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Physical activity of Estonian family doctors and their counselling for a healthy lifestyle: a cross-sectional study

机译:爱沙尼亚家庭医生的体育锻炼及其对健康生活方式的咨询:一项横断面研究

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Background Physical activity offers major health benefits and counselling for it should be integrated into the medical consultation. Based on the literature, the personal health behaviour of the physician (including physical activity) is associated with his/her approach to counselling patients. Our hypothesis is that family doctors (FD) in Estonia are physically active and their recommendation to counsel patients with chronic diseases to use physical activity is high. The study was also interested in how FDs value physical activity among other important determinants of a healthy lifestyle, e.g. nutrition, non-consumption of alcohol, and non-smoking. Methods Physicians on the electronic list were contacted by e-mail and sent a questionnaire. The first part assessed physical activity by the International Physical Activity Questionnaire (IPAQ) short form. Self-reported physical activity during one week was calculated as total physical activity in minutes per week (MET min/week). The second part of the questionnaire included questions about the counselling of patients with chronic disease concerning their physical activity and a healthy lifestyle. The study focused on female FDs because 95% of the FDs in Estonia are women and to avoid bias related to gender. Results 198 female FDs completed the questionnaire. 92% reported that they exercised over the past 7 days to a moderate or high level of physical activity. Analysis revealed no statistically significant relationship between the level of physical activity and general characteristics (age, living area, body mass index [BMI], time spent sitting). FDs reported that patients with heart problems, diabetes, and obesity seek their advice on physical activity more often than patients with depression. Over 94% of the FDs claimed that they counsel their patients with chronic diseases about exercising. According to the FDs' reports, the most important topic in counselling patients for a healthy lifestyle was physical activity. Conclusion This study showed that female FDs are physically active. The level of physical activity is not related to their age, BMI, living area, or time spent sitting. Also, FDs reported that promotion of physical activity is part of their everyday work.
机译:背景进行体育锻炼可带来重大的健康益处,因此应将其纳入医学咨询中以提供咨询。根据文献,医师的个人健康行为(包括体育锻炼)与他/她为患者提供咨询的方法有关。我们的假设是,爱沙尼亚的家庭医生(FD)从事体育活动,因此他们建议慢性病患者进行体育锻炼的建议很高。该研究还对FD如何评估身体活动等健康生活方式的其他重要决定因素感兴趣。营养,不饮酒和禁止吸烟。方法通过电子邮件与电子名单上的内科医生联系并发送问卷。第一部分通过国际体育锻炼问卷(IPAQ)简短形式对体育锻炼进行了评估。一周内自我报告的身体活动被计算为每周分钟内的总身体活动(MET分钟/周)。问卷的第二部分包括有关慢性病患者体育锻炼和健康生活方式的咨询问题。该研究的重点是女性FD,因为爱沙尼亚95%的FD是女性,并避免与性别相关的偏见。结果198位女性FD完成问卷。 92%的人报告说他们在过去7天内进行了中等强度或高强度的体育锻炼。分析表明,体育活动水平与一般特征(年龄,居住面积,体重指数[BMI],坐时间)之间没有统计学上的显着关系。 FDs报告说,与抑郁症患者相比,患有心脏疾病,糖尿病和肥胖症的患者更经常寻求体育锻炼方面的建议。超过94%的FD声称他们为患有慢性疾病的患者提供锻炼方面的咨询。根据FDs的报告,在为患者提供健康生活方式咨询方面最重要的主题是体育锻炼。结论这项研究表明女性FDs具有身体活动性。体育锻炼的水平与他们的年龄,BMI,居住面积或坐下时间无关。此外,FDs报告说,促进体育锻炼是他们日常工作的一部分。

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