Initial Validation of an Exercise “Vital Sign” in Electronic Medical Records
Abstract
PURPOSE: The objective of this study is to describe the face and discriminant validity of an exercise vital sign (EVS) for use in an outpatient electronic medical record. METHODS: Eligible patients were 1,793,385 adults 18 yr and older who were members of a large health care system in Southern California. To determine face validity, median total self-reported minutes per week of exercise as measured by the EVS were compared with findings from national population-based surveys. To determine discriminant validity, multivariate Poisson regression models with robust variance estimation were used to examine the ability of the EVS to discriminate between groups of patients with differing physical activity (PA) levels on the basis of demographics and health status. RESULTS: After 1.5 yr of implementation, 86% (1,537,798) of all eligible patients had an EVS in their electronic medical record. Overall, 36.3% of patients were completely inactive (0 min of exercise per week), 33.3% were insufficiently active (more than 0 but less than 150 min·wk), and 30.4% were sufficiently active (150 min or more per week). As compared with national population-based surveys, patient reports of PA were lower but followed similar patterns. As hypothesized, patients who were older, obese, of a racial/ethnic minority, and had higher disease burdens were more likely to be inactive, suggesting that the EVS has discriminant validity. CONCLUSIONS: We found that the EVS has good face and discriminant validity and may provide more conservative estimates of PA behavior when compared with national surveys. The EVS has the potential to provide information about the relationship between exercise and health care use, cost, and chronic disease that has not been previously available at the population level.
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The assessment of physical activity used in this study has previously been validated.
“However, this assessment of PA has previously been validated, 18 19”
From Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48 440 adult patients (2021) · cites this paper as [18]
Cites
Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987) · Journal of Chronic Diseases · doi:10.1016/0021-9681(87)90171-8 · Cited by 49,742 · see citing works
Prevalence and Trends in Obesity Among US Adults, 1999-2008
Flegal, K. M. (2010) · JAMA · doi:10.1001/jama.2009.2014 · Cited by 7,580 · see citing works
Physical Activity in U.S. Adults
Tucker, J. M., Welk, G. J., & Beyler, N. K. (2011) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2010.12.016 · Cited by 977 · see citing works
Comparison of cardioprotective benefits of vigorous versus moderate intensity aerobic exercise
Swain, D. P., & Franklin, B. A. (2006) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2005.07.130 · Cited by 660 · see citing works
Exercise is medicine and physicians need to prescribe it!
Sallis, R. E. (2008) · British Journal of Sports Medicine · doi:10.1136/bjsm.2008.054825 · Cited by 338 · see citing works
Self-citationReliability and Validity of the Instrument Used in BRFSS to Assess Physical Activity
Yore, M. M., Ham, S. A., Ainsworth, B. E., Kruger, J., Reis, J. P., Kohl, H. W., & Macera, C. A. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3180618bbe · Cited by 243 · see citing works
The physical activity vital sign: a primary care tool to guide counseling for obesity
Greenwood, J. L. J., Joy, E. A., & Stanford, J. B. (2010) · Journal of Physical Activity and Health · doi:10.1123/jpah.7.5.571 · Cited by 195 · see citing works
Developing healthcare systems to support exercise: exercise as the fifth vital sign
