Document Detail

How to make exercise counseling more effective: lessons from rural America.
MedLine Citation:
PMID:  18544323     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Exercise counseling by primary care physicians has been shown to improve physical activity in patients. However, the prevalence and effectiveness of physician counseling is unknown in rural populations that are at increased risk for chronic diseases. METHODS: Using a population-based telephone survey at baseline and again at 1-year follow-up, we assessed physical activity behavior among 1141 adults (75% female, 95% white) living within 12 rural communities of Missouri, Tennessee, and Arkansas. We tested the association between physician counseling and patients meeting current physical activity recommendations using logistic regression analysis controlling for demographic variables. RESULTS: Participants who saw a doctor for regular care were 54% more likely to be physically active (adjusted odds ratio [aOR]=1.54; 95% confidence interval [CI], 1.04-2.28). Overweight adults (body mass index [BMI]=25-29.9 kg/m2) who had been advised by their physician to exercise more were nearly 5 times more likely to meet physical activity recommendations if their doctor helped develop an exercise plan (aOR=4.99; 95% CI, 1.69-14.73). Overweight individuals who received additional follow-up with the exercise plan from their doctor had a 51/2-fold increase in likelihood of meeting physical activity recommendations (P<.05). In the overall sample, patients were significantly more likely to initiate (P=.01) and maintain (P=.002) physical activity when the physician prescribed and followed up on an exercise plan. CONCLUSION: This longitudinal study provides evidence that exercise counseling is most effective when the physician presents the counseling as a plan or prescription and when he or she follows up with the patient on it.
Karrisa A Weidinger; Sarah L Lovegreen; Michael B Elliott; Laura Hagood; Debra Haire-Joshu; Janet B McGill; Ross C Brownson
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The Journal of family practice     Volume:  57     ISSN:  1533-7294     ISO Abbreviation:  J Fam Pract     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-11     Completed Date:  2008-08-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7502590     Medline TA:  J Fam Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  394-402     Citation Subset:  AIM; IM    
Prevention Research Center and Department of Community Health, Saint Louis University School of Public Health, St. Louis, MO USA.
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MeSH Terms
Body Mass Index
Exercise Therapy*
Follow-Up Studies
Health Behavior*
Middle Aged
Obesity / prevention & control*
Physician-Patient Relations
Professional Practice
Rural Population*
Grant Support
5 R18 DK061706/DK/NIDDK NIH HHS; U48/CCU710806//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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