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Increasing Healthy Exercise in the Primary Care Setting

  • Terry L. Oroszi
  • Jacob Shoenleben
  • Larry C. James
Chapter

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 

References

  1. ABCNews.Com. (2012). Weight loss by the numbers. Abcnews.go.com/Health/100-million-dieters-20billion-weight-loss-industry/story?id=16297197
  2. American Dietetic Association. (1997). Position of the American dietetic association: Weight management. Journal of the American Dietetic Association, 97, 71–74.CrossRefGoogle Scholar
  3. 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.CrossRefGoogle Scholar
  4. 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 CrossRefGoogle Scholar
  5. Bean, J. F., Vora, A., & Frontera, W. R. (2004). Benefits of exercise. Archives of Physical Medicine & Rehabilitation, 85(Suppl 3), S31–S42.CrossRefGoogle Scholar
  6. Bernstein, E., & McNally, R. (2017). Acute aerobic exercise hastens emotional recovery from a subsequent stressor. Health Psychology, 36(6), 560567.CrossRefGoogle Scholar
  7. 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.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. 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 CrossRefGoogle Scholar
  10. 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 CrossRefPubMedGoogle Scholar
  11. 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 CrossRefGoogle Scholar
  12. 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.CrossRefGoogle Scholar
  13. 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.PubMedGoogle Scholar
  14. James, L. C., & Folen, R. A. (2005). The primary care consultant. Washington, DC: American Psychological Association Press.Google Scholar
  15. 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
  16. 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 CrossRefGoogle Scholar
  17. 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.CrossRefGoogle Scholar
  18. James, L. C., & O’Donohue, W. (2008). The primary care tool kit. New York, NY: Springer.Google Scholar
  19. James, L.C. & Linton, J. (2008). Treating obseity across the lifespan. New York: Springer Press.Google Scholar
  20. 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.CrossRefGoogle Scholar
  21. 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.CrossRefGoogle Scholar
  22. 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.CrossRefGoogle Scholar
  23. 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.CrossRefGoogle Scholar
  24. Miller, W. C. (1999). Fitness and fatness in relation to health: Implications for a paradigm shift. Journal of Social Issues, 55(2), 207–219.CrossRefGoogle Scholar
  25. 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 CrossRefPubMedGoogle Scholar
  26. 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
  27. 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
  28. 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 CrossRefGoogle Scholar
  29. 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
  30. 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.CrossRefGoogle Scholar
  31. 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/
  32. World Health Organization (WHO). (2000). Obesity: Preventing and managing the global epidemic: Report of a WHO consultation. Geneva, Switzerland: World Health Organization.Google Scholar
  33. 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.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Terry L. Oroszi
    • 1
  • Jacob Shoenleben
    • 2
  • Larry C. James
    • 2
  1. 1.Department of Pharmacology & ToxicologyBoonshoft School of Medicine, Wright State UniversityDaytonUSA
  2. 2.School of Professional PsychologyWright State UniversityDaytonUSA

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