title: Weight management including dietary and physical activity advice provided by Australian physiotherapists: a pilot cross-sectional survey.
abstract: Physiotherapists may have an impact on obesity prevention and treatment by providing nutrition and physical activity advice to overweight or obese clients; yet little is known about physiotherapists' beliefs and practices related to client weight management. The aim of this pilot study was to determine the practices, beliefs, attitudes and knowledge of physiotherapists regarding the provision of weight management advice to overweight or obese clients. Physiotherapists (n = 65) working in multiple practice settings completed a self-administered questionnaire. Logistic regression determined factors associated with the provision of dietary and physical activity advice for weight management. The majority of physiotherapists (n = 53 [81.5%]) believed providing weight management advice was within their scope of practice, yet only a minority had received training during their professional entry level education (n = 13 [20%]) or through professional development (n = 7 [11%]). Most physiotherapists (n = 55 [84.6%]) provided physical activity advice for weight management, but a minority (n = 27 [41.5%]) provided dietary advice. Having received training in weight management during their professional entry level education was associated with providing dietary advice (Odds ratio 8.8, 95% confidence interval 2.0-38.9, p = 0.004). Training in weight management may increase the likelihood of physiotherapists providing dietary advice, improving physiotherapists' management of obesity.
authors.affiliation: School of Health Sciences, Faculty of Health and Medicine, The University of Newcastle , Callaghan, NSW , Australia .
authors.forename: Suzanne J
authors.initials: SJ
authors.lastname: Snodgrass
authors.forename: Amy E
authors.initials: AE
authors.lastname: Carter
authors.forename: Maya
authors.initials: M
authors.lastname: Guest
authors.forename: Clare E
authors.initials: CE
authors.lastname: Collins
authors.forename: Carole
authors.initials: C
authors.lastname: James
authors.forename: Ashley K
authors.initials: AK
authors.lastname: Kable
authors.forename: Samantha E
authors.initials: SE
authors.lastname: Ashby
authors.forename: Ronald C
authors.initials: RC
authors.lastname: Plotnikoff
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001315:Australia; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D018752:Diet, Fat-Restricted; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D008019:Life Style; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology; D009517:New South Wales; D009765:Obesity / Q000517:prevention & control / Q000534:rehabilitation*; D050177:Overweight / Q000517:prevention & control / Q000534:rehabilitation; D010353:Patient Education as Topic / Q000379:methods*; D059825:Physical Therapists; D010865:Pilot Projects; D011795:Surveys and Questionnaires
keywords: Diet; exercise; lifestyle; obesity; physical therapy; weight loss