1. Introduction
Purposeful exercise and increased participation in physical
activity are among the most important components of
lifestyle, especially for older persons [1]. Participation in
these activities is considered an important behavior that may
yield benefits especially on maintaining the physical and psychological
well-being [2–5]. A published review on physical
activity and aging highlighted that older persons who actively
participated in a long term exercise program appear to have
a good quality of life [6]. Regrettably, majority of old people
around the world lead a sedentary lifestyle with very little
knowledge regarding the importance of physical activity. As
highlighted by Irvine et al. [7], almost 39% older persons do
not meet recommended physical activity guidelines and 33%
also reported no leisure-time physical activity. This meant
that a portion of older people did notmeet the recommended
exercise program suggested by the American College of
Sports Medicine [8]. An exercise program for older persons
must include amulticomponent training, namely, endurance,
flexibility, strengthening, and balance [8]. Older persons are
encouraged to perform moderate intensity exercise 5 days
per week with a minimum of 30 minutes per session. This
recommendation aims to target all the major physiological
systems that are functionally declining due to the aging
process. For instance, a regular resistance training program
may inducemuscle hypertrophy by altering the expression of
myosin heavy isoforms, [9], while aerobic exercise improves
blood pressure and decreases the risk of coronary artery
disease [10]. Balance training also helps in reducing fear of
falls and improving dynamic balance [11].Thus, it is clear that
each training component may contribute to better physical
health status.
One of the major issues related to participation in an
exercise program is the compliance or adherence to such
program that may be influenced or determined by numerous
factors. A previous study has identified these determinants
and grouped them into two main categories: either increase
adherence to exercise (motivators) or decrease adherence to
exercise (barriers) [12]. However, most studies consistently