The influence of GP advice on physical activity and health promotion in elderly patients : findings from a quantitative waiting room survey in Germany

Abstract

Aim Physical activity can help maintain an independent and healthy life, especially at an older age. In view of the ageing population, the necessity for better prevention concepts is becoming evident. The present study has ascertained the importance and potential of primary care in the task of motivating patients to participate in exercise, fitness, and health programmes.

Subject and methods As part of a waiting room survey conducted between November 2022 and April 2023, a total of 1701 patients aged 70 and older were surveyed in 35 GP practices in the federal state of Hesse.

Results Half of those surveyed participate in sports activities on a regular basis. It is widely considered a problem that there is a lack of health and exercise programmes that match the (health) situation of individuals. Many of those questioned also have no overview of what courses are available in their vicinity. GPs enjoy an excellent reputation as highly trustworthy and reliable advisors for health and exercise programmes; 46% of respondents stated that their GP had already recommended an increase in physically activity, 38% stated that their GP had drawn their attention to specific sports, fitness, or health programmes. Of these, 84% decided to try out this recommendation. Ninety percent were in favour of a closer cooperation between GPs and health course providers.

Conclusion The results indicate that the primary care setting is in a particularly good position to introduce older people to exercise and health programmes and motivate them to take part. General practitioners should be encouraged to assume such an intermediary role with regard to prevention. For this purpose, it would appear that urgent action is necessary in local and municipal health promotion networks as well as relevant training of GPs and practice staff.