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. 2023 Jan 27;72(4):85–89. doi: 10.15585/mmwr.mm7204a1

TABLE 1. Prevalence and main effect estimates of U.S. adults aged ≥18 years who met 2018 aerobic, muscle-strengthening, and combined physical activity guidelines during leisure time — National Health Interview Survey, United States, 2020.

Characteristic Met the 2018 physical activity guidelines
Aerobic
Muscle-strengthening
Both aerobic and muscle-strengthening
%* OR aOR (95% CI) %* OR aOR (95% CI) %* OR aOR (95% CI)
Rural-urban classification §
Nonmetropolitan
38.2
0.62
0.79 (0.71–0.89)
21.1
0.49
0.68 (0.60–0.77)
16.1
0.50
0.73 (0.63–0.83)
Medium and small metro
45.1
0.82
0.89 (0.81–0.98)
29.5
0.77
0.87 (0.78–0.97)
22.3
0.75
0.85 (0.77–0.94)
Large fringe metro
50.4
1.02
1.01 (0.93–1.11)
33.1
0.91
0.94 (0.86–1.03)
26.9
0.96
0.99 (0.90–1.10)
Large central metro
50.0
Ref

35.2
Ref

27.8
Ref

U.S. Census Bureau region**
Northeast
47.9
0.85
0.80 (0.72–0.90)
30.9
0.82
0.81 (0.71–0.93)
24.4
0.81
0.77 (0.68–0.88)
Midwest
47.0
0.82
0.80 (0.72–0.89)
29.9
0.78
0.81 (0.73–0.89)
23.4
0.77
0.77 (0.68–0.86)
South
43.3
0.70
0.75 (0.69–0.82)
29.0
0.75
0.82 (0.74–0.91)
22.0
0.71
0.76 (0.69–0.85)
West 52.1 Ref 35.3 Ref 28.5 Ref

Abbreviation: aOR = adjusted odds ratio; MSA = metropolitan statistical area; OR = unadjusted odds ratio; Ref = referent group.

* Prevalence adjusted for population weights, clusters, and stratification following National Health Interview Survey analytic guidelines.

Adjusted for biological sex, age, race and ethnicity, education, and income-to-poverty threshold.

§ Nonmetropolitan = micropolitan counties (counties in micropolitan statistical areas) and noncore counties (counties that did not qualify as micropolitan); medium metro = counties in MSAs of populations of 250,000–999,999; small metro = counties in MSAs of populations less than 250,000; large fringe metro = counties in MSAs of 1 million or more population that did not qualify as large central metro counties; large central metro = counties in MSAs of 1 million or more population that 1) contain the entire population of the largest principal city of the MSA, or 2) have their entire population contained in the largest principal city of the MSA, or 3) contain at least 250,000 inhabitants of any principal city of the MSA. https://www.cdc.gov/nchs/data/series/sr_02/sr02_166.pdf

p≤0.01.

** https://www2.census.gov/geo/pdfs/maps-data/maps/reference/us_regdiv.pdf