Monitoring Healthy People 2010 Arthritis Management Objectives: Education and Clinician Counseling for Weight Loss and Exercise
Monitoring Healthy People 2010 Arthritis Management Objectives: Education and Clinician Counseling for Weight Loss and Exercise
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DOI：
10.1370/afm.1210
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发表时间：
2011-03-01
影响因子：
4.4
通讯作者：
Brady, Teresa J.
中科院分区：
文献类型：
--
作者：
Do, Barbara T.;Hootman, Jennifer M.;Brady, Teresa J.
目的我们的目标是监测3个2010年健康人(HP2010)目标的进展情况，这些目标鼓励医生诊断为关节炎的成年人进行自我管理教育和临床医生关于减肥和体力活动的咨询。方法利用2002年和2006年全国健康访谈调查(NHIS)和基于州的2003和2007年行为危险因素监测系统(BRFSS)，我们估计了根据每个目标、总体和选定特征接受咨询的比例的变化。结果在全国范围内，患有医生诊断的关节炎的超重和肥胖成年人接受临床医生建议减肥以缓解其关节炎症状的比例从2002年的35.0%(95%可信区间[CI]，32.8%-37.2%)显著增加到2006年的41.3%(95%可信区间[CI]，38.7%-44.0%)，但必须达到2010年46%的目标。被医生诊断为关节炎的成年人参加过自我管理教育课程的比例(约11%)或接受过咨询从事体育活动的比例(约52%)没有变化，2010年的目标分别为13%和67%。各州的研究结果各不相同。结论在全国范围内，临床医生在对患有医生诊断的关节炎的超重和肥胖成年人进行体重咨询方面取得了重大进展，但对于其他两个关节炎管理目标却没有。因为临床医生咨询可以有重要的效果，也可以是后者：他的差异表明有必要关注医生咨询这些结果的障碍。
PURPOSE Our goal was to monitor the progress of 3 Healthy People 2010 (HP2010) objectives encouraging self-management education and clinician counseling for weight loss and physical activity among adults with doctor-diagnosed arthritis.METHODS Using the national 2002 and 2006 National Health Interview Survey (NHIS) and state-based 2003 and 2007 Behavioral Risk Factor Surveillance System (BRFSS), we estimated the change in proportion of persons counseled for each objective, overall and by selected characteristics.RESULTS Nationally, the proportion of overweight and obese adults with doctor-diagnosed arthritis who were counseled by their clinician to lose weight to lessen their arthritis symptoms increased significantly from 35.0% (95% confidence interval [CI], 32.8%-37.2%) in 2002 to 41.3% (95% CI, 38.7%-44.0%) in 2006 but have ye: to reach the 2010 target of 46%. There was no change in the proportion of adults with doctor-diagnosed arthritis who had ever taken a self-management education class (approximately 11%) or who had been counseled to engage in physical activity (approximately 52%), whose targets for 2010 are 13% and 67%, respectively. States had variable findings.CONCLUSIONS Nationally, significant progress has been made by clinicians for weight counseling of overweight and obese adults with doctor-diagnosed arthritis hut not for the other 2 arthritis management objectives. Because clinician counseling can have important effects or the latter, :his discrepancy suggests a need to focus on barriers to physician counseling for these outcomes.