Role of general practice in the utilisation of the NSW Get Healthy Information and Coaching Service

2015 ◽  
Vol 21 (2) ◽  
pp. 182 ◽  
Author(s):  
Blythe J. O'Hara ◽  
Philayrath Phongsavan ◽  
Chris Rissel ◽  
Louise L. Hardy ◽  
Alexis Zander ◽  
...  

A lifestyle-modification telephone-based service is delivered in New South Wales (NSW; the Get Healthy Information and Coaching Service (GHS)) as an important obesity-prevention, population-wide program. The present study examined referrals from general practitioners (GP) versus self-referral to the GHS in terms of risk profile and effectiveness of outcomes. The study used a pre–post test design to assess changes in outcomes within the setting of a telephone-based lifestyle-support service available to NSW adults (18+ years) who self-referred or were referred by their health practitioner and/or GP, and registered for the GHS between February 2009 and August 2013 (n = 22 183). The GHS has two service components: (1) the provision of an information kit (one off contact) on healthy eating, being physically active and achieving and/or maintaining a healthy weight; and (2) a 6-month coaching program that includes 10 telephone calls aimed at achieving and maintaining lifestyle-related goals. Sociodemographic characteristics, referral source and self-reported anthropometric (height, waist and waist circumference (WC)) and behavioural risk factor (physical activity and nutrition-related behaviours) data were collected at baseline and at 6 months. Analysis revealed that GPs effectively recruited hard-to-reach subtargets, as well as adults who are obese and have an increased WC risk. Participants in the GHS coaching program, irrespective of GHS referral source, reported a mean weight loss of –3.8 kg, a decrease in WC of –5.0 cm and increases in both fruit and vegetable consumption and physical activity. In conclusion, GPs have an important role in GHS uptake (through proactive referral or as an adjunct to practice-based interventions) because they can recruit those most at need and facilitate improvements in their patients’ risk factor profiles.

Author(s):  
Slimane Mehdad ◽  
Saida Mansour ◽  
Hassan Aguenaou ◽  
Khalid Taghzouti

Background: Cancer is a multifactorial disease involving individual, behavioral and environmental factors that can contribute to its onset. More than 40% of cancers are estimated to be attributable to avoidable risk factors, particularly diet, physical activity, weight status, and alcohol consumption. Aim: To provide insight into the role of weight status, diet, and physical activity in cancer causation and prevention, and to highlight evidence-based recommendations. Material and methods: A literature review of published studies, particularly recent systematic reviews, meta-analyses, and large prospective studies was conducted using PubMed/Medline, ScienceDirect, and Google Scholar databases. Results: There is evidence that diets high in red and processed meats, fat and refined carbohydrates, and low in plant foods such as vegetables, fruits, and whole grains, high consumption of alcohol, overweight/obesity, and physical inactivity are associated with increased risk of tumor development and progression. Therefore, the current recommendations for cancer prevention are based on: (1) eating at least five portions (400g) of vegetables (3 portions) and fruits (2 portions); (2) limiting the consumption of alcohol and unhealthy foods such as red and processed meats, energy-dense foods, and trans-fatty acids; (3) maintaining a healthy weight status; and (4) being at least moderately physically active. Conclusion: While a balanced diet, as defined by the recommendations, can help reduce the risk of certain cancers, no single food can prevent the development of this pathology. The term "anticancer" associated with diet is therefore misleading. Several nutritional factors are associated with an increase or a decrease in the risk of certain cancers. Adopting a healthy and plant-based diets, avoiding overweight/obesity, and being physically active are considered as cornerstones of preventive strategies against cancer. Further studies are needed to elucidate the associations between dietary and lifestyle patterns and cancer. Keywords: Cancer, Diet, Weight status, Overweight, Obesity, Physical activity.


