Exercise Is a Vital Sign.

HCA healthcare journal of medicine Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI:10.36518/2689-0216.1829
Megan Dannemiller, Anthony Shadiack, Marvin Sineath, Andrew Baird, Marc Poirier, Kevin Thomas, Michael G Flynn
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Abstract

Description In this review, we argue that exercise (physical activity) be monitored as a vital sign since no other basic sign or symptom provides as much information about a patient's health status. The influence of regular exercise on patient health is indisputable, with strong evidence to show the power of exercise to mitigate chronic disease and improve overall health. Several simple tools, such as Physical Activity as a Vital Sign and Exercise as a Vital Sign are available to assess patient physical activity. When properly applied, there is evidence to support the efficacy of these tools, but there are barriers that prevent broad inclusion in primary care, among which are time and provider knowledge. In our review, we also discussed the value of physician-led lifestyle discussions with patients and found they view these discussions favorably. There is also evidence that physicians who exercise are more likely to have these lifestyle discussions with their patients, but the proportion of physicians who exercise regularly is fairly low. We believe physicians' awareness of their patients' sedentary lifestyles should prompt a prescription to increase physical activity, but additional in-clinic support and community resources need to be in place for patients to get a regular dose.

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运动是生命的标志
说明 在这篇综述中,我们主张将运动(体力活动)作为一种生命体征进行监测,因为没有任何其他基本体征或症状能提供关于病人健康状况的信息。定期锻炼对患者健康的影响是毋庸置疑的,有确凿证据表明,锻炼能够缓解慢性疾病并改善整体健康。有几种简单的工具,如 "作为生命体征的体力活动 "和 "作为生命体征的运动",可用于评估患者的体力活动。如果应用得当,有证据支持这些工具的功效,但在初级保健中广泛使用这些工具还存在一些障碍,其中包括时间和提供者的知识。在综述中,我们还讨论了由医生主导与患者讨论生活方式的价值,并发现患者对这些讨论持积极态度。还有证据表明,锻炼身体的医生更有可能与患者讨论这些生活方式问题,但经常锻炼身体的医生比例相当低。我们认为,医生对患者久坐不动的生活方式的认识应促使他们开出增加体育锻炼的处方,但还需要有更多的诊室支持和社区资源,才能让患者获得定期锻炼的剂量。
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