Correlates of Receiving a Recommendation for More Physical Activity From a Primary Care Provider

Forjuoh, Samuel N.; Lee, Chanam; Won, Jaewoong; Towne, Samuel D.; Wang, Suojin; Ory, Marcia G.

doi:10.1016/j.amepre.2016.09.037

Cited by 9 publications

(19 citation statements)

References 32 publications

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“…Independent of health status and health behaviors, the associations between receipt of PA medical advice and certain demographic characteristics, including sex and race/Hispanic origin, were consistent with results highlighted in past studies that women (versus men) and non-white adults (compared with white adults) have greater odds of receiving PA medical advice. [10][11][12]36 Existing clinical recommendations suggest healthcare providers tailor PA medical advice (i.e., content of the counseling, behavioral change approach used, and delivery method of advice) to certain patient subgroups based on some of these aforementioned sociodemographic characteristics, in addition to existing health conditions and current health behaviors. 3 Previous research has also demonstrated that low education levels, low income, and lack of health insurance are associated with a decreased odds of receiving PA medical advice, 11 and this study found similar patterns.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Correlates of Receiving Medical Advice to Increase Physical Activity in U.S. Adults: National Health and Nutrition Examination Survey 2013–2016

Zwald

Kit

Fakhouri

et al. 2019

American Journal of Preventive Medicine

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Introduction: National objectives recommend healthcare professionals provide physical activity advice. This study examined health and demographic characteristics associated with receipt of medical advice to increase physical activity among U.S. health care-utilizing adults and differences in associations by age group. Methods: Analyses included 8,410 health care-utilizing adults aged ≥20 years from the 2013-2016 National Health and Nutrition Examination Surveys (analyzed in 2018). Logistic regression was used to examine associations between receipt of medical advice to increase physical activity in the past year and measured health conditions, reported health behaviors, and demographic characteristics. Models were stratified by age group (20-39, 40-59, and ≥60 years). Results: Physical activity medical advice was received by 42.9% (95% CI=40.8, 44.9) of adults overall. By age group, 32.7% of younger adults, 46.7% of middle-aged adults, and 48.9% of older adults received advice. Among all adults and across all age groups, receipt of advice was higher among adults with chronic health conditions: obesity (63.0%, 95% CI=60.3, 65.7), hypertension (56.5%, 95%=CI 53.8, 59.2), diabetes (69.8%, 95% CI=66.5, 72.8), hypercholesterolemia (55.6%, 95% CI=52.3, 59.0), and low high-density lipoprotein cholesterol (53.8%, 95% CI=50.1, 57.4). Among all adults, those with obesity, hypertension, and diabetes had significantly greater odds of receipt of advice after adjustment. Stronger associations between diabetes and hypercholesterolemia and receiving physical activity advice were observed among younger adults.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Correlates of Receiving Medical Advice to Increase Physical Activity in U.S. Adults: National Health and Nutrition Examination Survey 2013–2016

Zwald

Kit

Fakhouri

et al. 2019

American Journal of Preventive Medicine

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“…Notably, ‘currently following’ but not ‘ever receiving’ medical advice for diet and physical activity was more likely noted among those reporting doing such healthy behaviors in the questionnaires (excellent self-rated diet or light/moderate physical activity), suggesting that delivering medical advice may not be sufficient for patients to adopt healthy behaviors and continued guidance, as well as other tangible or motivational support, may be needed. Bidirectional relationships may also be operating, as those with poorer healthy habits may be more likely to receive medical advice to improve behaviors [ 36 ]. Still, these observations provide an important opportunity for primary and secondary prevention of chronic conditions through health care providers.…”

Section: Discussionmentioning

confidence: 99%

Health conditions and lifestyle risk factors of adults living in Puerto Rico: a cross-sectional study

