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Inadequate physical activity and health care expenditures in the United States.
Open accessAbstract
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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Metadata
- 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.
- Venue
- Progress in Cardiovascular Diseases
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 57
- Issue
- 4
- Pages
- 315-323
- ISSN
- 0033-0620 (ISSN-L)
- 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
- 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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