Physician—Patient Interactions Regarding Diet, Exercise, and Smoking

Nawaz, Haq; Adams, Mildred; Katz, David L.

doi:10.1006/pmed.2000.0760

Cited by 64 publications

(46 citation statements)

References 26 publications

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“…Studies have shown that professional advice and followup with obese patients influence their motivation to make changes in diet and exercise and may promote successful weight loss. 20,21,[36][37][38][39][40] There is a need for reimbursement mechanisms that allow providers to give their patients sufficient weight reduction counseling and that link this counseling with reimbursement for intensive, evidence-based, behavioral interventions to lose weight. 28,34 Also, training in nutrition and exercise guidelines would give physicians a foundation for and perhaps a greater disposition toward addressing these problems with patients.…”

Section: Discussionmentioning

confidence: 99%

“…27,[31][32][33] Physicians cite many factors, including lack of time during office visits, 27,28,30 inadequate training in preventive care, 27,28 no reimbursement for treatment and prevention, 28,34 and the belief that the advice would have little effect on patient behavior [27][28][29][30]35 as prominent barriers to counseling. However, studies reveal that patients counseled regarding their weight or strategies for improving diet and exercise are substantially more likely to report that they are working on these areas, 20,21,36,37 and may be more likely to lose weight. 37,38 Finally, a review of randomized control trials indicates that coordination of weight loss efforts with a health professional may result in greater success among overweight or obese patients.…”

mentioning

confidence: 99%

“…However, studies reveal that patients counseled regarding their weight or strategies for improving diet and exercise are substantially more likely to report that they are working on these areas, 20,21,36,37 and may be more likely to lose weight. 37,38 Finally, a review of randomized control trials indicates that coordination of weight loss efforts with a health professional may result in greater success among overweight or obese patients. 39 The U.S. Preventive Services Task Force recently concluded that there is some evidence that high-intensity counseling about diet, exercise, or both in conjunction with behavioral interventions produces modest, sustained weight loss in adults who are obese.…”

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confidence: 99%

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Trends in professional advice to lose weight among obese adults, 1994 to 2000

et al. 2005

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Context: Obesity is a fast‐growing threat to public health in the U.S., but information on trends in professional advice to lose weight is limited. Objective: We studied whether rising obesity prevalence in the U.S. was accompanied by an increasing trend in professional advice to lose weight among obese adults. Design and Participants: We used the Behavioral Risk Factor Surveillance System, a cross‐sectional prevalence study, from 1994 (n=10,705), 1996 (n=13,800), 1998 (n=18,816), and 2000 (n=26,454) to examine changes in advice reported by obese adults seen for primary care. Measurements: Self‐reported advice from a health care professional to lose weight. Results: From 1994 to 2000, the proportion of obese persons receiving advice to lose weight fell from 44.0% to 40.0%. Among obese persons not graduating from high school, advice declined from 41.4% to 31.8%; and for those with annual household incomes below $25,000, advice dropped from 44.3% to 38.1%. In contrast, the prevalence of advice among obese persons with a college degree or in the highest income group remained relatively stable and high (>45%) over the study period. Conclusions: Disparities in professional advice to lose weight associated with income and educational attainment increased from 1994 to 2000. There is a need for mechanisms that allow health care professionals to devote sufficient attention to weight control and to link with evidence‐based weight loss interventions, especially those that target groups most at risk for obesity.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Trends in professional advice to lose weight among obese adults, 1994 to 2000

et al. 2005

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“…29 During check-up visits, 56% of patients are asked about their physical activity, but only 34% 30 receive any counseling. 31 On the other hand, physical activity counseling seems to be given more often to those with more risk factors or comorbidities, which suggests greater use of such counseling as a therapeutic tool rather than for promoting health. 32 Physicians report various reasons for not providing medical counseling, or claim that there are barriers to giving such counseling.…”

Section: Physicians As Physical Physicians As Physical Activity Counsmentioning

confidence: 99%

The role of physician counseling in improving adherence to physical activity among the general population

2007

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The regular practice of physical activity at appropriate levels ensures various benefi ts for the individual over the short, medium and long terms. It is therefore important in health promotion. On the other hand, sedentary behavior has reached alarming levels among the general population, which qualifi es it as a serious health problem of endemic proportions. The present review describes public health problems consequent to sedentary behavior and the importance of physician counseling for change their patients' behavior and making them more physically active on a regular basis. Models and behavioral theories are presented to facilitate physicians' understanding of how to approach patients during clinical practice. We also describe programs conducted in many countries based on physician counseling for reducing sedentary behavior, and we present many tools used to quantify and qualify patients' attitudes towards becoming more physically active. Through understanding the barriers faced by patients, we suggest methodologies that will enable physicians to use physical activity promotion appropriately. We hope that this will provide support for physicians in conducting physical activity counseling, as a means for improving the health of the population.

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“…International ist die Datenlage ebenfalls uneinheitlich: Einige Autoren berichten von einem uneinheitlichen [23,24], negativen [22,25] oder positiven [26] Altersgradienten. Auch hier ist die Interpretation und die Übertragbarkeit der Studien problematisch, da einmal die Termintreue zur Wiedervorstellung, ein anderes Mal die Teilnahmebereitschaft an Vorsorgeuntersuchungen oder Bewegungsprogrammen u. ä. untersucht wurde.…”

Section: Statistisches Designunclassified