Cited by 253Physical Activity and HealthHealth Promotion and Cardiovascular PreventionPatient-Provider Communication in Healthcare

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Physician advice and support for physical activity

Glasgow, Russell E, Eakin, Elizabeth G, Fisher, Edwin B, Bacak, Stephen J, Brownson, Ross C·2001·American Journal of Preventive Medicine

DOI 10.1016/s0749-3797(01)00350-6

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Abstract

Background It is increasingly well documented that physical activity (PA) is a key preventive behavior and that visits to a physician provide an important opportunity for advice and counseling. This paper reports on physician counseling behaviors regarding PA and other chronic disease risk factors from a national survey.Methods A diverse sample of U.S. adults (N=1818), with oversampling of lower-income households, was surveyed about their PA level as well as a host of social, environmental, and physician counseling issues.Results Overall, 28% of respondents reported receiving physician advice to increase their PA level. Of those who received advice, only 38% received help formulating a specific activity plan and 42% received follow-up support. Patients who received advice and support were more likely to be older, nonwhite, and to have more chronic illnesses and more contact with their doctor.Conclusions Physician advice, counseling, and follow-up are important components of the social-environmental supports needed to increase population PA levels. Health system changes, including teaching communication skills, prompts to use those skills, and system changes to support attention to PA, are needed to extend promotion of PA to more patients.

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Authors: Glasgow, R. E., Eakin, E. G., Fisher, E. B., Bacak, S. J., & Brownson, R. C.
Affiliations: Queensland University of Technology (AU)
Washington University in St. Louis (US)
Saint Louis University (US)
Corresponding author: Glasgow, Russell E
ORCID: Glasgow, Russell E
Eakin, Elizabeth G
Fisher, Edwin B
Brownson, Ross C
Venue: American Journal of Preventive Medicine
Publisher: Elsevier BV
Published: 2001-10
Volume: 21
Issue: 3
Pages: 189-196
ISSN: 0749-3797 (ISSN-L)
DOI: 10.1016/s0749-3797(01)00350-6
OpenAlex: W2051464702
Cited by: 253
References: 52
Citations by year: 2026: 2 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 5 · 2020: 4 · 2019: 11 · 2018: 10 · 2017: 12 · 2016: 4 · 2015: 8 · 2014: 18 · 2013: 19 · 2012: 19
FWCI: 4.78
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: U.S. Public Health Service (U48CCU710806)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords: physical activity, physician counseling, physician recommendations, chronic disease risk factors, follow-up support, health communication skills, health system transformation, health disparities, preventive behavior
MeSH terms: Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Patient Education as Topic, Primary Health Care, Exercise, Logistic Models, Health Care Surveys

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