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Alseny Balde, Jaime Figueras, Dawn A. Hawking and John R. Miller

Lack of physical activity is an increasing public-health problem. Physicians should counsel elderly patients to maintain regular physical activity in order to retain functionality and quality of life. This study examined the patterns of physician advice about physical activity in an elderly population. A homogeneous group of older adults living in public housing (N = 146) was surveyed to determine the extent to which they received such advice. Their mean age was 77.9 ± 7 years, 74% were women, 70.5% were White, and 53.4% had high school education or less. We assessed the association between physician counseling practices and the participants’ demographic characteristics, overweight status, and type of physical activity performed. The prevalence rate of physician counseling was 61.6%. Elderly men who were married and those who were overweight were most likely to receive advice. Routine physician counseling of elderly patients regardless of overweight status could contribute to improving their quality of life.

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Julian Reed, Lori Malvern, Suresh Muthukrishnan, Rachael Hardy and Lauren King

Background:

The study examined the effectiveness of primary-care counseling using a 2-pronged intervention to increase physical activity (PA) in a southeastern US city.

Methods:

Two hundred thirty-seven patients were randomly assigned to 1 of 3 groups (experimental [counseling and educational map], control group #1 [counseling only], or control #2 [standard care]) to identify PA differences. The experimental group received physician counseling and an educational map highlighting accessible recreational facilities within a 2-mile radius of the health center.

Results:

Patients in the experimental group increased their weekly PA in comparison with patients in the controls. Significant differences were observed for patients between groups for PA (F = 7.648, df 3,423, P = .000), PA × visits interaction (F = 5.500, df 3,423, P = .001), and the PA × group interaction (F = 3.068, df 6,848, P = .006).

Conclusions:

This approach can perhaps increase the PA levels of underserved adults.

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James Dziura, Stanislav V. Kasl and Loretta Di Pietro

Background:

It is not clear whether physical activity can exert a protective role on diabetes risk in older people that is independent of the changes in body weight that occur with both aging and disuse. The purpose of this analysis was to determine the relation between current physical activity, 3-year change in body weight, and the subsequent risk of type 2 diabetes in an older cohort.

Methods:

We studied prospectively 2,135 older (≥65 years) persons living in New Haven, CT, between 1982 and 1994. Physical activity was self-reported in 1982 and again in 1985; body weight and diabetes were self-reported annually over 12 years. Data were analyzed using multivariable Cox Proportional Hazards modeling with adjustments for age, sex, race, education, body mass index (BMI), smoking, chronic conditions, physical function, and alcohol intake.

Results:

Although an inverse graded relation was observed between level of activity and rate of diabetes, this dose–response relation did not reach statistical significance. However, older people who reported at least some activity at baseline experienced a significantly lower rate of diabetes between 1983 and 1994 compared to those reporting no activity (RR = 0.55; 95%CI = 0.35, 0.87). When 3-year changes in physical activity and body weight between 1982 and 1985 were added to the model, the relation between physical activity and reduced diabetes risk was unchanged (RR = 0.49; 95%CI = 0.24, 0.99).

Conclusions:

Even in advanced age, physical activity exerts an important and independent role in the prevention of type 2 diabetes. Continued physician counseling on the health effects of physical activity and referrals to community-based exercise programs should be encouraged among older people.

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Namkee G. Choi, Diana M. DiNitto, John E. Sullivan and Bryan Y. Choi

.G. Choi; and manuscript review and editing: N.G. Choi, D.M. DiNitto, B.Y. Choi. All of the authors read and approved the final manuscript. References Ahmed , N.U. , Delgado , M. , & Saxena , A. ( 2017 ). Trends and disparities in the prevalence of physicianscounseling on exercise among the U

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Francini Vilela Novais, Eduardo J. Simoes, Chester Schmaltz and Luiz R. Ramos

/MIG The older adults in this group received only the general recommendation described previously. After receiving this CR, they followed their normal routine without any other interference from the study. The same nurses and physicians offered CR throughout the study period. Physician Counseling Group

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Rachel R. Kleis, Matt C. Hoch, Rachel Hogg-Graham and Johanna M. Hoch

controlled trial of physician counseling to promote the adoption of physical activity . Prev Med . 1996 ; 25 ( 3 ): 225 – 233 . PubMed ID: 8780999 doi:10.1006/pmed.1996.0050 10.1006/pmed.1996.0050 8780999 73. Lowther M , Mutrie N , Loughlan C , McFarlane C . Development of a Scottish physical