Middle-Aged Women’s Perceptions and Experiences of Physical Activity: A Grounded Theory Approach

Allender, S., Cowburn, G., & Foster, C. (2006). Understanding participation in sport and physical activity among children and adults: a review of qualitative studies. Health Education Research, 21(6), 826–835. https://doi.org/10.1093/her/cyl06310.1093/her/cyl06316857780 Search in Google Scholar

Amin, T. T., Suleman, W., Ali, A., Gamal, A., & Wehedy, A. A. (2011). Pattern, Prevalence, and Perceived Personal Barriers Toward Physical Activity Among Adult Saudis in Al-Hassa, KSA. Journal of Physical Activity and Health, 8(6), 775–784. https://doi.org/10.1123/jpah.8.6.77510.1123/jpah.8.6.77521832292 Search in Google Scholar

Barnawi, I. A. (2019). Physical activity level, knowledge, and the barriers to be active among adult Saudi women in Mecca Region, in Kingdom of Saudi Arabia [Doctoral dissertation, University of Wisconsin-Stout]. http://digital.library.wisc.edu/1793/81253 Search in Google Scholar

Benedetti, M. G., Furlini, G., Zati, A., & Letizia Mauro, G. (2018). The Effectiveness of Physical Exercise on Bone Density in Osteoporotic Patients. BioMed Research International, 2018, 4840531. https://doi.org/10.1155/2018/484053110.1155/2018/4840531632351130671455 Search in Google Scholar

Benjamin, K., & Donnelly, T. T. (2013). Barriers and facilitators influencing the physical activity of Arabic adults: A literature review. Avicenna, 2013(1), 8. https://doi.org/https://doi.org/10.5339/avi.2013.810.5339/avi.2013.8 Search in Google Scholar

Blair, S. N., Sallis, R. E., Hutber, A., & Archer, E. (2012). Exercise therapy – the public health message. Scandinavian Journal of Medicine & Science in Sports, 22(4), e24-e28. https://doi.org/https://doi.org/10.1111/j.1600-0838.2012.01462.x10.1111/j.1600-0838.2012.01462.x22429265 Search in Google Scholar

Boeno, F. P., Ramis, T. R., Munhoz, S. V., Farinha, J. B., Moritz, C. E. J., Leal-Menezes, R., Ribeiro, J. L., Christou, D. D., & Reischak-Oliveira, A. (2020). Effect of aerobic and resistance exercise training on inflammation, endothelial function and ambulatory blood pressure in middle-aged hypertensive patients. Journal of Hypertension, 38(12), 2501–2509. https://doi.org/10.1097/hjh.000000000000258110.1097/HJH.000000000000258132694343 Search in Google Scholar

Bozo, Ö., Tunca, A., & Šimšek, Y. (2009). The Effect of Death Anxiety and Age on Health-Promoting Behaviors: A Terror-Management Theory Perspective. The Journal of Psychology, 143(4), 377–389. https://doi.org/10.3200/JRLP.143.4.377-38910.3200/JRLP.143.4.377-38919606644 Search in Google Scholar

Brien, S., Prihodova, L., Heffron, M., & Wright, P. (2019). Physical activity counselling in Ireland: a survey of doctors’ knowledge, attitudes and self-reported practice. BMJ Open Sport & Exercise Medicine, 5(1), e000572. https://doi.org/10.1136/bmjsem-2019-00057210.1136/bmjsem-2019-000572667795131423324 Search in Google Scholar

Brown, W. J., Ford, J. H., Burton, N. W., Marshall, A. L., & Dobson, A. J. (2005). Prospective Study of Physical Activity and Depressive Symptoms in Middle-Aged Women. American journal of preventive medicine, 29(4), 265–272. https://doi.org/https://doi.org/10.1016/j.amepre.2005.06.00910.1016/j.amepre.2005.06.00916242588 Search in Google Scholar

Bu, E. Q. L., & Chung, H. J. (2018). Barriers towards exercise and physical activity of different ethnic groups in middle-aged female Singaporeans. J Exerc Rehabil, 14(5), 739–745. https://doi.org/10.12965/jer.1836388.19410.12965/jer.1836388.194622215930443518 Search in Google Scholar

Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J.-P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., . . . Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine, 54(24), 1451. https://doi.org/10.1136/bjsports-2020-10295510.1136/bjsports-2020-102955771990633239350 Search in Google Scholar