Sallis, R. E. (2011) · British Journal of Sports Medicine · doi:10.1136/bjsm.2010.083469 · Cited by 182 · see citing works
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Strath, S. J., Kaminsky, L. A., Ainsworth, B. E., Ekelund, U., Freedson, P. S., Gary, R. A., Richardson, C. R., Smith, D. T., & Swartz, A. M. (2013) · Circulation · doi:10.1161/01.cir.0000435708.67487.da · Cited by 1,029 · see citing works
Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer
Schmitz, K. H., Campbell, A. M., Stuiver, M. M., Pinto, B. M., Schwartz, A. L., Morris, G. S., Ligibel, J. A., Cheville, A., Galvão, D. A., Alfano, C. M., et al. (2019) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21579 · Cited by 789 · see citing works
Self-citationSallis, R., Young, D. R., Tartof, S. Y., Sallis, J. F., Sall, J., Li, Q., Smith, G. N., & Cohen, D. A. (2021) · British Journal of Sports Medicine · doi:10.1136/bjsports-2021-104080 · Cited by 789 · see citing works
Self-citationAntibacterial Mechanism of Curcumin: A Review
Zheng, D., Huang, C., Huang, H., Zhao, Y., Khan, M. R., Zhao, H., & Huang, L. (2020) · Chemistry & Biodiversity · doi:10.1002/cbdv.202000171 · Cited by 543 · see citing works
Lobelo, F., Rohm Young, D., Sallis, R., Garber, M. D., Billinger, S. A., Duperly, J., Hutber, A., Pate, R. R., Thomas, R. J., Widlansky, M. E., et al. (2018) · Circulation · doi:10.1161/cir.0000000000000559 · Cited by 402 · see citing works
Self-citationBushnell, C., Kernan, W. N., Sharrief, A. Z., Chaturvedi, S., Cole, J. W., Cornwell, W. K., Cosby-Gaither, C., Doyle, S., Goldstein, L. B., Lennon, O. C., et al. (2024) · Stroke · doi:10.1161/str.0000000000000475 · Cited by 408 · see citing works
Savage, M. J., James, R. M., Magistro, D., Donaldson, J. A., Healy, L. C., Nevill, M. E., & Hennis, P. J. (2020) · Mental health and physical activity · doi:10.1016/j.mhpa.2020.100357 · Cited by 373 · see citing works
The Exercise is Medicine Global Health Initiative: a 2014 update
Lobelo, F., Stoutenberg, M., & Hutber, A. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-093080 · Cited by 281 · see citing works
Exercise Dose in Clinical Practice
Wasfy, M. M., & Baggish, A. L. (2016) · Circulation · doi:10.1161/circulationaha.116.018093 · Cited by 276 · see citing works
The Evidence in Support of Physicians and Health Care Providers as Physical Activity Role Models
Lobelo, F., & de Quevedo, I. G. (2014) · American Journal of Lifestyle Medicine · doi:10.1177/1559827613520120 · Cited by 270 · see citing works
Strategies for promoting physical activity in clinical practice.
Sallis, R., Franklin, B., Joy, L., Ross, R., Sabgir, D., & Stone, J. (2015) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2014.10.003 · Cited by 265 · see citing works
Self-citationClinical practice guideline exercise and lifestyle in chronic kidney disease
Baker, L. A., March, D. S., Wilkinson, T. J., Billany, R. E., BISHOP, N. C., Castle, E. M., Chilcot, J., Davies, M. D., Graham-Brown, M. P. M., Greenwood, S. A., et al. (2022) · BMC Nephrology · doi:10.1186/s12882-021-02618-1 · Cited by 252 · see citing works
COVID-19 Confinement and Health Risk Behaviors in Spain
López‐Bueno, R., Calatayud, J., Casaña, J., Casajús, J. A., Smith, L., Tully, M. A., Andersen, L. L., & Sánchez, G. F. L. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.01426 · Cited by 249 · see citing works
2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia
Blumenthal, R. S., Morris, P. B., Gaudino, M., Johnson, H. M., Anderson, T. S., Bittner, V. A., Blankstein, R., Brewer, L. C., Cho, L., de Ferranti, S. D., et al. (2026) · JACC · doi:10.1016/j.jacc.2025.11.016 · Cited by 304 · see citing works
Thompson, W. R., Sallis, R. E., Joy, E. A., Jaworski, C. A., Stuhr, R. M., & Trilk, J. L. (2020) · American Journal of Lifestyle Medicine · doi:10.1177/1559827620912192 · Cited by 244 · see citing works
