimmer JH, Riley B, Wang E, Rauworth A, Jurkowski J. Physical activity participation among persons with disabilities: Barriers and facilitators. Am J Prev Med. 2004;26(5):419-425.
Rimmer JH, Schiller W, Chen M-D. Effects of Disability-Associated Low Energy Expenditure Deconditioning Syndrome. Exerc Sport Sci Rev. 2012;40(1):22-29.
Rimmer JH, Rubin SS, Braddock D. Barriers to exercise in African American women with physical disabilities. Arch Phys Med Rehabil. 2000;81(2):182-188.
Justine M, Azizan A, Hassan V, Salleh Z, Manaf H. Barriers to participation in physical activity and exercise among middle-aged and elderly individuals. Singapore Med J. 2013;54(10):581- 586.
Malone LA, Barfield JP, Brasher JD. Perceived benefits and barriers to exercise among persons with physical disabilities or chronic health conditions within action or maintenance stages of exercise. Disability and Health Journal. 2012; 5(2012):254-260.
Asiah AR, Nur Amirah AS, Ismail S, and Amin WS.Malaysian Plan of Action for People with Disabilities 2016-2022: Way Forward. UIA 2017 Seoul World Architects Congress