Original Article

Perceptions of the Exercise Is Medicine Initiative in a Geographically Defined Deep South Population

Authors: Allison Nooe, MS, Rita Morgan, FNP-BC, M. Allison Ford, PhD, Paul D. Loprinzi, PhD

Abstract

Objectives: To examine the population’s perceptions of the Exercise Is Medicine (EiM) initiative, as well as factors that influence the accurate perception of the EiM.

Methods: Participants (N = 179; 24 primary care advanced-level practitioners, 79 exercise science students, and 76 people from the general population) residing in Oxford, Mississippi, were surveyed for this study.

Results: Only 34.7% of advanced-care practitioners, 20.2% of students, and 19.4% of the general population defined the term medicine as having treatment and preventive aspects. Awareness of the EiM was reported as follows: advanced-care practitioners, 25.0%; students, 20.2%; and the general population, 14.2%. In total, 45.0% of advanced-care practitioners, 34.7% of students, and 32.9% of the general population defined the EiM as having treatment and preventive aspects; 10.0%, 10.1%, and 31.4% of advanced-care practitioners, students, and general population, respectively, viewed the EiM as being preventive only. Women had a 56% reduced odds of having an accurate perception of the EiM (odds ratio 0.44, P = 0.05). When compared with those perceiving their health as excellent/very good, those perceiving their health as good or worse had a sixfold increased odds of having an accurate perception of the EiM (odds ratio 6.08, P = 0.003).

Conclusions: On average, all of the subpopulations were unaware of the initiative and had misguided perceptions of the EiM. Sex and health status were associated with accurate perceptions of the initiative. Clinical implications of these findings are discussed herein.

 

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References

1. Atkins D, Barton M. The periodic health examination. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, Elsevier Saunders; 2011.
 
2. James PA, Oparil S, Carter BL, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA 2014;311:507-520.
 
3. American Diabetes Association. Standards of medical care in diabetes-2014. Diabetes Care 2014;37( Suppl 1 ):S14-S80.
 
4. Gaziano M, Ridker PM, Libby P. Primary and secondary prevention of coronary heart disease. In: Bonow RO, Mann DL, Zipes DP, et al, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Elsevier Saunders; 2012:1010.
 
5. Helfand M, Carson S. Screening for Lipid Disorders in Adults: Selective Update of 2001 US Preventive Services Task Force Review. Rockville, MD: US Preventive Services Task Force; 2008.
 
6. Mosca L, Benjamin EJ, Berra K, et al. Effectiveness-based guidelines for the prevention of cardiovascular disease in women-2011 update: a guideline from the American Heart Association. J Am Coll Cardiol 2011;57:1404-1423.
 
7. Peterson ED, Gaziano JM, Greenland P. Recommendations for treating hypertension: what are the right goals and purposes? JAMA 2014;311:474-476.
 
8. Stone NJ, Robinson JG, Lichtenstein AH, et al. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014;63(25 Pt B):2889-2934.
 
9. Lopez-Jimenez F, Simha V, Thomas RJ, et al. A summary and critical assessment of the 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular disease risk in adults: filling the gaps. Mayo Clin Proc 2014;89:1257-1278.
 
10. Lee IM, Shiroma EJ, Lobelo F, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012;380:219-229.
 
11. Sallis R. Developing healthcare systems to support exercise: exercise as the fifth vital sign. Br J Sports Med 2011;45:473-474.
 
12. Greenwood JL, Joy EA, Stanford JB. The Physical Activity Vital Sign: a primary care tool to guide counseling for obesity. J Phys Act Health 2010;7:571-576.
 
13. Coleman KJ, Ngor E, Reynolds K, et al. Initial validation of an exercise "vital sign" in electronic medical records. Med Sci Sports Exerc 2012;44:2071-2076.
 
14. Lobelo F, Stoutenberg M, Hutber A. The Exercise Is Medicine Global Health Initiative: a 2014 update. Br J Sports Med 2014;48:1627-1633.
 
15. Department of Health and Human Services. Physical activity. http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=33. Accessed September 22, 2016.
 
16. National Physical Activity Plan. http://www.ncppa.org/national-physical-activity-plan. Published 2010.
 
17. Loprinzi PD, Beets MW. Need for increased promotion of physical activity by health care professionals. Prev Med 2014;69:75-79.
 
18. Loprinzi PD, Davis RE. Promotion of weight loss by health care professionals: implications for influencing weight loss/control behaviors. Am J Health Promot 2016; Sep 7. [Epub ahead of print].
19. Abramson S, Stein J, Schaufele M, et al. Personal exercise habits and counseling practices of primary care physicians: a national survey. Clin J Sport Med 2000;10:40-48.
 
20. Blair SN, Sallis RE, Hutber A, et al. Exercise therapy-the public health message. Scand J Med Sci Sports 2012;22:e24-e28.
 
21. Berry LL, Flynn AG, Seiders K, et al. Physician counseling of overweight patients about preventive health behaviors. Am J Prev Med 2014;46:297-302.
 
22. Oxford English Dictionary. Medicine. www.oed.com. Accessed September 1, 2014.
 
23. Loprinzi PD, Darnell T, Hager K, et al. Physical activity-related beliefs and discrepancies between beliefs and physical activity behavior for various chronic diseases. Physiol Behav 2015;151:577-582.
 
24. Craig CL, Marshall AL, Sjostrom M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003;35:1381-1395.
 
25. Azevedo MR, Araujo CL, Reichert FF, et al. Gender differences in leisure-time physical activity. Int J Public Health 2007;52:8-15.
 
26. Cardinal BJ, Park EA, Kim M, et al. If Exercise Is Medicine, where is exercise in medicine? Review of U.S. medical education curricula for physical activity-related content. J Phys Act Health 2015;12:1336-1343.