A sedentary lifestyle is a pattern of physical inactivity that can lead to significant health complications and reduced quality of life. This nursing diagnosis focuses on identifying risk factors, implementing interventions, and promoting healthy activity patterns to prevent complications associated with prolonged physical inactivity.
Causes (Related to)
A sedentary lifestyle can develop due to various factors affecting a patient’s ability or willingness to engage in physical activity:
- Physical limitations due to:
- Chronic pain
- Obesity
- Musculoskeletal conditions
- Cardiovascular disease
- Recent surgery or injury
- Psychological factors include:
- Depression
- Anxiety
- Low motivation
- Poor self-efficacy
- Environmental factors such as:
- Limited access to exercise facilities
- Unsafe neighborhood
- Desk-bound occupation
- Limited social support
- Lifestyle factors include:
- Extended screen time
- Poor time management
- Lack of exercise knowledge
- Cultural influences
Signs and Symptoms (As evidenced by)
A sedentary lifestyle presents various indicators that nurses must recognize for proper assessment and intervention.
Subjective: (Patient reports)
- Decreased energy levels
- Shortness of breath with minimal exertion
- Muscle weakness
- Joint stiffness
- Poor sleep patterns
- Low motivation for physical activity
- Preference for seated activities
Objective: (Nurse assesses)
- BMI above the normal range
- Decreased muscle strength
- Reduced cardiovascular endurance
- Poor posture
- Decreased range of motion
- Physical deconditioning
- Limited participation in physical activities
- Extended periods of sitting or lying down
Expected Outcomes
The following outcomes indicate successful management of a sedentary lifestyle:
- The patient will increase physical activity gradually
- The patient will demonstrate improved cardiovascular endurance
- The patient will maintain proper posture during activities
- The patient will report increased energy levels
- The patient will engage in a regular exercise program
- The patient will demonstrate knowledge of exercise benefits
- The patient will incorporate physical activity into the daily routine
Nursing Assessment
Evaluate Activity Pattern
- Assess daily physical activity level
- Document the duration of sedentary periods
- Note types of preferred activities
- Evaluate exercise history
- Assess motivation for change
Physical Assessment
- Monitor vital signs
- Assess muscle strength
- Evaluate cardiovascular endurance
- Check the range of motion
- Document posture
- Measure BMI
Risk Factor Assessment
- Review medical history
- Identify physical limitations
- Assess psychological barriers
- Evaluate environmental constraints
- Document lifestyle factors
Knowledge Assessment
- Evaluate understanding of exercise benefits
- Assess knowledge of proper exercise techniques
- Document safety awareness
- Review activity preferences
- Identify learning needs
Support System Evaluation
- Assess family support
- Review available resources
- Document social connections
- Evaluate access to facilities
- Check transportation options
Nursing Care Plans
Nursing Care Plan 1: Activity Intolerance
Nursing Diagnosis Statement:
Activity Intolerance related to physical deconditioning as evidenced by shortness of breath with minimal exertion and decreased energy levels.
Related Factors:
- Physical deconditioning
- Prolonged inactivity
- Poor cardiovascular endurance
- Muscle weakness
Nursing Interventions and Rationales:
- Assess baseline activity tolerance
Rationale: Establishes starting point for activity progression - Implement a graduated exercise program
Rationale: Builds endurance safely and systematically - Monitor vital signs during activity
Rationale: Ensures safe response to increased activity
Desired Outcomes:
- The patient will demonstrate increased activity tolerance.
- The patient will report decreased fatigue with activity
- The patient will maintain stable vital signs during exercise
Nursing Care Plan 2: Deficient Knowledge
Nursing Diagnosis Statement:
Deficient Knowledge related to lack of exposure to exercise information as evidenced by verbalized misconceptions about physical activity.
