@article {Shuval1451, author = {Kerem Shuval and Loretta DiPietro and Celette Sugg Skinner and Carolyn E Barlow and Jay Morrow and Robert Goldsteen and Harold W Kohl III}, title = {{\textquoteleft}Sedentary behaviour counselling{\textquoteright}: the next step in lifestyle counselling in primary care; pilot findings from the Rapid Assessment Disuse Index (RADI) study}, volume = {48}, number = {19}, pages = {1451--1455}, year = {2014}, doi = {10.1136/bjsports-2012-091357}, publisher = {British Association of Sport and Excercise Medicine}, abstract = {Background Accumulating evidence emphasises a relationship between prolonged sitting and increased risk for cardiometabolic disorders and premature death irrespective of the protective effects of physical activity. Primary care physicians have the potential to play a key role in modifying patients{\textquoteright} sedentary behaviour alongside physical activity. Methods A pilot study examining sedentary behaviour and physical activity counselling in a primary care clinic. A total of 157 patients completed a detailed survey related to lifestyle counselling received from their primary care physician. We analysed these responses to describe counselling practices within the 5A framework, and to examine correlates (ie, patients{\textquoteright} demographics, sedentary behaviour and physical activity and clinical variables) related to receiving counselling. Results A total of 10\% received general advice to decrease sitting time, in comparison with 53\% receiving general physical activity counselling. None, however, received a written plan pertaining to sedentary behaviour whereas 14\% received a written physical activity prescription. Only 2\% were provided with specific strategies for sedentary behaviour change in comparison with 10\% for physical activity change. Multivariable analysis revealed that patients who were obese were more likely to receive counselling to decrease sitting (OR=7.0; 95\% CI 1.4 to 35.2). In comparison, higher odds for receiving physical activity counselling were associated with being younger, aged 40{\textendash}59 years (OR=2.4; 95\% CI 1.1 to 5.4); and being a non-smoker (OR=6.1; 95\% CI 1.3 to 28.4). Conclusions This study is the first to assess sedentary behaviour counselling practices in primary care and such practices appear to be infrequent. Future research should attempt to establish a {\textquoteleft}knowledge base{\textquoteright} to inform development of sedentary behaviour interventions, which should be followed by testing feasibility, efficacy, and subsequent effectiveness of these programmes in a clinical setting.}, issn = {0306-3674}, URL = {https://bjsm.bmj.com/content/48/19/1451}, eprint = {https://bjsm.bmj.com/content/48/19/1451.full.pdf}, journal = {British Journal of Sports Medicine} }