scholarly journals Healthcare Providers’ Recommendations for Physical Activity among US Arthritis Population: A Cross-Sectional Analysis by Race/Ethnicity

Arthritis ◽  
2018 ◽  
Vol 2018 ◽  
pp. 1-9
Author(s):  
Shamly Austin ◽  
Kenneth G. Saag ◽  
Maria Pisu
Keyword(s):  
Physical Activity ◽  
Healthcare Providers ◽  
Ethnic Disparities ◽  
Outcome Variable ◽  
Behavioral Risk ◽  
Cross Sectional ◽  
Physical Activity Guidelines ◽  
Behavioral Risk Factor Surveillance ◽  
Race Ethnicity ◽  
Cross Sectional Design

Introduction. We examined racial/ethnic disparities in healthcare providers’ recommendations for physical activity among individuals with arthritis and evaluated this association among groups of individuals who adhered to physical activity guidelines and those who did not. Methods. With a cross-sectional design based on Behavioral Risk Factor Surveillance System, we analyzed individuals with self-reported physician-diagnosed arthritis, ≥18 years of age (n = 83,376). Outcome variable was healthcare providers’ recommendations for physical activity. Race/ethnicity was categorized as African American, Hispanic, and White. Associations were examined using multivariate logistic regression. Results. African Americans (Adjusted OR: 0.66; 95% CI: 0.55–0.79) and Hispanics (Adjusted OR: 0.68; 95% CI: 0.56–0.83) were less likely to receive providers’ recommendations. Conclusions. Although the importance of physical activity to improve health outcomes for adults with arthritis, as well as providers’ influence on individuals’ behavior change, is well established, providers are less likely to recommend physical activity to minorities. Further studies are required to identify the causes for this quality-of-care issue.

Likelihood of Meeting Physical Activity Guidelines of Veterans Who Are Obese by Disability Status

2019 ◽  
Vol 33 (8) ◽  
pp. 1194-1199
Author(s):  
Vijay Vasudevan ◽  
Erin Bouldin ◽  
Shannon Bloodworth ◽  
Linda Rocafort
Keyword(s):  
Physical Activity ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Self Report ◽  
Behavioral Risk ◽  
Mobility Limitations ◽  
Cross Sectional ◽  
Physical Activity Guidelines ◽  
Aerobic Activity ◽  
Disability Status

Purpose:The purpose of this study was to explore the likelihood of meeting the physical activity guidelines in veterans who are obese by disability status.Design:We used data from the 2017 Behavioral Risk Factor Surveillance System, a cross-sectional telephone survey. The mean response rate was 44.9%.Setting:Respondents came from all 50 states, District of Columbia, and 3 US territories.Patients:Respondents included veterans self-reporting being obese (N = 13 798).Measures:We created a mutually exclusive disability variable: no disability, multiple disability, and limitations only with hearing, vision, cognitive, mobility, Activities of Daily Living, or Instrumental Activities of Daily Living. Physical activity guidelines were defined as 150 minutes/week of aerobic activity and 2 days/week of strength activities.Analysis:Prevalence ratios (PRs) were calculated by performing separate log-binomial regression models for meeting strength and aerobic recommendations on veterans who were obese.Results:Obese veterans with mobility limitations only or multiple disabilities were significantly less likely to meet the aerobic (PR = 0.74, P = .002 and PR = .62, P = .021, respectively) or strength (PR = .76, P < .001 and PR = 0.74, P < .001, respectively) recommendations, compared to not having a disability (n = 7964).Conclusions:Inactivity could be explained by a lack of inclusive weight loss programs for veterans with disabilities and barriers to physical activity encountered by people with disabilities. Two primary limitations of this study are self-report of obesity and physical activity and exclusion of adults in institutional settings.

scholarly journals US Military Service and Racial/Ethnic Differences in Cardiovascular Disease: An Analysis of the 2011-2016 Behavioral Risk Factor Surveillance System

2019 ◽  
Vol 29 (3) ◽  
pp. 451-462 ◽  
Author(s):  
Lauren E. Walker ◽  
Eduard Poltavskiy ◽  
Jud C. Janak ◽  
Carl A. Beyer ◽  
Ian J. Stewart ◽  
...  
Keyword(s):  
Military Service ◽  
Surveillance System ◽  
Cross Sectional Study ◽  
Behavioral Risk ◽  
Cross Sectional ◽  
Us Military ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance ◽  
Prior Service ◽  
Race Ethnicity

