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Complete Health Indicator Report of Physical Activity: Recommended Muscle-strengthening Among Adults

Definition

Percentage of adults aged 18 years and older who reported doing muscle-strengthening activities on two or more days of the week.

Numerator

Number of adults aged 18 years and older who reported doing muscle-strengthening activities on two or more days of the week.

Denominator

Number of surveyed adults aged 18 years and older.

Data Interpretation Issues

This question was new in 2011. In 2011, the BRFSS changed its methodology from a landline only sample and weighting based on post-stratification to a landline/cell phone sample and raking as the weighting methodology. Raking accounts for variables such as income, education, marital status, and home ownership during weighting and has the potential to more accurately reflect the population distribution. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf].

Why Is This Important?

The predominant benefits of muscle-strengthening activities include improved bone health, reduced risk of falls in older adults, improved daily energy and sleep, and improved posture. Muscle-strengthening activities also help prevent diabetes, heart disease, and cancer. This is done through improving insulin sensitivity, metabolizing glucose in general, and improving blood pressure and gastrointestinal transit time.

Healthy People Objective PA-2.3:

Increase the proportion of adults who perform muscle-strengthening activities on 2 or more days of the week
U.S. Target: 24.1 percent

How Are We Doing?

The first BRFSS data on muscle-strengthening activity became available in 2011. The age-adjusted rate for 2011 was 31.4% and has increased to 32.8% in 2017.

How Do We Compare With the U.S.?

Compared to the nation, Utah adults report doing more muscle-strengthening activity. In 2017, 32.8% of Utah adults reported doing muscle-strengthening activities on two or more days of the week (age-adjusted). In 2017, the national rate was 30.5%.

What Is Being Done?

The Healthy Living through Environment, Policy, and Improved Clinical Care Program (EPICC) was established through funding from the Centers for Disease Control and Prevention (CDC). EPICC focuses on Environmental Approaches that Promote Health, specifically promoting policies around healthy eating and active living. EPICC works: In Schools:[[br]] 1) Schools are encouraged to adopt the Comprehensive School Physical Activity Program. This framework encourages students to be physically active for 60 minutes a day through school, home and community activities.[[br]] 2) Height and weight trends are being tracked in a sample of elementary students to monitor Utah students.[[br]] 3) Action for Healthy Kids brings partners together to improve nutrition and physical activity environments in Utah's schools by implementing the school-based state plan strategies, working with local school boards to improve or develop policies for nutritious foods in schools. This includes recommendations for healthy vending options. In Worksites:[[br]] 1) The Utah Health Improvement Plan--a public and private partnership--has selected worksites as their priority for the goal of Preventing Obesity and Related Chronic Conditions. A smaller workgroup, UHIP-O, works to create a Culture of Health within businesses in the state of Utah. 2) The Utah Council for Worksite Health Promotion recognizes businesses that offer employee fitness and health promotion programs.[[br]] 3) EPICC partners with local health departments to encourage worksites to complete the CDC Scorecard and participate in yearly health risk assessment for their employees. EPICC provides toolkits and other resources for employers interested in implementing wellness programs through the [http://choosehealth.utah.gov choosehealth.utah.gov] website: [http://choosehealth.utah.gov/worksites/why-worksite-wellness.php] -- In Communities:[[br]] 1) Local health departments (LHDs) receive federal funding to partner with schools, worksites, and other community based organizations to increase access to fresh fruits and vegetables through food service guidelines, farmers markets and retail stores. LHDs also work with cities within their jurisdictions to create a built environment that encourages physical activity. In Healthcare:[[br]] 1) EPICC works with health care systems to establish community clinical linkages to support individuals at risk for or diagnosed with diabetes or hypertension to engage in lifestyle change programs such as chronic disease self-management and diabetes prevention programs. In Childcare:[[br]] 1) Ten local health departments statewide have implemented the TOP Star program, which aims to improve the nutrition, physical activity, and breastfeeding environments and achieve best practice in child care centers and homes.[[br]] 2) EPICC works with state and local partners through the Childcare Obesity Prevention workgroup to implement policy and systems changes in early care and education across agencies statewide.

