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This study indicates that novice older adults initiating exercise are not at increased risk of injury.
The role of GPs in initiating exercise for CKP/KOA was not outlined in studies or guidelines, including the recent NICE guidelines [ 5, 15].
The emergence of this relevant sub-theme coincides with Jeng's description of "perceived continuous power"; overcoming psychological and physical discomfort of initiating exercise to experiencing benefits and making new friends who exercise [ 29].
Lack of motivation is one of many perceived barriers to initiating exercise that contributes to poor adherence to interventions.
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In a glaucomatous eye, the very modest IOP-lowering that follows exercise may be offset by the initial elevation in IOP that occurs when one first initiates exercise.
Another possibility is that whatever initiates exercise might instantly change the sensitivity of arterial chemoreceptors to blood gases [ 36].
In this review, we discuss recent studies that have identified several different factors that appear to initiate exercise preconditioning.
Even when older adults initiate exercise, they often discontinue involvement within 6 months of starting a program (Jancey et al., 2007).
Clearly, beliefs about perceived and actual fears can result in activity restrictions and the motivation to initiate exercise and physical activity.
If falls are believed to be inevitable, unavoidable or unpreventable, then older people are unlikely to initiate exercise regimes that may help in prevention.
Less than 20% may be able to sustain high intensity continuous exercise throughout the whole rehabilitation programme[ 9] To find a realistically tolerable exercise programme for these patients, who often initiate exercise programmes for the first time, is challenging.
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