Are health care professionals advising patients with diabetes or at risk for developing diabetes to exercise more?

Morrato, Elaine H.; Hill, James O.; Wyatt, Holly R.; Ghushchyan, Vahram; Sullivan, Patrick W.

doi:10.2337/diacare.29.03.06.dc05-2165

Cited by 90Physical Activity and HealthDiabetes Management and EducationDiabetes, Cardiovascular Risks, and Lipoproteins

Are health care professionals advising patients with diabetes or at risk for developing diabetes to exercise more?

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Morrato, Elaine H., Hill, James O., Wyatt, Holly R., Ghushchyan, Vahram, Sullivan, Patrick W.·2006·Diabetes Care

DOI 10.2337/diacare.29.03.06.dc05-2165

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Abstract

OBJECTIVE—With increased focus on the obesity and diabetes epidemics, and the clear benefit of exercise in disease prevention and management, this study determined the lifetime prevalence of health professional advice to exercise among individuals with or at risk for diabetes. RESEARCH DESIGN AND METHODS—The Medical Expenditure Panel Survey is a nationally representative survey of the U.S. population. In the 2002 survey, 26,878 adults responded when asked about ever receiving health professional advice to exercise more. Information on sociodemographic characteristics and health conditions were self-reported. Type 2 diabetes risk factors were age ≥45 years, non-Caucasian ethnicity, physical inactivity, BMI ≥25 kg/m2, hypertension, and cardiovascular disease. RESULTS—A total of 73% of adults with diabetes were told by a health professional to exercise more versus 31% of adults without diabetes. The proportion receiving advice increased as the number of diabetes risk factors increased until reaching similar rates as people with diabetes. After adjustment for sociodemographic and clinical factors, the strongest correlates of receiving advice were BMI and cardiovascular risk factors. Among respondents with diabetes, the likelihood of receiving advice did not vary by age, sex, education, or income level but was less likely in Hispanics. CONCLUSIONS—Health professionals advised most patients with or at highest risk for diabetes to exercise, suggesting recognition of its importance for disease management. As risk factors declined, fewer patients were advised to exercise, suggesting missed opportunities for disease prevention. However, exercise has not increased proportional to exercise advice. The challenge remains converting patient awareness into behavior change.

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Physicians vary in counseling their patients to exercise: on average, advice or referral related to exercise occurred at 18% of office visits among diabetic patients, and 73% of patients reported receiving advice at some point to exercise more.
“Physicians vary in counseling their patients to exercise: on average, advice or referral related to exercise occurred at 18% of office visits among diabetic patients ( 213 ), and 73% of patients reported receiving advice at some point to exercise more ( 192 ).”
From Exercise and Type 2 Diabetes (2010) · cites this paper as [192]
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Self-citation

Authors: Morrato, E. H., Hill, J. O., Wyatt, H. R., Ghushchyan, V., & Sullivan, P. W.
Affiliations: Johns Hopkins University (US)
Center for Human Nutrition, University of Colorado Health Sciences Center, Denver, Colorado
University of Colorado Health (US)
ORCID: Morrato, Elaine H.
Hill, James O.
Wyatt, Holly R.
Sullivan, Patrick W.
Venue: Diabetes Care
Publisher: American Diabetes Association
Published: 2006-03-01
Volume: 29
Issue: 3
Pages: 543-548
ISSN: 0149-5992 (ISSN-L)
1935-5548
DOI: 10.2337/diacare.29.03.06.dc05-2165
OpenAlex: W2100361556
Cited by: 90
References: 36
Citations by year: 2024: 1 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 1 · 2017: 4 · 2016: 2 · 2015: 4 · 2014: 5 · 2013: 6 · 2012: 4
FWCI: 5.30
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Diabetes Care (publishedVersion)
PubMed (publishedVersion)
Funders: American Diabetes Association
Topics: Health Sciences › Medicine › Physiology › Physical Activity and Health
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords: exercise recommendations, provider recommendation, type 2 diabetes, diabetes risk factors, physical inactivity, body mass index, cardiovascular risk factors, Hispanic adults, missed opportunities for prevention, behavior change, disease prevention
MeSH terms: Adult, Aged, Aged, 80 and over, Cardiovascular Diseases, Counseling, Diabetes Mellitus, Type 2, Educational Status, Hispanic or Latino, Humans, Middle Aged, Obesity, Patient Education as Topic, Practice Patterns, Physicians', Risk Factors, Socioeconomic Factors, Exercise, Body Mass Index, Black People, White People, Asian People

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Are health care professionals advising patients with diabetes or at risk for developing diabetes to exercise more?

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