Adherence
In low- and middle-income countries (LMICs), the presence of chronic conditions and multimorbidity is significantly associated with lower levels of physical activity, particularly in adults aged 50 and older.
If you have a chronic condition or multiple conditions, you are statistically much less likely to be physically active, especially if you are over 50. This isn't just about willpower; it's often mediated by pain, mobility issues, depression, and sleep problems. To increase activity, interventions should target these specific barriers (e.g., pain management, mental health support) rather than just prescribing exercise.
In LMICs, those with chronic conditions and multimorbidity are significantly less physically active (especially older adults).
Why this rating
Large-scale, multinational, cross-sectional study with rigorous statistical adjustments (multivariable logistic regression, mediation analysis) and a very large sample size.
Source
Chronic physical conditions, multimorbidity and physical activity across 46 low- and middle-income countries
Davy Vancampfort et al. · International Journal of Behavioral Nutrition and Physical Activity · 2017
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