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Recommending Physical Activity to Your Aging Patients? What Clinicians Need to Know to Increase Adherence From the Older Adult Perspective

A wealth of scientific evidence supports that being physically active may prevent or delay the onset of cognitive impairment and dementia. However, a critical barrier is that while most clinicians recommend physical activity (PA) and older adults recognize its health benefits, most older adults fail...

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Autores principales: Cabral, Danylo F., Santos, Vinicius S., Silva, Maria Jasmine G., Leite, Gabriela F., Mesquita, Ana Paula B., Pascual-Leone, Alvaro, Cahalin, Lawrence P., Batiston, Adriane P., Oliveira, Augusto C. A., Gomes-Osman, Joyce
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9397884/
https://www.ncbi.nlm.nih.gov/pubmed/36189000
http://dx.doi.org/10.3389/fresc.2022.923221
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author Cabral, Danylo F.
Santos, Vinicius S.
Silva, Maria Jasmine G.
Leite, Gabriela F.
Mesquita, Ana Paula B.
Pascual-Leone, Alvaro
Cahalin, Lawrence P.
Batiston, Adriane P.
Oliveira, Augusto C. A.
Gomes-Osman, Joyce
author_facet Cabral, Danylo F.
Santos, Vinicius S.
Silva, Maria Jasmine G.
Leite, Gabriela F.
Mesquita, Ana Paula B.
Pascual-Leone, Alvaro
Cahalin, Lawrence P.
Batiston, Adriane P.
Oliveira, Augusto C. A.
Gomes-Osman, Joyce
author_sort Cabral, Danylo F.
collection PubMed
description A wealth of scientific evidence supports that being physically active may prevent or delay the onset of cognitive impairment and dementia. However, a critical barrier is that while most clinicians recommend physical activity (PA) and older adults recognize its health benefits, most older adults fail to regularly practice PA. Thus, it is necessary to explore and disseminate knowledge on how to help clinicians truly partner with people and help them to change their behavior and become more active. Clinical and scientific efforts are underway to establish dose-specific PA recommendations for cognitive brain health. However, an important knowledge gap is how to develop effective strategies to increase PA adherence in aging. To better understand the perspective of older adults, we undertook a mixed-method study on sixty-five sedentary older adults at risk for cognitive decline. Participants answered a questionnaire battery related to PA engagement, and a subcohort participated in a remote focus group. Our findings revealed four main themes: First, age and aging are determinants in PA practice. Second, maintaining both an active mind and autonomy are priorities, but planned PA is not usually related as part of being “active.” Third, motivational challenges in PA engagement were noted. And fourth, they emphasized a call for tailored recommendations. Therefore, we present a multidimensional model of PA adherence to maximize brain health in older adults and suggest a tool kit and key questions to effectively screen sedentary aging adults and translate current guidelines into the needs of the individual by using behavior change strategies.
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spelling pubmed-93978842022-09-29 Recommending Physical Activity to Your Aging Patients? What Clinicians Need to Know to Increase Adherence From the Older Adult Perspective Cabral, Danylo F. Santos, Vinicius S. Silva, Maria Jasmine G. Leite, Gabriela F. Mesquita, Ana Paula B. Pascual-Leone, Alvaro Cahalin, Lawrence P. Batiston, Adriane P. Oliveira, Augusto C. A. Gomes-Osman, Joyce Front Rehabil Sci Rehabilitation Sciences A wealth of scientific evidence supports that being physically active may prevent or delay the onset of cognitive impairment and dementia. However, a critical barrier is that while most clinicians recommend physical activity (PA) and older adults recognize its health benefits, most older adults fail to regularly practice PA. Thus, it is necessary to explore and disseminate knowledge on how to help clinicians truly partner with people and help them to change their behavior and become more active. Clinical and scientific efforts are underway to establish dose-specific PA recommendations for cognitive brain health. However, an important knowledge gap is how to develop effective strategies to increase PA adherence in aging. To better understand the perspective of older adults, we undertook a mixed-method study on sixty-five sedentary older adults at risk for cognitive decline. Participants answered a questionnaire battery related to PA engagement, and a subcohort participated in a remote focus group. Our findings revealed four main themes: First, age and aging are determinants in PA practice. Second, maintaining both an active mind and autonomy are priorities, but planned PA is not usually related as part of being “active.” Third, motivational challenges in PA engagement were noted. And fourth, they emphasized a call for tailored recommendations. Therefore, we present a multidimensional model of PA adherence to maximize brain health in older adults and suggest a tool kit and key questions to effectively screen sedentary aging adults and translate current guidelines into the needs of the individual by using behavior change strategies. Frontiers Media S.A. 2022-07-08 /pmc/articles/PMC9397884/ /pubmed/36189000 http://dx.doi.org/10.3389/fresc.2022.923221 Text en Copyright © 2022 Cabral, Santos, Silva, Leite, Mesquita, Pascual-Leone, Cahalin, Batiston, Oliveira and Gomes-Osman. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Rehabilitation Sciences
Cabral, Danylo F.
Santos, Vinicius S.
Silva, Maria Jasmine G.
Leite, Gabriela F.
Mesquita, Ana Paula B.
Pascual-Leone, Alvaro
Cahalin, Lawrence P.
Batiston, Adriane P.
Oliveira, Augusto C. A.
Gomes-Osman, Joyce
Recommending Physical Activity to Your Aging Patients? What Clinicians Need to Know to Increase Adherence From the Older Adult Perspective
title Recommending Physical Activity to Your Aging Patients? What Clinicians Need to Know to Increase Adherence From the Older Adult Perspective
title_full Recommending Physical Activity to Your Aging Patients? What Clinicians Need to Know to Increase Adherence From the Older Adult Perspective
title_fullStr Recommending Physical Activity to Your Aging Patients? What Clinicians Need to Know to Increase Adherence From the Older Adult Perspective
title_full_unstemmed Recommending Physical Activity to Your Aging Patients? What Clinicians Need to Know to Increase Adherence From the Older Adult Perspective
title_short Recommending Physical Activity to Your Aging Patients? What Clinicians Need to Know to Increase Adherence From the Older Adult Perspective
title_sort recommending physical activity to your aging patients? what clinicians need to know to increase adherence from the older adult perspective
topic Rehabilitation Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9397884/
https://www.ncbi.nlm.nih.gov/pubmed/36189000
http://dx.doi.org/10.3389/fresc.2022.923221
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