A review of social and environmental barriers to physical activity for adults with intellectual disabilities.
BACKGROUND
There is a higher prevalence of sedentary behavior among adults with intellectual disability (ID) compared to the general population. The majority of research on this topic has focused on assessing physical activity (PA) levels and there are relatively few studies addressing barriers to PA (including exercise) in this population.


OBJECTIVE
It is important to analyze the PA barriers faced by adults with ID in order to develop and implement intervention programs.


METHODS
A systematic research review was conducted to analyze the barriers to PA for adults with ID. Original research articles published after 1980 with primary intention of identifying PA determinants of age 18+ adults with ID were included.


RESULTS
In total, 837 citations were returned, and after screening for repeated articles and inclusion criteria, 7 were included in the analysis. The primary barriers that reoccurred throughout the papers were transportation issues, financial limitations and lack of awareness of options. Other salient barriers included negative supports from caregivers and authority figures (e.g. teachers, coaches and parents) and lack of clear policies for engaging in regular activity in residential and day service programs.


CONCLUSIONS
This study reveals clear barriers to PA to target. Of primary importance is the development of policies among agencies that serve individuals with ID that could help minimize transportation, financial, policy and educational barriers, which are more modifiable than negative supports.
Department of Applied Health Science, Indiana University, Bloomington, IN 47405, USA. weavera@indiana.edu
Amy E
AE
Bodde
Dong-Chul
DC
Seo
D006233:Persons with Disabilities; D015444:Exercise; D006297:Health Services Accessibility; D006801:Humans; D008607:Intellectual Disability; D057766:Policy; D057185:Sedentary Behavior; D012923:Social Class; D012931:Social Environment; D014186:Transportation