Bull, F. C. L., Schipper, E. C. C., Jamrozik, K., & Blanksby, B. A. (1997). How Can and Do Australian Doctors Promote Physical Activity? Preventive medicine, 26(6), 866–873. https://doi.org/https://doi.org/10.1006/pmed.1997.022610.1006/pmed.1997.02269388799 Search in Google Scholar

Chau, J., Chey, T., Burks-Young, S., Engelen, L., & Bauman, A. (2017). Trends in prevalence of leisure time physical activity and inactivity: results from Australian National Health Surveys 1989 to 2011. Australian and New Zealand journal of public health, 41(6), 617–624. https://doi.org/https://doi.org/10.1111/1753-6405.1269910.1111/1753-6405.1269928749561 Search in Google Scholar

Chau, J. Y., Merom, D., Grunseit, A., Rissel, C., Bauman, A. E., & van der Ploeg, H. P. (2012). Temporal trends in non-occupational sedentary behaviours from Australian Time Use Surveys 1992, 1997 and 2006. International journal of behavioral nutrition and physical activity, 9(1), 76. https://doi.org/10.1186/1479-5868-9-7610.1186/1479-5868-9-76341912322713740 Search in Google Scholar

Choi, J.-A. (2008). Construction of leisure physical activity model of middle-aged women in urban area. Korean Journal of Adult Nursing, 20(4), 626–640. Search in Google Scholar

Corbin, J., & Strauss, A. (2014). Basics of qualitative research: Techniques and procedures for developing grounded theory. Sage publications. Search in Google Scholar

Corbin, J. M., & Strauss, A. (1990). Grounded theory research: Procedures, canons, and evaluative criteria. Qualitative sociology, 13(1), 3–21.10.1007/BF00988593 Search in Google Scholar

Creswell, J. W., & Báez, J. C. (2020). 30 Essential Skills for the Qualitative Researcher. SAGE Publications. https://books.google.nl/books?id=kvXbDwAAQBAJ Search in Google Scholar

Creswell, J. W., Hanson, W. E., Clark Plano, V. L., & Morales, A. (2007). Qualitative research designs: Selection and implementation. The counseling psychologist, 35(2), 236–264.10.1177/0011000006287390 Search in Google Scholar

Creswell, J. W., & Miller, D. L. (2000). Determining Validity in Qualitative Inquiry. Theory into practice, 39(3), 124–130. https://doi.org/10.1207/s15430421tip3903_210.1207/s15430421tip3903_2 Search in Google Scholar

Creswell, J. W., & Poth, C. N. (2016). Qualitative inquiry and research design: Choosing among five approaches. Sage publications. Search in Google Scholar

Denche-Zamorano, Á., Barrios-Fernandez, S., Gómez-Galán, R., Franco-García, J. M., Carlos-Vivas, J., Mendoza-Muñoz, M., Rojo-Ramos, J., Vega-Muñoz, A., Contreras-Barraza, N., Gianikellis, K., & Muñoz-Bermejo, L. (2022). Associations between Physical Activity Level and Mental Health in the Spanish Population: A Cross-Sectional Study. In Healthcare, 10(8), 1442. https://www.mdpi.com/2227-9032/10/8/144210.3390/healthcare10081442940857136011099 Search in Google Scholar

Denzin, N. K. (2017). The Research Act: A Theoretical Introduction to Sociological Methods. Routledge. https://books.google.nl/books?id=UjcpxFE0T4cC10.4324/9781315134543 Search in Google Scholar

Eghbali, T., Abdi, K., Nazari, M., Mohammadnejad, E., & Gheshlagh, R. G. (2022). Prevalence of Osteoporosis Among Iranian Postmenopausal Women: A Systematic Review and Meta-analysis. Clinical Medicine Insights: Arthritis Musculoskeletal Disorders, 15, 11795441211072471. Search in Google Scholar

Eguchi, Y., Hyogo, H., Ono, M., Mizuta, T., Ono, N., Fujimoto, K., Chayama, K., Saibara, T., & Jsg, N. (2012). Prevalence and associated metabolic factors of nonalcoholic fatty liver disease in the general population from 2009 to 2010 in Japan: a multi-center large retrospective study. Journal of Gastroenterology, 47(5), 586–595. https://doi.org/10.1007/s00535-012-0533-z10.1007/s00535-012-0533-z22328022 Search in Google Scholar

