Negotiating a physically active life in tune with ageing: a grounded theory study of older persons' experiences of participating in high-intensity interval training.
Gespeichert in:
| Titel: | Negotiating a physically active life in tune with ageing: a grounded theory study of older persons' experiences of participating in high-intensity interval training. |
|---|---|
| Autoren: | Fridberg H; Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden. helena.fridberg@umu.se., Wiklund M; Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden., Snellman F; Department of Social Work, Faculty of Social Sciences, Umeå University, Umeå, Sweden., Rosendahl E; Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden., Hedlund M; Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden., Boraxbekk CJ; Institute for Clinical Medicine, Faculty of Medical and Health Sciences, University of Copenhagen, Copenhagen, Denmark.; Institute of Sports Medicine Copenhagen (ISMC) and Department of Neurology, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark.; Department of Diagnostics and Intervention, Diagnostic Radiology, and Umeå Center for Functional Brain Imaging (UFBI), Umeå University, Umeå, Sweden., Lindelöf N; Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden. |
| Quelle: | BMC geriatrics [BMC Geriatr] 2025 Jan 04; Vol. 25 (1), pp. 11. Date of Electronic Publication: 2025 Jan 04. |
| Publikationsart: | Journal Article |
| Sprache: | English |
| Info zur Zeitschrift: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968548 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2318 (Electronic) Linking ISSN: 14712318 NLM ISO Abbreviation: BMC Geriatr Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001]- |
| MeSH-Schlagworte: | Grounded Theory* , Aging*/psychology , Aging*/physiology , Exercise*/physiology , Exercise*/psychology , High-Intensity Interval Training*/psychology , High-Intensity Interval Training*/methods, Humans ; Aged ; Male ; Female ; Focus Groups/methods ; Negotiating/methods ; Negotiating/psychology |
| Abstract: | Competing Interests: Declarations. Ethics approval and consent to participate: This study was conducted according to the principles of the 1996 Declaration of Helsinki [69]. Ethical approval was given by The Regional Ethical Review Board in Umeå (Regionala etikprövningsnämnden i Umeå), Sweden, (2018-307-31M, 2018-421-32M). All participants were given written information about the study and gave their written informed consent to participate. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. Background: Physical activity and exercise are promoted worldwide as effective interventions for healthy ageing. Various exercise initiatives have been developed and evaluated for their efficacy and effectiveness among older populations. However, a deeper understanding of participants' experiences with these initiatives is crucial to foster long-term activity and exercise among older persons. Methods: A constructivist grounded theory study was conducted to explore the experiences of older persons participating in a supervised group supramaximal high-intensity training (HIT) programme. Four focus groups were held, involving 28 persons aged 65 to 78. The focus groups were analysed inductively, followed by an iterative process of abstraction, abduction, and theory generation using a constant comparative method. A conceptual framework comprising three theoretical concepts-stereotype embodiment, ageist practices, and self-efficacy-was employed during the abductive phase as an analytical lens. Results: The core category of our grounded theory, Negotiating a physically active life in tune with ageing, encapsulates the complex processes and actions influencing older persons as they engage in physical activities in their daily lives and in relation to HIT. This core category was created from the conceptual framework and the four categories: Grit in the moment and overall life, Empowered by the training group, Navigating one's