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Master Thesis

La promotion de l'activité physique dans le bassin martégal

Abstract : Introduction: Physical Activity (PA) represents a major public health issue. It reduces among others the risk of mortality in the population. Since 2016, regional and national health authorities have been developing tools to promote the practice of physical activity. It is the same with the establishment of information campaigns and the creation of organizations dedicated to this theme. Our main objective was to analyze the prevalence and the means used by general practitioners (GPs) in the Martigues Basin to promote physical activity in their patients. Our secondary objectives were twofold, on the one hand to determine the obstacles to the prescription of physical activity and on the other hand to analyze the levers proposed by general practitioners to improve the promotion of physical activity. This was an observational study conducted with general practitioners in the Martigues Basin. In total, out of 112 questionnaires sent, 55 GPs responded, giving a response rate of 49.1%. 58% of respondents offered physical activity for prevention. Obesity, cardiovascular disease and diabetes were the main diseases encouraging the promotion of physical activity. 100% of the doctors gave an oral advice. This one was accompanied only in 13% of the cases of a written prescription. General practitioners based their knowledge at 44% on continuing education, 41% on initial training or information documents. 62% of general practitioners recommended "often" physical activity during their consultation. In addition, 94% of respondents recommending physical activity adapted the advice according to the patient, but 59% did not prescribe additional tests. The follow-up of the practice of the physical activity was done in 91% of the cases but very often in consultation for another reason. It should be noted that 100% of the sub-cohort promoting physical activity evaluated the practice of their patient. The main obstacle to the prescription of physical activity was 61.5% lack of motivation of the patients followed to 57.5% by the lack of time of the general practitioners during the consultations. Among the levers proposed to promote physical activity, 69% of respondents would be interested in an information leaflet, 45% in continuing education and 40% in a multidisciplinary network. The promotion of physical activity concerned half of our workforce, but it is done with a very limited recourse to the prescription or any other written document. Our results highlight the lack of knowledge and a lack of knowledge of the tools available. The recent introduction of national systems, a strengthening of communications with general practitioners, but also the establishment of care networks could increase the promotion of physical activity by general practitioners.
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https://dumas.ccsd.cnrs.fr/dumas-02512142
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Submitted on : Thursday, March 19, 2020 - 1:06:21 PM
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Anne-Laure Édouard. La promotion de l'activité physique dans le bassin martégal. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02512142⟩

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