Yvonne M. Golightly|Kelli D. Allen|Kirsten Ambrose|Jamie L. Stiller|Kelly R. Evenson|C Voisin|Jennifer Hootman|Leigh F. Callahan
Physical Activity as a Vital Sign: A Systematic Review
University of North Carolina at Chapel Hill|Health Services Research & Development|University of North Carolina at Chapel Hill|Durham VA Medical Center|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|Centers for Disease Control and Prevention|University of North Carolina at Chapel Hill
physical activity pa strongly endorsed managing chronic conditions vital sign tool indicator general physical condition could alert providers inadequate pa prompt counseling referral systematic review examined use definitions psychometric properties outcomes brief pa instruments vital sign measures attention primarily studies focused arthritiselectronic databases searched englishlanguage literature 1985 2016 using terms pa exercise vital sign exercise referral scheme exercise counseling 838 articles identified title abstract review 9 articles qualified full text review data extractionfive brief pa measures identified exercise vital sign evs physical activity vital sign pavs speedy nutrition physical activity assessment snap general practice physical activity questionnaire gppaq stanford brief activity survey sbas studies focusing arthritis found 15 years using evs large hospital system improvements occurred relative weight loss among overweight patients reduction glycosylated hemoglobin among diabetic patients pavs moderate physical activity 5 days per week versus fewer 5 days per week associated lower body mass index 290 kgm2 compared accelerometerdefined physical activity evs weakly correlated r 027 low sensitivity 2759 high specificity 7489 snap showed weak agreement 012 gppaq moderate sensitivity 46 specificity 50 sbas weakly correlated r 010028 poor moderate sensitivity 1867 moderate specificity 5879few studies examined brief physical activity tool vital sign measure initial investigations suggest promise simple quick assessment tools research needed test effects use chronic disease outcomes