Related Factors:
- Limited exposure to health education
- Misconceptions about exercise
- Lack of reliable information sources
- Cultural beliefs
Nursing Interventions and Rationales:
- Provide education about exercise benefits
Rationale: Increases understanding and motivation - Demonstrate proper exercise techniques
Rationale: Ensures safe and effective activity - Develop an individualized exercise plan
Rationale: Promotes adherence through personalization
Desired Outcomes:
- The patient will verbalize understanding of exercise benefits
- The patient will demonstrate proper exercise techniques
- The patient will create realistic activity goals
Nursing Care Plan 3: Risk for Complications
Nursing Diagnosis Statement:
Risk for Complications related to prolonged physical inactivity as evidenced by the presence of risk factors for cardiovascular disease and obesity.
Related Factors:
- Extended periods of inactivity
- Poor cardiovascular health
- Compromised metabolic function
- Weight management issues
Nursing Interventions and Rationales:
- Monitor vital signs regularly
Rationale: Detects early signs of complications - Implement preventive measures
Rationale: Reduces risk of developing complications - Provide risk factor education
Rationale: Promotes awareness and prevention
Desired Outcomes:
- The patient will maintain stable vital signs
- The patient will demonstrate an understanding of risk factors
- The patient will engage in preventive activities
Nursing Care Plan 4: Readiness for Enhanced Physical Activity
Nursing Diagnosis Statement:
Readiness for Enhanced Physical Activity related to expressed desire to improve activity level as evidenced by motivation to learn exercise techniques.
Related Factors:
- Motivation to change
- Recognition of health benefits
- Available support system
- Adequate resources
Nursing Interventions and Rationales:
- Assess motivation level
Rationale: Determines readiness for change - Develop activity goals
Rationale: Provides direction and measurable outcomes - Create support system
Rationale: Enhances adherence to activity plan
Desired Outcomes:
- The patient will set realistic activity goals
- The patient will maintain a consistent exercise schedule
- The patient will utilize support systems effectively
Nursing Care Plan 5: Impaired Physical Mobility
Nursing Diagnosis Statement:
Impaired Physical Mobility related to decreased muscle strength as evidenced by difficulty performing daily activities.
Related Factors:
- Muscle weakness
- Joint stiffness
- Poor endurance
- Limited range of motion
Nursing Interventions and Rationales:
- Implement strength training exercises
Rationale: Improves muscle strength and function - Provide mobility assistance
Rationale: Ensures safe movement during activities - Monitor progress regularly
Rationale: Tracks improvement and adjusts interventions
Desired Outcomes:
- The patient will demonstrate improved strength
- The patient will perform daily activities independently
- The patient will maintain safe mobility practices
References
- Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2023). Nursing diagnoses handbook: An evidence-based guide to planning care. St. Louis, MO: Elsevier.
- Harding, M. M., Kwong, J., & Hagler, D. (2022). Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume. Elsevier.
- Herdman, T. H., Kamitsuru, S., & Lopes, C. (2024). NANDA International Nursing Diagnoses – Definitions and Classification, 2024-2026.
- Ignatavicius, D. D., Rebar, C., & Heimgartner, N. M. (2023). Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care. Elsevier.
- Katzmarzyk PT, Powell KE, Jakicic JM, Troiano RP, Piercy K, Tennant B; 2018 PHYSICAL ACTIVITY GUIDELINES ADVISORY COMMITTEE*. Sedentary Behavior and Health: Update from the 2018 Physical Activity Guidelines Advisory Committee. Med Sci Sports Exerc. 2019 Jun;51(6):1227-1241. doi: 10.1249/MSS.0000000000001935. PMID: 31095080; PMCID: PMC6527341.
- Owen, N., Sugiyama, T., Eakin, E. E., Gardiner, P. A., Tremblay, M. S., & Sallis, J. F. (2011). Adults’ Sedentary Behavior: Determinants and Interventions. American Journal of Preventive Medicine, 41(2), 189-196. https://doi.org/10.1016/j.amepre.2011.05.013
- Park JH, Moon JH, Kim HJ, Kong MH, Oh YH. Sedentary Lifestyle: Overview of Updated Evidence of Potential Health Risks. Korean J Fam Med. 2020 Nov;41(6):365-373. doi: 10.4082/kjfm.20.0165. Epub 2020 Nov 19. PMID: 33242381; PMCID: PMC7700832.
- Silvestri, L. A. (2023). Saunders comprehensive review for the NCLEX-RN examination. St. Louis, MO: Elsevier.
