CHU de Montpellier, 34295 Montpellier, France.
Diabetes Metab. 2012 Jun;38(3):243-9. doi: 10.1016/j.diabet.2011.12.004. Epub 2012 Mar 3.
The study documented the attitudes and practices of French general practitioners (GPs) regarding the prescription of physical activity (PA) for obesity management.
A cross-sectional survey of all 254GPs with practices in a city in the south of France was performed, of which 203 (80%) questionnaires were returned. From these, demographic, professional and personal data, beliefs, attitudes, training and barriers to prescribing PA were assessed.
GPs are very much aware of the importance of PA in the management of obesity, as 94% reportedly prescribed it frequently ('usually' or 'often'). However, only a minority recommended PA levels that were consistent with most guidelines. Even though most of the GPs (71%) reported a lack of training in prescribing PA, only a slight majority (52%) wished to undergo such training. Patients' non-compliance was the main obstacle for 63% of the GPs. Also, although only 1% of the GPs used software and Internet resources, 62% expressed a desire to incorporate these tools in their practices. The personal characteristics of GPs also influenced their attitudes and practices, as reflected by the fact that overweight or obese GPs favoured psychobehavioural management rather than PA (P=0.03). Younger GPs (<45 years) felt less adequately trained than their elders (P=0.01) and were more eager for additional training.
GPs play a central role in preventing the pandemic of obesity and other chronic diseases for which PA is a cornerstone. However, the need to improve GP practices in prescribing PA remains a challenge. Better medical education and the development of adequate Web-based tools should also be prioritized.
本研究记录了法国全科医生（GP）在开具运动处方（PA）以管理肥胖症方面的态度和实践。
对法国南部一个城市的 254 名全科医生进行了横断面调查，其中 203 名（80%）医生返回了问卷。从这些问卷中，评估了人口统计学、专业和个人数据、信念、态度、培训以及开具 PA 处方的障碍。
GP 非常清楚 PA 在肥胖症管理中的重要性，因为 94%的人报告经常（“通常”或“经常”）开具 PA 处方。然而，只有少数人建议的 PA 水平符合大多数指南。尽管大多数 GP（71%）报告缺乏开具 PA 的培训，但只有略多于一半（52%）希望接受这种培训。患者不遵医嘱是 63%的 GP 的主要障碍。此外，尽管只有 1%的 GP 使用软件和互联网资源，但 62%的人表示希望将这些工具纳入其实践。GP 的个人特征也影响了他们的态度和实践，超重或肥胖的 GP 更倾向于心理行为管理而不是 PA（P=0.03）。年轻的 GP（<45 岁）比年长的 GP 感到培训不足（P=0.01），并更渴望接受额外的培训。
GP 在预防肥胖症和其他慢性病的流行方面发挥着核心作用，而 PA 是这些慢性病的基石。然而，改善 GP 开具 PA 处方的实践仍然是一个挑战。更好的医学教育和开发适当的基于网络的工具也应优先考虑。
