If Exercise is Medicine, Where is Exercise in Medicine? Review of U.S. Medical Education Curricula for Physical Activity-Related Content

Cardinal, Bradley J.; Park, Eugene A.; Kim, MooSong; Cardinal, Marita K.

doi:10.1123/jpah.2014-0316

Cited by 106 publications

(76 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While 50% of Americans are meeting the aerobic activity guidelines, only 13% meet the guidelines for strength training which may be exacerbated by a lack of counselling by providers and lack of utilization of physical trainers and/or exercise physiologists . Most medical schools in the United States do not provide formal training – which is noted as a robust implementation strategy – on physical activity promotion, which underscores providers' potential lack of comfort with and uncertainty regarding their ability to discuss physical activity behaviours, counsel for physical activity or provide referrals .…”

Section: Discussionmentioning

confidence: 99%

Weight management perceptions and clinical practices among gynaecology providers caring for reproductive‐aged patients

Evans-Hoeker

Ramalingam

Harden

2019

Obesity Science & Practice

View full text Add to dashboard Cite

Summary Objective Research suggests that patient and provider conversations about healthy eating and physical activity behaviours may lead to patients' increased health behaviours, access to dietary and physical activity resources, and weight management. The American College of Obstetrics and Gynecology (ACOG) has a number of weight management intervention options, but it is unclear if providers have conversations about intervention options with their patients who are of reproductive age. The purpose of this work was to evaluate the degree to which gynaecology healthcare providers offer the weight management intervention options as recommended by ACOG. Methods Cross‐sectional study of gynaecology providers in Southwest Virginia utilizing an electronic survey to identify weight management perceptions and current clinical practices. Responses were measured using quantitative methods, and agreeability and frequency responses were measured using a 5‐point Likert scale. Results Twenty‐three of the 31 eligible providers (74.2%) completed the survey. Providers acknowledge that patients need weight management discussions and they feel comfortable and are willing to have these discussions. While physical activity recommendations were consistent among providers, they did not reflect the complete physical activity recommendations for Americans. Consistency in dietary recommendations was lacking. Although providers make recommendations for physical activity and/or diet at least sometimes, they rarely utilize other methods of weight management as outlined in the ACOG recommendations, such as referrals to other providers, programmes or medications. Conclusions Areas for improvement in weight management practices include frequency of counselling, consistency in dietary counselling and frequency of utilization of weight loss medications and referrals to ancillary services. These results can be used to aid the development of methods for targeting these deficiencies.

show abstract

Section: Discussionmentioning

confidence: 99%

Weight management perceptions and clinical practices among gynaecology providers caring for reproductive‐aged patients

Evans-Hoeker

Ramalingam

Harden

2019

Obesity Science & Practice

View full text Add to dashboard Cite

show abstract

“…Graduating medical students in the United Kingdom underestimate the role of physical activity in the global disease burden and many are unfamiliar with established guidelines [56]. Less than half of all medical school curricula throughout the United States provide any formal training on physical activity [57]. In Australia, instruction on physical activity in medical schools is also reported to be less than adequate; for most the total hours spent dedicated to physical activity is in the single digits and less than half provide instruction on strength training guidelines [58].…”

Section: Lifestyle In Training and Practicementioning

confidence: 99%

From Authoritarianism to Advocacy: Lifestyle-Driven, Socially-Transmitted Conditions Require a Transformation in Medical Training and Practice

Prescott

Logan²

2018

Challenges

View full text Add to dashboard Cite

The epidemic of socially-rooted, lifestyle-driven non-communicable diseases (NCDs; also referred to as socially-transmitted conditions) has now overtaken infectious diseases as the leading cause of human mortality. Despite this reality, physician education, training and practice within industrialized nations is heavily slanted toward the biopharmaceutical (and away from the psychosocial) aspects of prevention and treatment. As we underscore, the current state of physician training and practical application of guidelines pertaining to lifestyle is paltry and untenable. However, the solution is not a few more hours of nutritional biochemistry to check off the curricula box. Physician readiness for the current NCD crisis will require a philosophical shift in medicine-at-large, including candidate pooling. Recent elections in the United States and Europe have cast a spotlight on the public health consequences of political authoritarianism. However, we highlight that authoritarianism-and its related facets of social dominance orientation and Machiavellianism-are not exclusive to political candidates. Here, we open a dialogue on authoritarianism in westernized medicine as a starting point in order to encourage the development of critical research and to explore its potential as a barrier to patient care. We suggest that authoritarianism and its prejudices act as a border wall to the World Health Organization's broad vision of global health, cultural competency and patient autonomy. Moreover, the evidence reviewed here would suggest that in the context of the NCDs crisis, westernized medicine is long overdue a Flexner Report for the 21st Century.

show abstract

“…The vast majority reported no training on patient interactions concerning exercise guidance [387]. Such findings shouldn’t be surprising given that less than half of all medical school curricula throughout the United States provide any formal training on physical activity [388]. Nutrition education also remains paltry—only 29% of medical schools in the USA provide the recommended minimum 25 h of nutrition education.…”

Section: Preparedness: Training Clinicians For Ecological Medicinementioning

confidence: 99%

Transforming Life: A Broad View of the Developmental Origins of Health and Disease Concept from an Ecological Justice Perspective

Prescott

Logan²

2016

IJERPH

View full text Add to dashboard Cite

The influential scientist Rene J. Dubos (1901–1982) conducted groundbreaking studies concerning early-life environmental exposures (e.g., diet, social interactions, commensal microbiota, housing conditions) and adult disease. However, Dubos looked beyond the scientific focus on disease, arguing that “mere survival is not enough”. He defined mental health as fulfilling human potential, and expressed concerns about urbanization occurring in tandem with disappearing access to natural environments (and elements found within them); thus modernity could interfere with health via “missing exposures”. With the advantage of emerging research involving green space, the microbiome, biodiversity and positive psychology, we discuss ecological justice in the dysbiosphere and the forces—financial inequity, voids in public policy, marketing and otherwise—that interfere with the fundamental rights of children to thrive in a healthy urban ecosystem and learn respect for the natural environment. We emphasize health within the developmental origins of health and disease (DOHaD) rubric and suggest that greater focus on positive exposures might uncover mechanisms of resiliency that contribute to maximizing human potential. We will entrain our perspective to socioeconomic disadvantage in developed nations and what we have described as “grey space”; this is a mental as much as a physical environment, a space that serves to insidiously reinforce unhealthy behavior, compromise positive psychological outlook and, ultimately, trans-generational health. It is a dwelling place that cannot be fixed with encephalobiotics or the drug-class known as psychobiotics.

show abstract

If Exercise is Medicine, Where is Exercise in Medicine? Review of U.S. Medical Education Curricula for Physical Activity-Related Content

Cited by 106 publications

References 0 publications

Weight management perceptions and clinical practices among gynaecology providers caring for reproductive‐aged patients

Weight management perceptions and clinical practices among gynaecology providers caring for reproductive‐aged patients

From Authoritarianism to Advocacy: Lifestyle-Driven, Socially-Transmitted Conditions Require a Transformation in Medical Training and Practice

Transforming Life: A Broad View of the Developmental Origins of Health and Disease Concept from an Ecological Justice Perspective

Contact Info

Product

Resources

About