Exercise, physical activity, and self-determination theory: a systematic review

Pedro J Teixeira, Eliana V Carraça, David Markland, Marlene N Silva, Richard M Ryan, Pedro J Teixeira, Eliana V Carraça, David Markland, Marlene N Silva, Richard M Ryan

Abstract

Background: Motivation is a critical factor in supporting sustained exercise, which in turn is associated with important health outcomes. Accordingly, research on exercise motivation from the perspective of self-determination theory (SDT) has grown considerably in recent years. Previous reviews have been mostly narrative and theoretical. Aiming at a more comprehensive review of empirical data, this article examines the empirical literature on the relations between key SDT-based constructs and exercise and physical activity behavioral outcomes.

Methods: This systematic review includes 66 empirical studies published up to June 2011, including experimental, cross-sectional, and prospective studies that have measured exercise causality orientations, autonomy/need support and need satisfaction, exercise motives (or goal contents), and exercise self-regulations and motivation. We also studied SDT-based interventions aimed at increasing exercise behavior. In all studies, actual or self-reported exercise/physical activity, including attendance, was analyzed as the dependent variable. Findings are summarized based on quantitative analysis of the evidence.

Results: The results show consistent support for a positive relation between more autonomous forms of motivation and exercise, with a trend towards identified regulation predicting initial/short-term adoption more strongly than intrinsic motivation, and intrinsic motivation being more predictive of long-term exercise adherence. The literature is also consistent in that competence satisfaction and more intrinsic motives positively predict exercise participation across a range of samples and settings. Mixed evidence was found concerning the role of other types of motives (e.g., health/fitness and body-related), and also the specific nature and consequences of introjected regulation. The majority of studies have employed descriptive (i.e., non-experimental) designs but similar results are found across cross-sectional, prospective, and experimental designs.

Conclusion: Overall, the literature provides good evidence for the value of SDT in understanding exercise behavior, demonstrating the importance of autonomous (identified and intrinsic) regulations in fostering physical activity. Nevertheless, there remain some inconsistencies and mixed evidence with regard to the relations between specific SDT constructs and exercise. Particular limitations concerning the different associations explored in the literature are discussed in the context of refining the application of SDT to exercise and physical activity promotion, and integrating these with avenues for future research.

Figures

Figure 1
Figure 1
General SDT process model for exercise behavior. Adapted from the general health process model (Ref Ryan et al., Europ Health Psych, 2009), this graph includes the 5 groups of variables analyzed in this review as exercise predictors and their expected relationships (in a simplified version). Although this review only covers direct relationships between each class of variables (e.g., need satisfaction in exercise) and exercise behaviors, since few articles have simultaneously tested various steps of this model, the SDT model for exercise assumes that a sizable share of variance of exercise associated with SDT variables may be explained via indirect or mediating mechanisms, as depicted. See Discussion for more details.
Figure 2
Figure 2
Title. Self-reported minutes of moderate and vigorous exercise per week as a function of exercise autonomous motivation. Analysis includes 141 participants of the PESO trial [67] and data reports to variables assessed at 12 months (intervention end), 24 months (1 year follow-up with no contact) and 36 months (2-year follow-up). The time-point values in exercise and motivational variables at each assessment period were used (not change). Values used for tertile-split groups of autonomous motivation were calculated including all subjects (intervention and control groups collapsed), adjusting for experimental group membership. Autonomous motivation includes the identified regulation and intrinsic motivation subscales of the Exercise Self-Regulation Questionnaire[84]. Self-reported exercise was assessed with the 7-day Physical Activity Recall interview [25] and quantifies moderate and vigorous structured physical activity (METs > 3) performed in the previous week (or typical of the previous month if previous week was atypical, see reference 27 for more details). Panels B, D, and F show cross-sectional associations (variables assessed at the same time point) and panels A, C, and E show “prospective” associations (motivation assessed one year earlier than exercise). F for one-way ANOVA with letters in bar indicating multiple comparisons with Bonferroni post-hoc tests (different letters indicate different means, p < .05).

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