健康な成人のための運動カウンセリングは,臨床環境における主要な予防的介入である. 米国予防サービスタスクフォースの報告書
S S Harris1, C J Caspersen, G H DeFriese
1Department of Social Medicine, University of North Carolina School of Medicine, Chapel Hill 27599-7490.
JAMA
|June 23, 1989
まとめ
臨床的な環境での定期的な運動カウンセリングは,主要な病気の予防に役立ちます. この介入は,成人の健康を促進し,医療負担を軽減するために,シンプルで安全で費用対効果的です.
科学分野:
- 予防医学は,予防的な医療です.
- クリニカル・インターベンション
- 公衆衛生は公衆衛生である.
背景:
- 身体活動は,米国の主要な死因と障害の原因の予防と関連しています.
- 身体的活動不足は,公衆衛生に重大な負担を及ぼします.
- 臨床的環境は,疾患の第一予防のための機会を提供します.
研究 の 目的:
- 健康な成人のための運動カウンセリングに関する証拠を評価する.
- 6つの特定の病状の予防における身体活動の役割を評価する.
- 介入の特徴を決定するために: シンプルさ,コスト,安全性,可受け入れ性,遵守性.
主な方法:
- 米国予防サービスタスクフォースの基準に基づくアプローチを利用した.
- 身体的非活動性の負担に関する証拠をレビューした.
- 病気の予防における身体活動の有効性を調査した.
- 臨床適用のための評価された介入特性.
主要な成果:
- 身体活動は,複数の病気を予防する効果を示しています.
- カウンセリングの介入は,一般的に単純で安全で費用対効果が高く,受け入れられるものです.
- 適切な戦略によって,高い患者コンプライアンスが達成可能である.
結論:
- 運動カウンセリングは,臨床実務における貴重な第一予防的介入です.
- 推奨書とガイドラインは,臨床医が身体活動の促進を支えるものです.
- 身体活動の促進を日常のケアに統合することで,人口の健康状態を改善することができます.
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