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American Journal of Public Health logoLink to American Journal of Public Health
. 2000 Feb;90(2):264–270. doi: 10.2105/ajph.90.2.264

Patterns and correlates of physical activity among US women 40 years and older.

R C Brownson 1, A A Eyler 1, A C King 1, D R Brown 1, Y L Shyu 1, J F Sallis 1
PMCID: PMC1446154  PMID: 10667189

Abstract

OBJECTIVES: This study describes the patterns of physical activity among minority women by using a variety of definitions and determines sociodemographic and behavioral correlates of physical activity in this population. METHODS: A cross-sectional study was conducted in 1996 and 1997 among US women 40 years and older (n = 2912) of the following racial/ethnic groups: African American, American Indian/Alaskan Native, Hispanic, and White. RESULTS: Physical activity was lowest among African Americans and American Indians/Alaskan Natives (adjusted odds ratios [ORs] for no leisure-time activity were 1.35 [95% confidence interval (CI) = 1.08, 1.68] and 1.65 [95% CI = 1.33, 2.06], respectively). A much higher proportion of women were classified as being physically active when occupational activity rather than more traditional assessments of leisure activity were used to determine level of physical activity. On the basis of a composite definition of physical activity, 72% of respondents reported being physically active. Women living in rural regions (OR = 1.33; 95% CI = 1.12, 1.58) were more likely than urban inhabitants to be completely inactive during leisure time. CONCLUSIONS: Minority women are among the least active subgroups in American society, although not all groups are less active than White women when all domains of physical activity are taken into account.

