Physical activity and exercise(PAE)improve quality of life and reduce the effects of chronic diseases.Primary care physicians(PCPs)play an important role to encourage PAE in patients.We aim to assess PCPs'current ...Physical activity and exercise(PAE)improve quality of life and reduce the effects of chronic diseases.Primary care physicians(PCPs)play an important role to encourage PAE in patients.We aim to assess PCPs'current PAE consultation practices and their enablers/barriers in daily clinical practice.We had 64 PCPs(age[35.3±4.7]y,47 women)that completed self-administered questionnaires on PAE consultation practices,training,and confidence levels.PCPs(n=42)also completed the International Physical Activity Questionnaire-Short Form to assess their physical activity(PA)levels.We conducted correlation,one-way analysis of variance and a linear regression to assess the associations between enablers,barriers and PA levels to PAE consultation practices.On average,PCPs consulted on PAE in 49.7%of their daily clinical appointments.Majority of PCPs(70%)strongly agreed that more PAE knowledge were needed to increase consultation practices.Top three barriers related(p<0.001)to practices were lack of PAE education(r=0.47),patients’preference of pharmaceutical interventions(r=0.45)and lack of continuing education in PAE for PCPs(r=0.37).Physically active PCPs(health-enhancing PA levels,n=6)gave significantly more daily consultations in PAE,73.2%±21.9%,compared to inactive PCPs(n=13),37.4%22.8%(p=0.013).In our regression output,PCPs who had higher PA levels consulted more on PAE daily(R^(2)=0.38,p<0.001)while controlling for age.Conclusion,PCPs require more knowledge on PAE and need be physically active themselves to increase PAE consultation for patients in their daily practice.Medical education should consider including more PA and exercise topics that may benefit both physicians and their patients.展开更多
Gestational diabetes mellitus(GDM)is the most prevalent metabolic disorder during pregnancy.Women diagnosed with GDM have a substantially greater risk of developing type 2 diabetes within 5-10 years after delivery,and...Gestational diabetes mellitus(GDM)is the most prevalent metabolic disorder during pregnancy.Women diagnosed with GDM have a substantially greater risk of developing type 2 diabetes within 5-10 years after delivery,and the risk is increased by excess body weight.Uncontrolled hyperglycemia during pregnancy is potentially harmful to both mother and fetus,resulting in a greater need for Caesarian-section deliveries,delivery of larger infants with more excess body fat,a greater risk of infant death and stillbirth,and an elevated risk of infant hypoglycemia immediately after birth.Fortunately,engaging in physical activity prior to and during pregnancy may lower the risk of developing GDM.Pregnant women should also be advised how to safely increase their physical activity during pregnancy and the postpartum period.An initial approach to becoming more physically active can simply be to encourage women to incorporate more unstructured physical activity into daily living,both before and during pregnancy.Giving women an appropriate exercise prescription can encourage them to participate in physical activity safely and effectively throughout pregnancy to prevent and/or manage GDM.Engaging in 30 min of moderate intensity physical activity on most,if not all,days of the week has been adopted as a recommendation for all pregnant women.展开更多
