TY - JOUR
T1 - Characteristics of inactive primary care patients
T2 - Baseline data from the activity counseling trial
AU - Simons-Morton, Denise G.
AU - Hogan, Patricia
AU - Dunn, Andrea L.
AU - Pruitt, Leslie
AU - King, Abby C.
AU - Levine, Benjamin D.
AU - Miller, Stephen T.
N1 - Funding Information:
The Activity Counseling Trial is sponsored by the National Heart, Lung, and Blood Institute through Contracts NO1-HC-45135, N01-HC-45136, N01-HC-45137, and N01-HC-45138.
PY - 2000
Y1 - 2000
N2 - Background. Although many primary care patients are inactive, being able to classify even small amounts and intensities of activity and factors associated with these activity levels could be helpful for physicians who are trying to motivate their patients to become more physically active. Methods. Sociodemographics, physical activity, fitness, other cardiovascular risk factors, and psychosocial measures were measured at baseline in the 874 patients in the Activity Counseling Trial. Patients were categorized into three groups: (1) no moderate-to-vigorous physical activity (MVPA), (2) some moderate but no vigorous activity, and (3) some vigorous activity. Multiple logistic regression was used to determine factors cross-sectionally associated with activity intensity. Results. One or more cardiovascular risk factors in addition to physical inactivity were present in 84% of participants, Maximal oxygen uptake averaged 25.2 ml/kg/min; 85% had poor to fair aerobic fitness. Physical activity averaged 32.7 kcal/kg/day, with 13.5 min of MVPA/day; 26% engaged in some vigorous activity, 11% engaged in no MVPA. In unadjusted analyses, gender, age, race, education, income, employment, smoking, alcohol use, and exercise self-efficacy were associated with activity intensity (P = 0.05-0.001). A greater percentage engaged in moderate than in vigorous activity in all subgroups. In multiple logistic regression analyses, odds ratios (95% confidence intervals) for engaging in vigorous activity were 0.39 (0.28, 0.56) for women, 0.38 (0.19, 0.75) for 65+ compared with 35- to 44-year-olds, and 1.14 (1.06, 1.22) for 10-unit increases in performance self-efficacy score. Conclusions. Most primary care patients who are physically inactive have additional cardiovascular risk factors, particularly overweight and obesity. All subgroups pursue moderate-intensity activity more often than vigorous activity. Women, older persons, and those with lower exercise self-efficacy are less likely to engage in vigorous activity. (C) 2000 American Health Foundation and Academic Press.
AB - Background. Although many primary care patients are inactive, being able to classify even small amounts and intensities of activity and factors associated with these activity levels could be helpful for physicians who are trying to motivate their patients to become more physically active. Methods. Sociodemographics, physical activity, fitness, other cardiovascular risk factors, and psychosocial measures were measured at baseline in the 874 patients in the Activity Counseling Trial. Patients were categorized into three groups: (1) no moderate-to-vigorous physical activity (MVPA), (2) some moderate but no vigorous activity, and (3) some vigorous activity. Multiple logistic regression was used to determine factors cross-sectionally associated with activity intensity. Results. One or more cardiovascular risk factors in addition to physical inactivity were present in 84% of participants, Maximal oxygen uptake averaged 25.2 ml/kg/min; 85% had poor to fair aerobic fitness. Physical activity averaged 32.7 kcal/kg/day, with 13.5 min of MVPA/day; 26% engaged in some vigorous activity, 11% engaged in no MVPA. In unadjusted analyses, gender, age, race, education, income, employment, smoking, alcohol use, and exercise self-efficacy were associated with activity intensity (P = 0.05-0.001). A greater percentage engaged in moderate than in vigorous activity in all subgroups. In multiple logistic regression analyses, odds ratios (95% confidence intervals) for engaging in vigorous activity were 0.39 (0.28, 0.56) for women, 0.38 (0.19, 0.75) for 65+ compared with 35- to 44-year-olds, and 1.14 (1.06, 1.22) for 10-unit increases in performance self-efficacy score. Conclusions. Most primary care patients who are physically inactive have additional cardiovascular risk factors, particularly overweight and obesity. All subgroups pursue moderate-intensity activity more often than vigorous activity. Women, older persons, and those with lower exercise self-efficacy are less likely to engage in vigorous activity. (C) 2000 American Health Foundation and Academic Press.
KW - Exercise
KW - Health behavior
KW - Patient education
KW - Physical activity
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U2 - 10.1006/pmed.2000.0733
DO - 10.1006/pmed.2000.0733
M3 - Article
C2 - 11071831
AN - SCOPUS:0033736683
SN - 0091-7435
VL - 31
SP - 513
EP - 521
JO - Preventive Medicine
JF - Preventive Medicine
IS - 5
ER -