| Monitoring healthy people 2010 arthritis management objectives: education and clinician counseling for weight loss and exercise. | |
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MedLine Citation:
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PMID: 21403140 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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 yet 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 but not for the other 2 arthritis management objectives. Because clinician counseling can have important effects on the latter, this discrepancy suggests a need to focus on barriers to physician counseling for these outcomes. |
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Authors:
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Barbara T Do; Jennifer M Hootman; Charles G Helmick; Teresa J Brady |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Annals of family medicine Volume: 9 ISSN: 1544-1717 ISO Abbreviation: Ann Fam Med Publication Date: 2011 Mar-Apr |
Date Detail:
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Created Date: 2011-03-15 Completed Date: 2011-07-14 Revised Date: 2011-09-13 |
Medline Journal Info:
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Nlm Unique ID: 101167762 Medline TA: Ann Fam Med Country: United States |
Other Details:
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Languages: eng Pagination: 136-41 Citation Subset: IM |
Affiliation:
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Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Arthritis / diagnosis, diet therapy, therapy* Confidence Intervals Directive Counseling Exercise Exercise Therapy* Female Health Status Health Surveys Healthy People Programs* Humans Male Middle Aged Obesity / complications, prevention & control* Population Surveillance Risk Factors Self Care Self Report Social Marketing* Weight Loss* Young Adult |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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