운동에 대한 의사의 조언이 환자에게 미치는 영향

아래와 같은 논문이 있는데,

간단하게 이야기하면, 의사가 운동을 권하고 1주일 뒤에 운동을 권한것을 상기시키면 환자의 운동량이 늘어난다는 것이다.

http://www.ncbi.nlm.nih.gov/pubmed/15454357

1. Ann Behav Med. 2004 Oct;28(2):105-13.

Effects of an oncologist's recommendation to exercise on self-reported exercise

behavior in newly diagnosed breast cancer survivors: a single-blind, randomized

controlled trial.

Jones LW, Courneya KS, Fairey AS, Mackey JR.

Faculty of Physical Education, University of Alberta, Edmonton, Alberta TG6 2H9, 

Canada. lee.jones@ualberta.ca

BACKGROUND: Increased attention has focused on exercise as a quality of life

intervention for breast cancer survivors during and after adjuvant therapy.

PURPOSE: Our objective was to examine the effects of an oncologist's

recommendation to exercise on self-reported exercise behavior in newly diagnosed 

breast cancer survivors attending their first adjuvant therapy consultation.

METHODS: Using a single-blinded, 3-armed, randomized controlled trial, 450 breast

cancer survivors were randomly assigned to receive an oncologist exercise

recommendation only, an oncologist exercise recommendation plus referral to an

exercise specialist, or usual care. The primary outcome was self-reported total

exercise (in metabolic equivalent [MET] hours per week) at 5 weeks

postconsultation.

RESULTS: The follow-up assessment rate was 73% (329 of 450). Intention-to-treat

analysis based on participants with follow-up data indicated a significant

difference in total exercise in favor of the recommendation-only group over the

usual care group (mean difference, 3.4 MET hr per week; 95% confidence interval

[CI], 0.7-6.1 MET hr per week; p = .011). There was no significant difference

between the recommendation-plus-referral group and the usual care group (mean

difference, 1.5 MET hr per week; 95% CI, -1.0 to 4.0 MET hr per week; p = .244). 

Ancillary on-treatment" analyzes showed that participants who recalled an

exercise recommendation reported significantly more total exercise than

participants who did not recall an exercise recommendation (mean difference, 4.1 

MET hr per week: 95% CI, 1.9-6.4 MET hr per week; p < .001).

CONCLUSIONS: Our findings suggest that an oncologist recommendation may increase 

exercise behavior in newly diagnosed breast cancer survivors, particularly if it 

is recalled 1 week after the recommendation.

PMID: 15454357  [PubMed - indexed for MEDLINE]