Evidence-based Practices

The EPICC program promotes evidence based practices collected by the Center TRT. The Center for Training and Research Translation (Center TRT) bridges the gap between research and practice and supports the efforts of public health practitioners working in nutrition, physical activity, and obesity prevention by: *Reviewing evidence of public health impact and disseminating population-level interventions; *Designing and providing practice-relevant training both in-person and web-based; *Addressing social determinants of health and health equity through training and translation efforts; and, *Providing guidance on evaluating policies and programs aimed at impacting healthy eating and physical activity.[[br]] [[br]] Appropriate evidence based interventions can be found at: [http://www.centertrt.org/?p=interventions_interventions_overview]

Available Services

Visit [http://www.choosehealth.utah.gov] for more information. Resource locater is also found here [http://choosehealth.utah.gov/your-health/resource-locator.php]. One aspect of chronic disease management is regular physical activity. Lifestyle change program information can be found here [http://choosehealth.utah.gov/your-health/lifestyle-change.php]


Related Indicators

Relevant Population Characteristics

There are age, gender, and socio-economic related risk factors associated with engaging in muscle strengthening activity.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Health care system factors relate to access to care and a reported low rate of health care provider counseling for physical activity recommendations Communication between patients and their physicians may be an opportunity to encourage patients to increase physical activity including muscle strengthening.

Related Health Care System Factors Indicators:


Risk Factors

Low education and being female are associated with lower rates of participation in recommended amount of muscle-strengthening activity.

Related Risk Factors Indicators:


Health Status Outcomes

Progressive muscle-strengthening activities increase or preserve muscle mass, strength, and power. Higher amounts (through greater frequency or higher weights) improve muscle function.

Related Health Status Outcomes Indicators:




Graphical Data Views

Recommended Amount of Muscle-strengthening Activity, Utah and U.S. Adults Aged 18+, 2011, 2013, 2015, and 2017

::chart - missing::
confidence limits

The percentage of adults meeting the recommended amount of muscle-strengthening activity is consistently higher in Utah than for the U.S. but the difference is slight. In 2017, 32.8% of Utah adults met the recommended amount, compared to the U.S. rate of 30.5%.
Utah vs. U.S.YearAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 8
Utah201131.4%30.3%32.5%
Utah201331.5%30.4%32.6%
Utah201534.1%32.9%35.2%
Utah201732.8%31.7%34.0%
U.S.201129.3%29.1%29.6%
U.S.201329.6%29.3%29.9%
U.S.201530.4%30.1%30.7%
U.S.201730.5%30.2%30.8%

Data Notes

In 2016, Utah BRFSS modified its methodology for age adjustment for increased precision. With this change Utah is consistent with both the U.S. and other states using IBIS. Charts have been updated from 2011 forward to reflect this change.   Age-adjusted to U.S. 2000 population.

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services


Recommended Amount of Muscle-strengthening Activity by Gender and Age Group, Utah Adults Aged 18+, 2017

::chart - missing::
confidence limits

Meeting recommended amount of muscle-strengthening activity was highest among males and females aged 18-34. And, while rates decreased with age for both up to age 64, males aged 65+ had slightly higher rates of activity.
Males vs. FemalesAge GroupPercentage of AdultsLower LimitUpper Limit
Record Count: 12
Male18-3444.1%40.8%47.5%
Male35-4935.2%31.9%38.5%
Male50-6427.8%24.7%31.1%
Male65+31.1%27.7%34.6%
Female18-3436.3%33.0%39.7%
Female35-4933.7%30.5%36.9%
Female50-6424.1%21.3%27.2%
Female65+22.1%19.5%24.9%
Total18-3440.2%37.9%42.6%
Total35-4934.4%32.1%36.7%
Total50-6425.9%23.8%28.2%
Total65+26.2%24.1%28.5%

Data Notes

In 2016, Utah BRFSS modified its methodology for age adjustment for increased precision. With this change Utah is consistent with both the U.S. and other states using IBIS. Charts have been updated from 2011 forward to reflect this change.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Recommended Amount of Muscle-strengthening Activity by Ethnicity, Utah Adults Aged 18+, 2017

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confidence limits

Hispanic adults had lower rates of meeting the recommended amount of muscle-strengthening than non-Hispanic adults and Utah adults overall.
Hispanic EthnicityAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 3
Hispanic24.5%21.1%28.1%
Non-Hispanic34.0%32.8%35.3%
All Utahns32.8%31.7%34.0%

