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

Zwald, Marissa; Kit, Brian K.; Fakhouri, Tala H.I.; Hughes, Jeffery P.; Akinbami, Lara J.

doi:10.1016/j.amepre.2019.01.003

Cited by 12 publications

(11 citation statements)

References 32 publications

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“…In this study, between 60 and 70% of women received the advice to consume five daily portions of fruits and vegetables, decrease the intake of unhealthy fats, increase physical activity, maintain a healthy weight. These findings were similarly observed in other studies ( 24 , 25 ). The reason for the gender-based difference in prevalence may be because women are more interested in healthcare-related information, even though men usually have more risk factors associated with NCD ( 26 , 27 ), data corroborated in our previous study in this population ( 20 ).…”

Section: Discussionsupporting

confidence: 92%

“…Thus, for prevention purposes, there is a need to promote healthy habits associated with the diet and with other aspects of the lifestyle from the early stages of life, focusing on the health education of children and adolescents ( 30 ). Similar results were found by Zwald et al ( 25 ), where only 30% of the younger subjects received advice to increase physical activity in contrast with 60% to 70% of older subjects, with even greater chances of receiving a health advice if the person presented a NCD.…”

Section: Discussionsupporting

confidence: 87%

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Reception of Dietary and Other Health-Related Lifestyle Advice to Address Non-communicable Diseases in a Primary Care Context: A Mixed-Method Study in Central Argentina

et al. 2021

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An effective way to address risk factors for non-communicable chronic diseases (NCD) and reduce healthcare costs is by using sound health-related advice (HRA) to promote healthy lifestyle habits. In Argentina, however, few studies have examined the context in which HRA is communicated and undertaken by patients at the primary care level. In this study, we assessed the reception of HRA using a mixed-method approach in a central area of Argentina. A total of 1,044 participants from the community were contacted and sociodemographic characteristics, health-related lifestyle factors, and medical history were collected. A calendar with health messages was provided to participants and its usage was assessed after 1 year. Additionally, semi-structured interviews were conducted with 34 patients attending a local primary healthcare center. The results show that HRA was given more frequently to individuals with higher mean age, lower educational level, and to females. Participants with a chronic health condition are at a higher chance of receiving advice to reduce salt intake and maintain a healthy weight. Dietary advice is offered along with other lifestyle recommendations. The use of alcohol and tobacco is usually addressed together. HRA was primarily received in the context of an NCD diagnosis and advice was directed, especially, to risky behaviors. The HRA to increase the intake of fruits and vegetables was mentioned less frequently. Patients at the healthcare center greatly appreciated receiving an HRA, especially when given in a tailored, written, and detailed form, and acknowledged its importance to prevent or control a chronic health condition as part of the medical treatment but showed concern regarding the ability to fully incorporate the advice. Lifestyle recommendations are highly appreciated by patients but are still underutilized since they are offered mostly in the context of illness. The health calendar was shown to be useful to complement health intervention programs at the community level. The findings of our study underscore the acknowledged value of HRA by participants to tackle the risk factors of chronic diseases. If properly used HRA constitutes a simple and highly valued tool to help address patient's needs to prevent and control NCD in Argentina.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 87%

Reception of Dietary and Other Health-Related Lifestyle Advice to Address Non-communicable Diseases in a Primary Care Context: A Mixed-Method Study in Central Argentina

et al. 2021

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“…People's responses to epidemic protection increase especially during quarantine because they are at home and have more free time. Individuals with prolonged health problems acknowledged caretakers' guidance more than other adults in the U.S., but they did not obtain physical exercise guidance for good health [50]. The COVID-19 epidemic protection urged people to increase their online social presence to enhance public emotions for epidemic protection.…”

Section: Epidemic Protection From Covid-19and Its Mediating Rolementioning

confidence: 99%

Modeling Impact of Word of Mouth and E-Government on Online Social Presence during COVID-19 Outbreak: A Multi-Mediation Approach