Self-citationGibbs, B. B., Hivert, M., Jerome, G. J., Kraus, W. E., Rosenkranz, S. K., Schorr, E. N., Spartano, N. L., & Lobelo, F. (2021) · Hypertension · doi:10.1161/hyp.0000000000000196 · Cited by 198 · see citing works
Exercise is medicine: a call to action for physicians to assess and prescribe exercise
Sallis, R. (2015) · The Physician and Sportsmedicine · doi:10.1080/00913847.2015.1001938 · Cited by 198 · see citing works
Self-citationArena, R. A., Guazzi, M., Lianov, L., Whitsel, L., Berra, K., Lavie, C. J., Kaminsky, L. A., Williams, M., Hivert, M., Franklin, N. C., et al. (2015) · European Heart Journal · doi:10.1093/eurheartj/ehv207 · Cited by 191 · see citing works
López‐Bueno, R., Calatayud, J., Ezzatvar, Y., Casajús, J. A., Smith, L., Andersen, L. L., & Sánchez, G. F. L. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00729 · Cited by 157 · see citing works
Nguyen, H. Q., Chu, L., Liu, I.-L. A., Lee, J. S., Suh, D., Korotzer, B., Yuen, G., Desai, S. A., Coleman, K. J., Xiang, A. H., et al. (2014) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201401-017oc · Cited by 146 · see citing works
Self-citationPhysical Activity Assessment and Counseling in Pediatric Clinical Settings
Lobelo, F., Muth, N. D., Hanson, S. K., Nemeth, B. A., OBESITY, S. O., LaBella, C. R., Brooks, M. A., Canty, G. S., Diamond, A. B., Hennrikus, W. L., et al. (2020) · PEDIATRICS · doi:10.1542/peds.2019-3992 · Cited by 148 · see citing works
Physical Activity as a Vital Sign: A Systematic Review
Golightly, Y. M., Allen, K. D., Ambrose, K., Stiller, J. L., Evenson, K. R., Voisin, C. E., Hootman, J. M., & Callahan, L. F. (2017) · Preventing Chronic Disease · doi:10.5888/pcd14.170030 · Cited by 141 · see citing works
Clinical use of objective measures of physical activity
Trost, S. G., & O'Neil, M. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-093173 · Cited by 139 · see citing works
Joseph, R. P., Keller, C. S., Adams, M. A., & Ainsworth, B. E. (2015) · BMC Women s Health · doi:10.1186/s12905-015-0186-1 · Cited by 139 · see citing works
Grant, R. W., Schmittdiel, J. A., Neugebauer, R. S., Uratsu, C. S., & Sternfeld, B. (2013) · Journal of General Internal Medicine · doi:10.1007/s11606-013-2693-9 · Cited by 134 · see citing works
Self-citationMertens, J. R., Chi, F. W., Weisner, C. M., Satre, D. D., Ross, T. B., Allen, S., Pating, D., Campbell, C. I., Lu, Y. W., & Sterling, S. A. (2015) · Addiction Science & Clinical Practice · doi:10.1186/s13722-015-0047-0 · Cited by 127 · see citing works
Writing Committee Members, Blumenthal, R. S., Morris, P. B., Gaudino, M., Johnson, H. M., Anderson, T. S., Bittner, V. A., Blankstein, R., Brewer, L. C., Cho, L., et al. (2026) · Circulation · doi:10.1161/cir.0000000000001423 · Cited by 122 · see citing works
Arena, R. A., Guazzi, M., Lianov, L. S., Whitsel, L. P., Berra, K. A., Lavie, C. J., Kaminsky, L. A., Williams, M. A., Hivert, M., Franklin, N. C., et al. (2015) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2015.05.001 · Cited by 114 · see citing works
Lobelo, F., Kelli, H. M., Tejedor, S. C., Pratt, M., McConnell, M. V., Martin, S. S., & Welk, G. J. (2016) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2016.02.007 · Cited by 113 · see citing works
Call to Action on Making Physical Activity Assessment and Prescription a Medical Standard of Care
Sallis, R. E., Matuszak, J. M., Baggish, A. L., Franklin, B. A., Chodzko-Zajko, W. J., Fletcher, B. J., Gregory, A. J. M., Joy, E., Matheson, G. O., McBride, P. E., et al. (2016) · Current Sports Medicine Reports · doi:10.1249/jsr.0000000000000249 · Cited by 109 · see citing works
Self-citationAhmad, S., Harris, T. J., Limb, E. S., Kerry, S., Victor, C. R., Ekelund, U., Iliffe, S., Whincup, P. H., Beighton, C., USSHER, M. H., et al. (2015) · BMC Family Practice · doi:10.1186/s12875-015-0324-8 · Cited by 108 · see citing works
