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Related Experiment Videos

Physician counseling about exercise.

C C Wee1, E P McCarthy, R B Davis

  • 1Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass 02215, USA. cweekuo@caregroup.harvard.edu

JAMA
|November 5, 1999
PubMed
Summary
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Physician exercise counseling is low nationally, with older, healthier, and wealthier patients more likely to receive advice. This missed opportunity for primary prevention impacts younger, at-risk individuals.

Area of Science:

  • Public Health
  • Preventive Medicine
  • Health Behavior

Background:

  • Rising obesity rates are linked to increased sedentary lifestyles.
  • Physician counseling on exercise is recommended but infrequently practiced.
  • Factors influencing physician exercise counseling remain unclear.

Purpose of the Study:

  • To investigate patient-specific factors associated with physician counseling on exercise in the US.
  • To identify demographic and clinical predictors of receiving exercise advice from physicians.

Main Methods:

  • Utilized data from the 2000 National Health Interview Survey (NHIS) Year 2000 supplemental survey.
  • Analyzed responses from 9,299 adults regarding physician counseling on exercise during their last visit.
  • Employed logistic regression to determine factors associated with exercise counseling.

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Main Results:

  • Only 34% of patients reported receiving exercise counseling.
  • Counseling was more frequent for women, older adults (40-49 years), higher income individuals, college graduates, and those with higher physical activity levels.
  • Patients with cardiac disease and diabetes were significantly more likely to receive counseling.

Conclusions:

  • Physician exercise counseling rates are low, with a focus on secondary prevention rather than primary prevention.
  • Under-counseling of younger, disease-free, and lower socioeconomic status individuals represents a missed opportunity for primary prevention.
  • Targeted interventions are needed to improve exercise counseling rates across diverse patient populations.