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Selected References

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  1. Ainsworth B. E., Haskell W. L., Leon A. S., Jacobs D. R., Jr, Montoye H. J., Sallis J. F., Paffenbarger R. S., Jr Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc. 1993 Jan;25(1):71–80. doi: 10.1249/00005768-199301000-00011. [DOI] [PubMed] [Google Scholar]
  2. Blair S. N., Connelly J. C. How much physical activity should we do? The case for moderate amounts and intensities of physical activity. Res Q Exerc Sport. 1996 Jun;67(2):193–205. doi: 10.1080/02701367.1996.10607943. [DOI] [PubMed] [Google Scholar]
  3. Bowlin S. J., Morrill B. D., Nafziger A. N., Lewis C., Pearson T. A. Reliability and changes in validity of self-reported cardiovascular disease risk factors using dual response: the behavioral risk factor survey. J Clin Epidemiol. 1996 May;49(5):511–517. doi: 10.1016/0895-4356(96)00010-8. [DOI] [PubMed] [Google Scholar]
  4. Brownson R. C., Eyler A. A., King A. C., Shyu Y. L., Brown D. R., Homan S. M. Reliability of information on physical activity and other chronic disease risk factors among US women aged 40 years or older. Am J Epidemiol. 1999 Feb 15;149(4):379–391. doi: 10.1093/oxfordjournals.aje.a009824. [DOI] [PubMed] [Google Scholar]
  5. Eyler A. A., Baker E., Cromer L., King A. C., Brownson R. C., Donatelle R. J. Physical activity and minority women: a qualitative study. Health Educ Behav. 1998 Oct;25(5):640–652. doi: 10.1177/109019819802500510. [DOI] [PubMed] [Google Scholar]
  6. Fischer I. D., Brown D. R., Blanton C. J., Casper M. L., Croft J. B., Brownson R. C. Physical activity patterns of Chippewa and Menominee Indians: the Inter-Tribal Heart Project. Am J Prev Med. 1999 Oct;17(3):189–197. doi: 10.1016/s0749-3797(99)00073-2. [DOI] [PubMed] [Google Scholar]
  7. Folsom A. R., Cook T. C., Sprafka J. M., Burke G. L., Norsted S. W., Jacobs D. R., Jr Differences in leisure-time physical activity levels between blacks and whites in population-based samples: the Minnesota Heart Survey. J Behav Med. 1991 Feb;14(1):1–9. doi: 10.1007/BF00844764. [DOI] [PubMed] [Google Scholar]
  8. Gentry E. M., Kalsbeek W. D., Hogelin G. C., Jones J. T., Gaines K. L., Forman M. R., Marks J. S., Trowbridge F. L. The behavioral risk factor surveys: II. Design, methods, and estimates from combined state data. Am J Prev Med. 1985 Nov-Dec;1(6):9–14. [PubMed] [Google Scholar]
  9. Hahn R. A., Teutsch S. M., Rothenberg R. B., Marks J. S. Excess deaths from nine chronic diseases in the United States, 1986. JAMA. 1990 Nov 28;264(20):2654–2659. [PubMed] [Google Scholar]
  10. Hakim A. A., Petrovitch H., Burchfiel C. M., Ross G. W., Rodriguez B. L., White L. R., Yano K., Curb J. D., Abbott R. D. Effects of walking on mortality among nonsmoking retired men. N Engl J Med. 1998 Jan 8;338(2):94–99. doi: 10.1056/NEJM199801083380204. [DOI] [PubMed] [Google Scholar]
  11. Hovell M. F., Hofstetter C. R., Sallis J. F., Rauh M. J., Barrington E. Correlates of change in walking for exercise: an exploratory analysis. Res Q Exerc Sport. 1992 Dec;63(4):425–434. doi: 10.1080/02701367.1992.10608765. [DOI] [PubMed] [Google Scholar]
  12. Johnson M. F., Nichols J. F., Sallis J. F., Calfas K. J., Hovell M. F. Interrelationships between physical activity and other health behaviors among university women and men. Prev Med. 1998 Jul-Aug;27(4):536–544. doi: 10.1006/pmed.1998.0320. [DOI] [PubMed] [Google Scholar]
  13. King A. C., Jeffery R. W., Fridinger F., Dusenbury L., Provence S., Hedlund S. A., Spangler K. Environmental and policy approaches to cardiovascular disease prevention through physical activity: issues and opportunities. Health Educ Q. 1995 Nov;22(4):499–511. doi: 10.1177/109019819502200407. [DOI] [PubMed] [Google Scholar]
  14. King T. K., Marcus B. H., Pinto B. M., Emmons K. M., Abrams D. B. Cognitive-behavioral mediators of changing multiple behaviors: smoking and a sedentary lifestyle. Prev Med. 1996 Nov-Dec;25(6):684–691. doi: 10.1006/pmed.1996.0107. [DOI] [PubMed] [Google Scholar]
  15. Marcus B. H., Albrecht A. E., King T. K., Parisi A. F., Pinto B. M., Roberts M., Niaura R. S., Abrams D. B. The efficacy of exercise as an aid for smoking cessation in women: a randomized controlled trial. Arch Intern Med. 1999 Jun 14;159(11):1229–1234. doi: 10.1001/archinte.159.11.1229. [DOI] [PubMed] [Google Scholar]
