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JCOM Abstract


J Clin Outcomes Manage 
2007 Mar;14(3):161-171
Helping sedentary patients become more active: a practicial guide for the primary care physician
Richardson CR, Schwenk TL

Program Audience Primary care physicians. Educational Needs Addressed A sedentary lifestyle is an important risk factor for type 2 diabetes, coronary artery disease, obesity, osteoarthritis, major depression, and some cancers. For most diseases associated with inactivity, getting 30 minutes a day of moderate-intensity physical activity can decrease risk. The primary care and general medical office continues to be a critical place where exercise promotion can occur. Clinicians can help patients assess their current level of physical activity and understand the link between a sedentary lifestyle and chronic illness. Clinicians can also address barriers to physical activity, particularly health-related barriers that are common in patients with multiple chronic diseases. Motivational interviewing may be an effective technique to promote physical activity in a clinical setting. By providing concrete advice on how to start a physical activity program—including recommendations about activity type, duration, intensity, and frequency in a written exercise prescription—clinicians can increase their patients’ chances of success. Educational Objectives After participating in this CME activity, primary care physicians should be able to 1. Assess a patient’s level of physical activity 2. Cite patient barriers to exercise 3. Describe patient counseling interventions that may support behavioral change 4. Implement a pedometer-based walking program

Case-Based Review, CME

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