Author(s):  
Slimane Mehdad ◽  
Saida Mansour ◽  
Hassan Aguenaou ◽  
Khalid Taghzouti

Background: Cancer is a multifactorial disease involving individual, behavioral and environmental factors that can contribute to its onset. More than 40% of cancers are estimated to be attributable to avoidable risk factors, particularly diet, physical activity, weight status, and alcohol consumption. Aim: To provide insight into the role of weight status, diet, and physical activity in cancer causation and prevention, and to highlight evidence-based recommendations. Material and methods: A literature review of published studies, particularly recent systematic reviews, meta-analyses, and large prospective studies was conducted using PubMed/Medline, ScienceDirect, and Google Scholar databases. Results: There is evidence that diets high in red and processed meats, fat and refined carbohydrates, and low in plant foods such as vegetables, fruits, and whole grains, high consumption of alcohol, overweight/obesity, and physical inactivity are associated with increased risk of tumor development and progression. Therefore, the current recommendations for cancer prevention are based on: (1) eating at least five portions (400g) of vegetables (3 portions) and fruits (2 portions); (2) limiting the consumption of alcohol and unhealthy foods such as red and processed meats, energy-dense foods, and trans-fatty acids; (3) maintaining a healthy weight status; and (4) being at least moderately physically active. Conclusion: While a balanced diet, as defined by the recommendations, can help reduce the risk of certain cancers, no single food can prevent the development of this pathology. The term "anticancer" associated with diet is therefore misleading. Several nutritional factors are associated with an increase or a decrease in the risk of certain cancers. Adopting a healthy and plant-based diets, avoiding overweight/obesity, and being physically active are considered as cornerstones of preventive strategies against cancer. Further studies are needed to elucidate the associations between dietary and lifestyle patterns and cancer. ​Keywords: Cancer, Diet, Weight status, Overweight, Obesity, Physical activity.


2014 ◽  
Vol 21 (2) ◽  
pp. 151-155 ◽  
Author(s):  
Dayane de Oliveira Macedo ◽  
Letícia Mendes de Freitas ◽  
Marcos Eduardo Scheicher

The proportion of elderly people is growing worldwide and, with this, there is an increase of chronic-degenerative conditions such as impaired balance and falls. The physically active elderly tends to an improved response in muscle strength, flexibility and postural balance. The present study aimed to evaluate and compare the grip strength and mobility of elderly people with different levels of physical activity. The sample consisted of 44 elderly with 60 years or more, both sexes, divided in: 18 elderly practicing volleyball adapted (AVG), 13 elderly practicing some physical activity (AG) and 13 sedentary elderly (SG). Grip strength was assessed by a hydraulic dynamometer and mobility through the test "Timed Up and Go" (TUG). Data were evaluated using the Kolmogorov-Smirnov test, to check normality. The comparison of the results of the three groups was performed by ANOVA with Tukey post-test, with p<0.05. The results showed that grip strength (p=0.008) and mobility (p=0.003) were better to AVG when compared to the other groups. It is suggested that the sports practice implement the gains in functional mobility and strength when compared to purely non-specific exercise and inactivity.


2006 ◽  
Vol 3 (s1) ◽  
pp. S30-S54 ◽  
Author(s):  
Wendell C. Taylor ◽  
Walker S. Carlos Poston ◽  
Lovell Jones ◽  
M. Katherine Kraft

Background:The term “environmental justice” refers to efforts to address the disproportionate exposure to and burden of harmful environmental conditions experienced by low-income and racial/ethnic minority populations.Methods:Based on computer and manual searches, this paper presents a review of articles in the published literature that discuss disparities in physical activity, dietary habits, and obesity among different populations.Results:This paper provides evidence that economically disadvantaged and racial/ethnic minority populations have substantial environmental challenges to overcome to become physically active, to acquire healthy dietary habits, and to maintain a healthy weight. For example, residents living in poorer areas have more environmental barriers to overcome to be physically active.Conclusions:We propose a research agenda to specifically address environmental justice with regard to improving physical activity, dietary habits, and weight patterns.


