دورية أكاديمية

Implementation of a Physical Activity Vital Sign in Primary Care: Associations Between Physical Activity, Demographic Characteristics, and Chronic Disease Burden.

التفاصيل البيبلوغرافية
العنوان: Implementation of a Physical Activity Vital Sign in Primary Care: Associations Between Physical Activity, Demographic Characteristics, and Chronic Disease Burden.
المؤلفون: Lin CY; University of Washington Department of Rehabilitation Medicine, Seattle, Washington.; The Sports Institute at UW Medicine, 850 Republican St, Box 358051, Seattle WA 98109. Email: cindy.lin@post.harvard.edu., Gentile NL; University of Washington Department of Family Medicine, Seattle, Washington., Bale L; University of Washington School of Medicine, Seattle, Washington., Rice M; The Sports Institute at UW Medicine, Seattle, Washington., Lee ES; Population Health Analytics, UW Medicine, Seattle, Washington., Ray LS; Information Technology Services, UW Medicine, Seattle, Washington., Ciol MA; University of Washington Department of Rehabilitation Medicine, Seattle, Washington.
المصدر: Preventing chronic disease [Prev Chronic Dis] 2022 Jun 23; Vol. 19, pp. E33. Date of Electronic Publication: 2022 Jun 23.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Country of Publication: United States NLM ID: 101205018 Publication Model: Electronic Cited Medium: Internet ISSN: 1545-1151 (Electronic) Linking ISSN: 15451151 NLM ISO Abbreviation: Prev Chronic Dis Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Atlanta, Ga.] : U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, [2004]-
مواضيع طبية MeSH: Exercise* , Vital Signs*, Adult ; Chronic Disease ; Demography ; Female ; Humans ; Male ; Primary Health Care
مستخلص: Introduction: Physical activity is important to prevent and manage multiple chronic medical conditions. The objective of this study was to describe the implementation of a physical activity vital sign (PAVS) in a primary care setting and examine the association between physical activity with demographic characteristics and chronic disease burden.
Methods: We extracted data from the electronic medical records of patients who had visits from July 2018 through January 2020 in a primary care clinic in which PAVS was implemented as part of the intake process. Data collected included self-reported physical activity, age, sex, body mass index, race, ethnicity, and a modified Charlson Comorbidity Index score indicating chronic disease burden. We classified PAVS into 3 categories of time spent in moderate to strenuous intensity physical activity: consistently inactive (0 min/wk), inconsistently active (<150 min/wk), and consistently active (≥150 min/wk). We used χ 2 tests of independence to test for association between PAVS categories and all other variables.
Results: During the study period, 13,704 visits, corresponding to 8,741 unique adult patients, had PAVS recorded. Overall, 18.1% of patients reported being consistently inactive, 48.3% inconsistently active, and 33.7% consistently active. All assessed demographic and clinical covariates were associated with PAVS classification (all P < .001). Larger percentages of consistent inactivity were reported for female, older, and underweight or obese patients. Larger percentages of consistent activity were reported for male, younger, and normal weight or overweight patients.
Conclusion: Using PAVS as a screening tool in primary care enables physicians to understand the physical activity status of their patients and can be useful in identifying inactive patients who may benefit from physical activity counseling.
References: Am J Health Behav. 2019 Nov 1;43(6):1136-1147. (PMID: 31662172)
Eur J Cardiovasc Nurs. 2018 Oct;17(7):605-611. (PMID: 29546995)
Circulation. 2018 May 1;137(18):e495-e522. (PMID: 29618598)
Obesity (Silver Spring). 2014 Jul;22 Suppl 2:S5-39. (PMID: 24961825)
Am J Prev Med. 1999 May;16(4):307-13. (PMID: 10493287)
Singapore Med J. 2013 Oct;54(10):581-6. (PMID: 24154584)
J Prim Care Community Health. 2019 Jan-Dec;10:2150132719844062. (PMID: 31044638)
Medicine (Baltimore). 2016 Oct;95(43):e4973. (PMID: 27787358)
Am J Prev Med. 2021 Jun;60(6):866-872. (PMID: 33781618)
PM R. 2020 Sep;12(9):861-869. (PMID: 31990141)
J Public Health (Oxf). 2004 Sep;26(3):250-8. (PMID: 15454592)
Am J Epidemiol. 2005 Feb 15;161(4):389-98. (PMID: 15692083)
J Gen Intern Med. 2014 Feb;29(2):341-8. (PMID: 24309950)
Med Sci Sports Exerc. 2012 Nov;44(11):2071-6. (PMID: 22688832)
Clin Med Insights Womens Health. 2016 Jul 04;9(Suppl 1):47-56. (PMID: 27398045)
BMJ Open. 2015 Jul 23;5(7):e006181. (PMID: 26204908)
J Phys Act Health. 2016 Apr;13(4):403-8. (PMID: 26445164)
Circulation. 2016 Dec 13;134(24):e653-e699. (PMID: 27881567)
J Clin Epidemiol. 1994 Nov;47(11):1245-51. (PMID: 7722560)
Scand J Med Sci Sports. 2015 Dec;25 Suppl 3:1-72. (PMID: 26606383)
تواريخ الأحداث: Date Created: 20220624 Date Completed: 20220628 Latest Revision: 20240727
رمز التحديث: 20240727
مُعرف محوري في PubMed: PMC11272163
DOI: 10.5888/pcd19.210457
PMID: 35749145
قاعدة البيانات: MEDLINE
الوصف
تدمد:1545-1151
DOI:10.5888/pcd19.210457