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Overview of Physical Activity Counseling in Primary Care

Wattanapisit Apichai|Wattanapisit Sanhapan|Wongsiri Sunton
대한가정의학회 (The Korean Academy Of Family Medicine)|2021.07|Korean Journal of Family Medicine|제42권 제4호|pp. 260-268|DOI 10.4082/kjfm.19.0113

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키워드

ExercisePhysical ActivityPrimary Health CareCounselingReferral and Consultation
주제분류가정의학

초록

Physical inactivity is a global health burden. Promoting physical activity in primary care through physical activity counseling is an effective intervention. This article provides an overview of and perspectives on physical activity counseling in primary care. The identification of physical inactivity as a health problem may increase the awareness of physical inactivity among patients and primary care providers, which will lead to an action plan. The contents of physical activity counseling should be based on evidence-based recommendations. Safety issues should be evaluated appropriately to optimize the utilization of primary care services. Physical activity counseling methods should be “tailored” for an individual using appropriate counseling methods and setting-specific resources. Multilevel barriers to physical activity counseling in primary care (i.e., healthcare providers, patients, and systems) must be addressed. Setting-specific strategies to overcome these barriers should be implemented to maximize the effectiveness of physical activity counseling in primary care.

Abstract

Physical inactivity is a global health burden. Promoting physical activity in primary care through physical activity counseling is an effective intervention. This article provides an overview of and perspectives on physical activity counseling in primary care. The identification of physical inactivity as a health problem may increase the awareness of physical inactivity among patients and primary care providers, which will lead to an action plan. The contents of physical activity counseling should be based on evidence-based recommendations. Safety issues should be evaluated appropriately to optimize the utilization of primary care services. Physical activity counseling methods should be “tailored” for an individual using appropriate counseling methods and setting-specific resources. Multilevel barriers to physical activity counseling in primary care (i.e., healthcare providers, patients, and systems) must be addressed. Setting-specific strategies to overcome these barriers should be implemented to maximize the effectiveness of physical activity counseling in primary care.

참고문헌 (101)

