Physical activity recommendation by health care providers to adults with and without functional limitations.
Physical activity recommendation by health care providers to adults with and without functional limitations.
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DOI：
10.1016/j.ypmed.2021.106730
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发表时间：
2021-12
影响因子：
5.1
通讯作者：
Ylitalo KR
中科院分区：
文献类型：
--
作者：
Smith J;Ylitalo KR
有功能限制的成年人比没有功能限制的成年人更有可能不活动，尽管有证据表明定期的体力活动（PA）可以减缓功能下降的进展。卫生保健环境提供了一个机会，与患者沟通积极的行为变化，包括增加PA，但有很少的信息提供者建议PA的功能限制的成年人。本研究调查了医疗保健提供者的建议，以增加PA的成年人和没有功能限制。纳入了参与2016年全国健康访谈调查并在过去12个月内报告≥1次初级保健就诊的成人（≥18岁）（未加权n= 23，540;加权N= 170，004，764）。自我报告接受PA建议和身体功能限制。对统计分析进行加权，以考虑复杂的调查抽样设计。三分之一（35.88%）的成年人接受了PA建议，19.71%的人报告了功能限制。接受PA推荐的成年人比未接受PA推荐的成年人更有可能出现功能限制（28.64% vs. 14.70%; p<0.001），即使调整了协变量和当前活动水平（aOR=1.48; 95%CI：1.33，1.65）。对功能受限患者的PA建议似乎在中年期间增加，在65-75岁成人中达到峰值（57.01%），但在≥75岁成人中大幅下降。只有三分之一的美国成年人收到了PA的建议。卫生保健提供者向大约一半的功能受限的成年人推荐PA。应探索继续努力利用医疗保健接触来改变行为，特别是对中年和老年人。
Adults with functional limitations are more likely to be physically inactive than those without functional limitations, despite evidence that regular physical activity (PA) slows the progression of functional decline. The health care setting provides an opportunity to communicate with patients about positive behavior changes, including increased PA, but there is little information about provider recommendation for PA to adults with functional limitations. This study investigated health care provider recommendation to increase PA among adults with and without functional limitations. Adults (≥18 years) who participated in the 2016 National Health Interview Survey and reported ≥1 primary care encounter within the previous 12 months were included (unweighted n=23,540; weighted N=170,004,764). Receipt of PA recommendation and physical functioning limitations were self-reported. Statistical analyses were weighted to account for complex survey sampling design. One-third (35.88%) of adults received a PA recommendation and 19.71% reported functional limitations. Adults who received a PA recommendation were more likely to have a functional limitation than those who did not (28.64% vs. 14.70%; p<0.001), even after adjusting for covariates and current activity level (aOR=1.48; 95% CI:1.33,1.65). PA recommendation for those with functional limitations appeared to increase during middle age and peak for adults aged 65–75 years (57.01%) but declined substantially for adults ≥75 years. Only one-third of adults in the United States received PA recommendations. Health care providers recommended PA to approximately half of adults with functional limitations. Continued efforts to leverage health care encounters for behavior change should be explored, particularly for middle aged and older adults.
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DOI：
10.1111/j.1532-5415.2005.00586.x
发表时间：
2006-02-01
影响因子：
6.3
作者：
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通讯作者：
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影响因子：
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影响因子：
8
作者：
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通讯作者：
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影响因子：
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