El Masri, A., Kolt, G. S., & George, E. S. (2021). The perceptions, barriers and enablers to physical activity and minimising sedentary behaviour among Arab-Australian adults aged 35–64 years. Health promotion journal of Australia, 32(2), 312–321. https://doi.org/https://doi.org/10.1002/hpja.34510.1002/hpja.34532291855 Search in Google Scholar

Eyler, A. A., Brownson, R. C., Donatelle, R. J., King, A. C., Brown, D., & Sallis, J. F. (1999). Physical activity social support and middle- and older-aged minority women: results from a US survey. Social Science & Medicine, 49(6), 781–789. https://doi.org/https://doi.org/10.1016/S0277-9536(99)00137-910.1016/S0277-9536(99)00137-910459889 Search in Google Scholar

Fadjukoff, P., Pulkkinen, L., Lyyra, A.-L., & Kokko, K. (2016). Parental Identity and Its Relation to Parenting and Psychological Functioning in Middle Age. Parenting, 16(2), 87–107. https://doi.org/10.1080/15295192.2016.113498910.1080/15295192.2016.1134989478448227019651 Search in Google Scholar

Figueroa, A., Okamoto, T., Jaime, S. J., & Fahs, C. A. (2019). Impact of high- and low-intensity resistance training on arterial stiffness and blood pressure in adults across the lifespan: a review. Pflügers Archiv - European Journal of Physiology, 471(3), 467–478. https://doi.org/10.1007/s00424-018-2235-810.1007/s00424-018-2235-830426247 Search in Google Scholar

Folsom, A. R., Yatsuya, H., Nettleton, J. A., Lutsey, P. L., Cushman, M., & Rosamond, W. D. (2011). Community Prevalence of Ideal Cardiovascular Health, by the American Heart Association Definition, and Relationship With Cardiovascular Disease Incidence. Journal of the American College of Cardiology, 57(16), 1690–1696. https://doi.org/doi:10.1016/j.jacc.2010.11.04110.1016/j.jacc.2010.11.041309304721492767 Search in Google Scholar

GBD Data Visualizations. (2018). Institute for Health Metrics and Evaluation. Retrieved 20 Dec from https://vizhub.healthdata.org/gbd-compare Search in Google Scholar

Gebel, K., Ding, D., Chey, T., Stamatakis, E., Brown, W. J., & Bauman, A. E. (2015). Effect of Moderate to Vigorous Physical Activity on All-Cause Mortality in Middle-aged and Older Australians. JAMA Internal Medicine, 175(6), 970–977. https://doi.org/10.1001/jamainternmed.2015.0541%JJAMAInternalMedicine10.1001/jamainternmed.2015.054125844882 Search in Google Scholar

Giske, T., & Artinian, B. (2007). A personal experience of working with classical grounded theory: From beginner to experienced grounded theorist. International journal of qualitative methods, 6(4), 67–80.10.1177/160940690700600405 Search in Google Scholar

Goldenberg, J. L., & Arndt, J. (2008). The implications of death for health: A terror management health model for behavioral health promotion. Psychological Review, 115, 1032–1053. https://doi.org/10.1037/a001332610.1037/a001332618954213 Search in Google Scholar

Green, E. C., Murphy, E. M., & Gryboski, K. (2020). The Health Belief Model. In The Wiley Encyclopedia of Health Psychology (pp. 211–214). https://doi.org/https://doi.org/10.1002/9781119057840.ch6810.1002/9781119057840.ch68 Search in Google Scholar

Gurven, M., Jaeggi, A. V., Kaplan, H., & Cummings, D. (2013). Physical Activity and Modernization among Bolivian Amerindians. PLOS one, 8(1), e55679. https://doi.org/10.1371/journal.pone.005567910.1371/journal.pone.0055679356133023383262 Search in Google Scholar

Harvey, I. S., & Alexander, K. (2012). Perceived Social Support and Preventive Health Behavioral Outcomes among Older Women. Journal of Cross-Cultural Gerontology, 27(3), 275–290. https://doi.org/10.1007/s10823-012-9172-310.1007/s10823-012-9172-3342461122836374 Search in Google Scholar

Hoebeke, R. (2008). Low-income women’s perceived barriers to physical activity: focus group results. Applied Nursing Research, 21(2), 60–65. https://doi.org/https://doi.org/10.1016/j.apnr.2006.06.00210.1016/j.apnr.2006.06.00218457744 Search in Google Scholar

