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Public Health Policies to Promote Physical Activity Among People with Disabilities and Clinical Conditions

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Guest Editor
School of Kinesiology, Louisiana State University, Baton Rouge, LA 70803, USA
Interests: exercise health; promotion health; exercise science; public health education; health education; preventive medicine; health disparities; health equity; public health communication

Special Issue Information

Dear Colleagues,

The purpose of this Special Issue is to examine public health policies for the promotion of physical activity among people with disabilities and clinical populations, including individuals with physical and mental disabilities, metabolic conditions, and autoimmune diseases. Such policies include the provision of access to fitness centers, parks, and recreational facilities; the identification of adaptive, enjoyable, and effective exercise programs; and the mobilization of advocacy groups and organizations to provide resources for joyful, long-term participation in physical activity. Although exercise has numerous benefits among people with disabilities, overall, this population remains less active than their non-disabled peers. Identifying evidence-based and practical ways of increasing enjoyable and long-lasting exercise participation among people with disabilities is critical for promoting a healthy and balanced society. A variety of research designs are welcome to be submitted to this Special Issue, including experimental and observational studies, qualitative research, systematic reviews and meta-analyses, concept-based papers, and brief reports.

Dr. Maria Kosma
Guest Editor

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Keywords

  • physical activity promotion
  • public health policies
  • people with disabilities
  • clinical populations
  • enjoyable and long-term exercise participation
  • exercise programs
  • accessibility
  • advocacy
  • adaptive and holistic movement programs

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Published Papers (2 papers)

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Research

18 pages, 316 KB  
Article
Reasons for Participating in the EDS-HEART Program: Holistic and Performative Within a Supportive Community
by Maria Kosma, Nick Erickson, Ashley L. Hinerman and Ira A. Anderson III
Int. J. Environ. Res. Public Health 2026, 23(1), 55; https://doi.org/10.3390/ijerph23010055 - 31 Dec 2025
Viewed by 298
Abstract
Background: Hypermobile Ehlers–Danlos Syndrome (hEDS) results in multiple, complex health-related risks and associated fear of movement (kinesiophobia). Therefore, the purpose of this research study was to examine how a holistic, embodied, and performative movement program (EDS-HEART) can affect body schema, physical and [...] Read more.
Background: Hypermobile Ehlers–Danlos Syndrome (hEDS) results in multiple, complex health-related risks and associated fear of movement (kinesiophobia). Therefore, the purpose of this research study was to examine how a holistic, embodied, and performative movement program (EDS-HEART) can affect body schema, physical and mental health, and lifestyle, which contribute to the joy of movement and physical activity participation among adult women with hEDS. Methods: This was a hermeneutic, phenomenological, quasi-experimental, and community-based research study among six women with hEDS, who participated in the EDS-HEART movement program at a local physical therapy clinic. The seven-week program incorporated stretching and strength training activities as well as performative-thematic movement sequences. Results: Based on the qualitative analysis, three themes emerged regarding reasons for the joy of the EDS-HEART program: (a) improved body schema: body awareness, confidence, posture, and proprioception; (b) highly motivating program: holistic, embodied, performative, pleasant, and safe; and (c) psychosocial reasons: supportive setting, sense of pleasure and euphoria, and freed from social comparisons and the fear of movement. Conclusions: Based on the study results, public health experts should develop and implement easily accessible and holistic movement programs among people with hEDS and similar conditions to improve physical health, psychosocial health, and the joy of movement. Full article
14 pages, 299 KB  
Article
Non-Pharmacological Management of Hypertension: Exploring Determinants for Optimizing Physical Activity Implementation in Cameroon
by Maurice Douryang, Hyacinte Trésor Ghassi, Dilane Landry Nsangou Muntessu, Steve Ulrich Endeksobo, Borel Idris Djike Noumsi, Annick Cindy Fah Nono Mefo, Leonard Tanko Tankeng and Florian Forelli
Int. J. Environ. Res. Public Health 2026, 23(1), 51; https://doi.org/10.3390/ijerph23010051 - 31 Dec 2025
Viewed by 383
Abstract
Physical activity (PA) is a cornerstone of non-pharmacological hypertension management, yet evidence on its determinants remains limited in African populations. We conducted a cross-sectional study among 383 hypertensive patients in two referral hospitals in Cameroon to assess PA levels and associated factors. PA [...] Read more.
Physical activity (PA) is a cornerstone of non-pharmacological hypertension management, yet evidence on its determinants remains limited in African populations. We conducted a cross-sectional study among 383 hypertensive patients in two referral hospitals in Cameroon to assess PA levels and associated factors. PA was classified as insufficiently active (<600 MET-min/week) or active (≥600 MET-min/week). Overall, 54% of participants were insufficiently active, 37.9% had moderate activity, and 8.1% reported vigorous activity. Older age was strongly associated with inactivity, particularly for ages 60–74 (aOR = 2.84, p < 0.001) and for ≥75 years (aOR = 18.67, p < 0.001). Comorbidities also predicted inactivity, including renal failure (aOR = 2.41, p < 0.001) and diabetes/other complaints (aOR = 4.92, p < 0.001). Female sex increased the odds of inactivity (aOR = 1.42, p = 0.038). Whereas higher education was protective, particularly secondary (aOR = 0.12, p < 0.001) and high-school level (aOR = 0.05, p < 0.001). Among inactive participants, the most frequent barriers were lack of motivation (38.6%), physical impairment (37.2%), lack of prescription (23.2%), and space constraints (21.7%), whereas perceived benefits (39.1%), motivation (26.1%), and available space (32.4%) were the most cited facilitators; however, none of these factors showed a significant association with PA in chi square analysis. The high prevalence of inactivity and the strong influence of sociodemographic and clinical characteristics underscore the need for tailored interventions that target older adults, women, and patients with comorbidities, while strengthening education and structured support for PA within hypertension care pathways. Full article
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