Objective: To determine: 1) rates of cardio­vascular disease (CVD) among individuals with and without prior US military service; and 2) variation in CVD outcomes by race/ ethnicity.Methods: We performed a cross-sectional study of the 2011-2016 Behavioral Risk Fac­tor Surveillance System during 2018-2019. Groups with (n=369,844) and without (n=2,491,784) prior service were compared overall, and by race/ethnicity. CVD odds were compared using logistic regression. Rate-difference decomposition was used to estimate relative contributions of covariates to differences in CVD prevalence.Results: CVD was associated with military service (OR=1.34; P<.001). Among non- Hispanic Blacks, prior service was associ­ated with a lower odds of CVD (OR=.69; P<.001), fully attenuating the net differ­ence in CVD between individuals with and without prior service. Non-Hispanic Whites who served had the highest odds of CVD, while Hispanics with prior service had the same odds of CVD as non-Hispanic Whites without prior service. After age, smoking and body mass index status were the largest contributors to CVD differences by race/ ethnicity.Conclusions: Results from this study sup­port an association between prior military service and CVD and highlight differences in this association by race/ethnicity. Knowledge of modifiable health behaviors that contrib­ute to differences in CVD outcomes could be used to guide prevention efforts. Ethn Dis. 2019;29(3):451-462; doi:10.18865/ ed.29.3.451

The Effects of Race/Ethnicity and Physician Recommendation for Physical Activity on Physical Activity Levels and Arthritis Symptoms Among Adults With Arthritis

2020 ◽  
Author(s):  
Jeremy Huckleby ◽  
Faustine Williams ◽  
Rose Ramos ◽  
Anna Napoles
Keyword(s):  
Physical Activity ◽  
African Americans ◽  
Symptom Burden ◽  
Cross Sectional Study ◽  
Activity Levels ◽  
Physician Recommendation ◽  
Cross Sectional ◽  
Physical Activity Guidelines ◽  
Relieve Symptom ◽  
Race Ethnicity

Abstract Background: Among U.S. adults with physician-diagnosed arthritis, we examined the effects of race/ethnicity and receiving physician exercise recommendation on meeting aerobic and strengthening physical activity guidelines, and arthritis symptoms, and whether race/ethnicity moderates the effects of physician recommendation on activity levels and symptoms.Methods: Retrospective, cross-sectional study of National Health Interview Survey pooled data from 2002, 2006, 2009, and 2014. The study included 27,887 U.S. adults aged ≥18 years with arthritis. Outcomes were meeting aerobic (yes/no) and strengthening guidelines (yes/no), arthritis-associated activity limitations (yes/no) and arthritis-related pain (0-10; higher score=more pain). Predictors were race/ethnicity (White, African American, Latino, and Asian) and receipt of physician recommendation for exercise (yes/no). Covariates included demographic and health characteristics and U.S. region.Results: Controlling for covariates, physician exercise recommendation was independently associated with meeting aerobic (AOR=1.14; 95% CI 1.06, 1.24) and strengthening (AOR=1.17; 95% CI 1.06, 1.28) guidelines; effects did not differ by race/ethnicity. African Americans were more likely than Whites to meet strengthening guidelines (AOR=1.22; 95% CI 1.07, 1.40) and Asians were less likely to meet aerobic (AOR=0.80; 95% CI 0.65, 0.99) and strengthening (AOR=0.76; 95% CI 0.60, 0.96) guidelines. Compared to Whites, African Americans (B=0.51; 95% CI 0.26, 0.76) and Latinos (B=0.43; 95% CI 0.14, 0.72) reported more severe, while Asians reported less severe (B=-0.60; 95% CI -1.17, -0.04) joint painConclusions: Disparities in pain exist for African Americans and Latinos with arthritis. Physician exercise recommendation is critical among patients with arthritis to relieve symptom burden.

scholarly journals The Associations Between Access to Recreational Facilities and Adherence to the American Heart Association's Physical Activity Guidelines in US Adults

2021 ◽  
Vol 9 ◽  
Author(s):  
Larissa Andrade ◽  
Ryan Geffin ◽  
Mark Maguire ◽  
Pura Rodriguez ◽  
Grettel Castro ◽  
...  
Keyword(s):  
Physical Activity ◽  
Low Cost ◽  
Vigorous Physical Activity ◽  
Cross Sectional Study ◽  
Outcome Variable ◽  
Future Research ◽  
Cross Sectional ◽  
Recreational Facilities ◽  
Physical Activity Guidelines

Physical activity decreases the risk of long-term health consequences including cardiac diseases. According to the American Health Association (AHA), adults should perform at least 75 min of vigorous physical activity (PA) or 150 min of moderate PA per week to impact long-term health. Results of previous studies are varied and have yet to integrate perceived access to facilities with AHA PA guidelines. We investigated whether access to free or low-cost recreational facilities was associated with meeting the AHA PA guidelines.Methodology: This cross-sectional study utilized data extracted from the Family Life, Activity, Sun, Health, and Eating (FLASHE) database collected in 2017 (n = 1,750). The main exposure variable was access to free or low-cost recreational facilities. The main outcome variable was meeting the AHA guidelines of 150 min moderate PA or 75 min vigorous PA per week. Covariates included age, sex, level of education, overall health, BMI, ethnicity, hours of work per week, income, and time living at current address. Unadjusted and adjusted logistic regression analysis were used to calculate measures of odds ratio (OR) and corresponding 95% confidence interval (CI).Results: Of the 1,750 included participants, 61.7% (n = 1,079) reported to have access to recreational facilities. Of those with access to facilities, 69.9% met AHA PA guidelines while 30.4% did not. After adjusting for covariates, participants who reported access to recreational facilities were 42% more likely to meet AHA PA guidelines compared with participants who did not (adjusted OR 1.42; 95% CI 1.14–1.76). Secondary results suggest that healthier individuals were more likely to have met AHA PA guidelines.Conclusions: Having access to free or low-cost recreational facilities such as parks, walking trails, bike paths and courts was associated with meeting the AHA PA guidelines. Increasing prevalence and awareness of neighborhood recreational facilities could assist in access to these facilities and increase the ability of individuals to meet AHA PA guidelines. Future research should determine which types of recreational facilities impact physical activity strongest and discover methods of increasing their awareness.

Cross-Sectional Relationship Between Physical Activity and Falls in Older Adults, United States 2003

2006 ◽  
Vol 3 (4) ◽  
pp. 390-404 ◽  
Author(s):  
Susan A. Carlson ◽  
Judy Kruger ◽  
Harold W. Kohl ◽  
David M. Buchner
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Behavioral Risk ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Major Health ◽  
Behavioral Risk Factor Surveillance ◽  
Risk Factor Surveillance ◽  
Falls In Older Adults ◽  
Adjusted Incidence

Background:Falls are a major health problem for older adults. The purpose of this study is to examine the cross-sectional association between non-occupational physical activity and falls and fall-related injuries in US adults age 65 y or older.Methods:Respondents age 65 y or older were selected from the 2003 Behavioral Risk Factor Surveillance System (n = 47,619).Results:The age-adjusted incidence of falls was significantly higher among inactive respondents (16.3%, 95% CI: 15.2–17.6) than insufficiently active (12.3%, 95% CI: 11.4–13.2) or active (12.6%, 95% CI: 11.6–13.7) respondents. After controlling for sex, age, education, and body-mass index, active and insufficiently active respondents were significantly less likely to have fallen and were significantly less likely to have had a fall-related injury than their inactive peers.Conclusion:These results show that active and insufficiently active older adults experience a lower incidence of falls than their inactive peers.

scholarly journals Exercise as a Mitigator of Poor Mental Health Among Lesbian, Gay, and Bisexual Adults

2021 ◽  
pp. 1-9
Author(s):  
Jennifer R. Pharr ◽  
Jason D. Flatt ◽  
Lung-Chang Chien ◽  
Axenya Kachen ◽  
Babayemi O. Olakunde
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Positive Association ◽  
The United States ◽  
Poor Mental Health ◽  
Behavioral Risk ◽  
Physical Activity Guidelines ◽  
Physical Activity Interventions ◽  
Behavioral Risk Factor Surveillance ◽  
And Bisexual

Introduction: There is a positive association between exercise and improved mental health in the general population. Although there is a greater burden of psychological distress among lesbian, gay, and bisexual (LGB) people, little is known about the association between exercise and mental health in this population. The authors explored the association between exercise and poor mental health reported by LGB adults in the United States. Methods: Our analyses used data from the 2017 Behavioral Risk Factor Surveillance System survey. Multiple regression analyses were used to determine the association between exercising and mental health days adjusting for sociodemographic characteristics. Results: Data were available for 6371 LGB participants. LGB adults who participated in any exercise reported almost 1.0 day less of poor mental health in the past 30 days compared with LGB adults who did not exercise (P ≤ .01). LGB adults who met one or both of the physical activity guidelines had between 1.2 and 1.7 days less of poor mental health compared with those who did not meet the guidelines (P ≤ .01). Conclusion: Fewer days of poor mental health were reported by LGB adults who exercised. Determining whether physical activity interventions, including aerobic and strengthening exercises, could improve mental health outcomes in LGB adults should be studied.

Obesity prevalence in large US cities: association with socioeconomic indicators, race/ethnicity and physical activity

2019 ◽  
Author(s):  
Michael Benusic ◽  
Lawrence J Cheskin
Keyword(s):  
Physical Activity ◽  
Household Income ◽  
Population Level ◽  
Socioeconomic Indicators ◽  
Obesity Prevalence ◽  
Cross Sectional ◽  
Physical Activity Guidelines ◽  
Race Ethnicity ◽  
Black Populations ◽  
Us Cities

Abstract Background Obesity has a complex association with socioeconomic factors. Further clarification of this association could guide population interventions. Methods To determine the relationship between obesity prevalence, socioeconomic indicators, race/ethnicity, and physical activity, we performed a cross-sectional, multivariable linear regression, with data from large US cities participating in the Big Cities Health Inventory. Results Increased household income was significantly associated with decreased obesity prevalence, for White (−1.97% per 10 000USD), and Black (−3.02% per 10 000USD) populations, but not Hispanic. These associations remained significant when controlling for the proportion of the population meeting physical activity guidelines. Educational attainment had a co-linear relationship with income, and only a bachelor’s degree or higher was associated with a lower prevalence of obesity in White (−0.30% per percentage) and Black (−0.69% per percentage) populations. No association was found between obesity prevalence and the proportion of the population meeting physical activity guidelines for any race/ethnicity grouping. Conclusion At the population level of large US cities, obesity prevalence is inversely associated with median household income in White and Black populations. Strategies to increase socioeconomic status may also decrease obesity. Targeting attainment of physical activity guidelines as an obesity intervention needs further appraisal.

Relationship between Urban Sprawl and Physical Activity, Obesity, and Morbidity

2003 ◽  
Vol 18 (1) ◽  
pp. 47-57 ◽  
Author(s):  
Reid Ewing ◽  
Tom Schmid ◽  
Richard Killingsworth ◽  
Amy Zlot ◽  
Stephen Raudenbush
Keyword(s):  
Physical Activity ◽  
Health Outcomes ◽  
Urban Sprawl ◽  
Urban Form ◽  
Hierarchical Modeling ◽  
Behavioral Risk ◽  
Cross Sectional ◽  
Behavioral Risk Factor Surveillance ◽  
Health Related ◽  
And Control

Purpose. To determine the relationship between urban sprawl, health, and health-related behaviors. Design. Cross-sectional analysis using hierarchical modeling to relate characteristics of individuals and places to levels of physical activity, obesity, body mass index (BMI), hypertension, diabetes, and coronary heart disease. Setting. U.S. counties (448) and metropolitan areas (83). Subjects. Adults (n = 206,992) from pooled 1998, 1999, and 2000 Behavioral Risk Factor Surveillance System (BRFSS). Measures. Sprawl indices, derived with principal components analysis from census and other data, served as independent variables. Self-reported behavior and health status from BRFSS served as dependent variables. Results. After controlling for demographic and behavioral covariates, the county sprawl index had small but significant associations with minutes walked ( p = .004), obesity ( p < .001), BMI ( p = .005), and hypertension ( p = .018). Residents of sprawling counties were likely to walk less during leisure time, weigh more, and have greater prevalence of hypertension than residents of compact counties. At the metropolitan level, sprawl was similarly associated with minutes walked ( p = .04) but not with the other variables. Conclusion. This ecologic study reveals that urban form could be significantly associated with some forms of physical activity and some health outcomes. More research is needed to refine measures of urban form, improve measures of physical activity, and control for other individual and environmental influences on physical activity, obesity, and related health outcomes.

scholarly journals Do Alcohol Consumers Exercise More? Findings from a National Survey

2009 ◽  
Vol 24 (1) ◽  
pp. 2-10 ◽  
Author(s):  
Michael T. French ◽  
Ioana Popovici ◽  
Johanna Catherine Maclean
Keyword(s):  
Physical Activity ◽  
Alcohol Consumption ◽  
Vigorous Physical Activity ◽  
Heavy Drinking ◽  
Behavioral Risk ◽  
Cross Sectional ◽  
Percentage Point Increase ◽  
Behavioral Risk Factor Surveillance ◽  
Point Increase ◽  
Sectional Analysis

Purpose. Investigate the relationship between alcohol consumption and physical activity because understanding whether there are common determinants of health behaviors is critical in designing programs to change risky activities. Design. Cross-sectional analysis. Setting. United States. Subjects. A sample of adults representative of the U.S. population (N = 230,856) from the 2005 Behavioral Risk Factor Surveillance System. Measures. Several measures of drinking and exercise were analyzed. Specifications included numerous health, health behavior, socioeconomic, and demographic control variables. Results. For women, current drinkers exercise 7.2 more minutes per week than abstainers. Ten extra drinks per month are associated with 2.2 extra minutes per week of physical activity. When compared with current abstainers, light, moderate, and heavy drinkers exercise 5.7, 10.1, and 19.9 more minutes per week. Drinking is associated with a 10.1 percentage point increase in the probability of exercising vigorously. Ten extra drinks per month are associated with a 2.0 percentage point increase in the probability of engaging in vigorous physical activity. Light, moderate, and heavy drinking are associated with 9.0, 14.3, and 13.7 percentage point increases in the probability of exercising vigorously. The estimation results for men are similar to those for women. Conclusions. Our results strongly suggest that alcohol consumption and physical activity are positively correlated. The association persists at heavy drinking levels.

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