医生咨询关于运动的建议
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
概括
在全国范围内,医生运动咨询率较低,年长,更健康,更富裕的患者更有可能接受咨询. 这种错过的初级预防机会影响了年轻,有风险的人.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 健康 行为 健康行为
背景情况:
- 肥胖率的上升与越来越久坐的生活方式有关.
- 建议医生就运动进行咨询,但很少实行.
- 影响医生运动辅导的因素尚不清楚.
研究的目的:
- 调查与美国关于运动的医生咨询相关的患者特定因素.
- 确定从医生那里获得运动建议的人口统计和临床预测因素.
主要方法:
- 利用了2000年国家健康访谈调查 (NHIS) 2000年补充调查的数据.
- 分析了9,299名成年人的回答,这些成年人在上次诊所时接受了医生关于运动的咨询.
- 使用后勤回归来确定与运动辅导相关的因素.
主要成果:
- 只有34%的患者报告接受了运动辅导.
- 咨询对女性,老年人 (40-49岁),高收入人群,大学毕业生和身体活动水平较高的人来说更频繁.
- 患有心脏病和糖尿病的患者更有可能接受咨询.
结论:
- 医生运动辅导率较低,重点是二次预防,而不是初级预防.
- 对年轻,无疾病和较低社会经济地位的个人提供不足的咨询代表了对初级预防的错失机会.
- 需要有针对性的干预措施来改善各种患者群体的运动辅导率.
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