Humpel, N., Owen, N., & Leslie, E. (2002). Environmental factors associated with adults’ participation in physical activity: A review. American journal of preventive medicine, 22(3), 188–199. https://doi.org/https://doi.org/10.1016/S0749-3797(01)00426-310.1016/S0749-3797(01)00426-3 Search in Google Scholar

Huneault, L., Mathieu, M.-È., & Tremblay, A. (2011). Globalization and modernization: an obesogenic combination. obesity reviews, 12(5), e64–e72. https://doi.org/https://doi.org/10.1111/j.1467-789X.2010.00817.x10.1111/j.1467-789X.2010.00817.x21366834 Search in Google Scholar

Hyman, M. A. (2007). The life cycles of women: Restoring balance. Alternative therapies in health medicine, 13(3), 10–17. Search in Google Scholar

Jaspers, L., Daan, N. M. P., van Dijk, G. M., Gazibara, T., Muka, T., Wen, K.-x., Meun, C., Zillikens, M. C., Roeters van Lennep, J. E., Roos-Hesselink, J. W., Laan, E., Rees, M., Laven, J. S. E., Franco, O. H., & Kavousi, M. (2015). Health in middle-aged and elderly women: A conceptual framework for healthy menopause. Maturitas, 81(1), 93–98. https://doi.org/https://doi.org/10.1016/j.maturitas.2015.02.01010.1016/j.maturitas.2015.02.01025813865 Search in Google Scholar

Kamalian, A., Khosravi Shadmani, F., Yoosefi, M., Mohajer, B., Mohebi, F., Naderimagham, S., Rezaei, N., Ghasemi, E., Rouhifard Khalilabad, M., Hassanmirzaei, B., Selk Ghaffari, M., Khosravi, A., Kordi, R., & Farzadfar, F. (2021). A national and sub-national metaregression of the trend of insufficient physical activity among Iranian adults between 2001 and 2016. Scientific Reports, 11(1), 21441. https://doi.org/10.1038/s41598-021-00252-310.1038/s41598-021-00252-3856452534728645 Search in Google Scholar

Kanaley, J. A., Colberg, S. R., Corcoran, M. H., Malin, S. K., Rodriguez, N. R., Crespo, C. J., Kirwan, J. P., & Zierath, J. R. (2022). Exercise/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine. Med Sci Sports Exerc, 54(2), 353–368. https://doi.org/10.1249/mss.000000000000280010.1249/MSS.0000000000002800880299935029593 Search in Google Scholar

Khan, D. A., Zaidi, R., Danish, H., Ahmad, F., & Sarfraz, M. (2013). Attitude towards physical activity: A comparative study among doctors and physical therapists. Journal of the Dow University of Health Sciences, 7(2), 68–72. Search in Google Scholar

Kim, Y., & Kang, S. (2021). Effects of a weight control intervention based on the transtheoretical model on physical activity and psychological variables in middle-aged obese women. Journal of Women & Aging, 33(5), 556–568. https://doi.org/10.1080/08952841.2020.172818310.1080/08952841.2020.172818332174245 Search in Google Scholar

Kise, N. J., Risberg, M. A., Stensrud, S., Ranstam, J., Engebretsen, L., & Roos, E. M. (2016). Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomised controlled trial with two year follow-up. bmj, 354, i3740. https://doi.org/10.1136/bmj.i3740%JBMJ10.1136/bmj.i3740495758827440192 Search in Google Scholar

Koca, C., Henderson, K. A., Asci, F. H., & Bulgu, N. (2009). Constraints to Leisure-Time Physical Activity and Negotiation Strategies in Turkish Women. Journal of Leisure Research, 41(2), 225–251. https://doi.org/10.1080/00222216.2009.1195016710.1080/00222216.2009.11950167 Search in Google Scholar

Kowal, J., & Fortier, M. S. (2007). Physical Activity Behavior Change in Middle-aged and Older Women: The Role of Barriers and of Environmental Characteristics. Journal of Behavioral Medicine, 30(3), 233–242. https://doi.org/10.1007/s10865-007-9102-y10.1007/s10865-007-9102-y17440805 Search in Google Scholar

Leavy, J. E., Bull, F. C., Rosenberg, M., & Bauman, A. (2011). Physical activity mass media campaigns and their evaluation: a systematic review of the literature 2003–2010. Health Education Research, 26(6), 1060–1085. https://doi.org/10.1093/her/cyr06910.1093/her/cyr06921900408 Search in Google Scholar