  1. GBD 2017 Risk Factor Collaborators, "Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017", Lancet, 392, pp.1923~1994 (2018)
  2. Ding D, "The economic burden of physical inactivity : a global analysis of major non-communicable diseases", Lancet, 388, pp.1311~1324 (2016)
  3. World Health Organization, "Global action plan on physical activity 2018-2030: more active people for a healthier world", World Health Organization, ~ (2018)
  4. Starfield B, "Contribution of primary care to health systems and health", Milbank Q, 83, pp.457~502 (2005)
  5. Kroenke K, "The many C’s of primary care", J Gen Intern Med, 19, pp.708~709 (2004)
  6. Valentijn PP, "Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care", Int J Integr Care, 13, pp.e010~ (2013)
  7. Basu S, "Association of primary care physician supply with population mortality in the United States, 2005-2015", JAMA Intern Med, 179, pp.506~514 (2019)
  8. Orrow G, "Effectiveness of physical activity promotion based in primary care: systematic review and meta-analysis of randomised controlled trials: version 2", BMJ, 344, pp.e1389~ (2012)
  9. Vuori IM, "Physical activity promotion in the health care system", Mayo Clin Proc, 88, pp.1446~1461 (2013)
  10. Stead LF, "Physician advice for smoking cessation", Cochrane Database Syst Rev, 2013, pp.CD000165~ (2013)
  11. Caspersen CJ, "Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research", Public Health Rep, 100, pp.126~131 (1985)
  12. "Global Physical Activity Questionnaire (GPAQ) analysis guide"[URL]
  13. Russell E, "Exercise is medicine", CMAJ, 185, pp.E526~ (2013)
  14. Sallis RE, "Exercise is medicine and physicians need to prescribe it!", Br J Sports Med, 43, pp.3~4 (2009)
  15. Tipton CM, "The history of"exercise is medicine"in ancient civilizations", Adv Physiol Educ, 38, pp.109~117 (2014)
  16. Pedersen BK, "Exercise as medicine : evidence for prescribing exercise as therapy in 26 different chronic diseases", Scand J Med Sci Sports, 25(Suppl 3), pp.1~72 (2015)
  17. Stoutenberg M, "A pragmatic application of the RE-AIM framework for evaluating the implementation of physical activity as a standard of care in health systems", Prev Chronic Dis, 15, pp.E54~ (2018)
  18. King AC, "Role of exercise counselling in health promotion", Br J Sports Med, 34, pp.80~81 (2000)
  19. Ribeiro MA, "The role of physician counseling in improving adherence to physical activity among the general population", Sao Paulo Med J, 125, pp.115~121 (2007)
  20. Hébert ET, "Primary care providers’ perceptions of physical activity counselling in a clinical setting : a systematic review", Br J Sports Med, 46, pp.625~631 (2012)
  21. Josyula LK, "Barriers in the implementation of a physical activity intervention in primary care settings : lessons learned", Health Promot Pract, 14, pp.81~87 (2013)
  22. Omura JD, "Primary care providers’ physical activity counseling and referral practices and barriers for cardiovascular disease prevention", Prev Med, 108, pp.115~122 (2018)
  23. Wattanapisit A, "Physical activity counselling among GPs : a qualitative study from Thailand", BMC Fam Pract, 20, pp.72~ (2019)
  24. Guthold R, "Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358population-based surveys with 1·9 million participants", Lancet Glob Health, 6, pp.e1077~e1086 (2018)
  25. Karimé González, "Physical Inactivity, Sedentary Behavior and Chronic Diseases", Korean Journal of Family Medicine, 38(3), pp.111~115 (2017), 대한가정의학회
  26. Lear SA, "The effect of physical activity on mortality and cardiovascular disease in 130,000 people from 17 high-income, middle-income, and low-income countries: the PURE study", Lancet, 390, pp.2643~2654 (2017)
  27. Samitz G, "Domains of physical activity and allcause mortality : systematic review and dose-response meta-analysis of cohort studies", Int J Epidemiol, 40, pp.1382~1400 (2011)
  28. Kyu HH, "Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013", BMJ, 354, pp.i3857~ (2016)
  29. Loprinzi PD, "Rationale for promoting physical activity among cancer survivors : literature review and epidemiologic examination", Oncol Nurs Forum, 41, pp.117~125 (2014)
  30. Wattanapisit A, "Physical activity for adult cancer survivors : a literature review", Walailak J Sci Tech, 14, pp.1~10 (2017)
  31. Tremblay MS, "Sedentary Behavior Research Network(SBRN) : Terminology Consensus Project process and outcome", Int J Behav Nutr Phys Act, 14, pp.75~ (2017)
  32. Van der Ploeg HP, "Is sedentary behaviour just physical inactivity by another name?", Int J Behav Nutr Phys Act, 14, pp.142~ (2017)
  33. World Health Organization, "Global recommendations on physical activity for health" (2010), World Health Organization
  34. Wattanapisit A, "A review of the current international physical activity guidelines for various age groups to prevent and control noncommunicable diseases", Songkla Med J, 34, pp.39~49 (2016)
  35. Dumith SC, "Worldwide prevalence of physical inactivity and its association with human development index in 76 countries", Prev Med, 53, pp.24~28 (2011)
  36. Lee IM, "Effect of physical inactivity on major non-communicable diseases worldwide : an analysis of burden of disease and life expectancy", Lancet, 380, pp.219~229 (2012)
