PDF(Pubmed)
Abstract：
BACKGROUND: Despite the well-known benefits of physical activity, physical inactivity is presently a global health pandemic. Allied healthcare providers, such as chiropractors, knowingly recognise the importance of physical activity and are prepared to routinely discuss and/or counsel patients on this topic; however, little is known about Australian chiropractors in the physical activity setting. Our aim was to explore and identify factors associated with physical activity promotion among Australian chiropractors, including their knowledge of the physical activity and sedentary behaviour guidelines and their own levels of physical activity.
METHODS: From February to May 2021, a convenience sample of Australian chiropractors completed an online survey. Items assessed by Likert scale included: physical activity promotion frequency, with the type, quantity, barriers, perceptions, and feasibility. We asked questions about their familiarity with, and knowledge of, Australian Physical Activity and Sedentary Behaviour Guidelines, chiropractors\' own physical activity, and whether the chiropractors met activity guidelines. Survey responses were descriptively reported. Univariable logistic regression models explored factors explaining frequent physical activity promotion.
RESULTS: Of 217 respondents, 64% reported that they frequently (≥ 70%) recommended a more physically active lifestyle. Only 15% often performed pre-exercise screening, 73% frequently prescribed resistance exercise, 19% reported time as the most frequent barrier, while 37% reported being not at all familiar with the guidelines. Univariable logistic regression models found male chiropractors were more likely to promote physical activity, [odds ratio (OR) = 2.33; 95% confidence interval (CI): 1.32-4.12)], while chiropractors who frequently treat children 0-3 years (OR = 0.5; 95% CI: 0.28-0.87), children 4-18 years (OR = 0.42; 95% CI: 0.21-0.86), and pregnant women (OR = 0.5; 95% CI: 0.26-0.94) were less likely. Chiropractors were more likely to promote physical activity if they were familiar with the activity guidelines (OR = 2.9; 95% CI: 1.32-6.41), were confident promoting (OR = 11.6; 95% CI: 1.37-98.71) and prescribing physical activity programs (OR = 4.5; 95% CI: 2.03-9.99).
CONCLUSIONS: Most chiropractors confidently and regularly integrate physical activity into practice. Yet, despite acknowledging its importance, one third of chiropractors reported poor knowledge of the Physical Activity and Sedentary Behaviour Guidelines. Identifying barriers to the awareness, and implementation of physical activity guidelines should be further explored within chiropractic clinical settings.
METHODS: From February to May 2021, a convenience sample of Australian chiropractors completed an online survey. Items assessed by Likert scale included: physical activity promotion frequency, with the type, quantity, barriers, perceptions, and feasibility. We asked questions about their familiarity with, and knowledge of, Australian Physical Activity and Sedentary Behaviour Guidelines, chiropractors\' own physical activity, and whether the chiropractors met activity guidelines. Survey responses were descriptively reported. Univariable logistic regression models explored factors explaining frequent physical activity promotion.
RESULTS: Of 217 respondents, 64% reported that they frequently (≥ 70%) recommended a more physically active lifestyle. Only 15% often performed pre-exercise screening, 73% frequently prescribed resistance exercise, 19% reported time as the most frequent barrier, while 37% reported being not at all familiar with the guidelines. Univariable logistic regression models found male chiropractors were more likely to promote physical activity, [odds ratio (OR) = 2.33; 95% confidence interval (CI): 1.32-4.12)], while chiropractors who frequently treat children 0-3 years (OR = 0.5; 95% CI: 0.28-0.87), children 4-18 years (OR = 0.42; 95% CI: 0.21-0.86), and pregnant women (OR = 0.5; 95% CI: 0.26-0.94) were less likely. Chiropractors were more likely to promote physical activity if they were familiar with the activity guidelines (OR = 2.9; 95% CI: 1.32-6.41), were confident promoting (OR = 11.6; 95% CI: 1.37-98.71) and prescribing physical activity programs (OR = 4.5; 95% CI: 2.03-9.99).
