Associations among Physician Advice, Physical Activity, and Socio-demographic Groups in Older Spanish Adults

Abstract

RÉSUMÉCette étude a examiné la relation entre l'avis médicale pour s'engager dans ld'activité physique avec, le type de demande d'activité physique et les variables démographiques. Une étude transversale a été élaborécréé. Un questionnaire avec des items sur l'avis médicale, le niveau de demande pour l'activité physique, et les variables démographiques a été complété par une échantillon national de personnes âgées en Espagne (N = 933, M = 74,1, range de 65 à 93), sélectionnées de manière aléatoire à plusieurs étapes. Les personnes âgées actifs actives physiquement ont plus souvent reçu des avis médicale médicaux à la pratiquepour s'engager dans ld'activité physique que les personnes non activefs. Il existe une relation signifi cative entre l'avis médicale et le type de demande (p <.01) et l'âge (p <.05). Cependant, aucune relation n'a été trouvée déterminée entre l'avis médicale d'activité physique et le sexe, la classe sociale, ou le revenu. Les médécins peuvent effectivement favoriserencourager l'activité physique chez les adultes âgés sédentaires par des conseils d'activité physiqueavec un résultat effi cace. Donc, les autorités sanitaires devraient promouvoir encourager aux médécins de conseiller à leurs patients plus âgés de s'engager dans l'activité physiqueles conseils médicaux de l'activité physique à leurs patients âgés. ABSTRACTThis study examined the relationship between medical advice to engage in physical activity with type of demand required by physical activity and demographic variables. A cross-sectional study was developed, featuring a questionnaire on physicians' advice, and type of demand. The questionnaire was completed by a probability and nationwide sample of older adults in Spain ( n = 933, M = 74.1, range 65-93), randomly selected using multistage sampling. More physically active older adults have, more often than the less active, received physicians' advice to engage in physical activity. There is a signifi cant relationship between medical advice and type of demand ( p < .01) and age ( p < .05). However, no relationship was found between physician medical advice and gender, social class, or income. Physicians can effectively promote physical activity among sedentary older adults through appropriate advice. Consequently, health authorities should promote physicians' advising older patients to pursue physical activity.

Delivering brief physical activity interventions in primary care: a systematic review

“…Twenty-three studies (reported in 24 articles) examined patient factors associated with PA BI (Supplementary Table S5). 16 , 17 , 22 , 27 , 36 , 38 , 40 , 41 , 44 , 45 , 47 , 52 – 54 , 60 , 61 , 63 , 64 , 67 , 68 , 73 , 74 , 80 , 81 Although the majority of evidence was mixed and inconclusive, the following patient factors were most consistently reported to be significantly and positively associated with the delivery or receipt of PA BI: high patient body mass index ( n = 12); 16 , 38 , 40 , 45 , 47 , 53 , 54 , 60 , 63 , 67 , 68 , 73 physically inactive/sedentary patients ( n = 6); 38 , 47 , 53 , 54 , 60 , 67 poorer health/greater number of comorbidities ( n = 5); 38 , 53 , 60 , 67 , 73 and greater number of physician visits ( n = 4). 16 , 44 , 45 , 53 …”

“…• greater number of physician visits (n = 4). 16,44,45,53 Patient sex 22,38,40,60,61,64,68,73 and age 22,36,38,40,60,61 were often found not to be associated with PA BI.…”

“…22 Patient-reported receipt of PA BI Twenty-five studies (reported in 26 articles) provided data on patient receipt of PA BI (Figure 2; Supplementary Table S4). 16,24,27,[31][32][33]38,40,41,43,44,47,48,[51][52][53][54][55]60,61,63,64,67,68,74,76 The proportion of patients reporting that they had received PA advice ranged from 7.7% (of females, 9.4% of males) to 76% (median 35%), 40,63 with 13 studies reporting that <40% of patients recalled receiving PA advi ce. 16,31,38,40,41,47,48,51,53,54,60,64,67 Reviewing audiotaped discussions highlighted that 21% of patients could not accurately recall PA discussions that occurred.…”

“…16,24,27,[31][32][33]38,40,41,43,44,47,48,[51][52][53][54][55]60,61,63,64,67,68,74,76 The proportion of patients reporting that they had received PA advice ranged from 7.7% (of females, 9.4% of males) to 76% (median 35%), 40,63 with 13 studies reporting that <40% of patients recalled receiving PA advi ce. 16,31,38,40,41,47,48,51,53,54,60,64,67 Reviewing audiotaped discussions highlighted that 21% of patients could not accurately recall PA discussions that occurred. 24 Factors associated with the delivery or receipt of PA BI Patient factors.…”

“…Twenty-three studies (reported in 24 articles) examined patient factors associated with PA BI (Supplementary Table S5). 16,17,22,27,36,38,40,41,44,45,47,[52][53][54]60,61,63,64,67,68,73,74,80,81 Although the majority of evidence was mixed and inconclusive, the following patient factors were most consistently reported to be significantly and positively associated with the delivery or receipt of PA BI:…”