Leech, N. L., & Onwuegbuzie, A. J. (2007). An array of qualitative data analysis tools: A call for data analysis triangulation. School Psychology Quarterly, 22, 557–584. https://doi.org/10.1037/1045-3830.22.4.55710.1037/1045-3830.22.4.557 Search in Google Scholar

Ligibel, J. A., Basen-Engquist, K., & Bea, J. W. (2019). Weight Management and Physical Activity for Breast Cancer Prevention and Control. American Society of Clinical Oncology Educational Book(39), e22–e33. https://doi.org/10.1200/edbk_23742310.1200/EDBK_23742331099634 Search in Google Scholar

Lim, S., Ma, R., & Park, H. (2020). A Study on the Relationship between Family Stress, Retirement Anxiety and Self-Efficiency in Middle-Aged Male. Asia-pacific Journal of Convergent Research Interchange (APJCRI), 6(9), 63–72.10.47116/apjcri.2020.09.06 Search in Google Scholar

Lin, C.-H., Chiang, S.-L., Yates, P., Tzeng, W.-C., Lee, M.-S., & Chiang, L.-C. (2017). Influence of Socioeconomic Status and Perceived Barriers on Physical Activity Among Taiwanese Middle-Aged and Older Women. Journal of Cardiovascular Nursing, 32(4), 321–330. https://doi.org/10.1097/jcn.000000000000035410.1097/JCN.000000000000035427281056 Search in Google Scholar

Lobelo, F., Duperly, J., & Frank, E. (2009). Physical activity habits of doctors and medical students influence their counselling practices. British journal of sports medicine, 43(2), 89. https://doi.org/10.1136/bjsm.2008.05542610.1136/bjsm.2008.05542619019898 Search in Google Scholar

Mabry, R. M., Reeves, M. M., Eakin, E. G., & Owen, N. (2010). Evidence of physical activity participation among men and women in the countries of the Gulf Cooperation Council: a review. obesity reviews, 11(6), 457–464. https://doi.org/https://doi.org/10.1111/j.1467-789X.2009.00655.x10.1111/j.1467-789X.2009.00655.x19793376 Search in Google Scholar

Martens, A., Goldenberg, J. L., & Greenberg, J. (2005). A Terror Management Perspective on Ageism. Journal of social issues, 61(2), 223–239. https://doi.org/https://doi.org/10.1111/j.1540-4560.2005.00403.x10.1111/j.1540-4560.2005.00403.x Search in Google Scholar

McArthur, D., Dumas, A., Woodend, K., Beach, S., & Stacey, D. (2014). Factors influencing adherence to regular exercise in middle-aged women: a qualitative study to inform clinical practice. BMC Women’s Health, 14(1), 49. https://doi.org/10.1186/1472-6874-14-4910.1186/1472-6874-14-49397526324666887 Search in Google Scholar

Mohebi, F., Mohajer, B., Yoosefi, M., Sheidaei, A., Zokaei, H., Damerchilu, B., Mehregan, A., Shahbal, N., Rezaee, K., Khezrian, M., Nematollahi Dehmoosa, A., Momen Nia Rankohi, E., Darman, M., Moghisi, A., & Farzadfar, F. (2019). Physical activity profile of the Iranian population: STEPS survey, 2016. BMC public health, 19(1), 1266. https://doi.org/10.1186/s12889-019-7592-510.1186/s12889-019-7592-5674315331519165 Search in Google Scholar

Momenimovahed, Z., & Salehiniya, H. (2019). Epidemiological characteristics of and risk factors for breast cancer in the world. Breast Cancer (Dove Med Press), 11, 151–164. https://doi.org/10.2147/bctt.S17607010.2147/BCTT.S176070646216431040712 Search in Google Scholar

Nafissi, N., Khayamzadeh, M., Zeinali, Z., Pazooki, D., Hosseini, M., & Akbari, M. E. (2018). Epidemiology and histopathology of breast cancer in Iran versus other Middle Eastern countries. Middle East Journal of Cancer, 9(3), 243–251. Search in Google Scholar

Nguyen, T. T. P., Phan, H. T., Vu, T. M. T., Tran, P. Q., Do, H. T., Vu, L. G., Doan, L. P., Do, H. P., Latkin, C. A., Ho, C. S. H., & Ho, R. C. M. (2022). Physical activity and social support are associated with quality of life in middle-aged women. PLOS one, 17(5), e0268135. https://doi.org/10.1371/journal.pone.026813510.1371/journal.pone.0268135907563935522681 Search in Google Scholar