CONCLUSIONS: Most chiropractors confidently and regularly integrate physical activity into practice. Yet, despite acknowledging its importance, one third of chiropractors reported poor knowledge of the Physical Activity and Sedentary Behaviour Guidelines. Identifying barriers to the awareness, and implementation of physical activity guidelines should be further explored within chiropractic clinical settings.
摘要：
背景：尽管体育活动有众所周知的好处，缺乏身体活动目前是全球健康大流行。联合医疗保健提供者，例如脊医，有意识地认识到身体活动的重要性，并准备就这一主题定期讨论和/或咨询患者;然而，对澳大利亚脊椎按摩师在身体活动方面知之甚少。我们的目的是探索和确定与澳大利亚脊医促进体力活动相关的因素，包括他们对身体活动和久坐行为指南的了解以及他们自己的身体活动水平。
方法：从2021年2月至5月，澳大利亚脊医的便利样本完成了一项在线调查。通过李克特量表评估的项目包括：身体活动促进频率，与类型，数量,障碍,感知，和可行性。我们询问了他们对，和知识，澳大利亚身体活动和久坐行为指南，脊医自己的身体活动，以及脊医是否符合活动指引。调查答复是描述性报告的。单变量逻辑回归模型探讨了解释频繁体力活动促进的因素。
结果：在217名受访者中，64％的人报告说他们经常（≥70％）建议更积极的生活方式。只有15%的人经常进行运动前筛查，73%的人经常规定抗阻运动，19%报告时间是最常见的障碍，而37%的人报告根本不熟悉指南。单变量logistic回归模型发现男性脊医更有可能促进体力活动，[优势比（OR）=2.33；95%置信区间（CI）：1.32-4.12）]，而经常治疗0-3岁儿童的脊医（OR=0.5;95％CI：0.28-0.87），4-18岁儿童（OR=0.42；95%CI：0.21-0.86），和孕妇（OR=0.5;95％CI：0.26-0.94）的可能性较小。如果脊医熟悉活动指南，则更有可能促进身体活动（OR=2.9；95％CI：1.32-6.41），有信心促进（OR=11.6；95％CI：1.37-98.71）和处方体力活动计划（OR=4.5；95％CI：2.03-9.99）。
结论：大多数脊椎按摩师都自信且有规律地将身体活动融入实践中。然而，尽管承认它的重要性，1/3的脊医报告对身体活动和久坐行为指南缺乏了解.识别意识的障碍，应在整脊临床环境中进一步探索体育活动指南的实施。
方法：从2021年2月至5月，澳大利亚脊医的便利样本完成了一项在线调查。通过李克特量表评估的项目包括：身体活动促进频率，与类型，数量,障碍,感知，和可行性。我们询问了他们对，和知识，澳大利亚身体活动和久坐行为指南，脊医自己的身体活动，以及脊医是否符合活动指引。调查答复是描述性报告的。单变量逻辑回归模型探讨了解释频繁体力活动促进的因素。
结果：在217名受访者中，64％的人报告说他们经常（≥70％）建议更积极的生活方式。只有15%的人经常进行运动前筛查，73%的人经常规定抗阻运动，19%报告时间是最常见的障碍，而37%的人报告根本不熟悉指南。单变量logistic回归模型发现男性脊医更有可能促进体力活动，[优势比（OR）=2.33；95%置信区间（CI）：1.32-4.12）]，而经常治疗0-3岁儿童的脊医（OR=0.5;95％CI：0.28-0.87），4-18岁儿童（OR=0.42；95%CI：0.21-0.86），和孕妇（OR=0.5;95％CI：0.26-0.94）的可能性较小。如果脊医熟悉活动指南，则更有可能促进身体活动（OR=2.9；95％CI：1.32-6.41），有信心促进（OR=11.6；95％CI：1.37-98.71）和处方体力活动计划（OR=4.5；95％CI：2.03-9.99）。
结论：大多数脊椎按摩师都自信且有规律地将身体活动融入实践中。然而，尽管承认它的重要性，1/3的脊医报告对身体活动和久坐行为指南缺乏了解.识别意识的障碍，应在整脊临床环境中进一步探索体育活动指南的实施。
