Evidence map›Paper›PMID 40385814›Full record

ArticleCureus2025

Identifying Barriers to Physical Activity and Exercise Within the Bexar County Community.

Michael D Shaffer, Virgil DeMario, Bailie Moorhead, Ressiel N Villegas, Nancy Kha, Ethan Renfrew, Michael P Naley, Niva Shrestha, Brendon McCullough, Kimberly Toumazos and 3 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Michael D ShafferDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Virgil DeMarioDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Bailie MoorheadDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Ressiel N VillegasDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Nancy KhaDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Ethan RenfrewDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Michael P NaleyDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Niva ShresthaDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Brendon McCulloughDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Kimberly ToumazosDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Austin SmithDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Arunabh BhattacharyaDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Rebecca L SanchezDepartment of Applied Biomedical Sciences, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extensive evidence highlights the cardiovascular, metabolic, psychological, and autoimmune health benefits of physical activity (PA). Despite the well-established benefits of PA, a significant portion of the population does not meet the standard recommendations; therefore, an analysis of the various barriers to PA is worth investigating. Established barriers to PA include time, motivation, physical literacy, race, gender, and education. When one or more of these barriers exist for a population, they may significantly hinder one's ability to perform PA. Lower levels of PA are associated with worse health outcomes. Bexar County, Texas, is one example where high rates of chronic disease are correlated with a significant lack of meeting recommended PA guidelines. An electronic survey was created to investigate the barriers to PA that exist in Bexar County. The domains surveyed were scored to help generate a total barrier score (TBS). A total of 220 adults, ages 18-99, who live in a Bexar County zip code, were surveyed. Results indicate that age was associated with decreased TBS (Estimate=-0.39, 95% CI -0.70, -0.08, p=0.015) whereas having a disability (Estimate=17.73, 95% CI 6.73, 28.73, p=0.002), having household dependents (Estimate=10.35, 95% CI 3.64, 17.05, p=0.002), and living in the northeast region (Estimate=17.6, 95% CI 2.52., 32.69, p=0.022) were associated with increased TBS. Specific barrier domains showed differences among demographics, such as increased safety barriers reported by African American individuals, decreased time barriers among older respondents, and increased health barriers among those with disabilities. By identifying and addressing barriers to PA in Bexar County, participation in local PA programs can increase, ultimately leading to improved health for the community.

Indexed as

barriers to exercise participationcommunity healthdemographic surveyexercise equityphysical activity

Identifiers

PMID40385814
PMCPMC12084081

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.