Older adults and people with limited mobility perceive more barriers than facilitators to physical activity, with environmental factors and safety concerns being primary barriers, while social support and routine-based strategies facilitate healthier movement and sleep behaviors.
In a cross-sectional focus group study of low-income older adults and people with limited mobility in urban and rural Mexico, participants reported more barriers than facilitators to physical activity, citing poor infrastructure, medical instructions, physical fatigue, and safety concerns. Barriers to sleep included noise, hot weather, insects, and screen use, while facilitators for sleep included relaxation techniques and consistent bedtime routines. Social support encouraged physical activity, and active breaks reduced sedentary behavior, but family overprotection increased sedentary behavior in people with limited mobility.
Evidence Score
Study Evidence
Study 1. Healthy balance in physical activity, sedentary behavior, and sleep in older adults and people with limited mobility.
observationalBlas N, Ramirez-Contreras EJ, Argumedo-García G, Hernandez-Alcaraz C, Medina-Garcia C, Tapia-Hernandez Z, Jauregui A ยท Salud publica de Mexico (2026)
Result:
Mechanism Graph
Limitations
- โ Cross-sectional qualitative design limits causal inference.
- โ Focus group data may be subject to social desirability bias.
- โ Sample limited to low-income populations in Mexico, limiting generalizability.
Frequently Asked Questions
What are the main barriers to physical activity in older adults?โผ
The main barriers are poor infrastructure, medical instructions, physical fatigue, and safety concerns.
What factors improve sleep in older adults?โผ
Relaxation techniques and consistent bedtime routines were reported as facilitators for sleep.
How does social support affect physical activity?โผ
Social support was reported as a facilitator that encourages physical activity.
What increases sedentary behavior in people with limited mobility?โผ
Family overprotection was identified as a contributor to increased sedentary behavior in this group.
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References
- 1.Blas N, Ramirez-Contreras EJ, Argumedo-García G, Hernandez-Alcaraz C, Medina-Garcia C, Tapia-Hernandez Z, Jauregui A. "Healthy balance in physical activity, sedentary behavior, and sleep in older adults and people with limited mobility.." Salud publica de Mexico, 2026. PMID: 42536874 DOI: 10.21149/17253