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Review
. 2007 Mar 1;125(2):115-21.
doi: 10.1590/s1516-31802007000200010.

The role of physician counseling in improving adherence to physical activity among the general population

Affiliations
Review

The role of physician counseling in improving adherence to physical activity among the general population

Marcos Ausenka Ribeiro et al. Sao Paulo Med J. .

Abstract

The regular practice of physical activity at appropriate levels ensures various benefits for the individual over the short, medium and long terms. It is therefore important in health promotion. On the other hand, sedentary behavior has reached alarming levels among the general population, which qualifies it as a serious health problem of endemic proportions. The present review describes public health problems consequent to sedentary behavior and the importance of physician counseling for change their patients behavior and making them more physically active on a regular basis. Models and behavioral theories are presented to facilitate physicians understanding of how to approach patients during clinical practice. We also describe programs conducted in many countries based on physician counseling for reducing sedentary behavior, and we present many tools used to quantify and qualify patients attitudes towards becoming more physically active. Through understanding the barriers faced by patients, we suggest methodologies that will enable physicians to use physical activity promotion appropriately. We hope that this will provide support for physicians in conducting physical activity counseling, as a means for improving the health of the population.

A prática regular de atividade física em níveis adequados assegura diversos benefícios para o indivíduo a curto, médio e longo prazo, o que determina sua importância na promoção de saúde. Por outro lado, o sedentarismo tem atingido níveis alarmantes na população em geral qualificando-o como um problema grave da saúde em proporções endêmicas. O médico, assim como outros profissionais da saúde, deveriam estar atentos a este fato e promover a prática da atividade física durante a sua prática clínica. Entretanto, existem evidências sugerindo que o aconselhamento de atividade física tem sido realizado pelo médico, principalmente, para pacientes que apresentam co-morbidades sugerindo o seu uso como uma ferramenta terapêutica ao invés de preventivo. O objetivo desta revisão foi auxiliar os médicos a compreender os benefícios preventivos da atividade física, subsidiando-os sobre as teorias comportamentais e provendo-os com ferramentas para avaliar e aconselhar os pacientes adequadamente sobre os assuntos relacionados à atividade física. Além disto, compreendendo as barreiras enfrentadas pelos pacientes, esperamos sugerir metodologias que auxiliarão médicos a empregar a promoção da atividade física de maneira adequada. Esperamos, desta forma, auxiliar o médico a utilizar o aconselhamento como um instrumento para promover a saúde da população.

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Conflict of interest statement

Conflict of interest: Not declared

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