et al. 2018

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BackgroundPuerto Rico is experiencing an economic and healthcare crisis, yet there are scarce recent and comprehensive reports on the population’s health profile. We aimed to describe prevalent risk factors and health conditions of adults living in Puerto Rico and assess their interrelationship.MethodsParticipants (n = 380) aged 30-75y recruited from a 2015 convenience sample in primary care clinics in the San Juan, Puerto Rico metropolitan area answered cross-sectional interviewer-administered questionnaires on sociodemographic characteristics, lifestyle behaviors, self-reported medically-diagnosed diseases, health services, and psychosocial factors. Anthropometric measures were obtained. Logistic regression models assessed factors associated with having ≥2 cardiometabolic conditions or ≥ 2 chronic diseases.ResultsMost participants had completed ≥college education (57%), had household income <$10,000/y (60%), received government-assisted food benefits (51%), and had health insurance (93%). Nearly 20% reported smoking, 27% alcohol use, 74% light/sedentary physical activity, 51% sleeping difficulties, and 36% self-rated fair/poor diet. Social support was moderate, and 53% screened positive for depressive symptomatology. Abdominal obesity was observed in 33% of men and 76% of women (p < 0.0001). Self-reported medically-diagnosed conditions included hypertension (39%), anxiety (30%), obesity (28%), arthritis (26%), hypercholesterolemia (24%), depression (22%), respiratory problems (21%), and diabetes (21%). Higher odds of having ≥2 cardiometabolic conditions (37%) was observed among participants aged ≥50y, with sedentary physical activity, and self-rated fair/poor diet. Odds of having ≥2 chronic diseases (62%) were higher among ≥50y, sleeping difficulties, > 2 h/day television, and self-rated fair/poor diet. Participants obtained (79%) and trusted (92%) health information from physicians. While most participants with a cardiometabolic condition reported receiving medical recommendations on diet (> 73%) and physical activity (> 67%), fewer followed them (< 67% and < 53%, respectively), yet most adhered to medication treatments (> 73%). Participants following medical recommendations were more likely to report healthy vs. poor behaviors (90% vs. 75%, self-rated diet); (73% vs. 56%, physical activity).ConclusionsAdults living in Puerto Rico have multiple lifestyles risk factors and high prevalence of chronic diseases, namely cardiometabolic and psychological conditions. Comprehensive epidemiological studies are needed to identify contributors to chronic disease, including lifestyle behaviors. Concerted multi-level public health and clinical programs should be prioritized to help this population improve their health.

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“…Vinte e três artigos investigaram a prevalência de aconselhamento para AF recebido por usuários da ABS (Tabela 2). Destes, quinze 12,[47][48][49][50]52,54,55,58,59,61,[64][65][66][67] trataram exclusivamente do aconselhamento para AF e cinco 27,51,56,60,63 incluíram aconselhamento para AF e alimentação saudável (Tabela 2). A maior parte dos artigos (n = 13; 56,5%) utilizou uma pergunta central para mensurar o aconselhamento, questionava se nos últimos 12 meses o usuário havia recebido algum tipo de aconselhamento para AF (Tabela 2).…”

Section: Resultsunclassified

“…De modo geral, usuários com maior prevalência de aconselhamento foram aqueles com meia idade e idosos (de 40 a 75 anos) 12,27,[48][49][50][53][54][55][56]58,59,61,63,64,66 , mulheres 12,48,50,53,57,58,64,67 , pessoas com alguma doença crônica não transmissível e com excesso de peso corporal ou obesidade 12,27,[47][48][49][50][52][53][54][56][57][58][59][60][61]63,64,66 .…”

Section: Resultsunclassified

Prevalência de aconselhamento para atividade física na Atenção Básica à Saúde: uma revisão sistemática

Moraes

Souza

Araujo

et al. 2019

Rev Bras Ativ Fís Saúde

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O aconselhamento tem se mostrado promissor para mudança de comportamento. Este estudo teve como objetivo realizar uma revisão sistemática sobre a prevalência de aconselhamento para a prática de atividade física oferecido pelos pro ssionais de saúde e recebido pelos usuários no contexto da Atenção Básica à Saúde. Foram revisadas as bases de periódicos PsycINFO, EBSCOhost, PubMed, ScienceDirect, Web of Science, LILACS e SciELO. O risco de viés foi avaliado em todos os artigos. Foram incluídos na revisão 44 artigos, destes, 21 investigaram aconselhamento fornecido por profissionais de saúde e 23 analisaram aconselhamento recebido por usuários. A prevalência de aconselhamento variou de 11,8% a 95,0% entre os profissionais (60,2 ± 22,7%) e 4,5% a 61,6% entre usuários (36,6 ± 14,2%). Médicos são os profissionais mais investigados. Usuários com fatores de risco para as doenças crônicas são os que mais relatam receber aconselhamento. O aconselhamento ainda é incipiente na Atenção Básica à Saúde, especialmente pela baixa percepção de aconselhamento recebido pelos usuários. Existe a necessidade de padronizar métodos para avaliar o aconselhamento para prática de atividade física, especialmente no tempo, no tipo e na forma de aconselhar.

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Correlates of Receiving a Recommendation for More Physical Activity From a Primary Care Provider

Cited by 9 publications

References 32 publications

Prevalence and Correlates of Receiving Medical Advice to Increase Physical Activity in U.S. Adults: National Health and Nutrition Examination Survey 2013–2016

Prevalence and Correlates of Receiving Medical Advice to Increase Physical Activity in U.S. Adults: National Health and Nutrition Examination Survey 2013–2016

Health conditions and lifestyle risk factors of adults living in Puerto Rico: a cross-sectional study

Prevalência de aconselhamento para atividade física na Atenção Básica à Saúde: uma revisão sistemática

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