目的:分析国内外体医融合领域的研究现状、热点及趋势。方法:运用CiteSpace和VOSviewer软件对中国知网(CNKI)和科学引文索引(Web of Science)两大数据库中体医融合领域2013—2023年的研究文献进行可视化分析。结果:从发文数量看,2017年...目的:分析国内外体医融合领域的研究现状、热点及趋势。方法:运用CiteSpace和VOSviewer软件对中国知网(CNKI)和科学引文索引(Web of Science)两大数据库中体医融合领域2013—2023年的研究文献进行可视化分析。结果:从发文数量看,2017年以后国外体医融合领域文献增长迅速,国内文献增长速度较慢;从发文作者看,国外核心作者数量大于国内;从研究机构看,国内研究机构跨区域合作不明显,国外研究机构关系紧密;从高被引文献看,国内外研究方向有一定相似性,但侧重点不同;从关键词分析看,我国该领域研究相较于国外在先进性、多维性和深刻性方面存在一些滞后。结论:为实现健康中国的目标,国内学者应完善现有的理论体系,丰富研究方法,促成跨学科交叉融合研究,关注国际研究热点,优化中国体医融合领域研究。展开更多
文摘Physical activity and exercise(PAE)improve quality of life and reduce the effects of chronic diseases.Primary care physicians(PCPs)play an important role to encourage PAE in patients.We aim to assess PCPs'current PAE consultation practices and their enablers/barriers in daily clinical practice.We had 64 PCPs(age[35.3±4.7]y,47 women)that completed self-administered questionnaires on PAE consultation practices,training,and confidence levels.PCPs(n=42)also completed the International Physical Activity Questionnaire-Short Form to assess their physical activity(PA)levels.We conducted correlation,one-way analysis of variance and a linear regression to assess the associations between enablers,barriers and PA levels to PAE consultation practices.On average,PCPs consulted on PAE in 49.7%of their daily clinical appointments.Majority of PCPs(70%)strongly agreed that more PAE knowledge were needed to increase consultation practices.Top three barriers related(p<0.001)to practices were lack of PAE education(r=0.47),patients’preference of pharmaceutical interventions(r=0.45)and lack of continuing education in PAE for PCPs(r=0.37).Physically active PCPs(health-enhancing PA levels,n=6)gave significantly more daily consultations in PAE,73.2%±21.9%,compared to inactive PCPs(n=13),37.4%22.8%(p=0.013).In our regression output,PCPs who had higher PA levels consulted more on PAE daily(R^(2)=0.38,p<0.001)while controlling for age.Conclusion,PCPs require more knowledge on PAE and need be physically active themselves to increase PAE consultation for patients in their daily practice.Medical education should consider including more PA and exercise topics that may benefit both physicians and their patients.
文摘Gestational diabetes mellitus(GDM)is the most prevalent metabolic disorder during pregnancy.Women diagnosed with GDM have a substantially greater risk of developing type 2 diabetes within 5-10 years after delivery,and the risk is increased by excess body weight.Uncontrolled hyperglycemia during pregnancy is potentially harmful to both mother and fetus,resulting in a greater need for Caesarian-section deliveries,delivery of larger infants with more excess body fat,a greater risk of infant death and stillbirth,and an elevated risk of infant hypoglycemia immediately after birth.Fortunately,engaging in physical activity prior to and during pregnancy may lower the risk of developing GDM.Pregnant women should also be advised how to safely increase their physical activity during pregnancy and the postpartum period.An initial approach to becoming more physically active can simply be to encourage women to incorporate more unstructured physical activity into daily living,both before and during pregnancy.Giving women an appropriate exercise prescription can encourage them to participate in physical activity safely and effectively throughout pregnancy to prevent and/or manage GDM.Engaging in 30 min of moderate intensity physical activity on most,if not all,days of the week has been adopted as a recommendation for all pregnant women.
文摘目的:分析国内外体医融合领域的研究现状、热点及趋势。方法:运用CiteSpace和VOSviewer软件对中国知网(CNKI)和科学引文索引(Web of Science)两大数据库中体医融合领域2013—2023年的研究文献进行可视化分析。结果:从发文数量看,2017年以后国外体医融合领域文献增长迅速,国内文献增长速度较慢;从发文作者看,国外核心作者数量大于国内;从研究机构看,国内研究机构跨区域合作不明显,国外研究机构关系紧密;从高被引文献看,国内外研究方向有一定相似性,但侧重点不同;从关键词分析看,我国该领域研究相较于国外在先进性、多维性和深刻性方面存在一些滞后。结论:为实现健康中国的目标,国内学者应完善现有的理论体系,丰富研究方法,促成跨学科交叉融合研究,关注国际研究热点,优化中国体医融合领域研究。