Niaz, T., Riaz, U., Zaheer, M., Shahzadi, T., Ayub, R., & Umar, B. (2022). Prevalence of Osteoporosis Following Menopause. Pakistan BioMedical Journal, 5(1), 150–153.10.54393/pbmj.v5i1.254 Search in Google Scholar

Piercy, K. L., Troiano, R. P., Ballard, R. M., Carlson, S. A., Fulton, J. E., Galuska, D. A., George, S. M., & Olson, R. D. (2018). The Physical Activity Guidelines for Americans. JAMA, 320(19), 2020–2028. https://doi.org/10.1001/jama.2018.14854%JJAMA10.1001/jama.2018.14854958263130418471 Search in Google Scholar

Pinheiro, M. B., Oliveira, J., Bauman, A., Fairhall, N., Kwok, W., & Sherrington, C. (2020). Evidence on physical activity and osteoporosis prevention for people aged 65+ years: a systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. International journal of behavioral nutrition and physical activity, 17(1), 150. https://doi.org/10.1186/s12966-020-01040-410.1186/s12966-020-01040-4769013833239014 Search in Google Scholar

Pyszczynski, T., Solomon, S., & Greenberg, J. (2015). Chapter One - Thirty Years of Terror Management Theory: From Genesis to Revelation. In J. M. Olson & M. P. Zanna (Eds.), Advances in Experimental Social Psychology (Vol. 52, pp. 1–70). Academic Press. https://doi.org/https://doi.org/10.1016/bs.aesp.2015.03.00110.1016/bs.aesp.2015.03.001 Search in Google Scholar

Rao, C. R., Darshan, B., Das, N., Rajan, V., Bhogun, M., & Gupta, A. (2012). Practice of Physical Activity among Future Doctors: A Cross Sectional Analysis. Int J Prev Med, 3(5), 365–369. Search in Google Scholar

Rhodes, S., Waters, D., Brockway, B., & Skinner, M. (2020). Physical activity behaviour and barriers to activity in adults at high risk of obstructive sleep apnoea. Journal of Primary Health Care, 12(3), 257–264. https://doi.org/10.1071/HC1910210.1071/HC1910232988447 Search in Google Scholar

Rye, J. A., Rye, S. L., Tessaro, I., & Coffindaffer, J. (2009). Perceived Barriers to Physical Activity According to Stage of Change and Body Mass Index in the West Virginia Wisewoman Population. Women’s Health Issues, 19(2), 126–134. https://doi.org/https://doi.org/10.1016/j.whi.2009.01.00310.1016/j.whi.2009.01.00319272563 Search in Google Scholar

Saaristo, T. E., Barengo, N. C., Korpi-Hyövälti, E., Oksa, H., Puolijoki, H., Saltevo, J. T., Vanhala, M., Sundvall, J., Saarikoski, L., Peltonen, M., & Tuomilehto, J. (2008). High prevalence of obesity, central obesity and abnormal glucose tolerance in the middle-aged Finnish population. BMC public health, 8(1), 423. https://doi.org/10.1186/1471-2458-8-42310.1186/1471-2458-8-423262889919113993 Search in Google Scholar

Schuch, F. B., Davy Vancampfort, Ph.D. ,,Joseph Firth, Ph.D. ,,Simon Rosenbaum, Ph.D. ,,Philip B. Ward, Ph.D. ,,Edson S. Silva, B.Sc. ,,Mats Hallgren, Ph.D. ,,Antonio Ponce De Leon, Ph.D.,, Andrea L. Dunn, Ph.D. ,, Andrea C. Deslandes, Ph.D. ,, Marcelo P. Fleck, Ph.D. ,, Andre F. Carvalho, Ph.D. ,, & Brendon Stubbs, Ph.D. (2018). Physical Activity and Incident Depression: A Meta-Analysis of Prospective Cohort Studies. American Journal of Psychiatry, 175(7), 631–648. https://doi.org/10.1176/appi.ajp.2018.1711119410.1176/appi.ajp.2018.1711119429690792 Search in Google Scholar

Scott, J. M., Zabor, E. C., Schwitzer, E., Koelwyn, G. J., Adams, S. C., Nilsen, T. S., Moskowitz, C. S., Matsoukas, K., Iyengar, N. M., Dang, C. T., & Jones, L. W. (2018). Efficacy of Exercise Therapy on Cardiorespiratory Fitness in Patients With Cancer: A Systematic Review and Meta-Analysis. J Clin Oncol, 36(22), 2297–2305. https://doi.org/10.1200/jco.2017.77.580910.1200/JCO.2017.77.5809680490329894274 Search in Google Scholar

