Observational studyClinics (Sao Paulo, Brazil)2025
Medical conduct and knowledge about physical activity counseling in the largest hospital complex in Latin America.
Observational study in Clinics (Sao Paulo, Brazil), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
objectiveTo characterize practices and knowledge regarding PA counseling at a large tertiary hospital.
designCross-sectional observational study. PARTICIPANTS AND
settingPhysicians with an active medical practice within the university hospital were invited to respond to an online survey.
interventionsA questionnaire designed to capture information on medical training, life habits and knowledge about PA. MAIN OUTCOMES MEASURES: Sedentary behavior, clinical practice and self-efficacy were assessed by Likert-type questions, whereas regular practice, previous training, and knowledge of PA were evaluated through dichotomous questions (answers: "yes or no" or "true or false").
resultsResponse rate was 11.5 % (50.6 % female, 44.9 ± 12.8 years), 67.7 % were physically active, and 63.3 % had 4 to 8 h/day of sedentary behavior. Only 40.7 % had previous training on PA, 99.7 % recognized the importance of recommending PA, but only a small part (48.4 %) recommended PA in all consultations (the main barrier was lack of specific training). In addition, 69.2 %, 58.7 % and 65.5 % rated their abilities to collect PA history, assess contraindications, and engage the patient as good/excellent, respectively. Knowledge of PA was rated as low to very low, with correct answers ranging from 49 % to 17 % and as low as ∼10 % (when considering the pediatric population).
conclusionAlthough physicians recognize the importance of PA counseling and have high perceived self-efficacy in relation to counseling skills, few put them into practice. This may be due to insufficient training on PA and/or the complexity of services provided at the tertiary hospital. The present results corroborate the need for improvements in medical training on PA.
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