Inadequate physical activity and health care expenditures in the United States.

Carlson, Susan A.; Fulton, Janet E.; Pratt, Michael; Yang, Zhou; Adams, E. Kathleen

doi:10.1016/j.pcad.2014.08.002

Cited by 454Physical Activity and HealthHealthcare Policy and ManagementObesity, Physical Activity, Diet

Inadequate physical activity and health care expenditures in the United States.

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Carlson, Susan A., Fulton, Janet E., Pratt, Michael, Yang, Zhou, Adams, E. Kathleen·2015·Progress in Cardiovascular Diseases

DOI 10.1016/j.pcad.2014.08.002PMC PMC4604440

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Abstract

This study estimates the percentage of health care expenditures in the non-institutionalized United States (U.S.) adult population associated with levels of physical activity inadequate to meet current guidelines. Leisure-time physical activity data from the National Health Interview Survey (2004-2010) were merged with health care expenditure data from the Medical Expenditure Panel Survey (2006-2011). Health care expenditures for inactive (i.e., no physical activity) and insufficiently active adults (i.e., some physical activity but not enough to meet guidelines) were compared with active adults (i.e., ≥150minutes/week moderate-intensity equivalent activity) using an econometric model. Overall, 11.1% (95% CI: 7.3, 14.9) of aggregate health care expenditures were associated with inadequate physical activity (i.e., inactive and insufficiently active levels). When adults with any reported difficulty walking due to a health problem were excluded, 8.7% (95% CI: 5.2, 12.3) of aggregate health care expenditures were associated with inadequate physical activity. Increasing adults' physical activity to meet guidelines may reduce U.S. health care expenditures.

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“Additionally, annual cost of physical inactivity is approximately $117 billion.(12) The current morbidity, mortality, and costs of lifestylerelated NCDs reflect a failed healthcare model that primarily addresses disease symptoms via pharmaceuticals and expensive medical procedures.”
Background
Impact of Exercise on the Relationship Between CAC Scores and All-Cause Mortality
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Centers for Disease Control and Prevention (CDC)
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“Up to 11 percent of total health care expenditures are linked to inadequate physical activity, some proportion of which could be saved if people were able to access more active living opportunities (Carlson et al. 2015).”
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Authors: Carlson, S. A., Fulton, J. E., Pratt, M., Yang, Z., & Adams, E. K.
Affiliations: Centers for Disease Control and Prevention (US)
Emory University (US)
Corresponding author: Carlson, Susan A.
ORCID: Carlson, Susan A.
Fulton, Janet E.
Pratt, Michael
Adams, E. Kathleen
Venue: Progress in Cardiovascular Diseases
Publisher: Elsevier BV
Published: 2015-01
Volume: 57
Issue: 4
Pages: 315-323
ISSN: 0033-0620 (ISSN-L)
DOI: 10.1016/j.pcad.2014.08.002
PMC: PMC4604440
OpenAlex: W2000737708
Cited by: 454
References: 39
Citations by year: 2026: 9 · 2025: 14 · 2024: 32 · 2023: 81 · 2022: 47 · 2021: 32 · 2020: 45 · 2019: 40 · 2018: 39 · 2017: 61 · 2016: 46 · 2015: 7
FWCI: 25.26
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Progress in Cardiovascular Diseases (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (CC999999)
Centers for Disease Control and Prevention
Topics: Health Sciences › Medicine › Physiology › Physical Activity and Health
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: physical inactivity, health care expenditure, physical activity guidelines, leisure-time physical activity, health care costs, National Health Interview Survey, Medical Expenditure Panel Survey, walking difficulty
MeSH terms: Adult, Aged, Aged, 80 and over, Capital Expenditures, Demography, Female, Humans, Male, Middle Aged, Motor Activity, Public Health, Socioeconomic Factors, United States, Exercise, Guidelines as Topic, Health Care Surveys, Social Validity, Research

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Inadequate physical activity and health care expenditures in the United States.

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