Seefeldt, V., Malina, R. M., & Clark, M. A. (2002). Factors Affecting Levels of Physical Activity in Adults. Sports medicine, 32(3), 143–168. https://doi.org/10.2165/00007256-200232030-0000110.2165/00007256-200232030-0000111839079 Search in Google Scholar

Shang, C., Moss, A. C., & Chen, A. (2022). The expectancy-value theory: A meta-analysis of its application in physical education. Journal of Sport and Health Science. https://doi.org/https://doi.org/10.1016/j.jshs.2022.01.00310.1016/j.jshs.2022.01.003992342835051641 Search in Google Scholar

Sharpe, P. A., Burroughs, E. L., Granner, M. L., Wilcox, S., Hutto, B. E., Bryant, C. A., Peck, L., & Pekuri, L. (2010). Impact of a community-based prevention marketing intervention to promote physical activity among middle-aged women. Health Education & Behavior, 37(3), 403–423.10.1177/109019810934192919875639 Search in Google Scholar

Sigal, R. J., Armstrong, M. J., Bacon, S. L., Boulé, N. G., Dasgupta, K., Kenny, G. P., & Riddell, M. C. (2018). Physical Activity and Diabetes. Canadian Journal of Diabetes, 42, S54-S63. https://doi.org/10.1016/j.jcjd.2017.10.00810.1016/j.jcjd.2017.10.00829650112 Search in Google Scholar

Sipilä, S., Törmäkangas, T., Sillanpää, E., Aukee, P., Kujala, U. M., Kovanen, V., & Laakkonen, E. K. (2020). Muscle and bone mass in middle-aged women: role of menopausal status and physical activity. Journal of cachexia, sarcopenia and muscle, 11(3), 698–709. https://doi.org/https://doi.org/10.1002/jcsm.1254710.1002/jcsm.12547729626832017473 Search in Google Scholar

Sit, C. H. P., Kerr, J. H., & Wong, I. T. F. (2008). Motives for and barriers to physical activity participation in middle-aged Chinese women. Psychology of Sport and Exercise, 9(3), 266–283. https://doi.org/https://doi.org/10.1016/j.psychsport.2007.04.00610.1016/j.psychsport.2007.04.006 Search in Google Scholar

Sørensen, M., & Gill, D. L. (2008). Perceived barriers to physical activity across Norwegian adult age groups, gender and stages of change [https://doi.org/10.1111/j.1600-0838.2007.00686.x]. Scandinavian Journal of Medicine & Science in Sports, 18(5), 651–663. https://doi.org/https://doi.org/10.1111/j.1600-0838.2007.00686.x10.1111/j.1600-0838.2007.00686.x18086263 Search in Google Scholar

Spei, M.-E., Samoli, E., Bravi, F., La Vecchia, C., Bamia, C., & Benetou, V. (2019). Physical activity in breast cancer survivors: A systematic review and meta-analysis on overall and breast cancer survival. The Breast, 44, 144–152. https://doi.org/https://doi.org/10.1016/j.breast.2019.02.00110.1016/j.breast.2019.02.00130780085 Search in Google Scholar

Stensrud, S., Risberg, M. A., & Roos, E. M. (2015). Effect of Exercise Therapy Compared with Arthroscopic Surgery on Knee Muscle Strength and Functional Performance in Middle-Aged Patients with Degenerative Meniscus Tears: A 3-Mo Follow-up of a Randomized Controlled Trial. American Journal of Physical Medicine & Rehabilitation, 94(6). https://journals.lww.com/ajpmr/Fulltext/2015/06000/Effect_of_Exercise_Therapy_Compared_with.6.aspx10.1097/PHM.000000000000020925299520 Search in Google Scholar

Stevanović, J., Beleza, J., Coxito, P., Ascensão, A., & Magalhães, J. (2020). Physical exercise and liver “fitness”: Role of mitochondrial function and epigenetics-related mechanisms in non-alcoholic fatty liver disease. Molecular Metabolism, 32, 1–14. https://doi.org/https://doi.org/10.1016/j.molmet.2019.11.01510.1016/j.molmet.2019.11.015693112532029220 Search in Google Scholar

