Background <p>The global demographic shift towards a population with a more significant proportion of elderly individuals has been associated with notable advancements in medical technology, leading to an increased incidence of chronic illnesses. The importance of healthcare and regular physical activity in preventing illnesses among older adults was emphasised. Consistent participation in exercise has been shown to provide benefits such as decreased vulnerability, lower mortality risk, and improved cognitive abilities. Even with the advantages, there were challenges linked to maintaining a regular exercise routine. The primary objective of this study was to address the current gap in research about the impact of culture on exercise behaviours in the population of older individuals who suffer from chronic diseases. The concept of culture, as published by UNESCO, was used to carry out a comprehensive investigation.</p> Methods <p>The main objective of this study is to investigate the influence of cultural variables on the level of participation in physical exercise among elderly adults with chronic illnesses. The research used the framework proposed by Arksey and O’Malley and will conform to the PRISMA-ScR guidelines for documenting systematic reviews. The study used a rigorous process to identify relevant scientific publications published in either English or Arabic during the last twenty years. The accomplishment was achieved by extensively searching many databases, such as OVID Medline, Embase, CINAHL, and Scopus. The investigation includes the period up to June 2023, supported by a meticulous assessment of reference lists to ensure a complete study of the literature.</p> Results <p>The scoping study identified different cultural factors that have a substantial impact on the physical activity habits of older persons with chronic illnesses. Perspectives towards physical activity are influenced by cultural values and beliefs, including ideas of ageing and health. Traditional techniques, such as Tai Chi, are favoured by elder Chinese Americans due to their cultural alignment and ability to increase involvement. Community-based initiatives that include physical activity into everyday schedules, bolstered by local customs and social connections, substantially enhance engagement and compliance. Familial and social networks played a vital role as important motivators, offering both encouragement and practical assistance. In addition, making environmental changes, such as establishing inclusive and culturally suitable communal areas for physical exercise, plays a crucial part in encouraging physical activity. The results underscore the necessity of implementing culturally sensitive, community-oriented, and environmentally supportive approaches to promote physical activity among older persons who have chronic illnesses.</p> Conclusion <p>This scoping study emphasises the significant influence of cultural influences on the physical activity habits of older persons with chronic illnesses. Efficient interventions should possess cultural sensitivity, be rooted in the community, and receive support from familial and social networks. Customised programmes that integrate local traditions, include community people, and adapt the surroundings to promote physical activity are crucial. Further investigation is warranted to delve into these cultural aspects to devise more efficient and comprehensive health promotion tactics.</p>