Reducing obesity indicators through brief physical activity counseling (pace) in italian primary care settings |
| |
Authors: | Massimo Bolognesi MD Claudio R Nigg PhD Massimo Massarini MD Sonia Lippke PhD |
| |
Institution: | (1) AUSL-District of Cesena, Regione Emilia Romagna Cesena, Italy;(2) John A. Burns School of Medicine, University of Hawaii at Manoa, USA;(3) Scientific Research Center, Technogym SRL Gambettola, Italy;(4) Free University Berlin, Germany;(5) General Practitioner and Internal - Sport Medicine Specialist, Psychology Graduate, Via Lambruschini 307, 47023 Cesena, (FC), Italy |
| |
Abstract: | Background: There is an alarming prevalence of obesity and sedentariness in Western countries. An ideal context for health promotion
and preventive medicine seems to be the setting of primary care provided by the general practitioner (GP).Purpose: Therefore, this study evaluated the impact of GPs’brief physical activity counseling for overweight and obese patients.Methods: Individuals recruited during routine physician visits were randomly split into an experimental (n = 48) group that received
the Patient-centered Assessment and Counseling for Exercise (PACE) protocol, and a usual-care control (n = 48) group. Body
mass index (BMI) and abdominal girth were assessed as objective biometrical parameters. Patients in the experimental group
self-reported their readiness for physical activity and self-efficacy.Results: The experimental group had significantly better BMI and abdominal girth compared with the control group after a 5- to 6-month
follow-up. Furthermore, the experimental group progressed in their stage of physical activity readiness and increased their
self-efficacy.Conclusions: The GPs’counseling for physical activity using the PACE protocol influenced mediators and biometrical outcomes in an Italian
primary care context.
An earlier version of this article was presented for the degree thesis in Community Psychology at the Bologna University.
The advisor was Professor Bruna Zani.
We thank the general practitioners who contributed to this project: Marcatelli M., Forgiarini A., Fabbri M., De Astis R.,
Aguzzoni F., Barbarossa L., Montalti M. (Azienda USL-Distretto di Cesena Italy), and we thank Silvano Zanuso (Technogym Research
Center-Gambettola Italy) for his helpful comments. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |
|