Unsatisfactory activity pattern during waking hours that has low energy expenditure

• Conflict between cultural beliefs and health practices
• Difficulty adapting areas for physical activity
• Exceeds screen time recommendations for age
• Impaired physical mobility
• Inadequate interest in physical activity
• Inadequate knowledge of consequences of sedentarism
• Inadequate knowledge of health benefits associated with physical activity
• Inadequate motivation for physical activity
• Inadequate physical endurance
• Inadequate resources for physical activity
• Inadequate role models
• Inadequate self-efficacy
• Inadequate self-esteem
• Inadequate social support
• Inadequate time management skills
• Inadequate training for physical exercise
• Negative affect toward physical activity
• Pain
• Parenting practices that inhibit child's physical activity
• Perceived physical disability
• Perceived safety risk

• Age, gender, and cognitive status
• Daytime activity and work patterns
• Possible precipitating factors
• Height, weight, body mass index (BMI), and muscle and weight-bearing
• Underlying conditions or medications
• Overall quality and duration of sleep
• Situational daily stressors
• Nutritional status and opportunity for exercise and social interaction
• Convenience of exercise facilities and safety of environment
• Recent changes in health status or lifestyle
• Dietary and medication history
• Culturally determined expectations of body image or dietary intake
• Risk assessment for substance abuse, smoking, and high-risk behaviors
• Disabilities

• Average daily physical activity is less than recommended for age and gender
• Chooses a daily routine lacking physical exercise
• Does not exercise during leisure time
• Performs majority of tasks in a reclining posture
• Performs majority of tasks in a sitting posture
• Prefers low physical activity
• Prolonged inactivity

• Older adults will maintain independent living status with reduced risk for falling.
• Patient will identify barriers to increasing physical activity level.
• Patient will identify health benefits to increasing physical activity level.
• Patient will increase physical activity and limit inactive forms of diversion, such as television and computer games.
• Patient will seek professional consultation to develop an appropriate plan to increase physical activity.
• Patient will identify factors that enhance readiness for sleep.
• Patient will demonstrate readiness for enhanced sleep through the use of appropriate sleep hygiene measures.
• Patient's amount of sleep and rapid eye movement (REM) sleep will be congruent with developmental needs.
• Patient will express a feeling of being rested after sleep.
• Patient will increase lean muscle and bone strength and decrease body fat.
• Patient will demonstrate weight control and, if appropriate, weight loss.
• Patient will demonstrate enhanced psychological well-being and reduced risk of depression.
• Patient will have reduced depression and anxiety and an improved mood.
• Patient with certain chronic, disabling conditions will have increased ability to perform activities of daily living (ADLs).

Suggested NOC Outcomes

• Provide counseling tailored to patient's risk factors, needs, preferences, and abilities to enhance emotional well-being and motivation for physical activity.
• Discuss behavioral risk factors in lack of motivation to increase physical activity, such as ingestion of carbohydrates, caffeine, nicotine, alcohol, sedatives, and hypnotics and fluid intake, to focus behavior on positive outcomes of increased physical activity.
• Instruct patient to keep a daily activity and dietary log to help obtain a more objective view of patient's behavior.
• Identify barriers and enhancers to increasing physical activity, including time management, access to facilities, and safe environments in which to be active. Breaking down barriers and building opportunities for activity increase the probability of consistent physical activity.
• Educate patient about how sedentary lifestyle increases cardiovascular risk factors (such as hypertension, dyslipidemia, hyperinsulinemia, insulin resistance) to motivate patient to be more active.
• Discuss the need for activity that will improve psychosocial well-being.
• Develop a behavior modification plan based on patient's condition, history, and precipitating factors to maximize physical activity and compliance.
• Provide education about community resources available to increase physical activity to decrease barriers to activity.
• Teach exercises for increasing strength and endurance to maintain mobility and prevent musculoskeletal degeneration.
• Educate patient about using the bedroom only for sleep or sexual activity and avoiding other activities such as watching television, reading, and eating to increase sleep efficiency.

Suggested NIC Interventions

• Patient seeks professional consultation to develop a plan to increase physical activity and limit inactive forms of diversion, such as watching television.
• Patient's BMI is appropriate for patient's height and weight.
• Patient verbalizes how sedentary lifestyle impacts morbidity and mortality.
• Patient reduces high-risk behaviors.
• Patient demonstrates increased ability to perform ADLs and, if appropriate, to maintain independent living status.
• Patient demonstrates motivation to increase physical activity.
• Patient demonstrates readiness for enhanced sleep through the use of appropriate sleep hygiene measures.
• Patient's amount of sleep and REM sleep matches developmental needs.
• Patient demonstrates behaviors of psychological well-being and reduced risk for developing depression.
• Patient experiences reduced depression and anxiety and improved mood.
• Change in sedentary lifestyle is congruent with cultural expectations.
• Facility policies and staff behaviors reflect opportunities to provide physical activity for patients and limit inactive forms of diversion, such as television watching and computer games.

• Daytime activity and work patterns
• Behavioral modification plan
• Dietary and drug history
• Height, weight, and BMI
• High-risk behavior assessment
• Sleep hygiene behaviors
• Culturally determined expectations
• Nursing interventions to increase patient's physical activity
• Response to nursing interventions
• Evaluations for expected outcomes

• Bramante, C. T., King, M. M., Story, M., Whitt-Glover, M. C., & Barr-Anderson, D. J. (2018). Worksite physical activity breaks: Perspectives on feasibility of implementation. Work, 59(4), 491-499. doi:10.3233/WOR-182704
• Donaldson-Feilder, E., Lewis, R., Pavey, L., Jones, B., Green, M., & Webster, A. (2017). Perceived barriers and facilitators of exercise and healthy dietary choices: A study of employees and managers within a large transport organisation. Health Education Journal, 76(6), 661-675. doi:10.1177/0017896917712296
• Giusti Rossi, P., Carnaz, L., Bertollo, W. L., & de Medeiros Takahashi, A. C. (2018). Causes of drop out from a physical exercise supervised program specific to older adults. Fisioterapia Em Movimento, 31(1), 1-11. doi:10.1590/1980-5918.031.AO33
• Said, M. A., Abdelmoneem, M., Almaqhawi, A., Kotob, A. A. H., Alibrahim, M. C., & Bougmiza, I. (2018). Multidisciplinary approach to obesity: Aerobic or resistance physical exercise? Journal of Exercise Science & Fitness, 16(3), 118-123. doi:10.1016/j.jesf.2018.11.001