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    Beliefs, Barriers and Facilitators to Physical Activity in Bariatric Surgery Candidates

    Access Status
    Fulltext not available
    Authors
    Zabatiero, Juliana
    Hill, Kylie
    Gucciardi, Daniel
    Hamdorf, Jeffrey
    Taylor, Susan
    Hagger, Martin
    Smith, Anne
    Date
    2016
    Type
    Journal Article
    
    Metadata
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    Citation
    Zabatiero, J. and Hill, K. and Gucciardi, D. and Hamdorf, J. and Taylor, S. and Hagger, M. and Smith, A. 2016. Beliefs, Barriers and Facilitators to Physical Activity in Bariatric Surgery Candidates. Obesity Surgery. 26 (5): pp. 1097-1109.
    Source Title
    Obesity Surgery
    DOI
    10.1007/s11695-015-1867-4
    ISSN
    0960-8923
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/13255
    Collection
    • Curtin Research Publications
    Abstract

    Background: Bariatric surgery candidates engage in less physical activity (PA) and spend longer periods in sedentary behaviour (SB) when compared to the general adult population. The aim of this study was to explore the beliefs about PA and perceived barriers and facilitators to PA in obese adults scheduled for bariatric surgery. Methods: Nineteen obese adults (15 females), with a mean (SD) age of 41.6 (12.1) years, weight of 119.2 (20.5) kg and body mass index of 41.6 (6.7) kg/m2 participated in a one-on-one in-depth qualitative interview before undergoing bariatric surgery. Data were analysed using inductive thematic analysis. Results: Most participants believed that engaging in regular PA confers important health benefits, however reported insufficient PA levels to obtain those benefits. The perceived barriers to PA reported by participants were both obesity related (e.g. bodily pain, physical limitation and self-presentational concerns) and non-obesity related (e.g. lack of motivation, environment and restricted resources). All participants stated weight loss to be the main perceived facilitator to PA, together with social factors, better time management and access to financial resources. Conclusions: In bariatric surgery candidates, many of the perceived barriers and facilitators to PA are not obesity related and are therefore unlikely to change as a result of bariatric surgery. This may explain why earlier research shows little change in PA or SB following surgery. It is likely that an approach that aims to address the barriers and facilitators identified in this study is needed to change the inactive lifestyle adopted in this population.

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