  16. Pate R. R., Pratt M., Blair S. N., Haskell W. L., Macera C. A., Bouchard C., Buchner D., Ettinger W., Heath G. W., King A. C. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995 Feb 1;273(5):402–407. doi: 10.1001/jama.273.5.402. [DOI] [PubMed] [Google Scholar]
  17. Pereira M. A., Kriska A. M., Day R. D., Cauley J. A., LaPorte R. E., Kuller L. H. A randomized walking trial in postmenopausal women: effects on physical activity and health 10 years later. Arch Intern Med. 1998 Aug 10;158(15):1695–1701. doi: 10.1001/archinte.158.15.1695. [DOI] [PubMed] [Google Scholar]
  18. Powell K. E., Blair S. N. The public health burdens of sedentary living habits: theoretical but realistic estimates. Med Sci Sports Exerc. 1994 Jul;26(7):851–856. [PubMed] [Google Scholar]
  19. Ransdell L. B., Wells C. L. Physical activity in urban white, African-American, and Mexican-American women. Med Sci Sports Exerc. 1998 Nov;30(11):1608–1615. doi: 10.1097/00005768-199811000-00009. [DOI] [PubMed] [Google Scholar]
  20. Remington P. L., Smith M. Y., Williamson D. F., Anda R. F., Gentry E. M., Hogelin G. C. Design, characteristics, and usefulness of state-based behavioral risk factor surveillance: 1981-87. Public Health Rep. 1988 Jul-Aug;103(4):366–375. [PMC free article] [PubMed] [Google Scholar]
  21. Sallis J. F., Bauman A., Pratt M. Environmental and policy interventions to promote physical activity. Am J Prev Med. 1998 Nov;15(4):379–397. doi: 10.1016/s0749-3797(98)00076-2. [DOI] [PubMed] [Google Scholar]
  22. Sallis J. F., Grossman R. M., Pinski R. B., Patterson T. L., Nader P. R. The development of scales to measure social support for diet and exercise behaviors. Prev Med. 1987 Nov;16(6):825–836. doi: 10.1016/0091-7435(87)90022-3. [DOI] [PubMed] [Google Scholar]
  23. Sallis J. F., Hovell M. F., Hofstetter C. R., Elder J. P., Hackley M., Caspersen C. J., Powell K. E. Distance between homes and exercise facilities related to frequency of exercise among San Diego residents. Public Health Rep. 1990 Mar-Apr;105(2):179–185. [PMC free article] [PubMed] [Google Scholar]
  24. Shea S., Stein A. D., Basch C. E., Lantigua R., Maylahn C., Strogatz D. S., Novick L. Independent associations of educational attainment and ethnicity with behavioral risk factors for cardiovascular disease. Am J Epidemiol. 1991 Sep 15;134(6):567–582. doi: 10.1093/oxfordjournals.aje.a116130. [DOI] [PubMed] [Google Scholar]
  25. Shea S., Stein A. D., Lantigua R., Basch C. E. Reliability of the behavioral risk factor survey in a triethnic population. Am J Epidemiol. 1991 Mar 1;133(5):489–500. doi: 10.1093/oxfordjournals.aje.a115916. [DOI] [PubMed] [Google Scholar]
  26. Siegel P. Z., Brackbill R. M., Heath G. W. The epidemiology of walking for exercise: implications for promoting activity among sedentary groups. Am J Public Health. 1995 May;85(5):706–710. doi: 10.2105/ajph.85.5.706. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Stein A. D., Lederman R. I., Shea S. The Behavioral Risk Factor Surveillance System questionnaire: its reliability in a statewide sample. Am J Public Health. 1993 Dec;83(12):1768–1772. doi: 10.2105/ajph.83.12.1768. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Sugarman J. R., Warren C. W., Oge L., Helgerson S. D. Using the Behavioral Risk Factor Surveillance System to monitor year 2000 objectives among American Indians. Public Health Rep. 1992 Jul-Aug;107(4):449–456. [PMC free article] [PubMed] [Google Scholar]
  29. Washburn R. A., Kline G., Lackland D. T., Wheeler F. C. Leisure time physical activity: are there black/white differences? Prev Med. 1992 Jan;21(1):127–135. doi: 10.1016/0091-7435(92)90012-7. [DOI] [PubMed] [Google Scholar]
  30. Wilbur J., Miller A., Dan A. J., Holm K. Measuring physical activity in midlife women. Public Health Nurs. 1989 Sep;6(3):120–128. doi: 10.1111/j.1525-1446.1989.tb00584.x. [DOI] [PubMed] [Google Scholar]
  31. Winkleby M. A., Kraemer H. C., Ahn D. K., Varady A. N. Ethnic and socioeconomic differences in cardiovascular disease risk factors: findings for women from the Third National Health and Nutrition Examination Survey, 1988-1994. JAMA. 1998 Jul 22;280(4):356–362. doi: 10.1001/jama.280.4.356. [DOI] [PubMed] [Google Scholar]

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