Themed Review: Clinical Interventions to Promote Physical Activity in Youth

Meriwether, Rebecca A.; Lobelo, Felipe; Pate, Russell R.

doi:10.1177/1559827607308557

Cited by 22Physical Activity and HealthObesity, Physical Activity, DietSchool Health and Nursing Education

Themed Review: Clinical Interventions to Promote Physical Activity in Youth

Meriwether, Rebecca A., Lobelo, Felipe, Pate, Russell R.·2008·American Journal of Lifestyle Medicine

DOI 10.1177/1559827607308557

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Abstract

National recommendations call for children and adolescents to accumulate at least 60 minutes of moderate to vigorous physical activity on most days of the week and for physicians to counsel their patients about physical activity. Physical inactivity tracks from childhood into adulthood, and among youth, it is associated with unfavorable risk factor profiles that promote the development of cardiovascular and metabolic chronic diseases. Few studies of clinical interventions to promote physical activity in children and youth have been published, and the paucity of evidence describing effective interventions and significant barriers limit delivery of counseling. However, existing studies provide evidence about elements of counseling most likely to be effective to guide clinical interventions and inform future research. Based on a literature review, this article offers guidance for incorporating physical activity promotion into clinical care, identifies gaps in current evidence, and suggests methodologic considerations for future research.

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Currently available evidence suggests that counseling may have beneficial effects on physical activity and sedentary behaviors in the pediatric primary care setting, although there is no evidence of its use in the emergency department.
“Currently available evidence suggests that counseling may have beneficial effects on physical activity and sedentary behaviors in the pediatric primary care setting although there is no evidence of its use in the emergency department. 37,38”
From Association of Physical Activity, Sports, and Screen Time With Adolescent Behaviors in Youth Who Visit the Pediatric Emergency Department (2022) · cites this paper as [38]

