abstract: 'Previous research suggests that a range of factors influence an

  individual''s physical activity (PA) participation, but studies among

  Nepalese adults are limited. In this qualitative study, we aimed to

  explore the multilevel influences upon PA participation among

  community-dwelling adults aged 40 years and above living in an urban

  setting in Kathmandu, Nepal. Men (n = 21) and women (n = 30) were

  purposively sampled to participate in one of nine focus group

  discussions. Types of PA undertaken constituted activities related to

  housework, farm work, and active travel. Individual-level barriers

  included lack of knowledge, lack of motivation, perceptions of already

  being active, personal limitations, and lack of time. Interpersonal

  barriers included household responsibilities and lack of support.

  Broader environmental barriers included lack of infrastructure for

  active commuting, poor safety, rising use of motorized transport, lack

  of resting areas, weak social norms about PA, declining agricultural

  engagement, mechanization, and improved access to technology and

  facilities. Some differences were observed between the gender and

  disease groups. Health benefits, integration into domestic work,

  opportunities for social interaction, and social support were the

  facilitators. Interventions focusing on families, highlighting the

  short- and long-term benefits of PA, addressing gender roles, and

  ensuring women are better supported represent opportunities to promote

  PA. Community-based interventions will be essential to establish social

  norms around PA and improve social support.'
affiliation: 'Paudel, S (Corresponding Author), Monash Univ, Sch Publ Hlth \& Prevent
  Med, 553 St Kilda Rd, Melbourne, Vic 3004, Australia.

  Paudel, Susan, Monash Univ, Sch Publ Hlth \& Prevent Med, 553 St Kilda Rd, Melbourne,
  Vic 3004, Australia.

  Owen, Alice J.; Smith, Ben J., Monash Univ, Melbourne, Vic, Australia.

  Smith, Ben J., Univ Sydney, Prevent \& Hlth Promot, Publ Hlth, Sydney, NSW, Australia.'
article-number: '1049732321993096'
author: Paudel, Susan and Owen, Alice J. and Smith, Ben J.
author-email: susan.paudelsubedi@monash.edu
author_list:
- family: Paudel
  given: Susan
- family: Owen
  given: Alice J.
- family: Smith
  given: Ben J.
da: '2023-09-28'
doi: 10.1177/1049732321993096
earlyaccessdate: FEB 2021
eissn: 1552-7557
files: []
issn: 1049-7323
journal: QUALITATIVE HEALTH RESEARCH
keywords: 'physical activity; adults; Nepal; focus groups; qualitative; reflexive

  thematic analysis'
language: English
month: MAY
number: '6'
number-of-cited-references: '46'
orcid-numbers: Paudel, Susan/0000-0001-7536-9476
pages: 1183-1195
papis_id: 631a0b9a973046f8761c3cfd40f026cd
ref: Paudel2021explorationphysical
researcherid-numbers: 'Paudel, Susan/AGE-1499-2022

  '
times-cited: '5'
title: Exploration of Physical Activity Barriers and Facilitators Among Adults in
  Kathmandu, Nepal
type: article
unique-id: WOS:000626214900001
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '31'
web-of-science-categories: 'Public, Environmental \& Occupational Health; Information
  Science \&

  Library Science; Social Sciences, Interdisciplinary; Social Sciences,

  Biomedical'
year: '2021'