Hechanova Rachel L, Wegler Jennifer L, Forest Christopher P
Rachel L. Hechanova practices emergency medicine in several hospitals in Los Angeles County, as well as in Goleta Valley, Calif. Jennifer L. Wegler practices orthopedics at the Kootenai Medical Center in Coeur D'Alene, Idaho. She previously was a clinical instructor of family medicine in the PA program at the University of Southern California (USC) in Alhambra, Calif. Christopher P. Forest is an assistant professor of clinical family medicine at USC's Keck School of Medicine and practices urgent care and family medicine in Los Angeles, Calif. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2017 Apr;30(4):17-22. doi: 10.1097/01.JAA.0000513344.52255.cc.
Sedentary lifestyles and low physical activity have led to rising health concerns and increasing mortality risks. With the growing concern of the inactivity of adult Americans, it is important that physical activity be promoted to prevent disease and reduce health risks. This article reviews the benefits of physical activity and the steps that primary care providers should take to evaluate physical activity as the fifth vital sign in every patient encounter. The 5A's (assess, advise, agree, assist, and arrange) should be applied in order to implement an exercise prescription into the practice of medicine.
久坐不动的生活方式和缺乏体育活动导致了人们对健康的担忧日益增加，以及死亡风险的上升。随着美国成年人身体活动不足问题日益受到关注，推广体育活动以预防疾病和降低健康风险非常重要。本文回顾了体育活动的益处，以及初级保健提供者在每次接诊患者时应采取的将体育活动评估为第五 vital sign（生命体征）的步骤。应应用 5A 法（评估、建议、达成共识、协助和安排），以便将运动处方纳入医疗实践。
