National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, Mailstop K-46, Atlanta, GA 30345, USA.
Prev Med. 2009 Aug-Sep;49(2-3):209-12. doi: 10.1016/j.ypmed.2009.06.017. Epub 2009 Jun 30.
To describe the prevalence and characteristics of persons with arthritis or hypertension who received advice from their health-care professional to manage their condition.
Data from 9 states were obtained from the 2007 Behavioral Risk Factor Surveillance System. Two modules (Arthritis Management and Actions to Control High Blood Pressure) were analyzed (sample sizes: arthritis 29,698, hypertension 29,783).
Fifty-five percent of persons with arthritis and 75.8% of persons with hypertension reported that their health-care professional ever suggested physical activity or exercise to help manage their condition. Correlates for being less likely to receive advice were lower levels of education, longer time since last routine doctor visit, being physically inactive, and having lower body mass index. Among inactive, normal weight persons, 43.0% (95% CI: 38.7, 47.4) with arthritis and 50.0% (95% CI: 44.4, 55.6) with hypertension reported receiving advice; among inactive, obese patients, 59.1% (95% CI: 55.8, 62.3) with arthritis and 74.0% (95% CI: 70.5, 77.3) with hypertension reported receiving advice.
Findings suggest that health-care professionals may base physical activity counseling more on body mass index than a patient's activity level. To manage chronic health conditions, health-care professionals should assess patient's physical activity and offer all patients appropriate counseling.
描述接受过医疗保健专业人员建议来管理关节炎或高血压状况的患者的比例和特征。
数据来自 2007 年行为风险因素监测系统的 9 个州。分析了两个模块（关节炎管理和控制高血压的措施）（样本量：关节炎 29698 人，高血压 29783 人）。
55%的关节炎患者和 75.8%的高血压患者报告说，他们的医疗保健专业人员曾建议进行体育活动或锻炼来帮助控制病情。不太可能接受建议的相关因素是教育程度较低、上次常规医生就诊时间较长、身体不活跃以及身体质量指数较低。在不活跃、体重正常的人群中，43.0%（95%置信区间：38.7，47.4）的关节炎患者和 50.0%（95%置信区间：44.4，55.6）的高血压患者报告接受了建议；在不活跃、肥胖的患者中，59.1%（95%置信区间：55.8，62.3）的关节炎患者和 74.0%（95%置信区间：70.5，77.3）的高血压患者报告接受了建议。
这些发现表明，医疗保健专业人员可能根据身体质量指数而不是患者的活动水平为患者提供体育活动咨询。为了管理慢性健康状况，医疗保健专业人员应评估患者的身体活动并为所有患者提供适当的咨询。
