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

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Apichai Wattanapisit, S. Lapmanee, Sirawee Chaovalit, Charupa Lektip, Palang Chotsiri
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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.
初级保健中体育锻炼咨询的普及率:系统回顾与荟萃分析
背景:本系统综述旨在总结和评估初级保健中体力活动(PA)咨询的普及率。研究方法检索了五个数据库(CINAHL Complete、Embase、Medline、PsycInfo 和 Web of Science)。纳入了有关初级保健中 PA 咨询的初级流行病学研究。采用乔安娜-布里格斯研究所(Joanna Briggs Institute)的流行病学数据报告研究关键评估清单来评估研究质量。综述方案已在 PROSPERO 注册(CRD42021284570)。结果删除重复文章后,共筛选出 4990 篇文章,然后评估了 120 篇全文文章。共纳入 40 项研究,质量评估得分从 5/9 到 9/9。根据 35 项研究(199830 名参与者)汇总得出的 PA 咨询流行率为 37.9%(95% CI 31.2 至 44.6)。亚组分析显示,女性(10 项研究)中 PA 咨询的流行率为 33.1%(95% CI:22.6 至 43.7),男性(10 项研究)中 PA 咨询的流行率为 32.1%(95% CI:22.6 至 41.7),糖尿病患者中 PA 咨询的流行率为 65.5%(95% CI:5.70 至 74.1)。1),高血压患者为 41.6%(95% CI:34.9 至 48.3)(5 项研究),超重或肥胖患者为 56.8%(95% CI:31.7 至 82.0)(5 项研究)。所有荟萃分析均显示出高度异质性(I2=93% 至 100%)。结论:初级保健中 PA 咨询的总体流行率较低。高度的异质性表明,初级保健中的 PA 咨询的观点和实践存在差异。应将 PA 咨询标准化,以确保其在初级保健中的最佳效果。
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来源期刊
Health Promotion Perspectives
Health Promotion Perspectives PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
2.30%
发文量
27
审稿时长
13 weeks
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