Hillsdon M
London School of Hygiene and Tropical Medicine, University of London, UK.
Int J Obes Relat Metab Disord. 1998 Aug;22 Suppl 2:S52-4.
In the past few years, alliances between primary care and leisure services have become a popular strategy for exercise promotion in the England. 'GP Referral Schemes' typically involve referral to a local leisure centre by a General Practitioner (GP), whereupon patients are inducted into a 10-12 week exercise programme at a reduced fee. Referred patients are usually white, middle aged and apparently healthy women, with the main reason for referral being overweight. The schemes are characterised by their lack of formal evaluation, making conclusions about effectiveness impossible. In the US, physicians advice to exercise has been the focus of interventions to date. Two controlled trials, one randomised, have provided some evidence that exercise behaviour can be changed, at least in the short term. The ability to recruit sufficient numbers of patients, who have potentially the most to gain from increased physical activity, is the biggest barrier to primary care based interventions. One contributing factor to this problem, may be doctors and nurses' knowledge about the benefits of physical activity.
在过去几年中，初级保健与休闲服务之间的联盟已成为英国推广锻炼的一种流行策略。“全科医生转诊计划”通常由全科医生（GP）将患者转诊至当地休闲中心，患者随后可享受优惠价格参加为期10至12周的锻炼计划。被转诊的患者通常是白人、中年且看似健康的女性，转诊的主要原因是超重。这些计划的特点是缺乏正式评估，因此无法得出关于其有效性的结论。在美国，医生对锻炼的建议一直是迄今为止干预措施的重点。两项对照试验，其中一项是随机试验，提供了一些证据表明锻炼行为至少在短期内可以改变。招募足够数量的患者是基于初级保健的干预措施面临的最大障碍，而这些患者可能从增加体育活动中获益最多。造成这一问题的一个因素可能是医生和护士对体育活动益处的了解。
