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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

Percentage 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 34.1% in 2015.

How Do We Compare With the U.S.?

Compared to the nation, Utahns report doing more muscle-strengthening activity. In 2015, 34.1% of Utahns reported doing muscle-strengthening activities on two or more days of the week (age-adjusted). In 2015, the national rate was 30.4%.

What Is Being Done?

In 2013, through funding from the Centers for Disease Control and Prevention (CDC), the Healthy Living through Environment, Policy, and Improved Clinical Care Program (EPICC) was established. EPICC works on Environmental Approaches that Promote Health. 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 Council for Worksite Health Promotion recognizes businesses that offer employee fitness and health promotion programs.[[br]] 2) 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 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) Nine local health departments statewide have implemented the TOP Star program, which aims to improve the nutrition and physical activity 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 physical inactivity.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Health care system factors relate primarily to access to care and a reported low rate of health care provider counseling for physical activity recommendations.

Related Health Care System Factors Indicators:


Risk Factors

The percentage of persons who reported doing the recommended amount of muscle-strengthening activity was higher as income and education increased.

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 to a greater degree. Improvements occur in younger and older adults. Resistance exercises also improve muscular strength in persons with such conditions as stroke, multiple sclerosis, cerebral palsy, spinal cord injury, and cognitive disability.

Related Health Status Outcomes Indicators:




Graphical Data Views

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

::chart - missing::
confidence limits

In 2015, Utah had a higher rate (34.1%) of meeting recommended amount of muscle-strengthening activity compared the U.S. rate (30.4%).
Utah vs. U.S.YearAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 6
Utah201131.4%30.3%32.5%
Utah201331.5%30.4%32.6%
Utah201534.1%32.9%35.2%
U.S.201129.3%29.1%29.6%
U.S.201329.6%29.3%29.9%
U.S.201530.4%30.1%30.7%

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. Data has been updated from 2011 onward in all chart views 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+, 2015

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confidence limits

Meeting recommended amount of muscle-strengthening activity decreases with age for both males and females.
Males vs. FemalesAge GroupPercentage of AdultsLower LimitUpper Limit
Record Count: 12
Male18-3446.0%42.8%49.3%
Male35-4937.4%34.2%40.7%
Male50-6429.4%26.5%32.4%
Male65+32.7%29.2%36.3%
Female18-3437.9%34.8%41.1%
Female35-4933.2%30.3%36.2%
Female50-6426.1%23.4%28.9%
Female65+21.1%18.6%23.9%
Total18-3442.0%39.7%44.3%
Total35-4935.3%33.1%37.5%
Total50-6427.7%25.7%29.8%
Total65+26.5%24.3%28.8%

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. Data has been updated from 2011 onward in all chart views 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+, 2015

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confidence limits

Non-Hispanics have higher rates of meeting the recommended amount of muscle-strengthening than Hispanics.
Hispanic EthnicityAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 3
Hispanic24.2%20.8%27.9%
Non-Hispanic35.4%34.2%36.6%
All Utahns34.1%32.9%35.2%

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. Data has been updated from 2011 onward in all chart views 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+, 2015

::chart - missing::
confidence limits

There are no statistically significant differences between race categories and the state rate.
Race/EthnicityAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 7
American Indian, Alaskan Native34.4%25.7%44.4%
Asian49.6%38.0%61.3%
Black, African American38.4%26.4%52.1%
Native Hawaiian, Pacific Islander36.1%22.6%52.2%
White34.9%33.7%36.1%
Other20.3%16.3%24.9%
All Races/Ethnicities34.4%33.2%35.5%

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. Data has been updated from 2011 onward in all chart views 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, 2015

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confidence limits

Central has a lower rate compared to the state total. Summit has a higher rate compared to the state total.
Local Health DistrictAge-adjusted Percentage of Adults Aged 18+Lower LimitUpper Limit
Record Count: 14
Bear River30.4%26.6%34.5%
Central24.5%19.3%30.5%
Davis County33.7%30.4%37.3%
Salt Lake County34.9%33.1%36.8%
San Juan44.0%32.8%55.9%
Southeast31.2%23.9%39.5%
Southwest37.0%32.8%41.4%
Summit45.0%36.1%54.2%
Tooele27.9%21.5%35.4%
TriCounty28.4%22.6%35.1%
Utah County35.8%33.2%38.6%
Wasatch34.5%26.0%44.0%
Weber-Morgan32.2%28.5%36.2%
State of Utah34.1%32.9%35.2%

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. Data has been updated from 2011 onward in all chart views 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