Swann, C., Rosenbaum, S., Lawrence, A., Vella, S. A., McEwan, D., & Ekkekakis, P. (2021). Updating goal-setting theory in physical activity promotion: a critical conceptual review. Health Psychology Review, 15(1), 34–50. https://doi.org/10.1080/17437199.2019.170661610.1080/17437199.2019.170661631900043 Search in Google Scholar

Szoeke, C. E. I., Cicuttini, F. M., Guthrie, J. R., Clark, M. S., & Dennerstein, L. (2006). Factors affecting the prevalence of osteoarthritis in healthy middle-aged women: Data from the longitudinal Melbourne Women’s Midlife Health Project. Bone, 39(5), 1149–1155. https://doi.org/https://doi.org/10.1016/j.bone.2006.05.01610.1016/j.bone.2006.05.01616844440 Search in Google Scholar

Trost, S. G., Owen, N., Bauman, A. E., Sallis, J. F., & Brown, W. (2002). Correlates of adults’ participation in physical activity: review and update. Medicine science in sports exercise, 34(12), 1996–2001.10.1097/00005768-200212000-0002012471307 Search in Google Scholar

van der Windt, D. J., Sud, V., Zhang, H., Tsung, A., & Huang, H. (2018). The Effects of Physical Exercise on Fatty Liver Disease. Gene Expr, 18(2), 89–101. https://doi.org/10.3727/105221617x1512484426640810.3727/105221617X15124844266408595462229212576 Search in Google Scholar

Vollstedt, M., & Rezat, S. (2019). An introduction to grounded theory with a special focus on axial coding and the coding paradigm. Compendium for early career researchers in mathematics education, 13, 81–100.10.1007/978-3-030-15636-7_4 Search in Google Scholar

von Hurst, P. R., & Wham, C. A. (2007). Attitudes and knowledge about osteoporosis risk prevention: a survey of New Zealand women. Public Health Nutrition, 10(7), 747–753. https://doi.org/10.1017/S136898000744147710.1017/S136898000744147717381949 Search in Google Scholar

Voorpostel, M., van der Lippe, T., & Gershuny, J. (2010). Spending Time Together—Changes Over Four Decades in Leisure Time Spent with a Spouse. Journal of Leisure Research, 42(2), 243–265. https://doi.org/10.1080/00222216.2010.1195020410.1080/00222216.2010.11950204 Search in Google Scholar

Wharton, C. Y. (2020). Middle-aged women negotiating the ageing process through participation in outdoor adventure activities. Ageing and Society, 40(4), 805–822. https://doi.org/10.1017/S0144686X1800135610.1017/S0144686X18001356 Search in Google Scholar

Wong, A., Figueroa, A., Son, W.-M., Chernykh, O., & Park, S.-Y. (2018). The effects of stair climbing on arterial stiffness, blood pressure, and leg strength in postmenopausal women with stage 2 hypertension. Menopause, 25(7), 731–737. https://doi.org/10.1097/gme.000000000000107210.1097/GME.000000000000107229438269 Search in Google Scholar

Woolf, K., Reese, C. E., Mason, M. P., Beaird, L. C., Tudor-Locke, C., & Vaughan, L. A. (2008). Physical Activity Is Associated with Risk Factors for Chronic Disease across Adult Women’s Life Cycle. Journal of the American Dietetic Association, 108(6), 948–959. https://doi.org/https://doi.org/10.1016/j.jada.2008.03.01510.1016/j.jada.2008.03.01518502225 Search in Google Scholar

Xiao, P. L., Cui, A. Y., Hsu, C. J., Peng, R., Jiang, N., Xu, X. H., Ma, Y. G., Liu, D., & Lu, H. D. (2022). Global, regional prevalence, and risk factors of osteoporosis according to the World Health Organization diagnostic criteria: a systematic review and meta-analysis. Osteoporosis International, 33(10), 2137–2153. https://doi.org/10.1007/s00198-022-06454-310.1007/s00198-022-06454-335687123 Search in Google Scholar

Yang, L., Cao, C., Kantor, E. D., Nguyen, L. H., Zheng, X., Park, Y., Giovannucci, E. L., Matthews, C. E., Colditz, G. A., & Cao, Y. (2019). Trends in Sedentary Behavior Among the US Population, 2001–2016. JAMA, 321(16), 1587–1597. https://doi.org/10.1001/jama.2019.3636%JJAMA10.1001/jama.2019.3636648754631012934 Search in Google Scholar