Journal CME, June 2023: Physical activity and perceived barriers in individuals with moderate-to-severe traumatic brain injury-Journal CME, June 2023: Physical activity and perceived barriers in individuals with moderate-to-severe traumatic brain injury

Journal CME, June 2023: Physical activity and perceived barriers in individuals with moderate-to-severe traumatic brain injury

Back to course

Pdf Summary

The study, authored by Tri Pham, Rachel Green, and colleagues, investigates physical activity (PA) levels and perceived barriers to PA in individuals with moderate-to-severe traumatic brain injury (TBI). Conducted as a multicenter survey involving 472 participants, the research examines differences based on age, comparing those younger than 45 to those 45 and older.<br /><br />Key Findings:<br />1. PA Levels: Younger adults (under 45) were more likely to meet the Centers for Disease Control and Prevention (CDC) recommended PA guidelines compared to middle-aged and older adults (45+). Specifically, 58% of younger individuals met the guidelines compared to 32% of older ones.<br />2. Perceived Barriers: The most cited barriers included lack of motivation, time, and fatigue. Differences emerged based on age and activity levels:<br />   - Younger adults reported lack of time and fatigue more often.<br />   - Middle-aged and older adults, despite being less active, perceived fewer barriers, often indicating no barriers to PA.<br />3. Logistic Regression: The multivariable analysis associated higher education and younger age with higher PA levels. Notably, those who reported no barriers were significantly more likely to be physically active.<br /><br />Conclusion:<br />The study underscores that individuals 45 years and older with moderate-to-severe TBI are less likely to meet CDC PA guidelines despite perceiving fewer barriers. Tailored interventions considering age-specific barriers and educational efforts about PA benefits may be necessary to promote regular PA in this population. The findings suggest that promoting PA in middle-aged and older individuals with TBI requires addressing unique motivational and logistical challenges.

Keywords

physical activity

traumatic brain injury

PA levels

perceived barriers

age differences

multicenter survey

CDC guidelines

logistic regression

motivational challenges

educational interventions