Health Care Providers' Recommendations for Physical Activity and Adherence to Physical Activity Guidelines Among Adults With Arthritis
Health Care Providers' Recommendations for Physical Activity and Adherence to Physical Activity Guidelines Among Adults With Arthritis
复制标题
DOI：
10.5888/pcd10.130077
复制
发表时间：
2013-11-01
影响因子：
5.5
通讯作者：
Shewchuk, Richard M.
中科院分区：
文献类型：
--
作者：
Austin, Shamly;Qu, Haiyan;Shewchuk, Richard M.
简介体育活动有助于减轻关节炎患者的疼痛并改善与健康相关的生活质量。然而，关节炎患者普遍缺乏身体活动。医疗保健提供者的建议是健康行为改变的催化剂。然而，关节炎文献中有关此类建议有效性的信息有限。我们研究了提供者对成人关节炎患者的体力活动建议和遵守体力活动指南之间的关联，以及成年人的年龄是否影响了这种关联。方法我们使用来自 2011 年行为风险因素监测系统的 45 岁或以上患有提供者诊断关节炎的成年受访者 (N = 10,892) 的综合数据来进行回顾性横断面研究。我们使用多变量逻辑回归模型来检查医疗保健提供者的建议与成人关节炎患者遵守身体活动指南之间的关联。结果在控制相关协变量后，接受医疗保健提供者建议的身体活动建议的关节炎成人比那些没有接受身体活动指南的成人更有可能（优势比为 1.22；95% 置信区间为 1.12-1.32）遵守身体活动指南。在控制协变量后，成人的年龄并不影响提供者的建议与坚持身体活动之间的关联（比值比，1.00；95% 置信区间，0.99-1.00）。结论医疗保健提供者的建议与成人关节炎患者对身体活动指南的遵守程度相关。提供者应向患有关节炎的成年人推荐体育活动。
IntroductionPhysical activity is beneficial for reducing pain and improving health-related quality of life among people with arthritis. However, physical inactivity is prevalent among people with arthritis. Health care providers' recommendations act as a catalyst for changes in health behavior. However, information about the effectiveness of such recommendations is limited in the arthritis literature. We examined the association between providers' recommendations for physical activity and adherence to physical activity guidelines for adults with arthritis and whether adults' age influenced this association.MethodsWe used combined data of adult respondents aged 45 years or older with provider-diagnosed arthritis (N = 10,892) from the 2011 Behavioral Risk Factor Surveillance System to conduct a retrospective, cross-sectional study. We used a multivariable logistic regression model to examine the association between health care providers' recommendations and adherence to physical activity guidelines among adults with arthritis.ResultsAdults with arthritis who received health care providers' recommendations for physical activity were more likely (odds ratio, 1.22; 95% confidence interval, 1.12-1.32) to adhere to physical activity guidelines than those who did not, after controlling for relevant covariates. Adults' age did not influence the association between providers' recommendations and adherence to physical activity (odds ratio, 1.00; 95% confidence interval, 0.99-1.00), after controlling for covariates.ConclusionHealth care providers' recommendations are associated with adherence to physical activity guidelines among adults with arthritis. Providers should recommend physical activity to adults with arthritis.