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The most recent version of this article was published on 1 January 2009

Br J Sports Med. Published Online First: 10 November 2008. doi:10.1136/bjsm.2008.055277
Copyright © 2008 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

Integrating physical activity into Clinical Practice

The Role of Primary Care in Promoting Children’s Physical Activity

Jeannie S Huang 1, James Sallis 2 and Kevin Patrick 3*

1 University of California San Diego and Rady Children’s Hospital, United States
2 San Diego State University, United States
3 University of California, United States

* To whom correspondence should be addressed. E-mail: kpatrick{at}ucsd.edu.

Accepted 24 October 2008


Abstract

Regular physical activity (PA) enhances health during childhood and adolescence and is important in setting the stage for participation in PA across the lifespan. Physician-patient interactions during childhood and adolescence provide important opportunities for clinicians to influence physical activity behaviors. This article reviews current physical activity recommendations for youth and the wide range of health benefits provided to youth from engaging in regular physical activity. It also outlines a practical counseling model, the 5As approach, that can guide clinical counseling for PA, and reviews how an increasingly important model of practice organization, the Care Model, can be used to promote PA in children and adolescents. Family, social and environmental influences on child and adolescent physical activity are also addressed.


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