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Q.Which of the following is most likely to sustain a person's exercise adherence over the long term?

(a) fear of disease
(b) enjoyment of the activity
(c) desire to improve appearance
(d) a doctor's recommendation
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Enjoyment of the activity is the strongest and most sustainable driver of long-term exercise adherence because it creates intrinsic motivation, while external pressures like fear or obligation tend to fade.

This question is about exercise adherence — the psychological and behavioural factors that keep a person coming back to physical activity week after week, month after month. It's a core concept in sports psychology and health promotion because the best exercise plan in the world is useless if the person quits after two weeks.

The key distinction here is between intrinsic motivation (doing something because you genuinely enjoy it) and extrinsic motivation (doing something because of an external reward, pressure, or fear). Decades of research in behavioural psychology show that intrinsic motivation is far more durable. When you enjoy an activity, you don't need willpower to do it — you want to do it. The activity itself is the reward.

Now look at each option:

  1. Fear of disease — This is a classic extrinsic motivator driven by anxiety. Fear can get someone started (e.g., after a health scare), but it's emotionally draining. Humans naturally avoid things that make them anxious. Over time, the fear fades or the person becomes desensitised, and the motivation collapses. It's a poor long-term strategy.
  2. Enjoyment of the activity — This is intrinsic motivation. The person finds the activity fun, satisfying, or personally meaningful. They don't need to "force" themselves; they look forward to it. This is the gold standard for adherence. It's self-sustaining. …

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