Determinants of Non-Adherence to Exercise or Physical Activity in People with Metabolic Syndrome: A Mixed Methods Review

Laila El Haddad,1 Casey L Peiris,2 Nicholas F Taylor,2,3 Sionnadh McLean1 1Department of Allied Health Professions, Sheffield Hallam University, Sheffield, UK; 2School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia; 3Allied Health Clinical Research Of...

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Main Authors: El Haddad L, Peiris CL, Taylor NF, McLean S
Format: Article
Language:English
Published: Dove Medical Press 2023-02-01
Series:Patient Preference and Adherence
Subjects:
Online Access:https://www.dovepress.com/determinants-of-non-adherence-to-exercise-or-physical-activity-in-peop-peer-reviewed-fulltext-article-PPA
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author El Haddad L
Peiris CL
Taylor NF
McLean S
author_facet El Haddad L
Peiris CL
Taylor NF
McLean S
author_sort El Haddad L
collection DOAJ
description Laila El Haddad,1 Casey L Peiris,2 Nicholas F Taylor,2,3 Sionnadh McLean1 1Department of Allied Health Professions, Sheffield Hallam University, Sheffield, UK; 2School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia; 3Allied Health Clinical Research Office, Eastern Health, Box Hill, Victoria, AustraliaCorrespondence: Sionnadh McLean, Collegiate Campus, Sheffield Hallam University, L108, 36 Collegiate Crescent, Sheffield, S10 2BP, UK, Tel +447342 092 340, Email S.McLean@shu.ac.ukBackground: Long-term adherence to exercise or physical activity (EPA) is necessary for effective first-line management of metabolic syndrome (MetS). Little is known about the determinants of adherence in this population. This systematic review aims to identify the determinants of adherence to EPA in people with MetS.Methods: Six databases (MEDLINE, CINAHL Complete, PubMed, PsycINFO, SPORTDiscus, and Cochrane Central Register of Controlled Trials (CENTRAL)) were searched for studies published before April 26, 2021. Primary research studies investigating factors affecting EPA adherence in adults with MetS in outpatient settings were included. Risk of bias was assessed using the QUIPS (Quality in Prognostic Factor Studies) and CASP (Critical Appraisal Skills Program) tools, for quantitative and qualitative methodologies, respectively.Results: Four quantitative studies (n = 766) and one qualitative (n = 21) study were included in the review, evaluating 34 determinants of adherence to EPA in MetS. Limited evidence was found for an association between ten determinants and non-adherence to EPA: lower self-rated health, lower baseline EPA, lower high-density lipoprotein cholesterol (HDL-C), fewer walk-friendly routes within 1 km, less consciousness raising, lower self-re-evaluation, lower self-liberation, reporting more arguments against EPA (cons), lower social support, and fewer positive psychological constructs. There was limited evidence of no association or conflicting evidence for the remaining 24 determinants.Conclusion: A small number of included studies, most of low methodological quality, resulted in limited confidence in the findings for all determinants. The identified determinants associated with non-adherence are all potentially modifiable, thus further high-quality studies are required to increase confidence in the determinants of EPA in people with MetS, and test interventions.Keywords: adherence, long-term condition, behavior change
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spelling doaj.art-e2977ac607c14f47ac14958fa4ae751e2023-02-08T22:18:44ZengDove Medical PressPatient Preference and Adherence1177-889X2023-02-01Volume 1731132981422Determinants of Non-Adherence to Exercise or Physical Activity in People with Metabolic Syndrome: A Mixed Methods ReviewEl Haddad LPeiris CLTaylor NFMcLean SLaila El Haddad,1 Casey L Peiris,2 Nicholas F Taylor,2,3 Sionnadh McLean1 1Department of Allied Health Professions, Sheffield Hallam University, Sheffield, UK; 2School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia; 3Allied Health Clinical Research Office, Eastern Health, Box Hill, Victoria, AustraliaCorrespondence: Sionnadh McLean, Collegiate Campus, Sheffield Hallam University, L108, 36 Collegiate Crescent, Sheffield, S10 2BP, UK, Tel +447342 092 340, Email S.McLean@shu.ac.ukBackground: Long-term adherence to exercise or physical activity (EPA) is necessary for effective first-line management of metabolic syndrome (MetS). Little is known about the determinants of adherence in this population. This systematic review aims to identify the determinants of adherence to EPA in people with MetS.Methods: Six databases (MEDLINE, CINAHL Complete, PubMed, PsycINFO, SPORTDiscus, and Cochrane Central Register of Controlled Trials (CENTRAL)) were searched for studies published before April 26, 2021. Primary research studies investigating factors affecting EPA adherence in adults with MetS in outpatient settings were included. Risk of bias was assessed using the QUIPS (Quality in Prognostic Factor Studies) and CASP (Critical Appraisal Skills Program) tools, for quantitative and qualitative methodologies, respectively.Results: Four quantitative studies (n = 766) and one qualitative (n = 21) study were included in the review, evaluating 34 determinants of adherence to EPA in MetS. Limited evidence was found for an association between ten determinants and non-adherence to EPA: lower self-rated health, lower baseline EPA, lower high-density lipoprotein cholesterol (HDL-C), fewer walk-friendly routes within 1 km, less consciousness raising, lower self-re-evaluation, lower self-liberation, reporting more arguments against EPA (cons), lower social support, and fewer positive psychological constructs. There was limited evidence of no association or conflicting evidence for the remaining 24 determinants.Conclusion: A small number of included studies, most of low methodological quality, resulted in limited confidence in the findings for all determinants. The identified determinants associated with non-adherence are all potentially modifiable, thus further high-quality studies are required to increase confidence in the determinants of EPA in people with MetS, and test interventions.Keywords: adherence, long-term condition, behavior changehttps://www.dovepress.com/determinants-of-non-adherence-to-exercise-or-physical-activity-in-peop-peer-reviewed-fulltext-article-PPAadherencelong-term conditionbehavior change
spellingShingle El Haddad L
Peiris CL
Taylor NF
McLean S
Determinants of Non-Adherence to Exercise or Physical Activity in People with Metabolic Syndrome: A Mixed Methods Review
Patient Preference and Adherence
adherence
long-term condition
behavior change
title Determinants of Non-Adherence to Exercise or Physical Activity in People with Metabolic Syndrome: A Mixed Methods Review
title_full Determinants of Non-Adherence to Exercise or Physical Activity in People with Metabolic Syndrome: A Mixed Methods Review
title_fullStr Determinants of Non-Adherence to Exercise or Physical Activity in People with Metabolic Syndrome: A Mixed Methods Review
title_full_unstemmed Determinants of Non-Adherence to Exercise or Physical Activity in People with Metabolic Syndrome: A Mixed Methods Review
title_short Determinants of Non-Adherence to Exercise or Physical Activity in People with Metabolic Syndrome: A Mixed Methods Review
title_sort determinants of non adherence to exercise or physical activity in people with metabolic syndrome a mixed methods review
topic adherence
long-term condition
behavior change
url https://www.dovepress.com/determinants-of-non-adherence-to-exercise-or-physical-activity-in-peop-peer-reviewed-fulltext-article-PPA
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