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F ocus Area 22 Physical Activity and Fitness Progress Review. April 14, 2004. Physical Activity and Fitness Benefits. Builds and maintains healthy bones and muscles, controls weight, builds lean muscle, reduces fat, reduces blood pressure, and improves blood glucose control

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F ocus area 22 physical activity and fitness progress review

Focus Area 22Physical Activity and FitnessProgress Review

April 14, 2004


Physical activity and fitness benefits
Physical Activity and Fitness Benefits

  • Builds and maintains healthy bones and muscles, controls weight, builds lean muscle, reduces fat, reduces blood pressure, and improves blood glucose control

  • Decreases the risk of obesity and chronic diseases (CHD, high blood pressure, diabetes, colon cancer, and osteoporosis)

  • Reduces feelings of depression and anxiety and promotes psychological well-being

  • Related to functional independence of older adults and quality of life of people of all ages


Estimated preventable deaths 2000
Estimated Preventable Deaths, 2000

2,391,399 Total Deaths

1,159,000

Preventable (48%)

400,000 due to Poor Diet

and Physical Inactivity (17%)

Source: Anderson, RN. Deaths: Leading Causes for 2000. NVSR 50(16). Hyattsville, Maryland: National Center for Health Statistics. 2002;

Mokdad, AH, et.al. Actual Causes of Death in the United States, 2000. JAMA 291(10): 1238-1245. March 10, 2004.


Focus area 22 physical activity and fitness progress review

Improving

Getting worse

Little or no change

Cannot assess (limited data)

Physical Activity and Fitness Objectives

Physical Activity among Adults

22-9. Participation in daily school

PE

22-10. Physical activity in PE class

22-11. Television viewing

22-12. Access to school physical

activity facilities

22-1. No leisure time physical activity

22-2. Moderate regular physical activity

22-3. Vigorous physical activity

22-4. Muscular strength and endurance

22-5. Flexibility

Worksites and Communities

Physical Activity among Adolescents

22-13. Worksite physical activity and

fitness programs

22-14. Community walking

a. Adults

b. Children and adolescents

22-15. Community bicycling

a. Adults

b. Children and adolescents

22-6. Moderate physical activity

22-7. Vigorous physical activity

22-8. Physical education

requirement in schools

a. Middle/junior high schools

b. Senior high schools


Focus area 22 physical activity and fitness progress review

Highlighted Objectives

22-1. No leisure-time physical activity in adults

22-2. Moderate, regular physical activity in

adults

22-3. Vigorous physical activity in adults

22-7. Vigorous physical activity in adolescents


Data issues gaps
Data Issues/Gaps

  • Complex measurement methodology

    • Time / intensity

    • Recall period / accuracy

    • Question order

    • “Leisure” / “work” / “incidental”

    • Self-report / measured

    • Measurement bias

    • No standard methodology

  • Data for children


Nhis questions for objectives 22 1 22 2 and 22 3
NHIS Questions forObjectives 22-1, 22-2, and 22-3

The next questions are about physical activities

(exercise, sports, physically active hobbies...) that

you may do in your LEISURE time.

  • How often do you do VIGOROUS activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate?

  • How often do you do LIGHT OR MODERATE activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT TO MODERATE increase in breathing or heart rate?


Physical activity among adults
Physical Activity among Adults

Some

Some

None

None

Moderate/

Vigorous

Moderate/

Vigorous

1997

2002

Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Moderate physical activity is regular leisure-time physical activity (moderate activity 30+ minutes/5+ times a week or vigorous activity 20+ minutes/3+ times a week).

Source: National Health Interview Survey, NCHS, CDC.

Objs. 22-1, 2


No physical activity for adults by sex and age

Age-adjusted percent

1997

2002

Total

Female

Male

18-24 years

25-44 years

45-64 years

65-74 years

75 years and over

No Physical Activity for Adults by Sex and Age

2010

Target

2010 Target

0

20

40

60

80

Age-adjusted percent

Note: Data are for no leisure-time physical activity only; for ages 18 years and over, age adjusted to the 2000 standard population. I= 95% confidence interval.

Source: National Health Interview Survey, NCHS, CDC.

Obj. 22-1


No physical activity for adults by race ethnicity
No Physical Activity for Adults by Race/Ethnicity

2010

Target

American Indian

1999

2002

Asian

Black

White

Hispanic

0

20

40

60

80

Age-adjusted percent

Note: Data are for no leisure-time physical activity only; for ages 18 years and over, age adjusted to the 2000 standard population. American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I= 95% confidence interval.

Source: National Health Interview Survey, NCHS, CDC.

Obj. 22-1


No physical activity for adults by disability and arthritis status
No Physical Activity for Adults by Disability and Arthritis Status

Age-adjusted percent

1997

2002*

2010 Target

With

Without

With

Without

Disabilities

Arthritis

Note: Data are for no leisure-time physical activity only; for ages 18 years and over, age adjusted to the 2000 standard population. I = 95% confidence interval. *Arthritis data are for 2001 due to a change in the 2002 questionnaire.

Source: National Health Interview Survey, NCHS, CDC.

Obj. 22-1


Brfss question for objective 22 1
BRFSS question for objective 22-1 Status

During the past month, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?


Focus area 22 physical activity and fitness progress review

Age-adjusted percent (Quartiles) Status

15.0 - 20.0

20.5 - 22.4

23.0 - 26.2

26.4 - 30.2

No Physical Activity for Adults by State, 2003

Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population, for no leisure-time physical activity.

Source: Behavioral Risk Factor Surveillance System, NCCDPHP, CDC.

Obj. 22-1


Moderate physical activity for adults by sex and age

Total Status

Female

Male

18-24 years

25-44 years

45-64 years

65-74 years

75 years and over

Moderate Physical Activity for Adults by Sex and Age

Age-adjusted percent

2010 Target

1997

2002

2010

Target

30

0

10

20

40

50

Age-adjusted percent

Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Moderate physical activity is regular leisure-time physical activity (moderate activity 30+ minutes/5+ times a week or vigorous activity 20+ minutes/3+ times a week). I = 95% confidence interval.

Source: National Health Interview Survey, NCHS, CDC.

Obj. 22-2


Moderate physical activity for adults by race ethnicity
Moderate Physical Activity for Adults by Race/Ethnicity Status

2010

Target

American Indian

1999

Asian

2002

Black

White

Hispanic

30

0

10

20

40

50

Age-adjusted percent

Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Moderate physical activity is regular leisure-time physical activity (moderate activity 30+ minutes/5+ times a week or vigorous activity 20+ minutes/3+ times a week). American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I = 95% confidence interval.

Source: National Health Interview Survey, NCHS, CDC.

Obj. 22-2


Moderate physical activity for adults by disability and arthritis status
Moderate Physical Activity for Adults by Disability and Arthritis Status

Age-adjusted percent

1997

2002*

2010 Target

With

Without

With

Without

Disabilities

Arthritis

Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Moderate physical activity is regular leisure-time physical activity (moderate activity 30+ minutes/5+ times a week or vigorous activity 20+ minutes/3+ times a week). I = 95% confidence interval. *Arthritis data are for 2001 due to a change in the 2002 questionnaire.

Source: National Health Interview Survey, NCHS, CDC.

Obj. 22-2


Vigorous physical activity for adults by sex and age

Total Arthritis Status

1997

Female

2002

Male

18-24 years

25-44 years

45-64 years

65-74 years

75 years and over

Vigorous Physical Activity for Adults by Sex and Age

Age-adjusted percent

2010 Target

2010

Target

30

0

10

20

40

50

Age-adjusted percent

Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Vigorous physical activity is leisure-time vigorous physical activity 20+ minutes/3+ times a week.I = 95% confidence interval.

Source: National Health Interview Survey, NCHS, CDC.

Obj. 22-3


Yrbss question for objective 22 7
YRBSS question for objective 22-7 Arthritis Status

  • On how many of the past 7 days did you exercise or participate in physical activity for at least 20 minutes that made you sweat and breathe hard, such as basketball, soccer, running, swimming laps, fast bicycling, fast dancing, or similar aerobic activities?


Vigorous physical activity for adolescents by sex and race ethnicity
Vigorous Physical Activity for Adolescents by Sex and Race/Ethnicity

2010

Target

1999

Total

2001

Female

Male

Black

White

Hispanic

0

20

40

60

80

100

Percent

Note: Black and white exclude persons of Hispanic origin. Hispanic can be any race. Vigorous physical activity is activity that made students in grades 9-12 sweat or breathe hard for 20+ minutes on 3+ of the past 7 days. I = 95% confidence interval.

Source: Youth Risk Behavior Surveillance System, NCCDPHP, CDC.

Obj. 22-7


Vigorous physical activity for adolescents by grade level 2001
Vigorous Physical Activity for Adolescents by Grade Level: 2001

Percent

10th

9th

11th

12th

Note: Vigorous physical activity is activity that made students in grades 9-12 sweat or breathe hard for 20+ minutes on 3+ of the past 7 days. I = 95% confidence interval.

Source: Youth Risk Behavior Surveillance System, NCCDPHP, CDC.

Obj. 22-7


Nhanes physical activity fitness data
NHANES Physical Activity/ 2001Fitness Data

  • Questionnaire includes usual daily activity and leisure time activity for ages 12+

  • Examination data include muscle strength/physical function and cardiovascular fitness for healthy persons 12-49 years


Physical activity monitor
Physical Activity Monitor 2001

  • In field since January 2003

  • Automatically records locomotion movement, duration, and intensity over time

  • About 4000 sample persons 6+ years annually

  • Worn on a belt for 7 full days

  • Will be linked to interview and other health component data (body weight, functional status, bone status, etc.)


Take away points
Take-away Points 2001

  • Little change in physical activity measures in past decade

  • Methodology is complex and varies in different surveys

  • New technologies may offer improved measurement


Focus area 22 physical activity and fitness progress review

Progress review data and slides 2001

can be found on the web at:

http://www.cdc.gov/nchs/hphome.htm