Derose, K. P., Han, B., Williamson, S. L., & Cohen, D. A. (2017) · Women s Health Issues · doi:10.1016/j.whi.2017.11.003 · Cited by 96 · see citing works
Exercise as a therapeutic modality for the prevention and treatment of depression
Blumenthal, J. A., & Rozanski, A. (2023) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2023.02.008 · Cited by 95 · see citing works
Ball, T. J., Joy, E. A., Gren, L. H., & Shaw, J. M. (2016) · Preventing Chronic Disease · doi:10.5888/pcd13.150228 · Cited by 89 · see citing works
Physical activity counseling in primary care: Insights from public health and behavioral economics
Shuval, K., Leonard, T., Drope, J., Katz, D. L., Patel, A. V., Maitin‐Shepard, M., Amir, O., & Grinstein, A. (2017) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21394 · Cited by 91 · see citing works
Savage, M. J., Hennis, P. J., Magistro, D., Donaldson, J., Healy, L. C., & James, R. M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18062930 · Cited by 85 · see citing works
Yang, X. M., Li, H., Zhao, Q., Han, R., Xiang, Z., & Gao, L. (2021) · Journal of Midwifery & Women s Health · doi:10.1111/jmwh.13286 · Cited by 84 · see citing works
Johnson, C. B., Luther, B. L., Wallace, A. S., & Kulesa, M. G. (2022) · Orthopaedic Nursing · doi:10.1097/nor.0000000000000829 · Cited by 80 · see citing works
The Call for a Physical Activity Vital Sign in Clinical Practice
Sallis, R. E., Baggish, A. L., Franklin, B. A., & Whitehead, J. R. (2016) · The American Journal of Medicine · doi:10.1016/j.amjmed.2016.05.005 · Cited by 79 · see citing works
Self-citationValidity of the Exercise Vital Sign Tool to Assess Physical Activity
Kuntz, J. L., Young, D. R., Saelens, B. E., Frank, L. D., Meenan, R. T., Dickerson, J. F., Keast, E. M., & Fortmann, S. P. (2021) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2021.01.012 · Cited by 79 · see citing works
Self-citationFlorindo, A. A., Mielke, G. I., Gomes, G. A. D. O., Ramos, L. R., Bracco, M. M., Parra, D. C., Simões, E. J., Lobelo, F., & Hallal, P. C. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-794 · Cited by 73 · see citing works
Assessing Physical Activity as a Core Component in Cardiac Rehabilitation
Kaminsky, L. A., Brubaker, P. H., Guazzi, M., Lavie, C. J., Montoye, A. H. K., Sanderson, B., & Savage, P. D. (2016) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000191 · Cited by 72 · see citing works
Fowles, J. R., O'Brien, M. W., Wojcik, W. R., d’Entremont, L., & Shields, C. (2017) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2016-0412 · Cited by 71 · see citing works
Physical activity assessed in routine care predicts mortality after a COPD hospitalisation
Moy, M. L., Gould, M. K., Liu, I. A., Lee, J. S., & Nguyen, H. Q. (2016) · ERJ Open Research · doi:10.1183/23120541.00062-2015 · Cited by 70 · see citing works
Shay, C. M., Gooding, H. S., Murillo, R., & Foraker, R. E. (2015) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2015.05.003 · Cited by 70 · see citing works
Complete Care at Kaiser Permanente: Transforming Chronic and Preventive Care
Kanter, M. H., Lindsay, G., Bellows, J., & Chase, A. (2013) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(13)39064-3 · Cited by 67 · see citing works
Racial-Ethnic Variation in Park Use and Physical Activity in the City of Los Angeles
Derose, K. P., Han, B., Williamson, S. L., & Cohen, D. A. (2015) · Journal of Urban Health · doi:10.1007/s11524-015-9994-8 · Cited by 66 · see citing works
Stoutenberg, M., Stasi, S., Stamatakis, E., Danek, D. J., Dufour, T., Trilk, J. L., & Blair, S. N. (2015) · The Physician and Sportsmedicine · doi:10.1080/00913847.2015.1084868 · Cited by 62 · see citing works
