運動に関する医師の助言
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
まとめ
医師による運動カウンセリングは全国的に低く,年配の,より健康な,より裕福な患者はアドバイスを受ける可能性が高い. プライマリー予防の機会を逃してしまうのは,リスクの高い若い人たちに悪影響を及ぼします.
科学分野:
- 公衆衛生は公衆衛生である.
- 予防医学は,予防的な医療です.
- 健康 行動 健康 行動
背景:
- 肥満率の上昇は,座りやすいライフスタイルの増加と関連しています.
- 運動に関する医師のカウンセリングは推奨されますが,めったに実践されません.
- 医師の運動カウンセリングに影響を与える要因は不明である.
研究 の 目的:
- 米国における運動に関する医師のカウンセリングに関連する患者特有の要因を調査する.
- 医師からの運動アドバイスを受けるための人口統計的および臨床的予測要因を特定する.
主な方法:
- 2000年国立健康面接調査 (NHIS) 2000年補足調査からのデータを使用した.
- 9,299人の成人の回答を分析し,前回の診察で医師から運動に関する助言を受けた.
- 運動カウンセリングに関連する要因を決定するために,ロジスティック回帰を使用しました.
主要な成果:
- 運動カウンセリングを受けたと報告した患者は34%しかいなかった.
- カウンセリングは,女性,高齢者 (40-49歳),高所得者,大学卒業者,そして身体活動レベルが高い人に対してより頻繁に行われました.
- 心臓病や糖尿病の患者は,カウンセリングを受ける可能性が著しく高かった.
結論:
- 医師による運動カウンセリングの割合は低く,プライマリ予防よりも二次予防に焦点を当てています.
- 若く,病気のない,社会経済的な地位が低い人のカウンセリングが不足していることは,初等予防のための機会を逃していることを示しています.
- 多様な患者集団における運動カウンセリング率を改善するために,ターゲットを絞った介入が必要である.
関連する概念動画
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