Data Notes

In 2016, Utah BRFSS modified its methodology for age adjustment for increased precision. With this change Utah is consistent with both the U.S. and other states using IBIS. Charts have been updated from 2011 forward to reflect this change.   Age-adjusted to the U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Recommended Amount of Muscle-strengthening Activity by Race, Utah Adults Aged 18+, 2017

::chart - missing::
confidence limits

None of the groups above showed statistical difference in rates of the recommended amount of muscle-strengthening except the "Other" category which had the lowest reported rate.
Race/EthnicityAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 7
American Indian, Alaskan Native37.7%28.7%47.7%
Asian32.7%23.0%44.0%
Black, African American37.6%24.6%52.8%
Native Hawaiian, Pacific Islander33.4%21.0%48.6%
White33.8%32.6%35.1%
Other24.0%19.7%28.8%
All Races/Ethnicities33.1%31.9%34.3%

Data Notes

In 2016, Utah BRFSS modified its methodology for age adjustment for increased precision. With this change Utah is consistent with both the U.S. and other states using IBIS. Charts have been updated from 2011 forward to reflect this change.   Age-adjusted to the U.S. 2000 standard population based on 3 age groups: 18-34, 35-49, and 50+.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Recommended Amount of Muscle-strengthening Activity by Local Health District, Utah, 2017

::chart - missing::
confidence limits

All local health districts were within six percentage points of the state rate of 32.8%. Summit County Local Health District continues to have a higher rate compared to the state total. (Prior years available in [https://ibis.health.utah.gov/query/builder/brfss/LandlineCellAgeAdj5_Muscle/Muscle.html IBIS Query].)
Local Health DistrictAge-adjusted Percentage of Adults Aged 18+Lower LimitUpper Limit
Record Count: 14
Bear River34.4%30.0%39.0%
Central29.9%25.1%35.1%
Davis County36.9%33.1%40.8%
Salt Lake County34.0%31.9%36.1%
San Juan30.7%21.9%41.2%
Southeast27.1%21.2%33.9%
Southwest31.9%27.7%36.4%
Summit38.9%30.3%48.2%
Tooele34.4%28.7%40.6%
TriCounty29.4%24.4%35.0%
Utah County31.2%28.7%33.9%
Wasatch34.7%25.9%44.7%
Weber-Morgan29.4%25.7%33.4%
State of Utah32.8%31.7%34.0%

Data Notes

In 2016, Utah BRFSS modified its methodology for age adjustment for increased precision. With this change Utah is consistent with both the U.S. and other states using IBIS. Charts have been updated from 2011 forward to reflect this change.   Age-adjusted to the U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Recommended Amount of Muscle-strengthening Activity by Utah Small Area, Adults Aged 18+, 2013, 2015, and 2017

