Dannemiller Megan, Shadiack Anthony, Sineath Marvin, Baird Andrew, Poirier Marc, Thomas Kevin, Flynn Michael G
Memorial Health University Medical Center, Savannah, GA.
Grand Strand Medical Center, Myrtle Beach, SC.
HCA Healthc J Med. 2024 Jun 1;5(3):225-236. doi: 10.36518/2689-0216.1829. eCollection 2024.
Description In this review, we argue that exercise (physical activity) be monitored as a vital sign since no other basic sign or symptom provides as much information about a patient's health status. The influence of regular exercise on patient health is indisputable, with strong evidence to show the power of exercise to mitigate chronic disease and improve overall health. Several simple tools, such as Physical Activity as a Vital Sign and Exercise as a Vital Sign are available to assess patient physical activity. When properly applied, there is evidence to support the efficacy of these tools, but there are barriers that prevent broad inclusion in primary care, among which are time and provider knowledge. In our review, we also discussed the value of physician-led lifestyle discussions with patients and found they view these discussions favorably. There is also evidence that physicians who exercise are more likely to have these lifestyle discussions with their patients, but the proportion of physicians who exercise regularly is fairly low. We believe physicians' awareness of their patients' sedentary lifestyles should prompt a prescription to increase physical activity, but additional in-clinic support and community resources need to be in place for patients to get a regular dose.
描述 在本综述中，我们认为应将运动（身体活动）作为一项生命体征进行监测，因为没有其他基本体征或症状能像运动这样提供如此多关于患者健康状况的信息。规律运动对患者健康的影响是无可争议的，有充分证据表明运动具有减轻慢性病和改善整体健康的作用。有几种简单的工具，如“将身体活动作为生命体征”和“将运动作为生命体征”，可用于评估患者的身体活动。当正确应用时，有证据支持这些工具的有效性，但存在一些障碍阻碍其在初级保健中广泛应用，其中包括时间和医疗服务提供者的知识。在我们的综述中，我们还讨论了医生主导的与患者关于生活方式的讨论的价值，并发现患者对这些讨论评价良好。也有证据表明，进行运动的医生更有可能与患者进行这些生活方式的讨论，但经常运动的医生比例相当低。我们认为医生对患者久坐生活方式的认识应促使开出增加身体活动的处方，但需要有额外的门诊支持和社区资源，以便患者能定期进行运动。
