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      Physical Activity Promotion: A Systematic Review of The Perceptions of Healthcare Professionals

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          Abstract

          Physical activity (PA) is a cost-effective and non-pharmacological foundation for the prevention and management of chronic and complex diseases. Healthcare professionals could be viable conduits for PA promotion. However, the evidence regarding the effectiveness and benefits of the current forms of PA promotion are inconclusive. Healthcare professionals’ perceptions on key determinants impact on the optimum promotion of PA were explored in this review. Thirty-four (34) studies were identified after systematically searching seven databases for peer-reviewed articles published within the last decade. PA advice or counselling was the most recorded form of PA promotion, limited counselling time was the most reported obstacle while providing incentives was viewed as a key facilitator. There is widespread consensus among healthcare professionals (HCPs) on some aspects of PA promotion. Utilisation of all PA promotional pathways to their full potential could be an essential turning point towards the optimal success of PA promotional goals. Hence, strategies are required to broaden chronic disease treatment methods to include preventive and integrative PA promotion approaches particularly, between frontline HCPs (e.g., GPs) and PA specialists (e.g., EPs). Future studies could explore the functionality of GP to EP referral pathways to determining what currently works and areas requiring further development.

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          Most cited references72

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          Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association

          Physical inactivity is one of the most prevalent major health risk factors, with 8 in 10 US adults not meeting aerobic and muscle-strengthening guidelines, and is associated with a high burden of cardiovascular disease. Improving and maintaining recommended levels of physical activity leads to reductions in metabolic, hemodynamic, functional, body composition, and epigenetic risk factors for noncommunicable chronic diseases. Physical activity also has a significant role, in many cases comparable or superior to drug interventions, in the prevention and management of >40 conditions such as diabetes mellitus, cancer, cardiovascular disease, obesity, depression, Alzheimer disease, and arthritis. Whereas most of the modifiable cardiovascular disease risk factors included in the American Heart Association's My Life Check - Life's Simple 7 are evaluated routinely in clinical practice (glucose and lipid profiles, blood pressure, obesity, and smoking), physical activity is typically not assessed. The purpose of this statement is to provide a comprehensive review of the evidence on the feasibility, validity, and effectiveness of assessing and promoting physical activity in healthcare settings for adult patients. It also adds concrete recommendations for healthcare systems, clinical and community care providers, fitness professionals, the technology industry, and other stakeholders in order to catalyze increased adoption of physical activity assessment and promotion in healthcare settings and to contribute to meeting the American Heart Association's 2020 Impact Goals.
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            The Systematic Review

            This article is the first in a new series on systematic reviews from the Joanna Briggs Institute, an international collaborative supporting evidence-based practice in nursing, medicine, and allied health fields. The purpose of the series is to show nurses how to conduct a systematic review-one step at a time. This first installment provides a synopsis of the systematic review as a scientific exercise, one that influences health care decisions.
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              The Exercise is Medicine Global Health Initiative: a 2014 update.

              A third of the world's population does not engage in recommended levels of physical activity (PA), leading to substantial health and economic burdens. The healthcare sector offers a variety of resources that can help counsel, refer and deliver PA promotion programmes for purposes of primordial, primary, secondary and tertiary prevention. Substantial evidence already exists in support of multipronged PA counselling, prescription and referral strategies, in particular those linking healthcare and community-based resources.

                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                18 June 2020
                June 2020
                : 17
                : 12
                : 4358
                Affiliations
                [1 ]College of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia; bunmi.malauaduli@ 123456jcu.edu.au
                [2 ]Division of Tropical Health and Medicine, James Cook University, Townsville, QLD 4811, Australia; melissa.crowe@ 123456jcu.edu.au
                [3 ]College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia; aduli.malauaduli@ 123456jcu.edu.au
                Author notes
                [* ]Correspondence: francis.albert@ 123456my.jcu.edu.au ; Tel.: +61-406-260-050
                Author information
                https://orcid.org/0000-0002-3660-7862
                https://orcid.org/0000-0001-6054-8498
                Article
                ijerph-17-04358
                10.3390/ijerph17124358
                7345303
                32570715
                8f70d613-c46e-4632-9902-5b7e6cdae028
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 26 May 2020
                : 14 June 2020
                Categories
                Review

                Public health
                physical activity promotion,healthcare professionals,primary healthcare,physical activity,physical inactivity

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