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

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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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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 › Public Health, Environmental and Occupational Health › 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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