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Public Health Rep. 1985 Mar-Apr; 100(2): 212–224.
PMCID: PMC1424722

The promotion of physical activity in the United States population: the status of programs in medical, worksite, community, and school settings.

Abstract

While the medical care encounter is considered an ideal situation in which patients are encouraged to increase their physical activity levels, very little research has been conducted in this setting. In fact, with the exception of the physical activity components of cardiac rehabilitation programs, few formal physical activity programs are available in medical care settings. Although the workplace is currently the focus of the greatest interest by those persons who implement physical activity programs, there is little precision in defining what constitutes a worksite physical activity program. A number of researchers and authors, using program experience rather than empirical findings, have described what they believe to be the important components of successful worksites health promotion and physical education programs. The greatest variety of physical activity programs are found in community settings. They are offered by a number of nonprofit private organizations, nonprofit public agencies, and for-profit organizations. While relatively little research has been done concerning changes in the community environment, it is clear that such changes can effect community participation. Community campaigns to increase physical activity have been studied, and it appears that they clearly affect residents' interest and awareness in physical activity, but they do not have a major effect on behavioral changes in the short term. It appears that a major opportunity to influence favorable physical activity in the United States is being missed in schools. A large majority of students are enrolled in physical education classes, but the classes appear to have little effect on the current physical fitness levels of children and, furthermore, have little impact on developing life-long physical activity skills.

Full text

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Stephens T, Jacobs DR, Jr, White CC. A descriptive epidemiology of leisure-time physical activity. Public Health Rep. 1985 Mar-Apr;100(2):147–158. [PMC free article] [PubMed]
  • Dishman RK, Sallis JF, Orenstein DR. The determinants of physical activity and exercise. Public Health Rep. 1985 Mar-Apr;100(2):158–171. [PMC free article] [PubMed]
  • Gilmore A. Canada Fitness Survey finds fitness means health. Can Med Assoc J. 1983 Jul 15;129(2):181–183. [PMC free article] [PubMed]
  • David AK, Boldt JS. A study of preventive health attitudes and behaviors in a family practice setting. J Fam Pract. 1980 Jul;11(1):77–84. [PubMed]
  • Hyatt JD. Perceptions of the family physician by patients and family physicians. J Fam Pract. 1980 Feb;10(2):295–300. [PubMed]
  • Wyshak G, Lamb GA, Lawrence RS, Curran WJ. A profile of the health-promoting behaviors of physicians and lawyers. N Engl J Med. 1980 Jul 10;303(2):104–107. [PubMed]
  • Wells KB, Ware JE, Jr, Lewis CE. Physicians' practices in counseling patients about health habits. Med Care. 1984 Mar;22(3):240–246. [PubMed]
  • Rose G, Hamilton PJ. A randomised controlled trial of the effect on middle-aged men of advice to stop smoking. J Epidemiol Community Health. 1978 Dec;32(4):275–281. [PMC free article] [PubMed]
  • Donovan JW. Randomised controlled trial of anti-smoking advice in pregnancy. Br J Prev Soc Med. 1977 Mar;31(1):6–12. [PMC free article] [PubMed]
  • Inui TS, Yourtee EL, Williamson JW. Improved outcomes in hypertension after physician tutorials. A controlled trial. Ann Intern Med. 1976 Jun;84(6):646–651. [PubMed]
  • Mulder JA, Griffin R. Prescription of home exercise therapy for cardiovascular fitness. J Fam Pract. 1981 Sep;13(3):345–348. [PubMed]
  • Demak MM, Rosen MA, Logsdon DN. Prevention in primary medical care: the INSURE Project. Md State Med J. 1983 Apr;32(4):279–283. [PubMed]
  • Logsdon DN, Rosen MA, Demak MM. The INSURE project on lifecycle preventive health services. Public Health Rep. 1982 Jul-Aug;97(4):308–317. [PMC free article] [PubMed]
  • Shephard RJ. Employee health and fitness: the state of the art. Prev Med. 1983 Sep;12(5):644–653. [PubMed]
  • Rhodes EC, Dunwoody D. Physiological and attitudinal changes in those involved in an employee fitness program. Can J Public Health. 1980 Sep-Oct;71(5):331–336. [PubMed]
  • Kristein MM. The economics of health promotion at the worksite. Health Educ Q. 1982 Fall;9(SPEC):27–36. [PubMed]
  • Shephard RJ, Cox M, Corey P. Fitness program participation: its effect on worker performance. J Occup Med. 1981 May;23(5):359–363. [PubMed]
  • Puterbaugh JS, Lawyer CH. Cardiovascular effects of an exercise program: a controlled study among firemen. J Occup Med. 1983 Aug;25(8):581–586. [PubMed]
  • Fielding JE. Health promotion and disease prevention at the worksite. Annu Rev Public Health. 1984;5:237–265. [PubMed]
  • Fielding JE. Effectiveness of employee health improvement programs. J Occup Med. 1982 Nov;24(11):907–916. [PubMed]
  • Davis MF, Rosenberg K, Iverson DC, Vernon TM, Bauer J. Worksite health promotion in Colorado. Public Health Rep. 1984 Nov-Dec;99(6):538–543. [PMC free article] [PubMed]
  • Fielding JE, Breslow L. Health promotion programs sponsored by California employers. Am J Public Health. 1983 May;73(5):538–542. [PubMed]
  • Pate RR, Blair SN. Physical fitness programming for health promotion at the worksite. Prev Med. 1983 Sep;12(5):632–643. [PubMed]
  • Puska P, Vienola P, Kottke TE, Salonen JT, Neittaanmäki L. Health knowledge and community prevention of coronary heart disease. Int J Health Educ. 1981;24(2 Suppl):1–11. [PubMed]
  • Meyer AJ, Nash JD, McAlister AL, Maccoby N, Farquhar JW. Skills training in a cardiovascular health education campaign. J Consult Clin Psychol. 1980 Apr;48(2):129–142. [PubMed]
  • Blackburn H. Research and demonstration projects in community cardiovascular disease prevention. J Public Health Policy. 1983 Dec;4(4):398–421. [PubMed]

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