Physicians' Health Habits are associated with Lifestyle Counseling for Hypertensive Patients
Physicians' Health Habits are associated with Lifestyle Counseling for Hypertensive Patients
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DOI：
10.1093/ajh/hps022
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发表时间：
2013-02-01
影响因子：
3.2
通讯作者：
Fang, Jing
中科院分区：
文献类型：
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作者：
Hung, Olivia Y.;Keenan, Nora L.;Fang, Jing
高血压预防、检测、评估和治疗联合国家委员会（JNC VII）的第七次报告建议对所有高血压患者进行生活方式干预，无论是否进行药物治疗。本研究的目的是确定协会的医生的个人习惯与他们的态度和行为有关JNC VII生活方式modification guidelines.METHODSOne 000初级保健医生完成了DocStyles 2010年，一个自愿的基于网络的调查，旨在提供洞察医生的态度和行为有关的各种健康问题。在医生行为方面，4.0%的人每周至少吸烟一次，38.6%的人每周吃≥ 5杯水果和/或蔬菜≥ 5天，27.4%的人每周锻炼≥ 5天。当被问及向高血压患者提供的具体建议时，医生报告建议他们的患者吃健康的饮食（92.2%），或减少盐（96.1%），或达到或保持健康的体重（94.8%），或限制饮酒（75.4%），或进行体育活动（94.4%）。总体而言，66.5%的人提出了所有5项生活方式改变建议。不吸烟的医生更有可能向他们的高血压患者推荐每种生活方式干预。那些每周至少锻炼1天的人更有可能建议限制酒精的使用。CONCLUSIONSThe的概率，建议所有5 JNC VII干预措施是更大的医生谁是不吸烟，谁行使每周至少1天。
BACKGROUNDThe Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VII) recommended lifestyle interventions, either with or without pharmacologic treatment, for all patients with high blood pressure. The objective of this study is to determine the association of physicians' personal habits with their attitudes and behaviors regarding JNC VII lifestyle modification guidelines.METHODSOne thousand primary care physicians completed DocStyles 2010, a voluntary web-based survey designed to provide insight into physician attitudes and behaviors regarding various health issues.RESULTSThe respondents' average age was 45.3 years, and 68% were male. In regards to physician behavior, 4.0% smoked at least once a week, 38.6% ate >= 5 cups of fruits and/or vegetables >= 5 days/week, and 27.4% exercised >= 5 days/week. When asked about specific types of advice offered to their hypertensive patients, physicians reported recommending that their patients eat a healthy diet (92.2%), or cut down on salt (96.1%), or attain or maintain a healthy weight (94.8%), or limit the use of alcohol (75.4%), or be physically active (94.4%). Collectively, 66.5% made all 5 lifestyle modification recommendations. Nonsmoking physicians were more likely to recommend each lifestyle intervention to their hypertensive patients. Those who exercised at least 1 day per week were more likely to recommend limiting alcohol use.CONCLUSIONSThe probability of recommending all 5 JNC VII interventions was greater for physicians who were nonsmoking and who exercised at least 1 day a week.