::chart - missing::
confidence limits

In 2017, the number of Utah Small Areas increased by 54%, from 64 to 99, to allow for a more meaningful analysis at the smallest possible unit. Previous data by Utah Small Area has been updated to reflect all 99 Utah Small Areas.[[br]] [[br]] Box Elder (Other) V2 (17.5%), Nephi/Mona (20.6%), Salt Lake City (Rose Park) (20.9%), and Kearns V2 (21.4%) had the lowest rates of recommended amount of muscle-strengthening activity compared to the state total.
Utah Small AreasAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 130
Brigham City28.4%22.6%35.1%
Box Elder Co (Other) V217.5%11.7%25.3%
Tremonton32.0%23.7%41.6%
Logan V231.3%27.0%36.0%
North Logan33.9%27.1%41.4%
Cache (Other)/Rich (All) V234.8%28.3%41.9%
Hyrum28.8%18.8%41.4%
Smithfield30.6%22.4%40.3%
Ben Lomond29.5%24.6%34.8%
Weber County (East)41.2%35.6%47.1%
Morgan County48.6%37.4%59.9%
Ogden (Downtown)24.7%19.9%30.2%
South Ogden30.3%25.2%35.9%
Roy/Hooper24.7%20.3%29.6%
Riverdale31.8%25.3%39.0%
Clearfield Area/Hooper28.6%24.2%33.4%
Layton/South Weber38.8%34.6%43.1%
Kaysville/Fruit Heights41.0%34.9%47.4%
Syracuse34.6%27.5%42.4%
Centerville33.2%26.2%41.0%
Farmington36.4%28.2%45.5%
North Salt Lake31.3%23.5%40.2%
Woods Cross/West Bountiful30.9%22.8%40.4%
Bountiful33.4%28.4%38.9%
SLC (Rose Park)20.9%15.5%27.5%
SLC (Avenues)34.2%26.8%42.4%
SLC (Foothill/East Bench)43.9%36.0%52.2%
Magna28.0%21.9%35.1%
SLC (Glendale) V225.9%18.8%34.5%
West Valley (Center)30.8%25.8%36.3%
West Valley (West) V225.9%20.2%32.6%
West Valley (East) V226.5%21.4%32.4%
SLC (Downtown) V237.4%31.0%44.2%
SLC (Southeast Liberty)36.1%29.0%43.9%
South Salt Lake24.9%18.6%32.4%
SLC (Sugar House)40.3%34.4%46.5%
Millcreek (South)44.3%36.4%52.5%
Millcreek (East)38.4%30.8%46.6%
Holladay V238.8%31.4%46.6%
Cottonwood40.3%34.7%46.2%
Kearns V221.4%16.6%27.0%
Taylorsville (E)/Murray (W)31.4%26.3%37.0%
Taylorsville (West)30.6%25.1%36.6%
Murray33.8%27.9%40.2%
Midvale30.8%25.0%37.3%
West Jordan (Northeast) V235.3%29.0%42.0%
West Jordan (Southeast)37.7%32.2%43.5%
West Jordan (W)/Copperton37.5%30.8%44.6%
South Jordan V237.0%32.0%42.3%
Daybreak42.1%31.5%53.5%
Sandy (West)35.3%28.4%42.9%
Sandy (Center) V239.8%33.1%47.0%
Sandy (Northeast)39.4%32.6%46.6%
Sandy (Southeast)39.4%32.5%46.8%
Draper37.0%31.1%43.4%
Riverton/Bluffdale29.6%24.4%35.5%
Herriman34.9%28.9%41.5%
Tooele County (Other)30.0%23.8%37.1%
Tooele Valley33.8%29.3%38.5%
Eagle Mountain/Cedar Valley24.9%18.9%32.0%
Lehi28.6%24.0%33.5%
Saratoga Springs35.8%28.0%44.4%
American Fork33.1%28.1%38.6%
Alpine63.1%54.3%71.2%
Pleasant Grove/Lindon35.5%30.5%40.9%
Orem (North)34.6%28.8%40.9%
Orem (West)39.7%33.3%46.4%
Orem (East)34.2%27.0%42.4%
Provo/BYU37.7%31.6%44.2%
Provo (West City Center)27.6%21.6%34.5%
Provo (East City Center)28.9%20.6%38.8%
Salem City35.6%25.4%47.2%
Spanish Fork32.0%26.7%37.8%
Springville29.8%24.0%36.3%
Mapleton46.3%36.4%56.5%
Utah County (South) V230.7%21.0%42.6%
Payson28.3%22.7%34.7%
Park City41.0%34.5%47.9%
Summit County (East)32.5%26.5%39.2%
Wasatch County35.1%29.9%40.7%
Daggett and Uintah County29.3%25.3%33.6%
Duchesne County27.0%22.4%32.1%
Nephi/Mona20.6%13.8%29.6%
Delta/Fillmore25.1%17.8%34.2%
Sanpete Valley29.3%23.6%35.7%
Central (Other)26.1%20.6%32.5%
Richfield/Monroe/Salina30.3%22.8%38.9%
Carbon County27.3%22.1%33.3%
Emery County26.3%19.2%34.9%
Grand County26.7%19.1%35.9%
Blanding/Monticello30.5%22.1%40.5%
San Juan County (Other)40.1%30.4%50.5%
St. George36.1%32.0%40.5%
Washington Co (Other) V225.3%17.6%34.9%
Washington City28.2%20.9%36.9%
Hurricane/La Verkin38.6%29.8%48.1%
Ivins/Santa Clara30.5%20.4%42.8%
Cedar City42.4%36.8%48.2%
Southwest LHD (Other)31.0%24.5%38.4%
State of Utah32.8%32.2%33.5%

Data Notes

In 2016, Utah BRFSS modified its methodology for age adjustment for increased precision. With this change Utah is consistent with both the U.S. and other states using IBIS. Charts have been updated from 2011 forward to reflect this change.   Age-adjusted to U.S. 2000 standard population.[[br]] [[br]] A description of the Utah Small Areas may be found on the Methodology and Guidelines page: [https://ibis.health.utah.gov/resource/Guidelines.html].

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Recommended Amount of Muscle-strengthening Activity by Income, Utah, 2015 and 2017

::chart - missing::
confidence limits

About 1 in 4 (23.6%) adults with incomes less than $25,000 reported getting the recommended amount of muscle-strengthening activity compared to 40.3% of adults with incomes of $75,000 or more.
Income CategoryAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 4
<$25,00023.6%21.7%25.7%
$25,000-$49,99929.8%28.0%31.7%
$50,000-$74,99935.2%33.1%37.3%
$75,000+40.3%38.8%41.9%

Data Notes

In 2016, Utah BRFSS modified its methodology for age adjustment for increased precision. With this change Utah is consistent with both the U.S. and other states using IBIS. Charts have been updated from 2011 forward to reflect this change.   Age-adjusted to the U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Recommended Amount of Muscle-Strengthening Activity by Education, Utah Adults 25+, 2017

::chart - missing::
confidence limits

Rates of meeting the recommended amount of muscle-strengthening activity increased with education level. Adults with less than a high school education had a lower rate of meeting the recommended amount of muscle-strengthening activity than adults who were college graduates (15.1% vs 38.7%).
Education LevelAge-adjusted Percentage of Adults 25+Lower LimitUpper Limit
Record Count: 5
Less Than High School15.1%11.3%19.8%
H.S. Grad or G.E.D.25.2%22.9%27.6%
Some Post High School32.1%30.0%34.3%
College Graduate38.7%36.8%40.6%
Total31.2%30.0%32.4%

Data Notes

In 2016, Utah BRFSS modified its methodology for age adjustment for increased precision. With this change Utah is consistent with both the U.S. and other states using IBIS. Charts have been updated from 2011 forward to reflect this change.   Age-adjusted to the U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Recommended Amount of Muscle-strengthening Activity by Sex, Utah, 2015 and 2017

::chart - missing::
confidence limits

Males had significantly higher rates of recommended muscle-strengthening activity compared to females (36.4% vs 30.6%).
SexAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 3
Male36.4%35.2%37.6%
Female30.6%29.5%31.7%
All33.4%32.6%34.2%

Data Notes

In 2016, Utah BRFSS modified its methodology for age adjustment for increased precision. With this change Utah is consistent with both the U.S. and other states using IBIS. Charts have been updated from 2011 forward to reflect this change.   Age-adjusted to the U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health

References and Community Resources

National Physical Activity Recommendations:[[br]] [http://www.health.gov/paguidelines/][[br]] [http://www.cdc.gov/physicalactivity/everyone/guidelines/index.html] CDC's Division of Nutrition, Physical Activity, and Obesity: [http://www.cdc.gov/nccdphp/dnpao] The National Heart, Lung, and Blood Institute has extensive resources on physical activity for patients, health care providers, and general consumers: [http://www.nhlbi.nih.gov] The CDC's Prevention Research Centers provide resources and information about physical activity to researchers, public health practitioners, and others who are interested in promoting physical activity in their communities: [http://www.cdc.gov/prc/] More information on the Behavioral Risk Factor Surveillance System may be found on the website of the Centers for Disease Control and Prevention - [http://www.cdc.gov/brfss/] __References:__[[br]] 1. Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. ''N Engl J Med'' 2002;346(6):393-403.[[br]] 2. Kesaniemi, Y., et al. (1994). Dose-response issues concerning physical activity and health: an evidence-based symposium. ''Medicine and Science in Sports and Exercise'', 33(6 suppl), S351-S358[[br]] 3. 2008 Physical Activity Guidelines for Americans: Chapter 2. [http://www.health.gov/paguidelines/guidelines/chapter2.aspx]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 11/14/2018, Published on 11/21/2018
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 16 June 2019 17:01:06 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Wed, 21 Nov 2018 16:46:02 MST