McKenna J, Henderson L, Baic S
Department of Exercise and Health Sciences, University of Bristol, Bristol, UK.
J Hum Nutr Diet. 2004 Feb;17(1):63-9. doi: 10.1046/j.1365-277x.2003.00495.x.
Convincing evidence has emerged in recent years for the role of physical activity (PA) in the prevention and treatment of many chronic diseases. These include both physical and mental health problems, which are likely to be encountered by practicing dietitians. This study aimed to identify whether NHS based Registered Dietitians (RDs) currently promote PA to their patients and if so, how they do it and with which patients.
An anonymous questionnaire sent to 516 RDs in NHS teaching hospitals achieved a 77% (n = 397) return rate.
Ninety-three per cent of respondents reported regularly promoting PA particularly with new patients. Among active PA promoters, 87% reported encouraged daily accumulation of PA, 50% focused on sport and exercise and 52% referred patients to GPs or Physiotherapists for advice. Distinctive levels and styles of PA promotion were found to be related to levels of recent training in the field although fewer than one in four had actually received any formal training.
A high interest in further PA-specific training (95% of all respondents), together with high variability in the type and quality of advice suggests the need to develop further in-service training specifically for RDs.
近年来，有令人信服的证据表明体育活动（PA）在预防和治疗许多慢性病中发挥着作用。这些慢性病包括身体和心理健康问题，而执业营养师可能会遇到这些问题。本研究旨在确定国民保健服务体系（NHS）中的注册营养师（RD）目前是否向患者推广体育活动，如果是，他们如何推广以及针对哪些患者。
向NHS教学医院的516名注册营养师发送了一份匿名问卷，回收率为77%（n = 397）。
93%的受访者报告定期推广体育活动，尤其是对新患者。在积极推广体育活动的人中，87%报告鼓励患者每天积累体育活动，50%关注运动和锻炼，52%将患者转介给全科医生或物理治疗师以获取建议。尽管实际接受过任何正规培训的人不到四分之一，但发现体育活动推广的不同水平和方式与该领域近期培训水平有关。
对进一步开展特定体育活动培训的兴趣浓厚（所有受访者中有95%），同时建议的类型和质量差异很大，这表明有必要为注册营养师专门开展进一步的在职培训。