2019 ◽  
Vol 68 (5) ◽  
pp. 226-235
Author(s):  
Cherisse L. Seaton ◽  
Joan L. Bottorff ◽  
Cristina M. Caperchione ◽  
Steven T. Johnson ◽  
John L. Oliffe

Background: Predictors of men’s health behaviors and interest in workplace health promotion are not well known. The aim of this study was to describe men’s interest in workplace health promotion and associated health behaviors. Method: Male employees ( N = 781) at six workplaces in British Columbia, Canada, were invited to complete a survey of their health behaviors, demographics, and interest in health promotion prior to implementation of a workplace health program. Findings: A total of 227 male employees ( Mage = 43.6 years; SD = 12.1) completed the survey (response rate = 29%). Regarding health behaviors, 62.1% reported 150 weekly minutes of moderate-to-vigorous physical activity (MVPA), 29.3% consumed 5+ servings of fruit/vegetables per day, 56.8% reported 7+ hours sleep/night, 14.4% smoked, and 81.3% consumed alcohol. Men spent 50% of their workday sitting, and higher body mass index (BMI), higher income, and greater hours worked were related to greater hours sitting. Age was inversely related to MVPA. Alcohol consumption was lower among men who were older, had higher income, and worked fewer hours. Most men were interested in being physically active (85%), managing stress (85%), eating healthy (89%), and cancer screening (91%). Higher stage of change for physical activity (β = .20, p = .003) and fruit/vegetable consumption (β = .18, p = .027) were related to interest in these activities. Conclusions/Application to Practice: Occupational health providers should consider worker demographics and could support interventions that target individuals with varying levels of health behaviors given the importance of meeting the needs of often sedentary workers.


Author(s):  
Jonathan D. Foulkes ◽  
Zoe Knowles ◽  
Stuart J. Fairclough ◽  
Gareth Stratton ◽  
Mareesa V. O’Dwyer ◽  
...  

This longitudinal study examines the associations between foundational movement skills (FMS) competency, moderate-to-vigorous physical activity (MVPA) and weight status among children (n = 75) attending preschools in deprived areas from early to late childhood. Twelve FMS were assessed using the Children’s Activity and Movement in Preschool Motor Skills Protocol and video analysis. Physical activity was measured via hip-mounted accelerometry. Data was collected over a five-year period, with Baseline Follow Up data collected between 2010 and 2015. There was an overall pattern of increase for total, object-control and locomotor scores between Baseline and Follow-Up. Conversely, there was an overall pattern of decline for MVPA among participants. There was a positive significant (p < 0.05) association between total and locomotor scores and MVPA at Baseline. However, these associations weakened over time and no significant associations were found at Follow-Up. Baseline competency failed to predict Follow-Up MVPA or weight status. Likewise, Baseline MVPA was not found to be a predictor of Follow-Up FMS competency. Further longitudinal research is required to explore these associations among children from highly deprived areas. Future interventions may require a more holistic approach to improving FMS competency and increasing PA in order to account for the number of variables that can affect these outcomes.


2018 ◽  
Vol 1 (92) ◽  
Author(s):  
Elvyra Grinienė ◽  
Gintarė Jankauskaitė

Research  background  and  hypothesis.  The  society  is  concerned  not  only  about  worsening  student  health, but also medically unexplainable psychosomatic complaints which can be the risk factor for various health and behavioural problems (WHO, 2006). Research aim was to determine the dependence of psychosomatic complaints experienced by 10–15-year-old students on their physical activity, age and gender. Research methods. With reference to the international questionnaire of student health and lifestyle (WHO, 2006), a questionnaire containing 31 questions was constructed for the research. Its answers about physical activity were coded from 1 – never to 5, 7, 8 – different variants of often. The questionnaire survey was conducted in February, 2012, in two schools of Kaunas city. The research participants were 293 V–VIII-grade 10–15-year-old students. The answers were analysed with reference to students’ physical activity, age and gender. Research  results.  Most  respondents  were  moderately  or  intensively  physically  active:  more  of  them  were younger (10–12 years) than older (13–15 years), and there were more boys than girls. The students often exercised and did sports individually. Health self-assessment as good or even perfect was demonstrated by most physically active students. During the last 6 months they more rarely felt various psychosomatic complaints, especially related to negative emotions. Students of low physical activity felt more various psychosomatic complaints. Conclusion. Physically more active students rarely experienced psychosomatic complaints, which show that physical activity is a significant factor reducing negative psychosomatic emotions.Keywords: schoolchildren’s physical activity, health self-assessment, psychosomatic complaints.


