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Exercise Prescriptions in the Pediatrician's Office: Feasibility or Folly?

Department of Pediatrics, Baystate Medical Center, Springfield, MA, Thomas.rowland{at}bhs.org

Stephanie Carlin, MD

Department of Pediatrics, Baystate Medical Center, Springfield, MA

Leif Nordstrom, MD

Department of Pediatrics, Baystate Medical Center, Springfield, MA

The recognition that adverse health outcomes are related to a sedentary lifestyle has created an opportunity for physicians to promote regular exercise in the office setting. The role of pediatricians in exercise guidance is indicated by the long-term salutary effects of exercise that begins in childhood and adolescence. However, a number of obstacles have prevented pediatricians from playing a role in delivering physical activity guidance for their young patients. These include the lack of an evidence-based means of creating an activity prescription, lack of expertise and time, and questions of reimbursement. This review addresses this issue, suggesting a number of alternative approaches for pediatricians in activity counseling. Whether these can be effectively delivered in the office setting, however, remains to be determined.

Key Words: physical activity • children • edical practice

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