Impact of primary care‐initiated interventions promoting physical activity on body mass index: systematic review and meta‐analysis

Goryakin, Yevgeniy; Suhlrie, Laura; Cecchini, Michele

doi:10.1111/obr.12654

Cited by 17 publications

(19 citation statements)

References 39 publications

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“…The risk factors we studied are likely to have influenced each other. Among women, the increased educational gradient for smoking may, to some extent, explain the increased gradient for triglycerides [24], while among men the increased gradient for BMI may be influenced by physical inactivity which increased among the lower educated in particular [25]. An analysis of these and other possible interactions are beyond the scope of this study.…”

Section: Discussionmentioning

confidence: 99%

Educational inequalities in midlife risk factors for non-communicable diseases in two Norwegian counties 1974–2002

Graff-Iversen

Ariansen

Næss

et al. 2018

Scand J Public Health

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In two Norwegian counties, the NCD risk factors showed dynamic patterns during 1974-2002. For blood pressure and serum total cholesterol, the levels showed consistent beneficial changes in all educational subgroups, with a narrowing tendency for educational gradients in men. In women, the educational gradient for smoking increased markedly. Knowledge on midlife trends in the educational gradients of risk factors may help to explain recent and future NCD mortality.

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Section: Discussionmentioning

confidence: 99%

Educational inequalities in midlife risk factors for non-communicable diseases in two Norwegian counties 1974–2002

Graff-Iversen

Ariansen

Næss

et al. 2018

Scand J Public Health

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“…Os benefícios da perda de peso corporal são sistêmicos, como diminuição do risco cardiovascular, redução dos níveis pressóricos, melhora do perfil lipídico, diminuição da resistência insulínica, prevenção e controle da diabetes tipo 2, queda da mortalidade por doenças cardiovasculares e por todas as causas, além da redução do tecido adiposo e/ou da circunferência abdominal levando a diminuição de marcadores inflamatórios sistêmicos e maior aptidão física (BATSIS et al, 2017;GARVEY et al, 2016;GOODPASTER et al, 2010;GORYAKIN;SUHLRIE;CECCHINI, 2018;HANSEN et al, 2018 ;NHMRC, 2013).…”

Section: Benefícios Do Exercíciounclassified

Exercício físico e obesidade: prescrição e benefícios

Jesus

Gravina

Neto

et al. 2019

HU Rev

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A obesidade está associada a várias complicações e maior risco de mortalidade. A mudança no estilo de vida é uma das intervenções fundamentais para melhora do quadro clínico desses pacientes, sendo a prática de exercícios físicos um dos seus componentes. O objetivo do presente estudo foi realizar uma revisão de literatura sobre o exercício físico em adultos e idosos com obesidade, descrevendo os principais programas de exercício, a forma adequada de prescrição e os benefícios da sua prática regular. O exercício aeróbico é a modalidade mais indicada para a perda de peso e está associado com maiores benefícios para estes pacientes. Adicionalmente, tem sido preconizado a realização de exercício resistido como terapia complementar. Para alcançar os benefícios da prática regular de exercício físico, a literatura sugere que sejam realizados exercícios aeróbicos de moderada a alta intensidade por no mínimo 150 minutos por semana e quando possível acrescentar o treinamento resistido, 2 a 3 vezes por semana, com carga de 60-70% de uma repetição máxima. Portanto, a prescrição individualizada de exercício físico para pacientes com obesidade representa uma estratégia eficaz para a redução do peso, tratamento e controle dos fatores de risco cardiovasculares, além de promover benefícios na sintomatologia e em outras complicações.

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“…Delivering brief PA advice in primary care have been shown to be cost effective (Vijay et al, 2016;Milton et al, 2021), with positive impacts on PA and health outcomes (Vuori et al, 2013;Goryakin et al, 2018). As such, the National Institute for Health and Care Excellence recommends that brief PA advice is given in primary care (NICE, 2013).…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to the use of digital systems in primary care to deliver physical activity advice using COM-B and theoretical domains framework

Bondaronek¹,

Dicken²,

Jennings³

et al. 2021

Preprint

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Background: Physical inactivity is a leading risk factor for many health conditions, including cardiovascular disease, diabetes and cancer; increasing physical activity (PA) is therefore a public health priority. Healthcare professionals (HCPs) in primary care have been identified as being pivotal in addressing physical inactivity, yet few HCPs provide PA advice to patients. There can be obstacles to delivering PA advice, including a lack of time, confidence or knowledge. Digital technology has the potential to overcome obstacles and facilitate delivering PA advice. However, it is unknown if and how digital systems are used to deliver physical activity advice in primary care consultations, and what factors influence their use.The aim of this study was to understand the use of digital systems to support primary care consultations and to identify the barriers and facilitators to using these systems.Methods: 25 semi-structured interviews were conducted with HCPs in primary care. Professionals were sampled purposively based on profession (general practitioners, practice nurses and healthcare assistants), prevalence of long-term conditions within their practice area, and rural-urban classification. Data were analysed using thematic analysis to identify influences on the use of digital systems. Themes were categorised using COM-B and the theoretical domains framework (TDF) to identify the barriers and facilitators to using digital systems to support the delivery of PA advice in primary care consultations.Results: Identified themes fell within eight TDF domains (linked COM-B component follows in parentheses): Knowledge (Psychological Capability), Skills (Psychological Capability), Environmental Context and Resources (Physical Opportunity), Social Influence (Social Opportunity), Beliefs about Capabilities (Reflective Motivation), Beliefs about Consequences (Reflective Motivation), Reinforcement (Automatic Motivation), and Emotions (Automatic Motivation). The most prominent barrier/facilitator within psychological capability was ‘having the skills to use digital systems’. ‘Training in the use of digital systems’ was also mentioned several times. The most notable barriers/facilitators within physical opportunity were ‘time constraints’, the ‘efficiency of digital systems’, the ‘simplicity and ease of use’ of digital systems, and ‘integration with existing systems’. Other physical opportunity barriers were ‘lack of access to digital systems’ and ‘technical support in the use of digital systems’. With respect to social opportunity, a notable barrier was the sense that ‘digital systems reduce interpersonal communications’ with patients. ‘Patient preference’ was also mentioned as a barrier/facilitator. Several important barriers and/or facilitators were within reflective motivation, including ‘confidence to use digital systems’, ‘beliefs about the usefulness of digital systems’, the ‘belief that digital systems ‘are the way forward’’, ‘beliefs related to data privacy and security concerns’, and ‘perceptions about patient capabilities’. With respect to automatic motivation, barriers/facilitators included ‘familiarity and availability’ regarding digital systems, and the fact that digital systems ‘prompt behaviour’. Conclusions: A variety of influences were identified on the use of digital systems to support primary care consultations. These findings provide a foundation to design a digital system that addresses the barriers and leverages the facilitators to support PA advice provision within primary care, to elicit patient behaviour change and increase PA.

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Impact of primary care‐initiated interventions promoting physical activity on body mass index: systematic review and meta‐analysis

Abstract: This study suggests that primary care-initiated interventions promoting physical activity can be an effective strategy to reduce weight and increase exercise levels in this population group, although the question remains about whether such interventions can be cost-effective.

Cited by 17 publications

References 39 publications

Educational inequalities in midlife risk factors for non-communicable diseases in two Norwegian counties 1974–2002

Educational inequalities in midlife risk factors for non-communicable diseases in two Norwegian counties 1974–2002

Exercício físico e obesidade: prescrição e benefícios

Barriers and facilitators to the use of digital systems in primary care to deliver physical activity advice using COM-B and theoretical domains framework

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