National Healthcare Disparities Report - LDI Health Economist

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Effectiveness of Care NEW Outcome: Obese Adults Who Do Not Exercise Figure 2.46. Adults with obesity who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week, by race/ethnicity and activity limitation, 2002-2008 75 Total White Black Hispanic 75 Total Basic Complex Neither Basic nor Complex 65 65 Chapter 2 Lifestyle Modification Percent 55 45 35 25 Z 0 2002 2003 2004 2005 2006 2007 2008 Percent 55 45 35 25 Z 0 2002 2003 2004 2005 2006 2007 2008 Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2008. Denominator: Civilian noninstitutionalized population age 18 and over. Note: For this measure, lower rates are better. Obesity is defined as a body mass index of 30 or higher. Basic activity limitations refer to problems with mobility, self-care, domestic life, and activities that depend on sensory functioning, and complex activity limitations refer to limitations experienced in work and in community, social, and civic life. Neither indicates people with neither basic nor complex activity limitations. White and Black are non-Hispanic groups. Hispanic includes all races. n Overall, in 2008, 53% of adults with obesity did not spend half an hour or more engaged in moderate or vigorous physical activity at least three times a week (Figure 2.46). n From 2002 to 2008, there were no statistically significant changes by race/ethnicity in the percentage of adults with obesity who did not spend half an hour or more engaged in moderate or vigorous physical activity. n In 3 out of the 7 years, the percentage of adults with obesity who did not spend half an hour or more engaged in moderate or vigorous physical activity was higher for Hispanics than for non-Hispanic Whites. n From 2002 to 2008, there were no statistically significant changes by activity limitation in the percentage of adults with obesity who did not spend half an hour or more engaged in moderate or vigorous physical activity. n In all years, the percentage of adults with obesity who did not spend half an hour or more engaged in moderate or vigorous physical activity was higher for people with basic and complex activity limitations than for people with no activity limitations. 114 National Healthcare Disparities Report, 2011
Effectiveness of Care Also, in the NHQR: n In 6 out of 7 years between 2002 and 2008, adults with obesity age 65 and over were more likely than other age groups not to engage in half an hour or more of moderate or vigorous physical activity at least three times a week. n In all years, female adults with obesity were more likely than males not to engage in half an hour or more of moderate or vigorous physical activity at least three times a week. Prevention: Counseling Children About Exercise Childhood is often a time when people establish healthy lifelong habits. Physicians can play an important role in encouraging healthy behaviors from a young age. For example, they can educate children and parents about the importance of regular exercise and healthy eating. Overweight and obese children often become overweight and obese adults, with numerous and costly consequences. Unfortunately, as children have become more sedentary, the incidence of overweight and obesity has risen dramatically in the past two decades (Krebs & Jacobson, 2003), necessitating weight management through increased physical activity. The 2008 Physical Activity Guidelines for Americans recommend that children and adolescents engage in 1 hour or more of physical activity everyday. xxvi Figure 2.47. Children ages 2-17 for whom a health provider gave advice within the past 2 years about exercise, by race/ethnicity and income, 2002-2008 Chapter 2 Lifestyle Modification 50 Total White Black Hispanic 50 Poor Low Income Middle Income High Income 40 40 Percent 30 Percent 30 20 20 10 10 0 2002 2003 2004 2005 2006 2007 2008 0 2002 2003 2004 2005 2006 2007 2008 Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2008. Denominator: U.S. civilian noninstitutionalized population ages 2-17. Note: Exercise advice includes the amount and kind of sports or physically active hobbies children should engage in. White and Black are non Hispanic groups. Hispanic includes all races. xxvi For more information about the 2008 Physical Activity Guidelines for Americans, go to www.health.gov/paguidelines/guidelines/default.aspx. National Healthcare Disparities Report, 2011 115
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Introduction and Methods With rapid
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