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Start with reducing sedentary behavior : A stepwise approach to physical activity counseling in clinical practice
Dogra, Shilpa Copeland, Jennifer L. Altenburg, Teatske M. Heyland, Daren K. Owen, Neville Dunstan, David W.
Dogra, Shilpa
Copeland, Jennifer L.
Altenburg, Teatske M.
Heyland, Daren K.
Owen, Neville
Dunstan, David W.
Abstract
Recently, sedentary behavior recommendations have been included in the public health guidelines of multiple countries, pointing to new opportunities for prevention of chronic disease as well as a potential strategy for initiating long-term behavior change.
Objective
To propose an evidence-informed approach to physical activity counseling that starts with a focus on reducing sedentary time.
Methods
We put forward a case for addressing changes in sedentary behavior in clinical practice using a narrative review. We also propose a new approach for the assessment and counselling of patients with respect to movement behaviors.
Results
There is evidence to support a stepwise approach to physical activity counseling that starts with targeting sedentary behavior, particularly in those who are highly sedentary, or those who have chronic disease, or physical impairments.
Conclusions
Our approach encourages clinicians to consider sedentary behavior counseling as a critical first step to physical activity counseling. For many patients, this initial step of reducing sedentary behavior could build a pathway to an active lifestyle.
Practical Implications
A shift from long periods of sedentary time to daily routines incorporating more light intensity physical activity could result in meaningful health improvements. Importantly, this approach may be more feasible for highly inactive patients.
Keywords
sitting, exercise, counseling, chronic disease
Date
2022
Type
Journal article
Journal
Patient Education and Counseling
Book
Volume
105
Issue
6
Page Range
1353-1361
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled