There is a growing body of literature showing that physical activity and nature have a positive effect on people's health and well-being. Additionally literature indicates that there may even be a synergic benefit from being physically active whilst simultaneously being directly exposed to nature. This insight is used in recovery programmes for work related stress and mental health care settings. However, as primary care is usually people's first point of contact with the health care system, the greatest benefits for people's health can probably be obtained in primary health care settings. The aim of the present study is therefore to investigate to what extent general practitioners advise patients on physical activity and whether they refer to the additional health benefits of physical activity in a natural environment.
A secondary analysis was performed on a random sample of 2784 video-taped patient consultations of 100 general practitioners in The Netherlands. Many characteristics of these consultations were known on the basis of earlier analyses: diagnosis, age and sex of patient and whether or not the issue of physical activity had been brought up by either patient or doctor. First, we investigated to what extent and with which health problems advice was given concerning physical activity. Second, from these consultations, a stratified sample of 100 consultations was observed in order to investigate whether an advice was given by the general practitioner concerning the additional benefits of nature. In 26% of all consultations advice on physical activity was given by the general practitioner. Physical activity was mentioned more often in cases of vague complaints than in cases with a clear cut diagnosis. As could have been expected, physical activity was mentioned relatively frequently in cases of musculoskeletal complaints and complaints of the nervous system. The additional benefits of physical activity in natural environments was not mentioned during any of the consultations.
In conclusion, general practitioners regularly give advice on physical activity. However, they fail to mention that physical activity in nature areas might have additional health benefits. Given the fact that medical treatment is increasingly evidence based, we think the evidence for the health benefits of physical activity in nature needs to be stronger. Results from such research could eventually find their way into the guidelines of the general practitioners. 相似文献
Basing on two long-term model experiments (microplots as well as greenhouse pot experiment) the influence of extreme management on a very easily decomposable pool of soil organic matter (SOM) was measured. The carbon content (C hwe ) of a hot water extractable pool of SOM was used as an indicator for the decomposable C pool. This parameter reflects both the dynamics of the amount of decomposable organic C pool and the different transformation conditions in case of the pot experiment (outside versus inside the greenhouse). Depending on soil type and both the total and decomposable organic matter level at the starting point of the experiments we can observe differences in the decreasing speed of the decomposable C pool: in the soils having a high level of SOM at starting point C hwe pool decreases more rapidly compared to the soils unfertilized or in case of the only P and K treatment of the Static Fertilization Experiment at the beginning of the pot experiment. At least we can observe a difference in decreasing intensity of this C hwe pool when comparing different soil types. 相似文献
Current problems with outbreaks of serious infections caused by human pathogens on fresh-cut greens highlight the need for new, optimized postharvest sanitation treatments to effectively meet recent food safety standards. In contrast to various chemical treatments, non-thermal plasma (NTP) has a high potential as a gentle target sanitation technique. However, possible interactions between NTP and the physiology of treated fresh products have not been investigated in detail. Here, chlorophyll fluorescence image analysis (CFIA) was used to study the potential impacts of non-thermal plasma on the photosynthetic activity of highly perishable corn salad leaves as a model produce. For this purpose, an atmospheric pressure plasma jet, driven at radio frequency, and transforming argon with flow rates of 20 L min−1 into non-thermal plasma at 10, 20, 30, and 40 W generator power was applied for various times to the surface of corn salad leaves. Thermographic measurements indicated maximum temperatures of 39.0 °C, 44.4 °C, 60.1 °C, and 66.0 °C, respectively, on treated leaf surfaces. CFIA revealed that treatment at moderate generator power of 20 W for up to 1 min was the maximum setting for quality retention. Furthermore, the microbial inactivation efficiency of the plasma jet system at these operating parameters was successfully tested on Escherichia coli bacteria, inoculated on corn salad surface at 107 cfu cm−2 and 104 cfu cm−2. At 20 W, bacteria with lower initial load could be inactivated by 3.6 (±0.6) log-cycles within 15 s of treatment duration; whereas at the higher initial load of 107 cfu cm−2, bacteria were reduced by 2.1 (±0.2) log-cycles after 30 s. 相似文献