Evidence map›Paper›PMID 41654726›Full record

ArticleBMC geriatrics2026

Facilitators and barriers to physical activity among older adults in Karachi - a qualitative exploratory study.

Ameerali Abdul Hameed, Muhammad Asim, Sonia Sameen, Saniya Raghib Sabzwari, Bilal Ahmed Usmani

Abstract read
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Article in BMC geriatrics, 2026. 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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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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

5 authors.

Ameerali Abdul HameedDepartment for Educational Development, Aga Khan University, Karachi, Pakistan. ameerali.hameed24@alumni.aku.edu.ORCID http://orcid.org/0009-0005-0522-8324
Muhammad AsimDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.ORCID http://orcid.org/0000-0002-8193-124X
Sonia SameenDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.ORCID http://orcid.org/0000-0003-1589-2470
Saniya Raghib SabzwariDepartment for Educational Development, Aga Khan University, Karachi, Pakistan.ORCID http://orcid.org/0000-0002-1163-5277
Bilal Ahmed UsmaniDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan. bilal.usmani@aku.edu.ORCID http://orcid.org/0000-0002-6466-1049

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global older adult population is expanding, projected to reach two billion by 2050. Pakistan, a low- and middle-income country (LMIC), is home to 7% of its older adult population (above 60). Physical inactivity is prevalent in this group, linked to chronic diseases and mental health disorders. However, little is known about its determinants. This study explores physical activity factors (facilitators and barriers) at individual, interpersonal, community, and policy levels among older adults in Karachi.

methodsA qualitative exploratory study was conducted in two Karachi districts using a purposive sampling. A total of 24 older adults aged 60 and above, with no physical limitations, were interviewed at their residences. Semi-structured interview guide informed by the socioecological model (SEM) was used. Data analysis followed Braun and Clark’s thematic analysis, using inductive deductive open coding.

resultsFour themes corresponding to each level of the socioecological model were identified. At individual level, health benefits and use of technology were identified as the facilitators, while physical (e.g., joint pain), and psychological factors (e.g., low motivation), and resource limitations (e.g., time) were identified as barriers. At interpersonal level, support from children and grandchildren was identified as the facilitators, while social media influences (e.g., smartphones) were identified as a major barrier. At community-level facilitators identified include presence of community-based centers and peer groups while barriers include norms and attitudes (e.g., societal views), more so for women, which hinder participation, compounded with poor infrastructure, safety and security issues. At policy level, participants emphasized the need for dedicated spaces and policies promoting PA for older adults.

conclusionThis is one of the first studies from Pakistan diving deeper into key facilitators and barriers related to physical activity among older adults in Pakistan. Context-specific interventions should be designed to overcome these barriers while considering the prevailing environmental and cultural dynamics of Karachi. Findings can help the decision makers at the municipal level and health departments in shaping targeted interventions for health promotion and active ageing.

Indexed as

ExerciseQualitative ResearchAgedAged, 80 and overFemaleHumansMaleMiddle AgedPakistanAgeingExerciseFrailtyHealth behaviorHealth promotionOlder adultsPakistanPhysical activitySocial norms

Identifiers

PMID41654726
PMCPMC12983709

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LicenceCC BY-NC-ND
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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.