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. 2021 Jun 23;16(6):e0253114.
doi: 10.1371/journal.pone.0253114. eCollection 2021.

Physical activity motives, barriers, and preferences in people with obesity: A systematic review

Aurélie Baillot  1   2   3 , Stéphanie Chenail  2 , Naiara Barros Polita  4 , Mylène Simoneau  5 , Mathilde Libourel  6   7 , Evy Nazon  1 , Eléonor Riesco  6 , Dale S Bond  8 , Ahmed J Romain  9   10
Affiliations

Physical activity motives, barriers, and preferences in people with obesity: A systematic review

Aurélie Baillot et al. PLoS One. .

Abstract

Background: Although the benefits of physical activity (PA) are well known, physical inactivity is highly prevalent among people with obesity. The objective of this systematic review was to i) appraise knowledge on PA motives, barriers, and preferences in individuals with obesity, and ii) quantify the most frequently reported PA motives, barriers and preferences in this population.

Methods: Six databases (Pubmed, CINAHL, Psyarticle, SportDiscus, Web of science and Proquest) were searched by independent reviewers to identify relevant quantitative or qualitative articles reporting PA motives, barriers or preferences in adults with body mass index ≥ 30 kg/m2 (last searched in June 2020). Risk of bias for each study was assessed by two independent reviewers with the Mixed Methods Appraisal Tool (MMAT).

Results: From 5,899 papers identified, a total of 27 studies, 14 quantitative, 10 qualitative and 3 mixed studies were included. About 30% of studies have a MMAT score below 50% (k = 8). The three most reported PA motives in people with obesity were weight management, energy/physical fitness, and social support. The three most common PA barriers were lack of self-discipline/motivation, pain or physical discomfort, and lack of time. Based on the only 4 studies available, walking seems to be the preferred mode of PA in people with obesity.

Conclusions: Weight management, lack of motivation and pain are key PA motives and barriers in people with obesity, and should be addressed in future interventions to facilitate PA initiation and maintenance. Further research is needed to investigate the PA preferences of people with obesity.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. PRISMA flow diagram.
Fig 2
Fig 2. Number of studies according to each categories of physical activity motives in people with obesity.
Fig 3
Fig 3. Importance scores of motives to physical activity in people with obesity.
Fig 4
Fig 4. Number of studies according to each categories of physical activity barriers in people with obesity.
Fig 5
Fig 5. Importance scores of barriers to physical activity in people with obesity.
See this image and copyright information in PMC

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