Characteristics of inactive primary care patients: baseline data from the activity counseling trial. For the Activity Counseling Trial Research Group.

Characteristics of inactive primary care patients: baseline data from the activity counseling trial. For the Activity Counseling Trial Research Group.
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不活跃的初级保健患者的特征:来自活动咨询试验的基线数据。

DOI:
10.1006/pmed.2000.0733
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发表时间:
2000
影响因子:
5.1
通讯作者:
Miller,ST
Miller,ST
中科院分区:
医学2区
文献类型:
--
作者:
Simons-Morton,DG;Hogan,P;Dunn,AL;Pruitt,L;King,AC;Levine,BD;Miller,ST

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背景虽然许多初级保健患者是不活跃的,但能够对即使是少量和强度的活动以及与这些活动水平相关的因素进行分类,对于试图激励患者进行更多身体活动的医生来说可能是有帮助的。方法.在活动咨询试验中,对874名患者的社会人口统计学、身体活动、健康、其他心血管危险因素和心理社会指标进行了基线测量。患者被分为三组:(1)没有中度至剧烈的体力活动(MVPA),(2)一些中度但没有剧烈的活动,(3)一些剧烈的活动。多元逻辑回归分析用于确定与活动强度相关的横截面因素。结果84%的参与者除了缺乏身体活动外,还存在一种或多种心血管风险因素。最大摄氧量平均为25.2 ml/kg/min; 85%的受试者有氧适应性较差。体力活动平均为32.7千卡/千克/天,MVPA为13.5分钟/天; 26%从事一些剧烈活动,11%没有从事MVPA。在未调整的分析中,性别、年龄、种族、教育、收入、就业、吸烟、饮酒和运动自我效能与活动强度相关(P = 0.05-0.001)。在所有分组中,从事中度活动的百分比高于从事剧烈活动的百分比。在多元逻辑回归分析中,女性从事剧烈活动的优势比(95%置信区间)为0.39(0.28,0.56),65岁以上与35至44岁相比为0.38(0.19,0.75),表现自我效能得分增加10个单位的优势比为1.14(1.06,1.22)。结论.大多数缺乏身体活动的初级保健患者都有额外的心血管风险因素,特别是超重和肥胖。所有的亚组都追求中等强度的活动,而不是剧烈的活动。妇女、老年人和运动自我效能感较低的人不太可能从事剧烈活动。
Background. Although many primary care patients are inactive, being able to classify even small amounts and intensities of activity and factors associated with these activity levels could be helpful for physicians who are trying to motivate their patients to become more physically active. Methods. Sociodemographics, physical activity, fitness, other cardiovascular risk factors, and psychosocial measures were measured at baseline in the 874 patients in the Activity Counseling Trial. Patients were categorized into three groups: (1) no moderate-to-vigorous physical activity (MVPA), (2) some moderate but no vigorous activity, and (3) some vigorous activity. Multiple logistic regression was used to determine factors cross-sectionally associated with activity intensity. Results. One or more cardiovascular risk factors in addition to physical inactivity were present in 84% of participants. Maximal oxygen uptake averaged 25.2 ml/kg/min; 85% had poor to fair aerobic fitness. Physical activity averaged 32.7 kcal/kg/day, with 13.5 min of MVPA/day; 26% engaged in some vigorous activity, 11% engaged in no MVPA. In unadjusted analyses, gender, age, race, education, income, employment, smoking, alcohol use, and exercise self-efficacy were associated with activity intensity (P = 0.05–0.001). A greater percentage engaged in moderate than in vigorous activity in all subgroups. In multiple logistic regression analyses, odds ratios (95% confidence intervals) for engaging in vigorous activity were 0.39 (0.28, 0.56) for women, 0.38 (0.19, 0.75) for 65+ compared with 35- to 44-year-olds, and 1.14 (1.06, 1.22) for 10-unit increases in performance self-efficacy score. Conclusions. Most primary care patients who are physically inactive have additional cardiovascular risk factors, particularly overweight and obesity. All subgroups pursue moderate-intensity activity more often than vigorous activity. Women, older persons, and those with lower exercise self-efficacy are less likely to engage in vigorous activity.
身体活动和锻炼的决定因素和干预措施。
DOI: --
发表时间: 1994
期刊:
影响因子: --
作者:
R. Dishman;J. Sallis
通讯作者: J. Sallis
休闲时间的体力活动和其他健康行为:它们有关系吗?
DOI: 10.1111/j.1753-6405.1995.tb00300.x
发表时间: 2010
期刊: Australian journal of public health
影响因子: --
作者:
N. Johnson;C. Boyle;R. Heller
通讯作者: R. Heller
医疗保健环境中的干预措施对身体活动或心肺健康的影响。
DOI: --
发表时间: 1998
影响因子: 5.5
作者:
D. Simons;K. Calfas;B. Oldenburg;N. Burton
通讯作者: N. Burton
DOI: 10.1016/0091-7435(92)90022-a
发表时间: 1992-03-01
影响因子: 5.1
作者:
SALLIS, JF;HOVELL, MF;HOFSTETTER, CR
通讯作者: HOFSTETTER, CR
DOI: 10.1093/oxfordjournals.aje.a113987
发表时间: 1985-01-01
影响因子: 5
作者:
SALLIS, JF;HASKELL, WL;PAFFENBARGER, RS
通讯作者: PAFFENBARGER, RS