Keohane D M, McGillivary N A, Daly B
South West Specialist Training Programme in General Practice, S�las Building, ITT North Campus, Tralee, Co. Kerry, Ireland.
Ir Med J. 2018 Feb 9;111(2):690.
Physical activity is a pillar stone of health promotion and primary care is perfectly poised to disseminate this message. Primary care however, often fails in this regard, missing an opportunity to promote a simple intervention that is effective, free and easily accessible. This study aimed to determine physical activity levels in Irish General Practitioners and General Practice Trainees in addition to describing the barriers to exercise that exist amongst this cohort. This cross-sectional study of Irish General Practice trainers and trainees captured a categorical record of physical activity as well as a qualitative measure of the perceived barriers to exercise. Only 49% (n=107) of those studied engaged in health enhancing physical activity while 20% (n=44) were completely inactive. Sixty percent (n=131) demonstrated excessively sedentary behaviour. The greatest barriers to exercise were time expenditure and exhaustion. General practitioners and trainees are more likely to engage with promoting physical activity as a health intervention if its benefits are clearly demonstrable in their own lives. This established trend of inactivity needs to be reversed if physicians wish to realise significant health benefits in their own lives and achieve substantial change in the health behaviours of their patients.
身体活动是健康促进的基石，而初级保健机构完全有能力传播这一信息。然而，初级保健机构在这方面常常做得不够，错失了推广一项有效、免费且易于实施的简单干预措施的机会。本研究旨在确定爱尔兰全科医生和全科医学实习生的身体活动水平，并描述该群体中存在的运动障碍。这项针对爱尔兰全科医学培训师和实习生的横断面研究记录了身体活动的分类情况以及对运动感知障碍的定性测量。在研究对象中，只有49%（n = 107）的人进行增进健康的身体活动，而20%（n = 44）的人完全不活动。60%（n = 131）的人表现出久坐行为过多。运动的最大障碍是时间花费和疲惫。如果能在全科医生和实习生自身生活中清楚地证明身体活动的益处，他们就更有可能将推广身体活动作为一种健康干预措施。如果医生希望在自己的生活中实现显著的健康益处，并使患者的健康行为发生实质性改变，就需要扭转这种久坐不动的既定趋势。
