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. 2023 Dec 16;13(4):254-266.
doi: 10.34172/hpp.2023.31. eCollection 2023.

Prevalence of physical activity counseling in primary care: A systematic review and meta-analysis

Apichai Wattanapisit  1   2 , Sarawut Lapmanee  3 , Sirawee Chaovalit  4 , Charupa Lektip  5 , Palang Chotsiri  6
Affiliations

Prevalence of physical activity counseling in primary care: A systematic review and meta-analysis

Apichai Wattanapisit et al. Health Promot Perspect. .

Abstract

Background: This systematic review aimed to summarize and evaluate the prevalence of physical activity (PA) counseling in primary care.

Methods: Five databases (CINAHL Complete, Embase, Medline, PsycInfo, and Web of Science) were searched. Primary epidemiological studies on PA counseling in primary care were included. The Joanna Briggs Institute critical appraisal checklist for studies reporting prevalence data was used to assess the quality of studies. The review protocol was registered with PROSPERO (CRD42021284570).

Results: After duplicate removal, 4990 articles were screened, and 120 full-text articles were then assessed. Forty studies were included, with quality assessment scores ranging from 5/9 to 9/9. The pooled prevalence of PA counseling based on 35 studies (199830 participants) was 37.9% (95% CI 31.2 to 44.6). The subgroup analyses showed that the prevalence of PA counseling was 33.1% (95% CI: 22.6 to 43.7) in females (10 studies), 32.1% (95% CI: 22.6 to 41.7) in males (10 studies), 65.5% (95% CI: 5.70 to 74.1) in people with diabetes mellitus (6 studies), 41.6% (95% CI: 34.9 to 48.3) in people with hypertension (5 studies), and 56.8% (95% CI: 31.7 to 82.0) in people with overweight or obesity (5 studies). All meta-analyses showed high levels of heterogeneity (I2=93% to 100%).

Conclusion: The overall prevalence of PA counseling in primary care was low. The high levels of heterogeneity suggest variability in the perspectives and practices of PA counseling in primary care. PA counseling should be standardized to ensure its optimum effectiveness in primary care.

Keywords: Counseling; Exercise; Meta-analysis; Prevalence; Primary health care.

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Conflict of interest statement

The authors declared no competing interest.

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References

    1. Elley CR, Kerse N, Arroll B, Robinson E. Effectiveness of counselling patients on physical activity in general practice: cluster randomised controlled trial. BMJ. 2003;326(7393):793. doi: 10.1136/bmj.326.7393.793. - DOI - PMC - PubMed
    1. Gagliardi AR, Abdallah F, Faulkner G, Ciliska D, Hicks A. Factors contributing to the effectiveness of physical activity counselling in primary care: a realist systematic review. Patient Educ Couns. 2015;98(4):412–9. doi: 10.1016/j.pec.2014.11.020. - DOI - PubMed
    1. Kerse N, Elley CR, Robinson E, Arroll B. Is physical activity counseling effective for older people? A cluster randomized, controlled trial in primary care. J Am Geriatr Soc. 2005;53(11):1951–6. doi: 10.1111/j.1532-5415.2005.00466.x. - DOI - PubMed
    1. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451–62. doi: 10.1136/bjsports-2020-102955. - DOI - PMC - PubMed
    1. Kyu HH, Bachman VF, Alexander LT, Mumford JE, Afshin A, Estep K, et al. Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013. BMJ. 2016;354:i3857. doi: 10.1136/bmj.i3857. - DOI - PMC - PubMed

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