Reiss Débora Borowiak, Lemes Ítalo Ribeiro, Roschel Hamilton, Gualano Bruno
Applied Physiology and Nutrition Research Group - Center of Lifestyle Medicine, Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil; Instituto de Ortopedia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil; Fleury Group, Brazil.
Applied Physiology and Nutrition Research Group - Center of Lifestyle Medicine, Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil; Department of Physical Therapy, Faculdade Israelita de Ciências da Saúde Albert Einstein (FICSAE), São Paulo, SP, Brazil; Department of Physical Therapy, São Paulo State University (UNESP), Presidente Prudente, SP, Brazil.
Clinics (Sao Paulo). 2025 May 7;80:100666. doi: 10.1016/j.clinsp.2025.100666. eCollection 2025.
To characterize practices and knowledge regarding PA counseling at a large tertiary hospital.
Cross-sectional observational study.
Physicians with an active medical practice within the university hospital were invited to respond to an online survey.
A questionnaire designed to capture information on medical training, life habits and knowledge about PA.
Sedentary behavior, clinical practice and self-efficacy were assessed by Likert-type questions, whereas regular practice, previous training, and knowledge of PA were evaluated through dichotomous questions (answers: "yes or no" or "true or false").
Response rate was 11.5 % (50.6 % female, 44.9 ± 12.8 years), 67.7 % were physically active, and 63.3 % had 4 to 8 h/day of sedentary behavior. Only 40.7 % had previous training on PA, 99.7 % recognized the importance of recommending PA, but only a small part (48.4 %) recommended PA in all consultations (the main barrier was lack of specific training). In addition, 69.2 %, 58.7 % and 65.5 % rated their abilities to collect PA history, assess contraindications, and engage the patient as good/excellent, respectively. Knowledge of PA was rated as low to very low, with correct answers ranging from 49 % to 17 % and as low as ∼10 % (when considering the pediatric population).
Although physicians recognize the importance of PA counseling and have high perceived self-efficacy in relation to counseling skills, few put them into practice. This may be due to insufficient training on PA and/or the complexity of services provided at the tertiary hospital. The present results corroborate the need for improvements in medical training on PA.
描述一家大型三级医院中有关身体活动（PA）咨询的实践情况和知识水平。
横断面观察性研究。
邀请在大学医院中从事临床工作的医生参与在线调查。
设计一份问卷，以获取有关医学培训、生活习惯和PA知识的信息。
通过李克特式问题评估久坐行为、临床实践和自我效能感，而通过二分法问题（答案：“是或否”或“对或错”）评估规律的身体活动实践、既往培训情况以及PA知识。
回复率为11.5%（女性占50.6%，年龄44.9±12.8岁），67.7%的人有身体活动，63.3%的人每天久坐行为达4至8小时。仅有40.7%的人曾接受过PA相关培训，99.7%的人认识到推荐PA的重要性，但只有一小部分人（48.4%）在所有会诊中都推荐PA（主要障碍是缺乏专项培训）。此外，分别有69.2%、58.7%和65.5%的人将他们收集PA病史、评估禁忌证以及促使患者进行PA的能力评为良好/优秀。PA知识水平被评为低到极低，正确答案率在49%至17%之间，低至约10%（考虑儿科人群时）。
尽管医生认识到PA咨询的重要性，且在咨询技能方面自我效能感较高，但很少付诸实践。这可能是由于PA培训不足和/或三级医院提供的服务复杂所致。目前的结果证实了改进PA医学培训的必要性。
