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Association between exercise self-efficacy and physical activity in elderly individuals: a systematic review and meta-analysis

Lei Xie, Wen-Xue Ma, Kang-Li Du, Yingling Huang, Ai-Hua Li, Hong-Wei Wang, Hong-Cheng Cui, Wen-Tao Qiu et al.

Frontiers in Psychology, 2025

34 citations

Abstract

Objective In an aging population, the problem of insufficient physical activity among the elderly is increasingly recognized. Exercise self-efficacy, a critical determinant of physical activity in this demographic, has garnered increasing attention recently. This review focuses on healthy older adults, systematically reviewing the research progress on the relationship between exercise self-efficacy and physical activity in later life. It analyzes the correlation between the two factors and their influencing factors, and explores the mechanism of exercise self-efficacy in promoting physical activity among the elderly. Methods In accordance with the standards set by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, an extensive literature search was conducted across five electronic databases: Web of Science, PubMed, ProQuest, Scopus, and EBSCOhost. The search period spanned from January 1, 2000, to October 20, 2024. A rigorous quality assessment was performed on the selected studies, with methodological and outcome data extracted via a standardized data extraction form. The meta-analysis of the included studies was conducted via Stata 18 software, along with tests for between-study heterogeneity and an evaluation of publication bias. Results The literature screening process yielded 19 studies that provided data on the correlation between physical activity and exercise self-efficacy. These studies employed Pearson correlation analysis…

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