  37. Thanamee S, "A population-based survey on physical inactivity and leisure time physical activity among adults in Chiang Mai, Thailand, 2014", Arch Public Health, 75, pp.41~ (2017)
  38. Wattanapisit A, "Physical activity among medical students in Southern Thailand: a mixed methods study", BMJ Open, 6, pp.e013479~ (2016)
  39. Bennie JA, "The epidemiology of aerobic physical activity and muscle-strengthening activity guideline adherence among 383,928U.S. adults", Int J Behav Nutr Phys Act, 16, pp.34~ (2019)
  40. Bennie JA, "The descriptive epidemiology of total physical activity, musclestrengthening exercises and sedentary behaviour among Australian adults: results from the National Nutrition and Physical Activity Survey", BMC Public Health, 16, pp.73~ (2016)
  41. Yun Jun Yang, "An Overview of Current Physical Activity Recommendations in Primary Care", Korean Journal of Family Medicine, 40(3), pp.135~142 (2019), 대한가정의학회[DOI]
  42. "Exercise is medicine: healthcare providers’ action guide"[URL]
  43. Simons SM, "Determinants of a successful problem list to support the implementation of the problem-oriented medical record according to recent literature", BMC Med Inform Decis Mak, 16, pp.102~ (2016)
  44. Van Vleck TT, "Content and structure of clinical problem lists : a corpus analysis", AMIA Annu Symp Proc, 2008, pp.753~757 (2008)
  45. World Health Organization, "International Statistical Classification of Diseases and Related Health Problems-10th revision" (2016), World Health Organization
  46. Wattanapisit A, "Development of a physical activity monitoring tool for Thai medical schools: a protocol for a mixed methods study", BMJ Open, 7, pp.e017297~ (2017)
  47. Wattanapisit A, "Results from the Medical School Physical Activity Report Card(MSPARC)for a Thai Medical School : a mixed methods study", BMC Med Educ, 18, pp.288~ (2018)
  48. Henriksen A, "Using fitness trackers and smartwatches to measure physical activity in research: analysis of consumer wristworn wearables", J Med Internet Res, 20, pp.e110~ (2018)
  49. Xie J, "Evaluating the validity of current mainstream wearable devices in fitness tracking under various physical activities: comparative study", JMIR Mhealth Uhealth, 6, pp.e94~ (2018)
  50. Fuzeki E, "Physical activity recommendations for health and beyond in currently inactive populations", Int J Environ Res Public Health, 15, pp.1042~ (2018)
  51. Kahlmeier S, "National physical activity recommendations : systematic overview and analysis of the situation in European countries", BMC Public Health, 15, pp.133~ (2015)
  52. Weed M, "Evidence for physical activity guidelines as a public health intervention: efficacy, effectiveness, and harm: a critical policy sciences approach", Health Psychol Behav Med, 4, pp.56~69 (2016)
  53. Oja P, "Physical activity recommendations for public health : development and policy context", EPMA J, 2, pp.253~259 (2011)
  54. AuYoung M, "Integrating physical activity in primary care practice", Am J Med, 129, pp.1022~1029 (2016)
  55. Courtney-Long EA, "Primary care providers’ level of preparedness for recommending physical activity to adults with disabilities", Prev Chronic Dis, 14, pp.E114~ (2017)
  56. Lobelo F, "Routine assessment and promotion of physical activity in healthcare settings: a scientific statement from the American Heart Association", Circulation, 137, pp.e495~e522 (2018)
  57. Piercy KL, "The physical activity guidelines for Americans", JAMA, 320, pp.2020~2028 (2018)
  58. Mottola MF, "2019 Canadian guideline for physical activity throughout pregnancy", Br J Sports Med, 52, pp.1339~1346 (2018)
  59. Choi BC, "Daily step goal of 10,000 steps: a literature review", Clin Invest Med, 30, pp.E146~E151 (2007)
  60. Wattanapisit A, "Evidence behind 10,000 steps walking", J Health Res, 31, pp.241~248 (2017)
  61. Tudor-Locke C, "How many steps", day are enough? : preliminary pedometer indices for public health, 2004, pp.34, 1~8
  62. Tudor-Locke C, "Walking cadence(steps", min)and intensity in 21-40year olds : CADENCE-adults, 2019, pp.16, 8~
  63. Tudor-Locke C, "How fast is fast enough? : walking cadence(steps", min)as a practical estimate of intensity in adults : a narrative review, 2018, pp.52, 776~788
  64. Little RM, "A 12-month incidence of exercise-related injuries in previously sedentary community-dwelling older adults following an exercise intervention", BMJ Open, 3, pp.e002831~ (2013)
  65. Morrow JR Jr, "Meeting physical activity guidelines and musculoskeletal injury : the WIN study", Med Sci Sports Exerc, 44, pp.1986~1992 (2012)
  66. Reddy PR, "Physical activity as a trigger of sudden cardiac arrest : the Oregon Sudden Unexpected Death Study", Int J Cardiol, 131, pp.345~349 (2009)
  67. Powell KE, "Injury rates from walking, gardening, weightlifting, outdoor bicycling, and aerobics", Med Sci Sports Exerc, 30, pp.1246~1249 (1998)
  68. Berdowski J, "Exercise-related out-of-hospital cardiac arrest in the general population : incidence and prognosis", Eur Heart J, 34, pp.3616~3623 (2013)
  69. Edwards MJ, "Exercise-related sudden cardiac arrest in London: incidence, survival and bystander response", Open Heart, 2, pp.e000281~ (2015)
  70. Toukola TM, "Characteristics and prognosis of exercise-related sudden cardiac arrest", Front Cardiovasc Med, 5, pp.102~ (2018)
