Nursing Diagnosis – Code 00168 Sedentary lifestyle (2004; LOE 2.1)

Domain 1. Health Promotion Class 1. Health Awareness

Sedentary lifestyle

Definition Reports a habit of life that is characterized by a low physical activity level.

Defining Characteristics

■ Average daily physical activity is less than recommended for gender and age
■ Physical deconditioning ■ Preference for activity low in physical activity

Related Factors

■ Insufficient interest in physical activity ■ Insufficient knowledge of health benefits associated with physical exercise
■ Insufficient motivation for physical activity ■ Insufficient resources for physical activity ■ Insufficient training for physical exercise


Nursing diagnosis – SEDENTARY LIFESTYLE



Reports a habit of life that is characterized by a low physical activ-

ity level


• Chooses a daily routine lacking physical exercise

• Demonstrates physical deconditioning

• Verbalizes preference for activities low in physical activity


• Deficient knowledge of health benefits of physical exercise

• Lack of interest, motivation, resources, and/or training

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Activity/exercise

• Nutrition

• Growth and development

• Risk management

• Knowledge


The patient will

• Maintain independent living status with reduced risk for falling.

• Identify barriers to increasing physical activity level.

• Identify health benefits to increasing physical activity level.

• Increase physical activity and limit inactive forms of diversion,

such as television and computer games.

• Seek professional consultation to develop an appropriate plan to

increase physical activity.

• Identify factors that enhance readiness for sleep.

• Demonstrate readiness for enhanced sleep through the use of

appropriate sleep hygiene measures.

• Have amount of sleep congruent with developmental needs and

experience rapid-eye-movement (REM) sleep.

• Express a feeling of being rested after sleep.

• Increase lean muscle and bone strength and decrease body fat.

• Demonstrate weight control and, if appropriate, weight loss.

• Exhibit enhanced psychological well-being and reduced risk of


• Have reduced depression and anxiety and an improved mood.

• Demonstrate increased ability to perform activities of daily living

within limits of chronic, disabling conditions.


Activity Intolerance; Endurance; Energy Conservation; Health-

Promoting Behavior; Immobility Consequences: Physiologic


Determine: Identify barriers and enhancers to increasing physical

activity, including time management, diet, lifestyle, 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.

Perform: Develop a behavior modification plan based on patient’s

condition, history, and precipitating factors to maximize physical

activity and compliance.

Inform: Instruct patient to keep a daily activity and dietary log to

help him or her achieve a more objective view of his or her behav-


Educate patient about how sedentary lifestyle affects cardiovascu-

lar risk factors (such as hypertension, dyslipidemia,

hyperinsulinemia, insulin resistance) to motivate patient to be more


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.

Attend: Provide counseling tailored to patient’s risk factors, needs,

preferences, and abilities to enhance emotional well-being and moti-

vation for physical activity.

Discuss the need for activity that will improve psychosocial well-

being to encourage compliance with activities.

Discuss behavioral risk factors in lack of motivation such as

ingestion of carbohydrates, caffeine, nicotine, alcohol, sedatives, hyp-

notics, and fluid intake, to focus behavior on positive outcomes of

increased physical activity.

Manage: Provide education about community resources available to

increase physical activity to decrease barriers to activity.


Activity Therapy; Energy Management; Teaching: Prescribed Activity/



Zabinski, M. F., et al. (2007, January). Patterns of sedentary behavior among

adolescents. Health Psychology, 26(1), 113–120.