uilt as part <strong>of</strong> sound policy to promote physical activity, <strong>and</strong> believe that incrementalincreases in levels <strong>of</strong> activity are beneficial to the population (Brownson, 2004).Creating or improving access resulted in a 25% increase in the percent <strong>of</strong>persons who exercise at least 3 times a week in one study (Guide to CommunityPreventive Services, 2002).In another survey <strong>of</strong> residents in rural Missouri, 55% were walking more after anew trail opened, <strong>and</strong> this trend was even higher among people without a collegeeducation: 62% reported walking more (Brownson, 2000).The Arkansas River Trail is a 14-mile loop trail that winds through Little Rock,but about three miles <strong>of</strong> the primary stretch are still not complete. Dubbed the"Medical Mile,” about $350,000 is needed to finish the trail <strong>and</strong> create benches,trees, resting areas <strong>and</strong> kiosks displaying heart-healthy information in what willbe called "At the Heart <strong>of</strong> It Plaza." Recognizing the need to educate peopleabout the benefits <strong>of</strong> physical activity <strong>and</strong> heart disease, 22 physicians at HeartClinic Arkansas have pledged to donate or raise the funds to finish the project.As part <strong>of</strong> their effort, they're partnering with other physicians, medicalinstitutions, pharmaceutical companies, insurance companies <strong>and</strong> hospitalequipment companies (Broadwater, 2004)."We’ve created environments that are hostile to physical activity," sayspsychologist James Sallis, director <strong>of</strong> the Active Living Research Program atSan Diego State University. Research shows that people who live incommunities where it’s easy to walk to stores have lower rates <strong>of</strong> obesity thanfolks who must drive everywhere--but 70% <strong>of</strong> Americans live in what Salliscalls "non-walkable environments". "If we want to stop obesity, we have to stopbuilding the infrastructure for obesity," he says. "We need to re-engineeropportunities for activity back into our environment."(Time Magazine, June2004)Other park <strong>and</strong> trail programs combine physical activity with information about healthyeating habits <strong>and</strong> exercise. The Hearts N’ <strong>Parks</strong> Program, supported by the NationalRecreation <strong>and</strong> Park Association as well as the National Heart, Lung, <strong>and</strong> Blood Institute, isaimed at reducing obesity <strong>and</strong> the risk <strong>of</strong> coronary heart disease through community-basedpark <strong>and</strong> recreation programs. Example programs include ranger-led interpretative hikeswith talks on healthy eating by a dietician, <strong>and</strong> a mountain biking course which includesnutrition information in the curriculum.In Montgomery County, MD various departments have partnered to launch thecounty’s first Heart Smart Trail to promote a healthful environment conduciveto regular physical activity while increasing pedestrian safety. Partneringdepartments include Health <strong>and</strong> Human Service African American Health101
Program, Latino Health Initiative, <strong>and</strong> Recreation Department/Hearts N' <strong>Parks</strong>Wellness Program, as well as the Maryl<strong>and</strong> National Capital Park <strong>and</strong> PlanningCommission. The Heart Smart Trail initiative will improve trail infrastructure inorder to provide safer routes to walkers <strong>and</strong> joggers, <strong>and</strong> Kaiser Permante’ssponsorship provided 1/10 mile markers along a one-mile trail forwalkers/joggers to keep track <strong>of</strong> their distance while exercising <strong>of</strong>f the mainstreets. The initiative also <strong>of</strong>fers a Hearts Smart Trail 4-fold brochure thatincludes walking tips, a map <strong>of</strong> the trail <strong>and</strong> a walking log to keep track <strong>of</strong> thewalks. Moving forward, Montgomery County Department <strong>of</strong> Recreation/HeartsN' <strong>Parks</strong> Program <strong>and</strong> Maryl<strong>and</strong> National Capital Park <strong>and</strong> PlanningCommission are partnering to add health education classes that will also focuson the use <strong>of</strong> the trail <strong>and</strong> to further the mile marker placement to otherMontgomery County trails (Atkinson, 2004).3.6.5 Impact on EmployersBusinesses <strong>and</strong> other employers are increasingly bearing the burden <strong>of</strong> treating the results<strong>of</strong> physical inactivity. Primary costs include lost productivity <strong>and</strong> paid sick leave associatedwith obesity <strong>and</strong> disease treatment, as well as the increased costs <strong>of</strong> health, life <strong>and</strong>disability insurance. The private sector pays the highest proportion <strong>of</strong> total health care costsattributable to being overweight or obese in the U.S. (about 36%) <strong>and</strong> while employeesthemselves may suffer from increased premiums, the majority <strong>of</strong> the costs are paid byemployers through private employer-sponsored group health insurance, for example(Finkelstein, 2003). The indirect impact on employers includes less obvious costs such aslow productivity, reduced employee morale <strong>and</strong> high turnover. Absenteeism, for example,leads to costs for overtime, employing part-time replacements, time spent by supervisorsdealing with the issue, <strong>and</strong> expenditures for absence control programs.Studies <strong>of</strong> overweight <strong>and</strong> obese employees have shown that obese employeestake more sick leave than non-obese employees <strong>and</strong> are twice as likely to havehigh-level absenteeism (seven or more health-related absences during the last sixmonths) <strong>and</strong> one-<strong>and</strong>-a-half times more likely to have moderate absenteeism(three to six absences due to illness during the past six months). (Tucker, 1998)In 1994, the costs that U.S. businesses bore for obesity-related health problemsreached $13 billion, broken down into:o health insurance expenditures: $8 billiono sick leave: $2.4 billiono life insurance: $1.8 billiono disability insurance: $1 billion (Thompson, 1998)UnumProvident, the U.S.’s largest disability insurer, reports that obesity-relateddisability claims have grown tenfold in the past decade, reaching an average <strong>of</strong>$8,720 per employee each year. People who are obese cost employers, onaverage, about $6,000 to $7,000 a year more in terms <strong>of</strong> lost productivity <strong>and</strong>presenteeism” (wherein employees may be physically present but mentallyabsent). (Shutan, 2004)Research has shown that people with diabetes lost 8.3 days per year from work,102
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ECONOMIC IMPACTS OF PARKS, RIVERS,
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AcknowledgementsI am grateful to ma
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3.5.5 Sources of Information.......
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Table 28. Hiking/Walking Organizati
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1 IntroductionParks, rivers, trails
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Table 1.SectionAgency ExpendituresC
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provide communities with economic,
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the most current information on the
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3.1 Agency ExpendituresThis section
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grants. About 25% of capital expend
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The Marin Conservation Corps (MCC)
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already been implemented and is ope
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Table 5.Net Benefit Per Participant
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WEST VIRGINIAWISCONSINEarthCorpsFed
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contracts that gross over $800 mill
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3.2.2 Special EventsRevenue enhanci
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park experience to an audience who
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you have the opportunity to determi
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Use good survey methods. The better
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California. A Report to The Sierra
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powered activities 3 , a participan
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Table 11. 2003 Sport Footwear Purch
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3.3.4 Fish and Wildlife-Related Rec
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EQUIPMENT AND OTHER EXPENSESTotal $
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Table 17. Estimates of Retail Expen
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Table 19. U.S. Ski & Snowboard Indu
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and from services related to the Pa
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o $60 million in Harris County, TX,
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League ofAmericanBicyclistsNational
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4 ConclusionIn 1995, the National P