Department of Critical Care Medicine, University of Pittsburgh, Pennsylvania; Haiyan Qu, Department of Health Services Administration, University of Alabama at Birmingham, Alabama.
Prev Chronic Dis. 2013 Nov 7;10:E182. doi: 10.5888/pcd10.130077.
Physical activity is beneficial for reducing pain and improving health-related quality of life among people with arthritis. However, physical inactivity is prevalent among people with arthritis. Health care providers' recommendations act as a catalyst for changes in health behavior. However, information about the effectiveness of such recommendations is limited in the arthritis literature. We examined the association between providers' recommendations for physical activity and adherence to physical activity guidelines for adults with arthritis and whether adults' age influenced this association.
We used combined data of adult respondents aged 45 years or older with provider-diagnosed arthritis (N = 10,892) from the 2011 Behavioral Risk Factor Surveillance System to conduct a retrospective, cross-sectional study. We used a multivariable logistic regression model to examine the association between health care providers' recommendations and adherence to physical activity guidelines among adults with arthritis.
Adults with arthritis who received health care providers' recommendations for physical activity were more likely (odds ratio, 1.22; 95% confidence interval, 1.12-1.32) to adhere to physical activity guidelines than those who did not, after controlling for relevant covariates. Adults' age did not influence the association between providers' recommendations and adherence to physical activity (odds ratio, 1.00; 95% confidence interval, 0.99-1.00), after controlling for covariates.
Health care providers' recommendations are associated with adherence to physical activity guidelines among adults with arthritis. Providers should recommend physical activity to adults with arthritis.
身体活动有益于减轻关节炎患者的疼痛和改善与健康相关的生活质量。然而，关节炎患者普遍存在身体活动不足的情况。医疗保健提供者的建议是改变健康行为的催化剂。然而，关于这些建议有效性的信息在关节炎文献中有限。我们研究了提供者对身体活动的建议与关节炎成年人遵守身体活动指南之间的关联，以及成年人的年龄是否影响这种关联。
我们使用来自 2011 年行为风险因素监测系统的 45 岁或以上有提供者诊断为关节炎的成年受访者（N=10892）的综合数据，进行回顾性、横断面研究。我们使用多变量逻辑回归模型来检验医疗保健提供者的建议与关节炎成年人遵守身体活动指南之间的关联。
在控制相关协变量后，接受身体活动建议的关节炎成年人比未接受建议的成年人更有可能遵守身体活动指南（优势比，1.22；95%置信区间，1.12-1.32）。在控制协变量后，成年人的年龄并不影响提供者建议与遵守身体活动指南之间的关联（优势比，1.00；95%置信区间，0.99-1.00）。
医疗保健提供者的建议与关节炎成年人遵守身体活动指南有关。提供者应向关节炎成年人推荐身体活动。
