Unraveling Barriers to a Healthy Lifestyle: Understanding Barriers to Diet and Physical Activity in Patients with Chronic Non-Communicable Diseases

Author:

Cavallo Massimiliano1,Morgana Giovanni2,Dozzani Ivan3,Gatti Alessandro4ORCID,Vandoni Matteo4ORCID,Pippi Roberto5ORCID,Pucci Giacomo1ORCID,Vaudo Gaetano1ORCID,Fanelli Carmine Giuseppe5ORCID

Affiliation:

1. Department of Medicine and Surgery, University of Perugia, Unit of Internal Medicine, Terni University Hospital, Piazzale Tristano Di Joannuccio, 1, T05100 Terni, Italy

2. Post-Graduate School of Sports Medicine, Department of Medicine and Surgery, University of Perugia, 06123 Perugia, Italy

3. Post-Graduate School of Clinical Nutrition and Dietetics, Department of Medicine and Surgery, University of Perugia, Piazzale Gambuli 1, 06132 Perugia, Italy

4. Laboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine and Forensic Science, University of Pavia, 27100 Pavia, Italy

5. Healthy Lifestyle Institute, C.U.R.I.A.Mo. (Centro Universitario Ricerca Interdipartimentale Attività Motoria), Department of Medicine and Surgery, University of Perugia, 06126 Perugia, Italy

Abstract

Although the important contribution of nutrition and physical activity to people’s health is known, it is equally well known that there are many barriers to adherence to healthy habits (i.e., of an organizational, economic, and/or psychological nature) experienced by the general population, as well as by people with non-communicable diseases. Knowledge of these barriers seems essential to the implementation of the activities and strategies needed to overcome them. Here, we aim to highlight the most frequent barriers to nutrition and exercise improvement that patients with chronic-degenerative diseases experience. Drawing from the Pubmed database, our analysis includes quantitative or mixed descriptive studies published within the last 10 years, involving adult participants with non-communicable diseases. Barriers of an organizational nature, as well as those of an environmental, economic, or psychological nature, are reported. The study of patients’ barriers enables healthcare and non-health professionals, stakeholders, and policymakers to propose truly effective solutions that can help both the general population and those with chronic pathologies to adhere to a healthy lifestyle.

Publisher

MDPI AG

Subject

Food Science,Nutrition and Dietetics

Reference59 articles.

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4. GBD 2017 Diet Collaborators (2019). Health effects of dietary risks in 195 countries, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet, 393, 1958–1972. Erratum in Lancet 2021, 397, 2466.

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