Movement is broader than the word “exercise” suggests

The World Health Organization defines physical activity as any bodily movement produced by muscle that requires energy. The definition is deliberately wide. It takes in the walk to the bus stop, the hours spent standing at work, the sweeping and the stair-climbing and the child carried on a hip — not only the hour someone books in a gym.

The health case is not in dispute. In children, regular movement supports bone growth, cognitive development and cardiometabolic health. In adults it lowers cardiovascular risk, protects cognitive function and changes body composition. The UK Chief Medical Officers put the target at 150 minutes a week, and most national guidance sits in the same range.

And yet. England reached a record in 2024, with 64.6% of adults meeting that 150-minute mark — which still leaves a third of the population short of it. The World Health Organization reported the same year that inactivity was highest in the high-income Asia-Pacific region, at 48%, and in South Asia at 45%. Close to half of the region we work in is not moving enough.

When the benefits are this well established and the numbers still look like this, the missing ingredient is not information. It is motivation.

Two kinds of motivation, and only one of them lasts

Motivation is what carries a decision past the point where it stops being enjoyable. Psychology has long drawn a line between two sources of it.

Intrinsic motivation comes from the activity itself: you swim because swimming is satisfying. Extrinsic motivation comes from something the activity produces — a reward, praise, a changed body, someone else’s approval, or the avoidance of a consequence.

Both get people moving. They do not hold up equally. Extrinsic motivation is tied to its reward, and when the reward is collected, withdrawn, or simply stops mattering, the behaviour it was propping up tends to go with it. Which is why the useful question is not whether someone is motivated, but what kind of motivation they are running on.

Self-Determination Theory, briefly

Self-Determination Theory, developed by Deci and Ryan in 1985, is a broad theory of human motivation and personality. Its central claim is that people have three innate psychological needs, and that wellbeing rises and falls with how well those needs are met.

  • Autonomy — the sense that your actions are your own: chosen, not imposed.
  • Competence — the sense that you are capable of the thing, and of getting better at it.
  • Relatedness — the sense of being connected to other people, and of belonging somewhere.

Where those three are satisfied, motivation tends to become more autonomous — and autonomous motivation is the kind that survives a bad week. Aaltonen and colleagues (2012) found that the intrinsic motives people most often gave for continuing to be active were interest, competence and fitness.

Putting the three needs to work

A theory is only useful if it changes what a programme actually looks like. Here is what each need asks for.

Autonomy: let people choose the movement

Prescribing a form of exercise is the fastest way to make it feel like an obligation. Offering a range of them, and letting someone set their own goals, moves the activity from something being done to a person towards something the person is doing.

In practice this means widening what counts. Dancing counts. Swimming counts. Pilates, cycling, gardening, a long walk with a friend — all of it counts. Someone who hates the gym is not unmotivated; they have been handed one option and told it is the only one.

Competence: start where the person actually is

A lack of confidence is a genuine barrier, particularly for anyone new to movement or carrying a bad history with it — a humiliating PE class, an injury, a body that has been commented on. If the first attempt feels like failure, there is rarely a second.

The remedy is unglamorous: specific and achievable goals, honest feedback, and difficulty that rises only as capability does. Short walks before demanding sessions. Duration before intensity. The aim in the early weeks is not to raise someone’s activity level so much as to convince them that they are the kind of person who can be active.

Relatedness: movement is easier in company

Running clubs, group classes and community walks do something a solo routine cannot. They make the activity sociable, they supply encouragement on the days it is not forthcoming from inside, and they attach the movement to a set of people who notice when you are not there.

For anyone who is isolated, or who finds conventional exercise spaces intimidating, this is often the deciding factor. Exercising alone is a discipline problem. Exercising with someone is an appointment.

The first month is not the difficult part

Getting someone active for six weeks is comparatively easy. A challenge, a payment, a deadline or a photograph will usually do it. Keeping them active once those things are gone is a different problem, and most programmes are not built for it.

External rewards are a starting mechanism and a poor maintenance mechanism, because the moment the reward is collected the reason to continue goes with it. What appears to hold instead is internalisation: the point at which the value of the activity moves inward.

It tends to happen quietly. Someone begins walking to lose weight and finds, a few months in, that the walk is where they think clearly, that they like the people they walk with, and that they feel more capable than they did. The original goal has not been abandoned so much as outgrown. The motivation is now theirs, and it no longer depends on the scale.

What this means in practice

If you are trying to become more active — or trying to help someone else be — the useful questions are not about discipline.

  • Is this genuinely your choice, or someone else’s idea of what you should be doing?
  • Is the first step small enough that you will succeed at it?
  • Is there anyone doing it with you, or expecting you?
  • If the reason you started disappeared tomorrow, would anything be left?

Choice, progress and company are not soft additions to a plan for getting active. On the evidence, they are the plan.