2019 ◽  
Vol 7 ◽  
pp. 205031211987118
Author(s):  
Tanya R Berry ◽  
Kerry S Courneya ◽  
Colleen M Norris ◽  
Wendy M Rodgers ◽  
John C Spence

Objectives: This exploratory research examined if breast cancer or heart disease is automatically associated with physical activity compared to fruit and vegetable stimuli; if reading messages about reducing risk of breast cancer or heart disease through physical activity and fruit and vegetable consumption would affect automatic associations; and if automatic associations were related to intentions to be physically active or consume fruit and vegetables. Methods: Participants were 80 women who completed pretest measures of automatic associations, then read a breast cancer, heart disease, or control message, followed by posttest measures. Results: There was a significant association of breast cancer–related words with fruit and vegetables compared to physical activity. Heart disease was also more strongly associated with fruit and vegetables than physical activity at pretest but not at posttest. There were no other significant findings. Conclusion: This research highlights that fruit and vegetables rather than physical activity are more strongly associated with perceptions of breast cancer and heart disease. Automatic associations are an attitudinal construct, and the strength of association between fruit and vegetables, rather than physical activity, indicates how messages may be processed.


2014 ◽  
Vol 2014 ◽  
pp. 1-13 ◽  
Author(s):  
Nicholas J. Everage ◽  
Crystal D. Linkletter ◽  
Annie Gjelsvik ◽  
Stephen T. McGarvey ◽  
Eric B. Loucks

Background. Social and behavioral risk markers (e.g., physical activity, diet, smoking, and socioeconomic position) cluster; however, little is known whether clustering is associated with coronary heart disease (CHD) risk. Objectives were to determine if sociobehavioral clustering is associated with biological CHD risk factors (total cholesterol, HDL cholesterol, systolic blood pressure, body mass index, waist circumference, and diabetes) and whether associations are independent of individual clustering components.Methods. Participants included 4,305 males and 4,673 females aged ≥20 years from NHANES 2001–2004. Sociobehavioral Risk Marker Index (SRI) included a summary score of physical activity, fruit/vegetable consumption, smoking, and educational attainment. Regression analyses evaluated associations of SRI with aforementioned biological CHD risk factors. Receiver operator curve analyses assessed independent predictive ability of SRI.Results. Healthful clustering (SRI = 0) was associated with improved biological CHD risk factor levels in 5 of 6 risk factors in females and 2 of 6 risk factors in males. Adding SRI to models containing age, race, and individual SRI components did not improve C-statistics.Conclusions. Findings suggest that healthful sociobehavioral risk marker clustering is associated with favorable CHD risk factor levels, particularly in females. These findings should inform social ecological interventions that consider health impacts of addressing social and behavioral risk factors.


2013 ◽  
Vol 31 (1) ◽  
pp. 71-142 ◽  
Author(s):  
Susan Weber Buchholz ◽  
JoEllen Wilbur ◽  
Shannon Halloway ◽  
Judith H. McDevitt ◽  
Michael E. Schoeny

Engaging in regular physical activity is a key component for maintaining a healthy weight and preventing overweight and obesity. Obesity continues to be a concern globally, especially for women, and women are less physically active than men. This systematic review examined current research on physical activity interventions designed for healthy community dwelling women and assessed the effects of those interventions on physical activity and body composition. Three author-developed data collection tools were used to extract and examine study variables. For studies with suitable data, effect sizes were obtained. The initial search identified 1,406 titles published between 2000 and 2012, of which 40 randomized clinical trials met inclusion criteria. Of these 40 studies, 16 had a physical activity intervention that did not have a diet component and 24 had a physical activity intervention along with a diet component. The overall weighted mean effect was


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