Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Dec 11;17(24):9262.
doi: 10.3390/ijerph17249262.

Transtheoretical Model for Physical Activity in Older Adults: Systematic Review

Affiliations

Transtheoretical Model for Physical Activity in Older Adults: Systematic Review

Fabio Jiménez-Zazo et al. Int J Environ Res Public Health. .

Abstract

Healthy aging makes the practice of physical activity (PA) a necessity. However, PA guidelines achievement in older adults is scarce. The use of behavioral theories such as Transtheoretical Model (TTM), helps in older adults PA promotion. The aim of this review was to identify the use of TTM for PA in older adults (>60 years). PubMed, SPORTdiscus, and Medline databases were used to conduct the search. All steps of the process followed the recommendations of the PRISMA flow-diagram. We identified eight studies: Six were descriptive cross-sectional studies, one prospective-cohort study and one with a quasi-experimental design. Only two papers evaluated the four behavior change dimensions within the same study, three evaluated the processes of change and the decisional balance, four evaluated the exercise self-efficacy and all assessed the stages of change for PA behavior. From this review, we can conclude that TTM is a useful and suitable behavior model in creating, developing, and evaluating interventions with the aim of acquiring and improving PA habits in the older adults. However, there is paucity of research in this area, and more studies including the four behavioral change dimensions are needed to analyze the effect of TTM on the promotion of PA in the older adults.

Keywords: older adults; physical activity; transtheoretical model.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
PRISMA flow-chart.

References

    1. Rhodes R.E., Janssen I., Bredin S.S.D., Warburton D.E.R., Bauman A. Physical activity: Health impact, prevalence, correlates and interventions. Psychol. Health. 2017;32:942–975. doi: 10.1080/08870446.2017.1325486. - DOI - PubMed
    1. Warburton D.E., Charlesworth S., Ivey A., Nettlefold L., Bredin S.S. A systematic review of the evidence for Canada’s Physical Activity Guidelines for Adults. Int. J. Behav. Nutr. Phys. Act. 2010;7:39. doi: 10.1186/1479-5868-7-39. - DOI - PMC - PubMed
    1. Paterson D.H., Warburton D.E. Physical activity and functional limitations in older adults: A systematic review related to Canada’s Physical Activity Guidelines. Int. J. Behav. Nutr. Phys. Act. 2010;7:38. doi: 10.1186/1479-5868-7-38. - DOI - PMC - PubMed
    1. Kesaniemi A., Riddoch C.J., Reeder B., Blair S.N., Sorensen T. Advancing the future of physical activity guidelines in Canada: An independent expert panel interpretation of the evidence. Int. J. Behav. Nutr. Phys. Act. 2010;7:41. doi: 10.1186/1479-5868-7-41. - DOI - PMC - PubMed
    1. Warburton D.E.R., Bredin S.S.D. Health benefits of physical activity: A systematic review of current systematic reviews. Curr. Opin. Cardiol. 2017;32:541–556. doi: 10.1097/HCO.0000000000000437. - DOI - PubMed

Publication types