Making Physical Activity Counseling a Priority in Clinical Practice: The Time for Action Is Now.

Overwhelming evidence indicates that regular physical activity is one of the most powerful healthpromoting practices that physicians and other health care professionals can recommend for patients.1 For decades, scientific research has shown that regular physical activity protects against major chronic diseases, including hypertension, type 2 diabetes, obesity, heart disease, stroke, cognitive decline, selected cancers, and even depression.1-3 There is broad consensus within the medical and public health communities that physical activity yields wide-ranging health benefits. Moreover, no other single intervention or treatment is associated with such a diverse array of benefits. In a recent “call to action” for a National Physical Activity Plan, the American Heart Association highlighted that a lack of physical activity represents a leading cause of death worldwide.1 Directed at numerous groups, including health care professionals and public health practitioners, the report emphasized

[1]  C. T. Orleans,et al.  Evaluating primary care behavioral counseling interventions: an evidence-based approach. , 2002, American journal of preventive medicine.

[2]  A. Robbins,et al.  Physical activity counseling in primary care. , 2001, JAMA.

[3]  L. Appel,et al.  Lifestyle Interventions Reduce Coronary Heart Disease Risk: Results From the PREMIER Trial , 2009, Circulation.

[4]  Timothy M. Morgan,et al.  Effects of physical activity counseling in primary care: the Activity Counseling Trial: a randomized controlled trial. , 2001, JAMA.

[5]  Elizabeth O'Connor,et al.  Behavioral Counseling to Promote a Healthy Lifestyle in Persons With Cardiovascular Risk Factors: A Systematic Review for the U.S. Preventive Services Task Force , 2014, Annals of Internal Medicine.

[6]  G. Hillis,et al.  Effect of Lifestyle-Focused Text Messaging on Risk Factor Modification in Patients With Coronary Heart Disease: A Randomized Clinical Trial. , 2015, JAMA.

[7]  Kyeongra Yang,et al.  Outcomes of health care providers' recommendations for healthy lifestyle among U.S. adults with prediabetes. , 2011, Metabolic syndrome and related disorders.

[8]  J. Sallis,et al.  Incorporating physical activity advice into primary care: physician-delivered advice within the activity counseling trial. , 2000, American journal of preventive medicine.

[9]  Dorothea K. Vafiadis,et al.  The National Physical Activity Plan: A Call to Action From the American Heart Association A Science Advisory From the American Heart Association , 2015, Circulation.