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Stults-Kolehmainen MA. Humans have a basic physical and psychological need to move the body: Physical activity as a primary drive. Front Psychol 2023; 14:1134049. [PMID: 37113126 PMCID: PMC10128862 DOI: 10.3389/fpsyg.2023.1134049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 03/13/2023] [Indexed: 04/29/2023] Open
Abstract
Physical activity, while less necessary for survival in modern times, is still essential for thriving in life, and low levels of movement are related to numerous physical and mental health problems. However, we poorly understand why people move on a day-to-day basis and how to promote greater energy expenditure. Recently, there has been a turn to understand automatic processes with close examination of older theories of behavior. This has co-occurred with new developments in the study of non-exercise activity thermogenesis (NEAT). In this narrative review, it is hypothesized that psycho-physiological drive is important to understand movement in general and NEAT, specifically. Drive, in short, is a motivation state, characterized by arousal and felt tension, energizing the organism to acquire a basic need. Movement is a biological necessity, like food, water, and sleep, but varies across the lifespan and having the greatest impact before adolescence. Movement meets various criteria for a primary drive: (a) deprivation of it produces feelings of tension, such as an urge or craving, known as affectively-charged motivation states, and particularly the feelings of being antsy, restless, hyper or cooped up, (b) provision of the need quickly reduces tension - one can be satiated, and may even over-consume, (c) it can be provoked by qualities of the environment, (d) it is under homeostatic control, (e) there is an appetite (i.e., appetence) for movement but also aversion, and (f) it has a developmental time course. Evidence for drive has mainly come from children and populations with hyperkinetic disorders, such as those with anorexia nervosa, restless legs syndrome, and akathisia. It is also stimulated in conditions of deprivation, such as bed rest, quarantine, long flights, and physical restraint. It seems to be lacking in the hypokinetic disorders, such as depression and Parkinson's. Thus, drive is associated with displeasure and negative reinforcement, subsuming it within the theory of hedonic drive, but it may fit better within new paradigms, such as the WANT model (Wants and Aversions for Neuromuscular Tasks). Recently developed measurement tools, such as the CRAVE scale, may permit the earnest investigation of movement drive, satiation, and motivation states in humans.
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Affiliation(s)
- Matthew A. Stults-Kolehmainen
- Division of Digestive Health, Yale New Haven Hospital, New Haven, CT, United States
- Department of Biobehavioral Sciences, Teachers College – Columbia University, New York, NY, United States
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Stults-Kolehmainen MA, Blacutt M, Bartholomew JB, Boullosa D, Janata P, Koo BB, McKee PC, Casper R, Budnick CJ, Gilson TA, Blakemore RL, Filgueiras A, Williamson SL, SantaBarbara N, Barker JL, Bueno FA, Heldring J, Ash GI. Urges to Move and Other Motivation States for Physical Activity in Clinical and Healthy Populations: A Scoping Review Protocol. Front Psychol 2022; 13:901272. [PMID: 35898999 PMCID: PMC9311496 DOI: 10.3389/fpsyg.2022.901272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 05/13/2022] [Indexed: 11/28/2022] Open
Abstract
Motivation for bodily movement, physical activity and exercise varies from moment to moment. These motivation states may be “affectively-charged,” ranging from instances of lower tension (e.g., desires, wants) to higher tension (e.g., cravings and urges). Currently, it is not known how often these states have been investigated in clinical populations (e.g., eating disorders, exercise dependence/addiction, Restless Legs Syndrome, diabetes, obesity) vs. healthy populations (e.g., in studies of motor control; groove in music psychology). The objective of this scoping review protocol is to quantify the literature on motivation states, to determine what topical areas are represented in investigations of clinical and healthy populations, and to discover pertinent details, such as instrumentation, terminology, theories, and conceptual models, correlates and mechanisms of action. Iterative searches of scholarly databases will take place to determine which combination of search terms (e.g., “motivation states” and “physical activity”; “desire to be physically active,” etc.) captures the greatest number of relevant results. Studies will be included if motivation states for movement (e.g., desires, urges) are specifically measured or addressed. Studies will be excluded if referring to motivation as a trait. A charting data form was developed to scan all relevant documents for later data extraction. The primary outcome is simply the extent of the literature on the topic. Results will be stratified by population/condition. This scoping review will unify a diverse literature, which may result in the creation of unique models or paradigms that can be utilized to better understand motivation for bodily movement and exercise.
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Affiliation(s)
- Matthew A. Stults-Kolehmainen
- Digestive Health Multispecialty Clinic, Yale – New Haven Hospital, New Haven, CT, United States
- Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY, United States
- *Correspondence: Matthew A. Stults-Kolehmainen
| | - Miguel Blacutt
- Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY, United States
| | - John B. Bartholomew
- Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, TX, United States
| | - Daniel Boullosa
- Integrated Institute of Health, Federal University of Mato Grosso do Sul, Campo Grande, Brazil
| | - Petr Janata
- Department of Psychology, University of California, Davis, Davis, CA, United States
- Center for Mind and Brain, Department of Psychology, University of California, Davis, Davis, CA, United States
| | - Brian B. Koo
- Sleep Medicine Laboratory, VA Connecticut Healthcare System, West Haven, CT, United States
- Yale Center for Restless Legs Syndrome, Yale School of Medicine, New Haven, CT, United States
| | - Paul C. McKee
- Department of Psychology and Neuroscience, Duke University, Durham, NC, United States
- Center for Cognitive Neuroscience, Duke University, Durham, NC, United States
| | - Regina Casper
- Department of Psychiatry and Behavioral Sciences, Stanford University Medical School, Stanford, CA, United States
| | - Christopher J. Budnick
- Department of Psychology, Southern Connecticut State University, New Haven, CT, United States
| | - Todd A. Gilson
- Department of Kinesiology and Physical Education, Northern Illinois University, DeKalb, IL, United States
| | - Rebekah L. Blakemore
- School of Physical Education, Sport and Exercise Sciences, University of Otago, Dunedin, New Zealand
- Brain Health Research Centre, University of Otago, Dunedin, New Zealand
| | - Alberto Filgueiras
- Department of Cognition and Human Development, Rio de Janeiro State University, Rio de Janeiro, Brazil
| | - Susannah L. Williamson
- Department of Health and Kinesiology, Texas A&M University, College Station, TX, United States
| | - Nicholas SantaBarbara
- Department of Exercise and Rehabilitation Sciences, Merrimack College, North Andover, MA, United States
| | - Jessica L. Barker
- Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN, United States
| | - Fabio Amador Bueno
- Connecticut Community College Nursing Program, Gateway Community College, New Haven, CT, United States
| | - Jennifer Heldring
- Department of Experimental Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, TX, United States
| | - Garrett I. Ash
- Center for Pain, Research, Informatics, Medical Comorbidities and Education Center (PRIME), VA Connecticut Healthcare System, West Haven, CT, United States
- Center for Medical Informatics, Yale School of Medicine, New Haven, CT, United States
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