Patrick Kevin, Pratt Michael, Sallis Robert E
J Phys Act Health. 2009 Nov;6(s2):S211-S219. doi: 10.1123/jpah.6.s2.s211.
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所有年龄段人群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常规性地提及身体活动（PA）。让卫生专业人员参与国家身体活动计划将取决于能否找到在临床环境中促进身体活动的行之有效的策略。
回顾了关于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。
关于基于医疗保健环境并由医疗保健提供者提供的干预措施能否改善患者的身体活动行为，证据不一。医生进行的简短独立咨询尚未显示出效果，但基于办公室的筛查和积极活动建议，随后通过电话或社区对身体活动的支持已被证明在持续改善身体活动行为方面是有效的。优化跨临床和社区资源的服务组织的医疗保健提供模式可能与医疗保健中的身体活动促进非常契合。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身体活动作为6岁及以上个体每次就诊的生命体征。