Policies for promotion of physical activity and prevention of obesity in adolescence
Pate, R. R., Flynn, J. I., & Dowda, M. C. (2016) · Journal of Exercise Science & Fitness · doi:10.1016/j.jesf.2016.07.003 · Cited by 60 · see citing works
Robinson, T., Robertson, N., Curtis, F., Darko, N., & Jones, C. R. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010745 · Cited by 58 · see citing works
Windt, J., Windt, A., Davis, J. C., Petrella, R. J., & Khan, K. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-007920 · Cited by 58 · see citing works
Regular Exercise Is Strongly Associated With Anticipated Success for Reducing Health Risks
Wasson, J. H. (2014) · Journal of Ambulatory Care Management · doi:10.1097/01.jac.0000450881.58195.6a · Cited by 57 · see citing works
Ball, T., Joy, E. A., Goh, T. L., Hannon, J. C., Gren, L. H., & Shaw, J. M. (2014) · Primary Health Care Research & Development · doi:10.1017/s1463423613000479 · Cited by 55 · see citing works
Polonsky, W. H., Fisher, L., Hessler, D., Desai, U. S., King, S. B., & Perez‐Nieves, M. (2021) · Journal of Diabetes and its Complications · doi:10.1016/j.jdiacomp.2021.108103 · Cited by 56 · see citing works
Exercise Is Medicine as a Vital Sign: Challenges and Opportunities
Bowen, P. G., Mankowski, R. T., Harper, S. A., & Buford, T. W. (2019) · Translational Journal of the American College of Sports Medicine · doi:10.1249/tjx.0000000000000076 · Cited by 54 · see citing works
Body Composition and Cardiovascular Events in Patients With Colorectal Cancer
Brown, J. C., Caan, B. J., Prado, C. M. M., Weltzien, E. K., Xiao, J., Feliciano, E. M. C., Kroenke, C. H., & Meyerhardt, J. A. (2019) · JAMA Oncology · doi:10.1001/jamaoncol.2019.0695 · Cited by 54 · see citing works
Digital Health Coaching for Type 2 Diabetes: Randomized Controlled Trial of Healthy at Home
Azelton, K. R., Crowley, A. P., Vence, N., Underwood, K., Morris, G., Kelly, J., & Landry, M. J. (2021) · Frontiers in Digital Health · doi:10.3389/fdgth.2021.764735 · Cited by 49 · see citing works
Trivedi, M., Jha, M., Kahalnik, F., Pipes, R., Levinson, S., Lawson, T., Rush, A., Trombello, J., Grannemann, B., Tovian, C., et al. (2019) · Pharmaceuticals · doi:10.3390/ph12020071 · Cited by 49 · see citing works
A pilot randomized controlled trial of aerobic exercise as an adjunct to OCD treatment
Abrantes, A. M., Brown, R. A., Strong, D. R., McLaughlin, N. C. R., Garnaat, S. L., Mancebo, M. C., Riebe, D. A., Desaulniers, J. A., Yip, A. G., Rasmussen, S. A., et al. (2017) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2017.06.010 · Cited by 48 · see citing works
Farič, N., Smith, L., Hon, A., POTTS, H. W. W., Newby, K. V., Steptoe, A., & Fisher, A. (2020) · Journal of Medical Internet Research · doi:10.2196/18161 · Cited by 49 · see citing works
Young, D. R., Coleman, K. J., Ngor, E., Reynolds, K., Sidell, M., & Sallis, R. E. (2014) · Preventing Chronic Disease · doi:10.5888/pcd11.140196 · Cited by 46 · see citing works
Self-citationThe Role of Worksite Health Screening
Arena, R. A., Arnett, D. K., Terry, P. E., Li, S., Isaac, F. W., Mosca, L. J., Braun, L. T., Roach, W. H., Pate, R. R., Sánchez, E., et al. (2014) · Circulation · doi:10.1161/cir.0000000000000079 · Cited by 45 · see citing works
Vancampfort, D., Damme, T. V., Probst, M., Firth, J., Stubbs, B., Basangwa, D., & Mugisha, J. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.08.041 · Cited by 45 · see citing works
Derose, K. P., Williams, M. V., Flórez, K. R., Griffin, B. A., Payán, D. D., Seelam, R., Branch, C. A., Hawes-dawson, J. A., Mata, M. A., Whitley, M. D., et al. (2018) · American Journal of Health Promotion · doi:10.1177/0890117118813333 · Cited by 47 · see citing works
A Message From Modern-Day Healthcare to Physical Activity and Fitness: Welcome Home!
Arena, R. A., Harrington, R. A., & Després, J. (2014) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2014.11.001 · Cited by 44 · see citing works
Stoutenberg, M., Galaviz, K. I., Lobelo, F., Joy, E. A., Heath, G. W., Hutber, A., & Estabrooks, P. A. (2018) · Preventing Chronic Disease · doi:10.5888/pcd15.170344 · Cited by 43 · see citing works
Brief Counseling and Exercise Referral Scheme: A Pragmatic Trial in Mexico
Gallegos-Carrillo, K., García‐Peña, C., Salmerón, J., Salgado-de-Snyder, N., & Lobelo, F. (2016) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2016.10.021 · Cited by 42 · see citing works
Engineering Online and In-Person Social Networks for Physical Activity: A Randomized Trial
Rovniak, L. S., Kong, L., Hovell, M. F., Ding, D., Sallis, J. F., Ray, C. A., Kraschnewski, J. L., Matthews, S. A., Kiser, E., Chinchilli, V. M., et al. (2016) · Annals of Behavioral Medicine · doi:10.1007/s12160-016-9814-8 · Cited by 42 · see citing works
Trilk, J. L., & Phillips, E. M. (2014) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-093157 · Cited by 41 · see citing works
Joseph, R. P., Ainsworth, B. E., Hollingshead, K. E., Todd, M. W., & Keller, C. S. (2021) · JMIR mhealth and uhealth · doi:10.2196/27383 · Cited by 37 · see citing works
Vancampfort, D., Stubbs, B., Probst, M., Binder, M. D., Schuch, F. B., Mugisha, J., Ward, P. B., & Rosenbaum, S. (2016) · Schizophrenia Research · doi:10.1016/j.schres.2016.01.001 · Cited by 39 · see citing works
O’Laughlin, K. N., Thompson, M., Hota, B. N., Gottlieb, M. A., Plumb, I. D., Chang, A. M., Wisk, L. E., Hall, A. J., Wang, R. C., Spatz, E. S., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0264260 · Cited by 39 · see citing works
Associations of Physical Inactivity and COVID-19 Outcomes Among Subgroups
Young, D. R., Sallis, J. F., Baecker, A. S., Cohen, D. A., Nau, C., Smith, G., & Sallis, R. E. (2022) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2022.10.007 · Cited by 38 · see citing works
Self-citationGroup Medical Visits 2.0: The Open Source Wellness Behavioral Pharmacy Model
Emmert‐Aronson, B. O., Grill, K. B., Trivedi, Z., Markle, E. A., & Chen, S. (2019) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2019.0079 · Cited by 37 · see citing works
Developing a Physical Activity Ontology to Support the Interoperability of Physical Activity Data
Kim, H., Mentzer, J., & Taira, R. K. (2019) · Journal of Medical Internet Research · doi:10.2196/12776 · Cited by 32 · see citing works
Joseph, J. J., Nolan, T. S., Williams, A., McKoy, A., Zhao, S., Aboagye-Mensah, E. B., Kluwe, B., Odei, J. B., Brock, G. N., Lavender, D., et al. (2022) · American Journal of Preventive Cardiology · doi:10.1016/j.ajpc.2022.100315 · Cited by 36 · see citing works
Grega, M. L., Shalz, J. T., Rosenfeld, R. M., Bidwell, J. H., Bonnet, J. P., Bowman, D., Brown, M. L., Dwivedi, M. E., Ezinwa, N. M., Kelly, J. H., et al. (2023) · American Journal of Lifestyle Medicine · doi:10.1177/15598276231202970 · Cited by 35 · see citing works
Quiles, N. N., McCullough, A. K., & Piao, L. (2019) · Journal of Primary Care & Community Health · doi:10.1177/2150132719844062 · Cited by 37 · see citing works
Practical Strategies for Assessing Patient Physical Activity Levels in Primary Care
Stoutenberg, M., Shaya, G. E., Feldman, D. I., & Carroll, J. K. (2017) · Mayo Clinic Proceedings Innovations Quality & Outcomes · doi:10.1016/j.mayocpiqo.2017.04.006 · Cited by 34 · see citing works
A Framework for Evaluating Social Determinants of Health Screening and Referrals for Assistance
Chagin, K., Choate, F., Cook, K., Fuehrer, S., Misak, J. E., & Sehgal, A. R. (2021) · Journal of Primary Care & Community Health · doi:10.1177/21501327211052204 · Cited by 34 · see citing works
Benefits, Facilitators, and Barriers of Alternative Models of Cardiac Rehabilitation
Platz, K., Kools, S. M., & Howie‐Esquivel, J. (2022) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000738 · Cited by 34 · see citing works
Exercise is Medicine™: A pilot study linking primary care with community physical activity support
Heath, G. W., Kolade, V. O., & Haynes, J. W. (2015) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2015.06.004 · Cited by 33 · see citing works
Nilsson, H., Gustavsson, C., Gottvall, M., & Saboonchi, F. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03461-2 · Cited by 36 · see citing works
Novel Strategies for Sedentary Behavior Research
Rosenberg, D. E., Lee, I.-M. M., Young, D. R., PROHASKA, T. R., Owen, N. G., & Büchner, D. M. (2014) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000520 · Cited by 33 · see citing works
Self-citationAccelerometer Validation of Questionnaires Used in Clinical Settings to Assess MVPA
Fitzgerald, L. F., Ozemek, C., Jarrett, H., & Kaminsky, L. A. (2014) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000565 · Cited by 32 · see citing works
Quality of life after quitting smoking and initiating aerobic exercise
Bloom, E. L., Minami, H., Brown, R. A., Strong, D. R., Riebe, D. A., & Abrantes, A. M. (2017) · Psychology Health & Medicine · doi:10.1080/13548506.2017.1282159 · Cited by 32 · see citing works
Mihaltan, F. D., Adir, Y., Antczak, A. J., Porpodis, Κ., Radulović, V., Pires, N., de Vries, G. J., Horner, A., Bontridder, S. D., Chen, Y., et al. (2019) · Respiratory Research · doi:10.1186/s12931-019-1053-7 · Cited by 31 · see citing works
Physical Activity Promotion Tools in the Portuguese Primary Health Care: An Implementation Research
Mendes, R., Silva, M. N., Silva, C. S., Marques, A., Godinho, C. I. A., Tomás, R., Agostinho, M., Madeira, S. G., Rebelo‐Marques, A., Martins, H., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17030815 · Cited by 32 · see citing works
Joseph, R. P., Keller, C. S., Adams, M. A., & Ainsworth, B. E. (2015) · Primary Health Care Research & Development · doi:10.1017/s1463423615000390 · Cited by 32 · see citing works
Joseph, R. P., Todd, M. W., Ainsworth, B. E., Vega‐López, S., Adams, M. A., Hollingshead, K. E., Hooker, S. P., Gaesser, G. A., & Keller, C. S. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20021000 · Cited by 31 · see citing works
Raising an Active and Healthy Generation: A Comprehensive Public Health Initiative
Pate, R. R., & Dowda, M. C. (2018) · Exercise and Sport Sciences Reviews · doi:10.1249/jes.0000000000000171 · Cited by 31 · see citing works
