Physical Activity InterventionsEffects of interventions in health care settings on physical activity or cardiorespiratory fitness
Section snippets
Methods
We defined primary prevention interventions as those targeting patients without existing disease, and secondary prevention interventions as those targeting patients with known existing chronic or acute disease. Interventions delivered in primary care settings with no explicit patient selection based on disease were considered primary prevention. For secondary prevention, we focused on CVD because of the preponderance of physical activity studies in patients with CVD. Because we were interested
Primary prevention studies
We identified 12 randomized controlled or quasi-experimental studies that evaluated physical activity education or counseling in primary care settings (Table 1). We give sample sizes of providers as well as patients; sample sizes of patients ranged from 54 to over 6,000. We also describe the training and materials given to providers separately from the training and materials given to the patients.
The mean age of participants in most studies was 35 to 50 years; two included only older
Discussion and conclusions
Interventions to promote physical activity have a part to play within the continuum of patient care delivered in health care settings, including primary prevention programs for all patients and treatments for patients with existing disease. This review focuses on studies of physical activity interventions in primary care for primary prevention and controlled trials of secondary prevention with a physical activity component delivered to patients with CVD, although a review of physical activity
Acknowledgements
The authors thank John Fisher and Christine L. Ameika for their assistance in conducting and reviewing literature searches and Colleen Brown for manuscript preparation.
References (67)
- et al.
Prevention and health promotion in primary carebaseline results on physicians from the INSURE Project on Lifecycle Preventive Health Services
Prev Med
(1984) - et al.
Beliefs and behavior of general practitioners regarding promotion of physical activity
Aust J Public Health
(1995) - et al.
Health promotion in primary care: a survey of U.S. family practitioners
Prev Med
(1985) - et al.
A meta-analysis of controlled trials of cardiac patient education
Patient Educ Couns
(1992) - et al.
The feasibility of behavioral risk reduction in primary medical care
Am J Prev Med
(1989) - et al.
The effect of physician advice on exercise behavior
Prev Med
(1993) Educational and behavioral strategies related to knowledge of and participation in an exercise program aafter cardiac positron emission tomography
Pat Educ Counsel
(1993)- et al.
The effect among older persons of a general preventive visit on three health behaviors: smoking, excessive alcohol drinking, and sedentary lifestyle. The Medicare Preventive Services Research Team
Prev Med
(1995) - et al.
A controlled trial of physician counseling to promote the adoption of physical activity
Prev Med
(1996) - et al.
Training physicians to conduct physical activity counseling
Prev Med
(1997)
Advice on exercise from a family physician can help sedentary patients to become active
Am J Prev Med
A controlled trial of physical training after myocardial infarction. Effects on risk factors, nonfatal reinfarction, and death
Prev Med
Reduction in sudden deaths by a multifactorial intervention programme after acute myocardial infarction
Lancet
Effects of a prescribed supervised exercise program on mortality and cardiovascular morbidity in patients after myocardial infarction. The National Exercise and Heart Disease Project
Am J Cardiol
Can lifestyle changes reverse coronary heart disease? The Lifestyle Heart Trial [see comments]
Lancet
Effects on quality of life with comprehensive rehabilitation after acute myocardial infarction
Am J Cardiol
Various intensities of leisure time physical activity in patients with coronary artery diseaseeffects on cardiorespiratory fitness and progression of coronary atherosclerotic lesions
J Am Coll Cardiol
Training after myocardial infarctionlack of long-term effects on physical capacity and psychological variables
Arch Phys Med Rehabil
An evaluation of the potential role of the physician in influencing community exercise behavior
Am J Health Promotion
Statement on exercise. Benefits and recommendations for physical activity programs for all Americans. A statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart association
Circulation
Physical activity counseling for healthy adults as a primary preventive intervention in the clinical setting. Report for the U.S. Preventive Services Task Force
JAMA
Do physicians preach what they practice? A study of physicians’ health habits and counseling practices
JAMA
The practices of general and subspecialty internists in counseling about smoking and exercise
Am J Public Health
The counseling practices of internists
Ann Intern Med
Cardiac rehabilitation after myocardial infarction. Combined experience of randomized clinical trials
JAMA
An overview of randomized trials of rehabilitation with exercise after myocardial infarction
Circulation
Exercise prescriptiona clinical trial
Am J Public Health
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