Physical Activity as a Vital Sign: A Systematic Review

Golightly, Yvonne M.; Allen, Kelli D.; Ambrose, Kirsten; Stiller, Jamie L.; Evenson, Kelly R.; Voisin, C; Hootman, Jennifer; Callahan, Leigh F.

doi:10.5888/pcd14.170030

Cited by 88 publications

(73 citation statements)

References 25 publications

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“…There are examples in the literature of systems that successfully increase both referrals and patient physical activity adherence. These include adding physical activity into patient records as a “vital sign” ( Golightly et al, 2017 ; Kohl et al, 2012 ; Sallis et al, 2015 ), integrating referral systems with exercise partners ( Lobelo, Stoutenberg, & Hutber, 2014 ), and including feedback components from partner programs ( Adsit et al, 2014 ). To comply with federal regulations, electronic systems may need to be based in HIPAA-compliant, cloud-based servers or complementary electronic health record systems, and program staff may need to obtain relevant training ( Mair et al, 2012 ; Menachemi & Collum, 2011 ).…”

Section: Discussionmentioning

confidence: 99%

Bridging the Gap After Physical Therapy: Clinical–Community Linkages With Older Adult Physical Activity Programs

Fishleder¹,

Petrescu-Prahova²,

Harris³

et al. 2018

Innovation in Aging

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Background and ObjectivesMany barriers exist to older adult participation in physical activity, despite known benefits. Referrals from physical therapists (PTs) through clinical–community linkages offer novel, promising opportunities to increase older adult engagement in appropriate community-based physical activity programs. We assessed the capacity of PTs to participate in such linkages.Research Design and MethodsWe collected qualitative data using semistructured phone interviews (n = 30) with PTs across 14 states. We conducted thematic analysis using a priori themes based on the 2008 Bridging Model of Etz and colleagues: capacity to assess patient risk, ability to provide brief counseling, capacity and ability to refer, and awareness of community resources.ResultsRisk assessment and counseling were already part of routine practice for our respondents, but counseling could be further facilitated if PTs had more skills to engage less-motivated patients. PTs expressed a desire to refer their patients to community programs; however, barriers to referrals included lack of knowledge of and trust in community programs, and limited infrastructure for communicating with potential partners.Discussion and ImplicationsPTs have the capacity to develop patient referral linkages with community-based physical activity programs. PT session length and content facilitates patient risk assessment and behavioral counseling. Integrating motivational techniques can help PTs engage less-motivated patients in physical activity. Systemic improvements should include innovations in communication infrastructure, identifying clinic-level champions, and in-person outreach initiated by organizations that deliver community physical activity programs.

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Section: Discussionmentioning

confidence: 99%

Bridging the Gap After Physical Therapy: Clinical–Community Linkages With Older Adult Physical Activity Programs

Fishleder¹,

Petrescu-Prahova²,

Harris³

et al. 2018

Innovation in Aging

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show abstract

“…In multiple recent scientific and policy statements, the American Heart Association has promoted assessment of physical activity in clinical settings and workplaces. 2 , 3 , 13 , 14 , 15 , 16 Ross et al 17 and Golightly et al 18 have also emphasized the growing evidence for objectively assessing cardiorespiratory fitness (CRF) as a vital sign in health care settings. However, unlike anthropometric measurements and serum biomarkers, physical activity and CRF assessments have largely been neglected by clinicians.…”

Section: Introductionmentioning

confidence: 99%

Association Between Push-up Exercise Capacity and Future Cardiovascular Events Among Active Adult Men

et al. 2019

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“…Regular performance of PA is necessary for improving PF, and has been shown to be a more important determinant of VO 2 max than sedentary time (Pollock, Duggal, Lazarus, Lord, & Harridge, 2018). Various methods of assessing PA are available, though measuring PA as a vital sign (PAVS) is supported in clinical situations (Cowan, 2016;Golightly et al, 2017). PAVS includes self-reporting two metrics of PA: 1) the number of days in the previous week where PA was performed that increased heart rate and breathing above normal and 2) the average number of minutes such activity is performed (Golightly et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Various methods of assessing PA are available, though measuring PA as a vital sign (PAVS) is supported in clinical situations (Cowan, 2016;Golightly et al, 2017). PAVS includes self-reporting two metrics of PA: 1) the number of days in the previous week where PA was performed that increased heart rate and breathing above normal and 2) the average number of minutes such activity is performed (Golightly et al, 2017). This metric is simple and quickly assesses a person's PA without regard to the type of activity chosen.…”

Section: Introductionmentioning

confidence: 99%

Sleep and Exercise Behaviors Do Not Differ Based Upon Aerobic Capacity or Hand Grip Strength

Myers

Manor

Wilson

et al. 2020

IJKSS

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Background: Despite the known benefits of physical activity (PA), most of the population in the United States fails to meet minimum recommended levels, and this lack of activity is believed to affect their health and well-being. Objective: The purpose of this study was to compare lifestyle behaviors of exercise and sleep in low, moderate, and high performers for maximal aerobic capacity (VO2max) and hand-grip strength (GS). Methods: Participants (n = 107, 19-62 years old) performed physical fitness assessments: estimated VO2max through submaximal cycle ergometry, and GS. Physical activity (PA) and sleep were assessed via self-reported questionnaires: physical activity as a vital sign (PAVS) and the Pittsburgh Sleep Quality Index (PSQI). Participants were categorized according to age and gender-specific normative values as low, medium, and high performer (LP, MP, and HP). Group characteristics were compared for each ranked variable using Kruskall-Wallis tests. Results: PAVS scores revealed 66.3% (n=68) of participants met minimum PA of 150 min/week (221.6 ± 177.8). According to VO2max performance groups, the LP group was taller, heavier, had higher diastolic blood pressure, and had a larger waist circumference than MP or HP (p =.000-.029), with moderate and high effect sizes. When categorized by relative GS, the LP group was heavier and had larger waist and hip circumferences than the HP group (p =.003-.011), all with high effect sizes. Conclusion: Despite high levels of self-report PA in this cohort, this did not translate to better cardiorespiratory fitness or muscular strength. Participants met PA guidelines but achieved suboptimal scores for VO2max and GS signifying elevated risk of mortality. The incongruity between PA levels and fitness classification suggest that lifestyle habits may not be a suitable surrogate for objective measurement of fitness.

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Physical Activity as a Vital Sign: A Systematic Review

Abstract: Introduction

Cited by 88 publications

References 25 publications

Bridging the Gap After Physical Therapy: Clinical–Community Linkages With Older Adult Physical Activity Programs

Bridging the Gap After Physical Therapy: Clinical–Community Linkages With Older Adult Physical Activity Programs

Association Between Push-up Exercise Capacity and Future Cardiovascular Events Among Active Adult Men

Sleep and Exercise Behaviors Do Not Differ Based Upon Aerobic Capacity or Hand Grip Strength

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