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International recommendations identify health professionals as pivotal agents to tackle physical inactivity. This study sought to characterize medical doctors\u2019 clinical practices concerning the promotion of patients\u2019 physical activity, while also exploring potential predictors of the frequency and content of these practices, including doctors\u2019 physical activity level and sedentary behaviours.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A cross-sectional study assessed physical activity promotion in clinical practice with a self-report questionnaire delivered through the national medical prescription software (naturalistic survey). Physical activity and sedentary behaviours were estimated using the International Physical Activity Questionnaire (short form). Indicators of medical doctors\u2019 attitudes, knowledge, confidence, barriers, and previous training concerning physical activity promotion targeting their patients were also assessed. Multiple regression analysis was performed to identify predictors of physical activity promotion frequency by medical doctors, including sociodemographic, attitudes and knowledge-related variables, and physical activity behaviours as independent variables.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 961 medical doctors working in the Portuguese National Health System participated (59% women, mean age 44\u2009\u00b1\u200913\u2009years) in the study. The majority of the participants (84.6%) reported to frequently promote patients\u2019 physical activity. Five predictors of physical activity promotion frequency emerged from the multiple regression analysis, explaining 17.4% of the dependent variable (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001): working in primary healthcare settings (<jats:italic>p<\/jats:italic>\u2009=\u20090.037), having a medical specialty (<jats:italic>p<\/jats:italic>\u2009=\u20090.030), attributing a high degree of relevance to patients\u2019 physical activity promotion in healthcare settings (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), being approached by patients to address physical activity (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and having higher levels of physical activity (<jats:italic>p<\/jats:italic>\u2009=\u20090.001).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The sample of medical doctors approached reported a high level of engagement with physical activity promotion. Physical activity promotion frequency seems to be influenced by the clinical practice setting, medical career position and specialty, attitudes towards physical activity, and perception of patients\u00b4 interest on the topic, as well as medical doctors\u2019 own physical activity levels.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12909-022-03686-z","type":"journal-article","created":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T21:02:34Z","timestamp":1660770154000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Predictors of physical activity promotion in clinical practice: a cross-sectional study among medical doctors"],"prefix":"10.1186","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9464-7064","authenticated-orcid":false,"given":"Catarina Santos","family":"Silva","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3806-438X","authenticated-orcid":false,"given":"Romeu","family":"Mendes","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2293-7190","authenticated-orcid":false,"given":"Cristina","family":"Godinho","sequence":"additional","affiliation":[]},{"given":"Ana","family":"Monteiro-Pereira","sequence":"additional","affiliation":[]},{"given":"Jaime","family":"Pimenta-Ribeiro","sequence":"additional","affiliation":[]},{"given":"Helena Silva","family":"Martins","sequence":"additional","affiliation":[]},{"given":"Jo\u00e3o","family":"Brito","sequence":"additional","affiliation":[]},{"given":"Jos\u00e9 Lu\u00eds","family":"Themudo-Barata","sequence":"additional","affiliation":[]},{"given":"Carlos","family":"Fontes-Ribeiro","sequence":"additional","affiliation":[]},{"given":"Pedro J.","family":"Teixeira","sequence":"additional","affiliation":[]},{"given":"Gra\u00e7a","family":"Freitas","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4734-0283","authenticated-orcid":false,"given":"Marlene Nunes","family":"Silva","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2022,8,17]]},"reference":[{"issue":"Suppl 3","key":"3686_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/sms.12581","volume":"25","author":"BK Pedersen","year":"2015","unstructured":"Pedersen BK, Saltin B. 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