Yasir

Ahmad

et al. 2020

IJERPH

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Although social presence plays an essential role under general conditions, its role becomes significant for societal protection during the quarantine period in epidemic outbreak. In this study, we attempted to identify the role of E-government and COVID-19 word of mouth in terms of their direct impact on online social presence during the outbreak as well as their impacts mediated by epidemic protection and attitudes toward epidemic outbreaks. For this purpose, a unique multi-mediation model is proposed to provide a new direction for research in the field of epidemic outbreaks and their control. Through random sampling, an online survey was conducted and data from 683participants were analyzed. Partial least squares structural equation modeling was used to test the relationships between the variables of interest. The study results revealed that the roles of E-government and COVID-19 word of mouth are positively related to online social presence during the outbreak. Epidemic protection and attitude toward epidemic outbreak were found to positively moderate the impact of the role of E-government and COVID-19 word of mouth on online social presence during the outbreak. The key findings of this study have both practical and academic implications. health protection. This phenomenon encouraged us to formulate a theoretical model based on social presence theory and the role of social media to help examine safety and participation in quarantine. The conceptual model is presented in Figure 1.Word of mouth can be defined as "the intention to share a certain story using one's own social media account" [2]. Many researchers proved that communication has more of an impact through social media with regards to different health issues, and message sharing was found to be the best predictor of emotive and passionate response [3]. Online health information is regularly updated [4]. Nowadays, universal and worldwide flow cannot be ignored [5] and search engines are the most effective method to find information [6]. The Internet is also a useful source for people in the medical field for discussions and interactions about medical issues [7]. A nine-year big data study showed that the use of computers projected emotive improvement [8]. From the health protection point of view, many factors were found to affect the dispersal of cancer information, including anxiety, courage, anticipation, and sharing of experience [9].A study proved that the gestation time of infection (corona virus) was assessed at about 2-14 days [7]. So, a research question was raised about protection during an epidemic outbreak. Social media campaigns with complete research frameworks with theoretical and statistical support for these time periods are essentially to protect society during emergencies. To address this need, our research model includes the factors that trigger safety campaigns and the main effects (direct) of direct relations and the association of mediators on online social presence.The literature shows that for different disease management programm...

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“…In addition, while the proportion of people with high LTPA was only about 40%, this was substantially lower among those who were hypertensive compared to people who were not hypertensive, 32% and 46%, respectively (Table 1). Insufficient knowledge regarding the recommended level of PA was reported previously [27], therefore, interventions have to be directed for people who may have lower LTPA [28,29], higher risk of future diseases [12,30], and also lack of knowledge about PA [27]. As part of our analyses, we investigated the unadjusted relationships of LTPA with the study variables among overall study people (Supplemental Table 1) and people with hypertension (Table 3); most of these variables also had association with general health.…”

Section: Discussionmentioning

confidence: 99%

Association of leisure-time physical activity with perceived general health status among hypertensive people: an analysis of NHANES 2015–18

2021

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Although leisure-time physical activity (LTPA) improves general health, little is known about its impacts on the health of hypertensive people within the United States. We investigated the general health of hypertensive people and the relationship between LTPA and general health within this population. This cross-sectional study analyzed National Health and Nutrition Examination Survey 2015-18 data. None, some, and high LTPA were defined as '0', '>0 but <150', and '≥150' minutes of LTPA in each week, respectively. Hypertension was defined as the systolic/diastolic blood pressure ≥130/80 mmHg or taking BP-lowering drugs. General health status was dichotomized as whether participants reported 'very good to excellent' health status or not. After descriptive analysis, logistic regression was performed. Among 8504 participants (48.6% male and mean age: 48.2 years), about 47.9%, 41.4%, and 39.5% of people had hypertension, 'very good to excellent' health, and high LTPA, respectively. The odds of 'very good to excellent' health was lower among hypertensives than those without hypertension (adjusted odds ratio [AOR]: 0.7, 95% confidence interval [CI]: 0.6-0.8, p < 0.001). Among hypertensive individuals, about one-third reported 'very good to excellent' health (33.1%) and high LTPA (32.0%). Lastly, compared to people with no LTPA, those with some (AOR: 1.5, 95% CI: 1.0-2.0, p < 0.05) and high (AOR: 2.3, 95% CI: 1.7-3.0, p < 0.001) LTPA had greater odds of 'very good to excellent' health. We found positive relationships between LTPA and 'very good to excellent' health of hypertensive people. Therefore, improving general health could be an added advantage of LTPA for hypertensive people.

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

Cited by 12 publications

References 32 publications

Reception of Dietary and Other Health-Related Lifestyle Advice to Address Non-communicable Diseases in a Primary Care Context: A Mixed-Method Study in Central Argentina

Reception of Dietary and Other Health-Related Lifestyle Advice to Address Non-communicable Diseases in a Primary Care Context: A Mixed-Method Study in Central Argentina

Modeling Impact of Word of Mouth and E-Government on Online Social Presence during COVID-19 Outbreak: A Multi-Mediation Approach

Association of leisure-time physical activity with perceived general health status among hypertensive people: an analysis of NHANES 2015–18

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