The global older adult population is expanding. A significant proportion (80%) will reside in low and middle-income countries (LMICs), where infrastructure and sociocultural factors often undermine their health and well-being. Pakistan, an LMIC, is home to 7% of its older adult population. 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. A qualitative exploratory study was conducted in two Karachi districts using a purposive sampling. 24 community dweller older adults aged 60 and above, with no physical limitations, were interviewed at their residences. Semi-structured interview guide informed by the socioecological model was used.Four 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, and psychological factors, and resource limitations were identified as barriers. At interpersonal level, support from children and grandchildren was identified as the facilitators, while social media influences 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, which hinder participation. At policy level, participants emphasized the need for dedicated spaces and policies promoting PA for older adults. Addressing these barriers requires advocacy for age-friendly urban design and culturally sensitive community programs and advocacy

Authors:
Ameer Ali Abdul Hameed, Aga Khan University, Pakistan
Asim Mohammad, Aga Khan University, Pakistan
Sonia Sameen, Aga Khan University, Pakistan
Saniya Sabzwari, Aga Khan University, Pakistan
Bilal Usmani, Aga Khan University, Pakistan

About the Presenter(s)
Ameer Ali Abdul Hameed, Physical Therapist and Health Policy Researcher, interested in ageing, chronic disease prevention, and health systems. Currently researching physical activity among older adults in Karachi.

Connect on Linkedin
https://www.linkedin.com/in/ameeralipt/

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