physically active self, and Committing to exercise for duty and pleasure. Participants reported feeling invigorated by the exercise, enjoying the challenge, and valuing the group setup for its social connectedness and structure. The generated theory illustrates how participants' engagement with physical activity and exercise is shaped by various perspectives accumulated over their lifespan. The findings provide a plausible explanation of how participation in HIT groups can challenge negative age stereotypes and ageist practices while enhancing self-efficacy for high-intensity exercise. Conclusions: Our grounded theory underscores that physical activity and exercise should be regarded as multifaceted processes, which must be considered when promoting physical activity initiatives for older persons. By considering the older person and societal norms and values, we can gather knowledge to design physical exercise interventions that are not only effective but also enjoyable and capable of transforming how individuals perceive themselves as exercising persons. (© 2025. The Author(s).) |
| References: | Eur J Appl Physiol. 2019 Jun;119(6):1337-1351. (PMID: 30879186) BMJ Open. 2015 Apr 15;5(4):e007423. (PMID: 25877281) Lancet Public Health. 2019 Apr;4(4):e200-e208. (PMID: 30954145) Sports Med. 2011 Aug 1;41(8):641-71. (PMID: 21780850) Elife. 2020 Feb 11;9:. (PMID: 32041686) Psychol Sport Exerc. 2024 Jul;73:102647. (PMID: 38604572) Psychol Sport Exerc. 2023 Jan;64:102295. (PMID: 37665824) Psychol Sci. 2014 Dec;25(12):2127-35. (PMID: 25326508) Res Q Exerc Sport. 2009 Jun;80(2):269-80. (PMID: 19650393) Cell Commun Signal. 2024 May 24;22(1):285. (PMID: 38790068) BMC Public Health. 2023 Sep 12;23(1):1775. (PMID: 37700247) Curr Dir Psychol Sci. 2009 Dec 1;18(6):332-336. (PMID: 20802838) Health Expect. 2018 Feb;21(1):239-248. (PMID: 28768065) J Am Geriatr Soc. 1999 Nov;47(11):1346-9. (PMID: 10573445) Am Psychol. 1989 Sep;44(9):1175-84. (PMID: 2782727) Lancet. 2012 Jul 21;380(9838):258-71. (PMID: 22818938) Age Ageing. 2021 Sep 11;50(5):1811-1819. (PMID: 34228777) J Gerontol A Biol Sci Med Sci. 2023 Aug 27;78(9):1581-1590. (PMID: 36972981) PLoS One. 2020 Jan 15;15(1):e0220857. (PMID: 31940338) J Aging Phys Act. 2019 Jun 11;27(4):807-815. (PMID: 30859900) Scand J Med Sci Sports. 2022 May;32(5):810-820. (PMID: 35090181) J Pers Soc Psychol. 2002 Aug;83(2):261-70. (PMID: 12150226) Soc Sci Med. 2016 Jun;158:14-23. (PMID: 27104307) Psychol Sport Exerc. 2023 May;66:102399. (PMID: 37665861) J Sport Exerc Psychol. 2007 Dec;29(6):723-46. (PMID: 18089901) Physiother Theory Pract. 2019 Jul;35(7):651-662. (PMID: 29601232) BMC Public Health. 2019 Apr 2;19(1):362. (PMID: 30940111) Sports Med. 2013 Oct;43(10):927-54. (PMID: 23832851) J Aging Phys Act. 2021 Jun 16;29(6):931-940. (PMID: 34135127) Aging Clin Exp Res. 2022 Jun;34(6):1215-1223. (PMID: 35132578) JAMA. 2013 Nov 27;310(20):2191-4. (PMID: 24141714) Int J Aging Hum Dev. 2022 Apr;94(3):255-272. (PMID: 34139878) Eur J Epidemiol. 2024 Jun;39(6):623-641. (PMID: 38581608) Acta Psychol (Amst). 2022 Aug;228:103651. (PMID: 35785683) BMC Geriatr. 2020 Oct 2;20(1):380. (PMID: 33008403) EClinicalMedicine. 2023 Jan 12;56:101821. (PMID: 36684393) Int J Behav Nutr Phys Act. 2022 Jul 14;19(1):87. (PMID: 35836187) J Appl Gerontol. 2022 Feb;41(2):478-485. (PMID: 33000985) BMC Geriatr. 2017 Aug 22;17(1):190. (PMID: 28830443) J Gerontol. 1947 Jul;2(3):217-27. (PMID: 20264999) Int J Behav Nutr Phys Act. 2012 Jun 22;9:78. (PMID: 22726453) Aging Ment Health. 2022 Jul;26(7):1444-1450. (PMID: 34060405) Front Physiol. 2019 May 21;10:590. (PMID: 31164835) BMC Public Health. 2021 Feb 6;21(1):312. (PMID: 33549090) Int J Behav Nutr Phys Act. 2020 Jul 16;17(1):92. (PMID: 32677960) Psychol Health. 2014;29(8):915-32. (PMID: 24559210) Contemp Educ Psychol. 2000 Jan;25(1):54-67. (PMID: 10620381) Physiother Theory Pract. 2012 May;28(4):307-16. (PMID: 22007766) Int J Behav Nutr Phys Act. 2007 Aug 30;4:34. (PMID: 17760999) Br J Sports Med. 2019 Jul;53(14):856-858. (PMID: 30792257) Psychol Aging. 2014 Jun;29(2):329-341. (PMID: 24956001) Aging Clin Exp Res. 2023 Jun;35(6):1195-1203. (PMID: 36939961) J Gerontol B Psychol Sci Soc Sci. 2019 Jan 10;74(2):212-221. (PMID: 28549180) |
