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Health Care Provider Counseling for Physical Activity or Exercise Among Adults with Arthritis - United States, 2002 and 2014.

Abstract Arthritis affects an estimated 54 million U.S. adults and, as a common comorbidity, can contribute arthritis-specific limitations or barriers to physical activity or exercise for persons with diabetes, heart disease, and obesity (1). The American College of Rheumatology's osteoarthritis management guidelines recommend exercise as a first-line, nonpharmacologic strategy to manage arthritis symptoms (2), and a Healthy People 2020 objective is to increase health care provider counseling for physical activity or exercise among adults with arthritis.* To determine the prevalence and percentage change from 2002 to 2014 in receipt of health care provider counseling for physical activity or exercise (counseling for exercise) among adults with arthritis, CDC analyzed 2002 and 2014 National Health Interview Survey (NHIS) data. From 2002 to 2014, the age-adjusted prevalence of reporting health care provider counseling for exercise among adults with arthritis increased 17.6%, from 51.9% (95% confidence interval [CI] = 49.9%-53.8%) to 61.0% (CI = 58.6%-63.4%) (p<0.001). The age-adjusted prevalence of reporting health care provider counseling for exercise among persons with arthritis who described themselves as inactive increased 20.1%, from 47.2% (CI = 44.0%-50.4%) in 2002 to 56.7% (CI = 52.3%-61.0%) in 2014 (p = 0.001). Prevalence of counseling for exercise has increased significantly since 2002; however, approximately 40% of adults with arthritis are still not receiving counseling for exercise. Improving health care provider training and expertise in exercise counseling and incorporating prompts into electronic medical records are potential strategies to facilitate counseling for exercise that can help adults manage their arthritis and comorbid conditions.
PMID
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Authors

Mayor MeshTerms

Exercise

Keywords
Journal Title mmwr. morbidity and mortality weekly report
Publication Year Start




PMID- 29300722
OWN - NLM
STAT- MEDLINE
DCOM- 20180105
LR  - 20180105
IS  - 1545-861X (Electronic)
IS  - 0149-2195 (Linking)
VI  - 66
IP  - 5152
DP  - 2018 Jan 5
TI  - Health Care Provider Counseling for Physical Activity or Exercise Among Adults
      with Arthritis - United States, 2002 and 2014.
PG  - 1398-1401
LID - 10.15585/mmwr.mm665152a2 [doi]
AB  - Arthritis affects an estimated 54 million U.S. adults and, as a common
      comorbidity, can contribute arthritis-specific limitations or barriers to
      physical activity or exercise for persons with diabetes, heart disease, and
      obesity (1). The American College of Rheumatology's osteoarthritis management
      guidelines recommend exercise as a first-line, nonpharmacologic strategy to
      manage arthritis symptoms (2), and a Healthy People 2020 objective is to increase
      health care provider counseling for physical activity or exercise among adults
      with arthritis.* To determine the prevalence and percentage change from 2002 to
      2014 in receipt of health care provider counseling for physical activity or
      exercise (counseling for exercise) among adults with arthritis, CDC analyzed 2002
      and 2014 National Health Interview Survey (NHIS) data. From 2002 to 2014, the
      age-adjusted prevalence of reporting health care provider counseling for exercise
      among adults with arthritis increased 17.6%, from 51.9% (95% confidence interval 
      [CI] = 49.9%-53.8%) to 61.0% (CI = 58.6%-63.4%) (p&lt;0.001). The age-adjusted
      prevalence of reporting health care provider counseling for exercise among
      persons with arthritis who described themselves as inactive increased 20.1%, from
      47.2% (CI = 44.0%-50.4%) in 2002 to 56.7% (CI = 52.3%-61.0%) in 2014 (p = 0.001).
      Prevalence of counseling for exercise has increased significantly since 2002;
      however, approximately 40% of adults with arthritis are still not receiving
      counseling for exercise. Improving health care provider training and expertise in
      exercise counseling and incorporating prompts into electronic medical records are
      potential strategies to facilitate counseling for exercise that can help adults
      manage their arthritis and comorbid conditions.
FAU - Hootman, Jennifer M
AU  - Hootman JM
FAU - Murphy, Louise B
AU  - Murphy LB
FAU - Omura, John D
AU  - Omura JD
FAU - Brady, Teresa J
AU  - Brady TJ
FAU - Boring, Michael
AU  - Boring M
FAU - Barbour, Kamil E
AU  - Barbour KE
FAU - Helmick, Charles G
AU  - Helmick CG
LA  - eng
PT  - Journal Article
DEP - 20180105
PL  - United States
TA  - MMWR Morb Mortal Wkly Rep
JT  - MMWR. Morbidity and mortality weekly report
JID - 7802429
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Arthritis/psychology/*therapy
MH  - Directive Counseling/*statistics &amp; numerical data
MH  - *Exercise
MH  - Female
MH  - Health Care Surveys
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Sedentary Lifestyle
MH  - United States
MH  - Young Adult
EDAT- 2018/01/05 06:00
MHDA- 2018/01/06 06:00
CRDT- 2018/01/05 06:00
PHST- 2018/01/05 06:00 [entrez]
PHST- 2018/01/05 06:00 [pubmed]
PHST- 2018/01/06 06:00 [medline]
AID - 10.15585/mmwr.mm665152a2 [doi]
PST - epublish
SO  - MMWR Morb Mortal Wkly Rep. 2018 Jan 5;66(5152):1398-1401. doi:
      10.15585/mmwr.mm665152a2.