Spring, B. J., Stump, T. K., Penedo, F. J., Pfammatter, A. F., & Robinson, J. K. (2019) · Health Psychology · doi:10.1037/hea0000760 · Cited by 30 · see citing works
Sterling, M. R., Ferranti, E. P., Green, B. B., Moise, N., Foraker, R., Nam, S., Juraschek, S. P., Anderson, C. A. M., St. Laurent, P., Sussman, J., et al. (2024) · Circulation: Cardiovascular Quality and Outcomes · doi:10.1161/hcq.0000000000000134 · Cited by 29 · see citing works
Riffenburg, K. M., & Spartano, N. L. (2018) · Current Opinion in Endocrinology Diabetes and Obesity · doi:10.1097/med.0000000000000433 · Cited by 30 · see citing works
Cardiometabolic Risk in First Episode Psychosis Patients
Smith, J., Griffiths, L., Band, M., & Horne, D. (2020) · Frontiers in Endocrinology · doi:10.3389/fendo.2020.564240 · Cited by 29 · see citing works
Nyenhuis, S. M., Kahwash, B. M., Cooke, A., Gregory, K. L., Greiwe, J. C., & Nanda, A. (2021) · The Journal of Allergy and Clinical Immunology In Practice · doi:10.1016/j.jaip.2021.10.056 · Cited by 29 · see citing works
Paxton, E. W., Torres, A., Love, R. M., Barber, T., Sheth, D. S., & Inacio, M. C. S. (2016) · Acta Orthopaedica · doi:10.1080/17453674.2016.1193663 · Cited by 29 · see citing works
Cardiology and lifestyle medicine
Rozanski, A., Blumenthal, J. A., Hinderliter, A. L., Cole, S. W., & Lavie, C. J. (2023) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2023.04.004 · Cited by 28 · see citing works
New principles, the benefits, and practices for fostering a physically active lifestyle
Rozanski, A. (2023) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2023.04.002 · Cited by 30 · see citing works
Leveraging FHIR to Integrate Activity Data with Electronic Health Record
Saripalle, R. K. (2019) · Health and Technology · doi:10.1007/s12553-019-00316-5 · Cited by 28 · see citing works
- Authors
- COLEMAN, K. J., NGOR, E., REYNOLDS, K., QUINN, V. P., KOEBNICK, C., YOUNG, D. R., STERNFELD, B., & SALLIS, R. E.
- Affiliations
- Kaiser Permanente (US)
- Kaiser Permanente Fontana Medical Center (US)
- ORCID
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2012-11
- Volume
- 44
- Issue
- 11
- Pages
- 2071-2076
- ISSN
- 0195-9131 (ISSN-L)
- OpenAlex
- W2066565684
- Cited by
- 376
- References
- 8
- Citations by year
- 2026: 27 · 2025: 29 · 2024: 37 · 2023: 34 · 2022: 34 · 2021: 34 · 2020: 39 · 2019: 26 · 2018: 21 · 2017: 21 · 2016: 19 · 2015: 19 · 2014: 26 · 2013: 8 · 2012: 1
- FWCI
- 11.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medicine & Science in Sports & Exercise (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Keywords
- physical activity, electronic health records, face validity, discriminant validity, self-reported exercise, physical inactivity, health disparities, obesity, chronic disease burden, outpatient care
- MeSH terms
- Adolescent, Adult, Aged, Ambulatory Care, California, Counseling, Female, Humans, Male, Middle Aged, Physical Fitness, Surveys and Questionnaires, Health Behavior, Exercise, Discriminant Analysis, Poisson Distribution, Young Adult, Electronic Health Records
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