| Grant Information: | 2020-00159 Forte-Swedish Research Council for Health, Working Life and Welfare; 2017-00912 Swedish Research Council |
| Contributed Indexing: | Keywords: Ageism; Exercise; High-intensity intervals; Older people; Physical activity; Qualitative research; Self-efficacy; Stereotype embodiment |
| Entry Date(s): | Date Created: 20250104 Date Completed: 20250106 Latest Revision: 20250107 |
| Update Code: | 20250114 |
| PubMed Central ID: | PMC11699672 |
| DOI: | 10.1186/s12877-024-05635-5 |
| PMID: | 39755610 |
| Datenbank: | MEDLINE |
Full Text 
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstract: | Competing Interests: Declarations. Ethics approval and consent to participate: This study was conducted according to the principles of the 1996 Declaration of Helsinki [69]. Ethical approval was given by The Regional Ethical Review Board in Umeå (Regionala etikprövningsnämnden i Umeå), Sweden, (2018-307-31M, 2018-421-32M). All participants were given written information about the study and gave their written informed consent to participate. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.<br />Background: Physical activity and exercise are promoted worldwide as effective interventions for healthy ageing. Various exercise initiatives have been developed and evaluated for their efficacy and effectiveness among older populations. However, a deeper understanding of participants' experiences with these initiatives is crucial to foster long-term activity and exercise among older persons.<br />Methods: A constructivist grounded theory study was conducted to explore the experiences of older persons participating in a supervised group supramaximal high-intensity training (HIT) programme. Four focus groups were held, involving 28 persons aged 65 to 78. The focus groups were analysed inductively, followed by an iterative process of abstraction, abduction, and theory generation using a constant comparative method. A conceptual framework comprising three theoretical concepts-stereotype embodiment, ageist practices, and self-efficacy-was employed during the abductive phase as an analytical lens.<br />Results: The core category of our grounded theory, Negotiating a physically active life in tune with ageing, encapsulates the complex processes and actions influencing older persons as they engage in physical activities in their daily lives and in relation to HIT. This core category was created from the conceptual framework and the four categories: Grit in the moment and overall life, Empowered by the training group, Navigating one's physically active self, and Committing to exercise for duty and pleasure. Participants reported feeling invigorated by the exercise, enjoying the challenge, and valuing the group setup for its social connectedness and structure. The generated theory illustrates how participants' engagement with physical activity and exercise is shaped by various perspectives accumulated over their lifespan. The findings provide a plausible explanation of how participation in HIT groups can challenge negative age stereotypes and ageist practices while enhancing self-efficacy for high-intensity exercise.<br />Conclusions: Our grounded theory underscores that physical activity and exercise should be regarded as multifaceted processes, which must be considered when promoting physical activity initiatives for older persons. By considering the older person and societal norms and values, we can gather knowledge to design physical exercise interventions that are not only effective but also enjoyable and capable of transforming how individuals perceive themselves as exercising persons.<br /> (© 2025. The Author(s).) |
|---|---|
| ISSN: | 1471-2318 |
| DOI: | 10.1186/s12877-024-05635-5 |