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Review of Computer-generated Outpatient Health Behavior Interventions: Clinical Encounters "in Absentia"
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“mail, and telephone contact may be effective ways to extend the intervention beyond the clinical encounter and enhance its potency, but there is some evidence that this may not be acceptable to some patients[100] and research on these modalities has had mixed results thus far.[80, 122-132 ,149] Additional studies are…”
BackgroundResultInfluential
Randomized Controlled Trial of a Primary Care and Home-Based Intervention for Physical Activity and Nutrition Behaviors: PACE+ for Adolescents
Patrick, K., Calfas, K. J., Norman, G. J., Zabinski, M. F., Sallis, J. F., Rupp, J., Covin, J., & Cella, J. (2006) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.160.2.128 · Cited by 208 · cited 6× · see citing works
“Published primary care-based interventions have primarily targeted adolescents and used computers(81,97-99) or personal digital assistants (PDAs)(100) to assess PA and other behaviors and sometimes to assist patients in developing personalized behavior change goals and plans.(81,97,98) One additional primary care-base…”
BackgroundMethodInfluential
Development of Fatness, Fitness, and Lifestyle From Adolescence to the Age of 36 Years
Ferreira, I., Twisk, J. W. R., van Mechelen, W., Kemper, H. C. G., & Stehouwer, C. D. A. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.1.42 · Cited by 206 · see citing works
Cardiorespiratory Fitness, Physical Activity, and Arterial Stiffness: The Northern Ireland Young Hearts Project
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The Effect of Reinforcement or Stimulus Control to Reduce Sedentary Behavior in the Treatment of Pediatric Obesity.
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Behavior change intervention research in healthcare settings
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Interactive behavior change technology
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Physical activity counseling in primary care: Who has and who should be counseling?
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“This conclusion is supported by research in adults.(79,133,134) However, a substantial portion of patients may be unwilling to participate in intensive interventions.”
Result
Obesity prevention in children: physical activity and nutrition
SOTHERN, M. S. (2004) · Nutrition · doi:10.1016/j.nut.2004.04.007 · Cited by 175 · see citing works
Effects of a computer-based, telephone-counseling system on physical activity
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Interactive communication strategies Implications for population-based physical-activity promotion
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A Multicomponent Program for Nutrition and Physical Activity Change in Primary Care
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Direct observation of nutrition counseling in community family practice
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Barriers to physical activity promotion by general practitioners and practice nurses.
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Activity Counseling by Primary Care Physicians
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BEHAVIORAL THERAPY IN THE TREATMENT OF PEDIATRIC OBESITY
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Does counseling help patients get active? Systematic review of the literature.
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One minute for prevention
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Persistence of juvenile-onset obesity over eight years: the Bogalusa Heart Study.
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Primary care interventions to reduce television viewing in African-American children
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Exercise in treating obesity in children and adolescents
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Review and synthesis
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PACE+ Interactive communication technology for behavior change in clinical settings
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Evaluating the Population Health Impact of Physical Activity Interventions in Primary Care—Are We Asking the Right Questions?
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Committed to Kids
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Self-citation
Childhood Cardiovascular Risk Factors and Carotid Vascular Changes in Adulthood: The Bogalusa Heart Study
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Physical Activity Assessment and Counseling in Pediatric Clinical Settings
Lobelo, F., Muth, N. D., Hanson, S. K., Nemeth, B. A., OBESITY, S. O., LaBella, C. R., Brooks, M. A., Canty, G. S., Diamond, A. B., Hennrikus, W. L., et al. (2020) · PEDIATRICS · doi:10.1542/peds.2019-3992 · Cited by 148 · see citing works
Self-citation
Policies for promotion of physical activity and prevention of obesity in adolescence
Pate, R. R., Flynn, J. I., & Dowda, M. C. (2016) · Journal of Exercise Science & Fitness · doi:10.1016/j.jesf.2016.07.003 · Cited by 60 · see citing works
Self-citation
Obesity prevention for children with physical disabilities: a scoping review of physical activity and nutrition interventions
McPherson, A. C., Keith, R., & Swift, J. A. (2013) · Disability and Rehabilitation · doi:10.3109/09638288.2013.863391 · Cited by 48 · see citing works
Raising an Active and Healthy Generation: A Comprehensive Public Health Initiative
Pate, R. R., & Dowda, M. C. (2018) · Exercise and Sport Sciences Reviews · doi:10.1249/jes.0000000000000171 · Cited by 31 · see citing works
Self-citation
Postprandial improvement in insulin sensitivity after a single exercise session in adolescents with low aerobic fitness and physical activity: Exercise and insulin action in adolescents
Short, K. R., Pratt, L. V., Teague, A. M., Man, C. D., & Cobelli, C. (2013) · Pediatric Diabetes · doi:10.1111/j.1399-5448.2012.00900.x · Cited by 28 · see citing works
A Church‐Based Intervention to Change Attitudes about Physical Activity among Black Adolescent Girls: A Feasibility Study
Thompson, W. M., Berry, D. C., & Hu, J. (2012) · Public Health Nursing · doi:10.1111/phn.12009 · Cited by 26 · see citing works
Utility of the Youth Compendium of Physical Activities
Ainsworth, B. E., Watson, K. B., Ridley, K., Pfeiffer, K. A., Herrmann, S. D., Crouter, S. E., McMurray, R. G., Butte, N. F., Bassett, D. R., Trost, S. G., et al. (2018) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2018.1487754 · Cited by 24 · see citing works
School and weekend physical activity of 15-16 year-old Czech, Slovak and Polish adolescents
Lokvencová, P. N., Frömel, K., Chmelík, F., Groffik, D., & Bebčáková, V. (2011) · Acta Gymnica · doi:10.5507/ag.2011.019 · Cited by 21 · see citing works
Association of Physical Activity, Sports, and Screen Time With Adolescent Behaviors in Youth Who Visit the Pediatric Emergency Department
Shenoi, R. P., Linakis, J. G., Bromberg, J. R., Casper, T. C., Richards, R., Chun, T. H., Gonzalez, V. M., Mello, M. J., & Spirito, A. (2022) · Clinical Pediatrics · doi:10.1177/00099228221075094 · Cited by 12 · see citing works
Physical activity and inactivity in primary and secondary school boys' and girls' daily program
Hubáčková, R., Groffik, D., Skrzypnik, L., & Frömel, K. (2016) · Acta Gymnica · doi:10.5507/ag.2016.020 · Cited by 11 · see citing works
Improving Adolescent Nutrition: An Uphill Battle
Greenstone, C. L. (2008) · American Journal of Lifestyle Medicine · doi:10.1177/1559827608329135 · Cited by 5 · see citing works
Behavioral Medicine Review: Promoting Healthy Lifestyles in Pediatric Populations
Terre, L. (2008) · American Journal of Lifestyle Medicine · doi:10.1177/1559827607308858 · Cited by 4 · see citing works
Preventing Heart Disease Today and Tomorrow in Youth
Burrowes, J. D. (2010) · Nutrition Today · doi:10.1097/nt.0b013e3181cb4596 · Cited by 3 · see citing works
The American Journal of Lifestyle Medicine at 20 Months: Striding Confidently Toward the Future
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The promotion of children's health and wellbeing: the contributions of England's charity sector
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Patterns of Physical Activity of Adolescents With ADHD in the School Context: A Cross-Sectional Study for Clinical Practice
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Self-citation
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Authors: Meriwether, R. A., Lobelo, F., & Pate, R. R.
Affiliations: University of South Carolina (US)
Corresponding author: Meriwether, Rebecca A.
ORCID: Lobelo, Felipe
Pate, Russell R.
Venue: American Journal of Lifestyle Medicine
Publisher: SAGE Publications
Published: 2008-01
Volume: 2
Issue: 1
Pages: 7-25
ISSN: 1559-8276 (ISSN-L)
1559-8284
DOI: 10.1177/1559827607308557
OpenAlex: W2160658853
Cited by: 22
References: 168
Citations by year: 2024: 2 · 2022: 1 · 2020: 1 · 2018: 2 · 2016: 2 · 2015: 1 · 2013: 1 · 2012: 2
FWCI: 2.26
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: American Journal of Lifestyle Medicine (publishedVersion)
Topics: Health Sciences › Medicine › Physiology › Physical Activity and Health
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords: physical activity promotion, children and adolescents, clinical counseling, physical inactivity, physical activity guidelines, cardiovascular risk, barriers to counseling, pediatric primary care

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Themed Review: Clinical Interventions to Promote Physical Activity in Youth

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