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exercise prescription AND counseling AND obesity AND education

A K Ronnberg, I Ostlund, H Fadl, T Gottvall, K Nilsson
OBJECTIVE: To evaluate if a feasible, low-cost intervention could decrease the percentage of women gaining weight above the Institute of Medicine (IOM) recommendations on gestational weight gain (GWG) compared with standard maternity care. DESIGN: A randomised controlled interventional design. SETTING: Antenatal clinics (n = 14) in Örebro county, Sweden, participated. POPULATION: Healthy women with a body mass index (BMI) ≥19 kg/m(2), age ≥18 years and adequate knowledge of Swedish language who signed in for maternity care at ≤16 weeks of gestation...
March 2015: BJOG: An International Journal of Obstetrics and Gynaecology
Kimberley Lamarche, Jeff Vallance
Although nurse practitioners are well placed to counsel patients about getting enough exercise, little abstract is known about their attitudes and practice in this area of health promotion. The authors used a self-administered Internet-based questionnaire to explore how Canadian NPs perceive their competence in prescribing physical activity and the importance they ascribe to doing so. Participants were asked to identify factors that most commonly prompt physical activity prescription. Overall, the respondents felt fairly competent in their ability to prescribe physical activity (mean score 4...
October 2013: Canadian Nurse
Jonathan M Scott, Colleen K Spees, Christopher A Taylor, Randy Wexler
OBJECTIVE: Hypertension prevalence in the African American community is greater than in all other ethnic groups. Cultural perceptions of health and disease introduce barriers to providing effective care. The purpose of this study was to identify racial differences in the perceived causes of hypertension, current behaviors performed to control blood pressure, and perceived barriers to preventing or treating hypertension. METHODS: A self-administered survey of patients seen for medical care in a primary care network was conducted...
October 1, 2010: Journal of Primary Care & Community Health
Claudio Ponticelli, Giorgio Graziani
A large number of factors can influence the clinical outcome of kidney transplant recipients, but the active role of the patient to prevent the possible complications related to transplant and its treatment is often neglected. Poor adherence to prescriptions is frequent in transplant recipients and represents a major contributor to the development of graft failure, cardiovascular disease, infection and/or malignancy. Smoking can render the patient more susceptible to cancer, cardiovascular disease and infection, and can also impair renal allograft function...
November 2012: Journal of Nephrology
Kerem Shuval, Loretta DiPietro, Celette Sugg Skinner, Carolyn E Barlow, Jay Morrow, Robert Goldsteen, Harold W Kohl
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' 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...
October 2014: British Journal of Sports Medicine
Patricia M Barnes, Charlotte A Schoenborn
The Healthy People 2020 objectives for physical activity include two objectives for increasing the proportion of physician office visits that include counseling or education related to exercise (see Physician counseling for exercise has not previously been tracked by the Healthy People initiative. The present report looks at this emerging health issue from the vantage point of adults in the general population who had seen a physician or other health professional in the past 12 months and had been advised to begin or continue to do exercise or other physical activity...
February 2012: NCHS Data Brief
Rachel C Colley, Andrew P Hills, Neil A King, Nuala M Byrne
OBJECTIVE: Walking is commonly recommended to help with weight management. We measured total energy expenditure (TEE) and its components to quantify the impact of increasing exercise-induced energy expenditure (ExEE) on other components of TEE. METHODS: Thirteen obese women underwent an 8-week walking group intervention. TEE was quantified using doubly labeled water, ExEE was quantified using heart rate monitors, daily movement was assessed by accelerometry and resting metabolic rate was measured using indirect calorimetry...
June 2010: Patient Education and Counseling
Polly Hitchcock Noël, Laurel A Copeland, Mary Jo Pugh, Leila Kahwati, Joel Tsevat, Karin Nelson, Chen-Pin Wang, Mary J Bollinger, Helen P Hazuda
BACKGROUND: In response to dramatic increases in obesity prevalence, clinical guidelines urge health care providers to prevent and treat obesity more aggressively. OBJECTIVE: To describe the proportion of obese primary care patients receiving obesity care over a 5-year period and identify factors predicting receipt of care. DESIGN: Retrospective cohort study utilizing VHA administrative data from 6 of 21 VA administrative regions. PATIENTS: Veterans seen in primary care in FY2002 with a body mass index (BMI) > or =30 kg/m(2) based on heights and weights recorded in the electronic medical record (EMR), survival through FY2006, and active care (1 or more visits in at least 3 follow-up years FY2003-2006)...
June 2010: Journal of General Internal Medicine
Catherine Hudon, Martin Fortin, Hassan Soubhi
OBJECTIVE: To provide a summary of evidence on the effectiveness of interventions to promote physical activity among patients affected by at least 1 chronic disease. The interventions studied were each targeted at a single risk factor. DATA SOURCES: MEDLINE, CINAHL, and EMBASE were searched from 1966 to 2006 using 2 sets of search terms. First we searched using physical activity or physical fitness or exercise and health care or primary care or primary health care or family practice or medical office or physician's office and health promotion or health education or counselling...
August 2008: Canadian Family Physician Médecin de Famille Canadien
Andrew P Hills, Nuala M Byrne
Diet, exercise, behavioural support and for some obese individuals, pharmacotherapy, represent the set of lifestyle factors necessary for effective management of obesity. An on-going challenge in the prevention, treatment and management of obesity is to arm health professionals in particular, with the necessary knowledge and understanding and time to engage in meaningful weight management counseling. Despite the many barriers to effective management such as lack of relevant education in nutrition and physical activity, perceived patient non-compliance, perceived inability to change patient behaviours, and the cost of specialist behavioural support, there is increasing evidence of the value of behaviour modification techniques to both dietary and exercise counseling, particularly when focusing on current behaviour...
2006: Asia Pacific Journal of Clinical Nutrition
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