  71. Berdowski J, "Global incidences of out-of-hospital cardiac arrest and survival rates : systematic review of 67 prospective studies", Resuscitation, 81, pp.1479~1487 (2010)
  72. Dahabreh IJ, "Association of episodic physical and sexual activity with triggering of acute cardiac events : systematic review and meta-analysis", JAMA, 305, pp.1225~1233 (2011)
  73. Franklin BA, "Preventing exercise-related cardiovascular events: is a medical examination more urgent for physical activity or inactivity?", Circulation, 129, pp.1081~1084 (2014)
  74. Bredin SS, "PAR-Q+ and ePARmed-X+ : new risk stratification and physical activity clearance strategy for physicians and patients alike", Can Fam Physician, 59, pp.273~277 (2013)
  75. Warburton DE, "Evidence-based risk assessment and recommendations for physical activity clearance: consensus document 2011", Appl Physiol Nutr Metab, 36(Suppl 1), pp.S266~S298 (2011)
  76. Riebe D, "Updating ACSM’s recommendations for exercise preparticipation health screening", Med Sci Sports Exerc, 47, pp.2473~2479 (2015)
  77. Joy EA, "Pre-exercise screening : role of the primary care physician", Isr J Health Policy Res, 5, pp.29~ (2016)
  78. Breckon JD, "Physical activity counseling content and competency : a systematic review", J Phys Act Health, 5, pp.398~417 (2008)
  79. Aittasalo M, "Developing physical activity counselling in primary care through participatory action approach", BMC Fam Pract, 17, pp.141~ (2016)
  80. Shuval K, "Physical activity counseling in primary care : insights from public health and behavioral economics", CA Cancer J Clin, 67, pp.233~244 (2017)
  81. Prochaska JO, "The transtheoretical model of health behavior change", Am J Health Promot, 12, pp.38~48 (1997)
  82. Barisic A, "Importance of frequency, intensity, time and type (FITT) in physical activity assessment for epidemiological research", Can J Public Health, 102, pp.174~175 (2011)
  83. O’Donovan G, "Association of “weekend warrior” and other leisure time physical activity patterns with risks for all-cause, cardiovascular disease, and cancer mortality", JAMA Intern Med, 177, pp.335~342 (2017)
  84. Jamnik VK, "Enhancing the effectiveness of clearance for physical activity participation: background and overall process", Appl Physiol Nutr Metab, 36(Suppl 1), pp.S3~S13 (2011)
  85. Ainsworth BE, "Compendium of Physical Activities: a second update of codes and MET values", Med Sci Sports Exerc, 43, pp.1575~1581 (2011)
  86. Burnet K, "How fitting is F.I.T.T.?:a perspective on a transition from the sole use of frequency, intensity, time, and type in exercise prescription", Physiol Behav, 199, pp.33~34 (2019)
  87. Tulloch H, "Physical activity counseling in primary care: who has and who should be counseling?", Patient Educ Couns, 64, pp.6~20 (2006)
  88. Rowley N, "The effects of exercise referral schemes in the United Kingdom in those with cardiovascular, mental health, and musculoskeletal disorders: a preliminary systematic review", BMC Public Health, 18, pp.949~ (2018)
  89. Williams NH, "Effectiveness of exercise-referral schemes to promote physical activity in adults : systematic review", Br J Gen Pract, 57, pp.979~986 (2007)
  90. Campbell F, "A systematic review and economic evaluation of exercise referral schemes in primary care : a short report", Health Technol Assess, 19, pp.1~110 (2015)
  91. Dacey ML, "Physical activity counseling in medical school education : a systematic review", Med Educ Online, 19, pp.24325~ (2014)
  92. Wattanapisit A, "Physical activity counseling in primary care and family medicine residency training : a systematic review", BMC Med Educ, 18, pp.159~ (2018)
  93. Irving G, "International variations in primary care physician consultation time: a systematic review of 67 countries", BMJ Open, 7, pp.e017902~ (2017)
  94. O’Brien M, "The effects of previous educational training on physical activity counselling and exercise prescription practices among physicians across Nova Scotia: a cross-sectional study", Can Med Educ J, 9, pp.e35~e45 (2018)
  95. Fowles JR, "Exercise is Medicine Canada physical activity counselling and exercise prescription training improves counselling, prescription, and referral practices among physicians across Canada", Appl Physiol Nutr Metab, 43, pp.535~539 (2018)
  96. Arsenijevic J, "Physical activity on prescription schemes (PARS): do programme characteristics influence effectiveness?: results of a systematic review and meta-analyses", BMJ Open, 7, pp.e012156~ (2017)
  97. Rodjer L, "Physical activity on prescription (PAP): self-reported physical activity and quality of life in a Swedish primary care population, 2-year follow-up", Scand J Prim Health Care, 34, pp.443~452 (2016)
  98. Sudore RL, "Interventions to improve care for patients with limited health literacy", J Clin Outcomes Manag, 16, pp.20~29 (2009)
  99. Public Health England, "consensus statement" (2016), Public Health England
  100. 손기영, "Effect of Aditional Brief Counselling after Periodic Health Examination on Motivation for Health Behavior Change", Journal of Korean Medical Science, 27(11), pp.1285~1291 (2012), 대한의학회
  101. Joy EL, "Physical activity counselling in sports medicine : a call to action", Br J Sports Med, 47, pp.49~53 (2013)

관련 논문AI추천

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