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Healthy docs beget healthy patients

NEW YORK, Mar 09 (Reuters Health) -- When it comes to instilling good exercise habits, healthy doctors can shape healthy patients, results of a recent study suggest.

The investigators found that physicians who exercise regularly and are knowledgeable about exercise are more likely than doctors who do not exercise to encourage their patients to engage in physical activity.

A growing body of research points to the benefits of exercise in preventing heart disease, high blood pressure, adult-onset diabetes, osteoporosis, cancer, depression, and obesity. However, recent studies have found that nearly a quarter of the US population is sedentary and a third of American adults are overweight.

"Increasing physician knowledge of and participation in exercise may benefit both physicians and their patients," write lead author Dr. Scott Abramson of the Rehabilitation Hospital of the Cape and Islands in Sandwich, Massachusetts, and colleagues with Harvard Medical School and Spaulding Rehabilitation Hospital in Boston.

The study results are based on responses from 298 US primary care physicians to a survey on personal exercise habits, counseling practices, and barriers to counseling on exercise.

According to the report in the Clinical Journal of Sports Medicine, doctors who participated in aerobic activity on a regular basis were more likely to counsel patients on the benefits of aerobic exercise. These physicians tended to be younger than doctors who did not provide exercise counseling. Those who did not discuss exercise with patients cited a lack of time (61%) or a lack of knowledge or experience (16%).

Female physicians were as likely as male physicians to exercise aerobically but less likely to perform strength training exercises, the study found. Indeed, only 41% of all physicians engaged in strength training, compared with 73% who participated in aerobic activities.

Family doctors and internists were more likely than pediatricians and geriatric physicians to discuss exercise. Counseling on strength training was less frequent than counseling on aerobic exercise among all physicians. The authors write that their study findings suggest a need to improve physician education about exercise and to promote physical activity among physicians.

"It is evident that education of all physicians, especially those who practice primary care, is needed to emphasize the importance of promoting physical activity in all patients," Abramson and colleagues conclude.


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