::chart - missing::
confidence limits

Box Elder County (Other) (18.5%) and Kearns V2 (20.5%) have the lowest rates of meeting recommended amount of muscle-strengthening activity compared to the state total.
Utah Small AreasAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 66
Brigham City24.9%19.1%31.8%
Box Elder Co (Other)18.5%13.0%25.7%
Logan33.7%29.3%38.3%
Cache Co (Oth)/Rich Co (All)27.1%22.3%32.4%
Ben Lomond28.7%22.8%35.4%
Morgan Co (All)/Weber Co (E)40.7%34.8%46.9%
Ogden (Downtown)26.2%20.6%32.8%
South Ogden34.3%28.0%41.3%
Roy/Hooper25.7%20.6%31.5%
Riverdale31.5%24.2%39.8%
Clearfield/Hill AFB25.0%20.2%30.4%
Layton36.7%31.8%41.9%
Syracuse/Kaysville40.6%35.2%46.3%
Farmington/Centerville36.6%30.1%43.6%
Woods Cross/North Salt Lake28.0%21.2%36.0%
Bountiful30.5%25.0%36.6%
SLC (Rose Park)25.2%18.2%33.7%
SLC (Avenues)35.9%27.2%45.6%
SLC (Foothill/U of U)43.3%35.5%51.4%
Magna30.9%23.4%39.7%
SLC (Glendale)28.1%20.6%37.1%
West Valley (West)29.0%24.5%34.0%
West Valley (East) V226.7%20.7%33.7%
SLC (Downtown)35.4%29.7%41.6%
South Salt Lake27.8%20.3%36.8%
Millcreek39.0%33.6%44.6%
Holladay41.7%35.1%48.6%
Cottonwood41.2%34.8%47.9%
Kearns V220.5%15.4%26.7%
Taylorsville (E)/Murray (W)32.4%26.6%38.8%
Taylorsville (West)28.8%22.9%35.5%
Murray33.8%27.4%40.9%
Midvale29.7%22.5%38.1%
West Jordan (NE) V238.7%31.5%46.5%
West Jordan (SE)36.5%30.0%43.5%
West Jordan (W)/Copperton33.9%26.7%42.0%
South Jordan34.9%29.8%40.3%
Sandy (Center)34.5%28.9%40.5%
Sandy (NE)40.7%32.6%49.3%
Sandy (SE)36.7%29.4%44.6%
Riverton/Draper34.2%30.4%38.3%
Tooele Co31.8%27.1%37.0%
Lehi/Cedar Valley32.3%27.7%37.2%
American Fork/Alpine38.3%32.5%44.4%
Pleasant Grove/Lindon33.2%27.3%39.8%
Orem (North)36.7%29.9%44.1%
Orem (West)41.7%34.0%49.8%
Orem (East)35.5%26.4%45.7%
Provo (North)/BYU39.2%31.6%47.4%
Provo (South)28.3%22.7%34.7%
Springville/Spanish Fork34.8%30.5%39.4%
Utah Co (South)32.9%26.4%40.1%
Summit Co36.6%31.4%42.1%
Wasatch Co33.9%28.2%40.2%
TriCounty LHD27.8%24.0%32.0%
Juab/Millard/Sanpete Co26.4%21.8%31.5%
Sevier/Piute/Wayne Co24.0%17.9%31.5%
Carbon/Emery Co27.1%21.6%33.3%
Grand County25.0%16.8%35.6%
San Juan County38.8%29.0%49.6%
St George38.0%33.1%43.3%
Washington Co (Other)31.9%26.4%38.0%
Cedar City37.6%31.0%44.6%
Southwest LHD (Other)34.8%26.8%43.7%
State32.8%32.0%33.6%

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. Data has been updated from 2011 onward in all chart views 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 IBIS at the following URL: [http://ibis.health.utah.gov/resource/Help.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

::chart - missing::
confidence limits

Individuals in higher income categories have higher rates of recommended amount of muscle-strengthening activity. About 1 in 4 (24.6%) adults with incomes less than $25,000 met recommended amount of muscle-strengthening activity compared to 40.5% of adults with incomes of more than $75,000.
Income CategoryAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 4
<$25,00024.6%22.0%27.4%
$25,000-$49,99930.7%28.3%33.3%
$50,000-$74,99935.0%32.2%37.8%
$75,000+40.5%38.4%42.7%

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. Data has been updated from 2011 onward in all chart views 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+, 2015

::chart - missing::
confidence limits

The rates of recommended amount of muscle-strengthening activity was higher for adults with more education. Adults with less than a high school education had lower rates of recommended amount of muscle-strengthening activity compared to adults who were college graduates (14.0% vs 40.7%).
Education LevelAge-adjusted Percentage of Adults 25+Lower LimitUpper Limit
Record Count: 4
Less Than High School14.0%10.3%18.8%
H.S. Grad or G.E.D.27.6%25.5%29.9%
Some Post High School31.6%29.6%33.7%
College Graduate40.7%38.9%42.5%

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. Data has been updated from 2011 onward in all chart views 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

::chart - missing::
confidence limits

Males had significantly higher rates compared to the state total (37.4% vs 34.1%).
SexAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 3
Male37.4%35.7%39.1%
Female30.9%29.4%32.4%
All34.1%32.9%35.2%

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. Data has been updated from 2011 onward in all chart views 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. Centers for Disease Control and Prevention. Physical activity and health: a report of the surgeon general. Atlanta (GA): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Promotion; 1996.[[br]] 2. 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]] 3. 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]] 4. 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.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 10/27/2017, Published on 11/28/2017
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 Sat, 21 July 2018 7:18:10 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Tue, 28 Nov 2017 17:31:34 MST