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Increasing Healthy Exercise in the Primary Care Setting

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Abstract

The primary care hospital and clinic settings offer many rewards to practitioners and challenges alike. One major challenge that health care professionals may often identify in the primary care setting is the sedentary lifestyle of their patients. Needless to say, the lack of healthy exercise can be a leading cause of obesity, type II diabetes, essential hypertension, as well as obesity. In this chapter we will discuss outcome research that has been shown to increase patient participation in healthy exercise and decrease the symptoms associated with the diseases (such as type II diabetes, obesity, and essential hypertension) that can be effectively treated with behavioral health interventions directly within the primary care clinics.

Keywords

  • Exercise
  • Healthy
  • Lifestyle
  • Behavioral medicine

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References

  • ABCNews.Com. (2012). Weight loss by the numbers. Abcnews.go.com/Health/100-million-dieters-20billion-weight-loss-industry/story?id=16297197

  • American Dietetic Association. (1997). Position of the American dietetic association: Weight management. Journal of the American Dietetic Association, 97, 71–74.

    CrossRef  Google Scholar 

  • Annesi, J. J. (2012). Supported exercise improves controlled eating and weight through its effects on psychosocial factors: Extending a systematic research program toward treatment development. The Permanente Journal, 16(1), 7–18.

    CrossRef  Google Scholar 

  • Annesi, J. J., & Tennant, G. A. (2013). Mediation of social cognitive theory variables in the relationship of exercise and improved eating in sedentary adults with severe obesity. Psychology, Health & Medicine, 18(6), 714–724. https://doi.org/10.1080/13548506.2013.766354

    CrossRef  Google Scholar 

  • Bean, J. F., Vora, A., & Frontera, W. R. (2004). Benefits of exercise. Archives of Physical Medicine & Rehabilitation, 85(Suppl 3), S31–S42.

    CrossRef  Google Scholar 

  • Bernstein, E., & McNally, R. (2017). Acute aerobic exercise hastens emotional recovery from a subsequent stressor. Health Psychology, 36(6), 560567.

    CrossRef  Google Scholar 

  • Caldwell, K. L., Baime, M. J., & Wolever, R. Q. (2012). Mindfulness based approaches to obesity and weight loss maintenance. Journal of Mental Health Counseling, 34(3), 269–282.

    CrossRef  Google Scholar 

  • Colvin, R. H., & Olson, S. B. (1984). Winners revisited: An 18-month follow-up of our successful weight losers. Addictive Behaviors, 9(3), 305–306.

    CrossRef  Google Scholar 

  • Cooper, Z., Doll, H. A., Hawker, D. M., Byrne, S., Bonner, G., Eeley, E., … Fairburn, C. G. (2010). Testing a new cognitive behavioral treatment for obesity: A randomized controlled trial with three-year follow-up. Behavior Research and Therapy, 48, 706–713. https://doi.org/10.1016/j.brat.2010.03.008

    CrossRef  Google Scholar 

  • Epstein, L. H., Valoski, A. M., Vara, L. S., McCurley, J., Wisniewski, L., Kalarchian, M. A., … Shrager, L. R. (1995). Effects of decreasing sedentary behavior and increasing activity on weight change in obese children. Health Psychology, 14(2), 109–115. https://doi.org/10.1037/0278-6133.14.2.109

    CrossRef  PubMed  Google Scholar 

  • Hill, J. O., Thompson, H., & Wyatt, H. (2005). Research: Weight maintenance: What’s missing? Journal of The American Dietetic Association, 105(Supplement), 63–66. https://doi.org/10.1016/j.jada.2005.02.016

    CrossRef  Google Scholar 

  • Hunter, C., Goodie, J., Oordt, M., & Dobmeyer, A. (2009). Integrated behavioral health care: Step-by-step guidance for assessment & intervention. Washington, DC: American Psychological Association Press.

    CrossRef  Google Scholar 

  • Jakicic, J., Robertson, R., Butler, B., & Wing, R. (1995). Prescribing exercise in multiple short bouts versus one continuous bout: Effects on adherence, cardiorespiratory fitness, and weight loss in overweight women. International Journal of Obesity, 19(12), 893–901.

    PubMed  Google Scholar 

  • James, L. C., & Folen, R. A. (2005). The primary care consultant. Washington, DC: American Psychological Association Press.

    Google Scholar 

  • James, L.C., Folen, R.A., Noce, M., Pederson, D. & Page, H. (1997). Preliminary findings of a healthy lifestyle program for the treatment of obesity & hyperlipidemia in minority men. Proceedings of the National Medical Association. August 2–7. Honolulu, Hawaii.

