Dept of Family & Preventive Medicine, University of California-San Diego, La Jolla, CA, USA.
J Phys Act Health. 2009 Nov;6 Suppl 2:S211-9.
Healthcare professionals are influential sources of health information and guidance for people of all ages. However healthcare providers do not routinely address physical activity (PA). Engaging health professionals in a national plan for physical activity will depend upon whether proven strategies can be found to promote PA within clinical settings.
The literature on promoting PA in healthcare settings was reviewed, as were recommendations from healthcare organizations and evidence-gathering entities about whether and how PA should be promoted in healthcare.
Evidence is mixed about whether interventions based in healthcare settings and offered by healthcare providers can improve PA behaviors in patients. Brief stand-alone counseling by physicians has not been shown to be efficacious, but office-based screening and advice to be active, followed by telephone or community support for PA has proven effective in creating lasting PA behavior improvement. Healthcare delivery models that optimize the organization of services across clinical and community resources may be very compatible with PA promotion in health care. Because of the importance of PA to health, healthcare providers are encouraged to consider adding PA as a vital sign for each medical visit for individuals aged 6 years and older.
医疗保健专业人员是各个年龄段人群的健康信息和指导的重要来源。然而，医疗保健提供者通常不会解决身体活动（PA）问题。要使卫生专业人员参与国家身体活动计划，就必须找到在临床环境中促进身体活动的经过验证的策略。
审查了在医疗保健环境中促进身体活动的文献，以及医疗保健组织和证据收集实体关于是否以及如何在医疗保健中促进身体活动的建议。
基于医疗保健机构的干预措施和医疗保健提供者提供的干预措施是否可以改善患者的身体活动行为，证据不一。医生提供的简短独立咨询并未显示出有效，但基于办公室的筛查和积极活动建议，以及针对身体活动的电话或社区支持，已被证明可以有效地改善身体活动行为的持久性。优化临床和社区资源之间服务组织的医疗保健提供模式可能非常适合促进医疗保健中的身体活动。由于身体活动对健康的重要性，鼓励医疗保健提供者考虑将其作为 6 岁及以上个人每次就诊的生命体征添加。