    Google Scholar 

  • James, L. C., Folen, R. A., & Noce, M. A. (1998). A healthy lifestyle program for the treatment of obesity in minority men. Journal of Clinical Psychology in Medical Settings, 5(3), 259–273. https://doi.org/10.1023/A:1026250019031

    CrossRef  Google Scholar 

  • James, L. C., Folen, R. A., Page, H., Noce, M., Brown, J., & Britton, C. (1999). The Tripler LE3AN program: A two-year follow-up report. Military Medicine, 164(6), 389–395.

    CrossRef  Google Scholar 

  • James, L. C., & O’Donohue, W. (2008). The primary care tool kit. New York, NY: Springer.

    Google Scholar 

  • James, L.C. & Linton, J. (2008). Treating obseity across the lifespan. New York: Springer Press.

    Google Scholar 

  • Jeffery, R. W., Bjornson-Benson, W. M., Rosenthal, B. S., Lindquist, R. A., Kurth, C. L., & Johnson, S. L. (1984). Correlates of weight loss and its maintenance over two years of follow-up among middle-aged men. Preventive Medicine, 13(2), 155–168.

    CrossRef  Google Scholar 

  • Kayman, S., Stern, J., & Bruvold, W. (1990). Maintenance and relapse after weight loss in women: Behavioral aspects. American Journal of Clinical Nutrition, 52(5), 800–807.

    CrossRef  Google Scholar 

  • Mann, T., Tomiyama, A. J., Westling, E., Lew, A., Samuels, B., & Chatman, J. (2007). Medicare’s search for effective obesity treatments: Diets are not the answer. American Psychologist, 62(3), 220–233.

    CrossRef  Google Scholar 

  • Miller, W. (2001). Effective diet and exercise treatments for overweight and recommendations for intervention. Sports Medicine, 31(10), 717–724. 0112-1642/01/0010-0717.

    CrossRef  Google Scholar 

  • Miller, W. C. (1999). Fitness and fatness in relation to health: Implications for a paradigm shift. Journal of Social Issues, 55(2), 207–219.

    CrossRef  Google Scholar 

  • Nicklas, B. J., Chmelo, E., Delbono, O., Carr, J. e., Lyles, M. F., & Marsh, A. P. (2015). Effects of resistance training with and without caloric restriction on physical function and mobility in overweight and obese older adults: A randomized controlled trial. American Journal of Clinical Nutrition, 101(5), 991–999. https://doi.org/10.3945/ajcn.114.105270

    CrossRef  PubMed  Google Scholar 

  • O’Donohue, W., Byrd, M., Cummings, N., & Anderson, D. (2005). Behavioral integrative care: Treatments that work in primary care. New York, NY: Brunner-Routledge.

    Google Scholar 

  • O’Donohue, W., Cummings, N., Cucciare, N., Runyan, C., & Cummings, J. (2006). Integrated behavioral health care: A guide to effective intervention. New York, NY: Humanity Books.

    Google Scholar 

  • Wansink, B., & Sobal, J. (2007). Mindless eating: The 200 daily food decisions we overlook. Environment and Behavior, 39(1), 106–123. https://doi.org/10.1177/0013916506295573

    CrossRef  Google Scholar 

  • Williams, G. (2013, January 3). The heavy price of losing weight. USNews&World Report. https://money.usnews.com/money/personal-finance/articles/2013/01/02/the-heavy-price-of-losing-weight

  • Wing, R. R. (2008). Behavioral approaches to the treatment of obesity. In G. A. Bray & C. Bouchard (Eds.), Handbook of obesity: Clinical applications (pp. 227–248). New York, NY: Informal Healthcare.

    CrossRef  Google Scholar 

  • World Health Organization (WHO). Obesity and overweight. World Health Organization. (2015). Fact sheet No 311. Retrieved from http://www.who.int/mediacentre/factsheets/fs311/en/

  • World Health Organization (WHO). (2000). Obesity: Preventing and managing the global epidemic: Report of a WHO consultation. Geneva, Switzerland: World Health Organization.

    Google Scholar 

  • Zhaoyang, R., Matire, L., & Sliwinski, M. (2017). Morning self-efficacy predicts physical activity throughout the day in knee osteoarthritis. Health Psychology, 369(6), 568–576.

    CrossRef  Google Scholar 

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Correspondence to Larry C. James .

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Oroszi, T.L., Shoenleben, J., James, L.C. (2018). Increasing Healthy Exercise in the Primary Care Setting. In: Duckworth, M., O'Donohue, W. (eds) Behavioral Medicine and Integrated Care. Springer, Cham. https://doi.org/10.1007/978-3-319-93003-9_11

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