Arthritis as a Potential Barrier to Physical Activity Among Adults With Heart Disease - United States, 2005 and 2007
Entry ID: CDC-MMWR_ART

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Summary
Abstract: BRFSS is a state-based, random-digit--dialed telephone survey of the noninstitutionalized U.S. civilian population aged >18 years. Data were collected from the 50 states, District of Columbia (DC), Puerto Rico, and U.S. Virgin Islands. Response rates were calculated using Council of American Survey and Research Organizations (CASRO) guidelines; for 2005 and 2007,* respectively, median response rates were 51.1% and 50.6% and cooperation rates were 75.1% and 72.1%.† A total of 15,725 respondents with missing arthritis or HD data were excluded, resulting in a final sample of 757,959.

Purpose: Being physically active is an important component of heart disease (HD) management (1); however patients with HD are less likely to comply with physical activity recommendations than those without HD (2). Arthritis is a common co-morbidity among persons with HD, and arthritis-associated joint pain and fear of further joint damage can be an unrecognized barrier to physical activity among persons with HD (CDC, unpublished data, 2008). To provide estimates of the magnitude of this problem at the state level, CDC combined 2005 and 2007 Behavioral Risk Factor Surveillance System (BRFSS) data to estimate overall and age- and sex-specific prevalence of self-reported doctor-diagnosed arthritis among adults aged >18 years with self-reported HD, and the prevalence of physical inactivity among adults with HD by arthritis status. For results or for more information, visit:

Related URL
Link: GET DATA
Description: Access Table 1: Percentage of respondents aged 18 & up who reported heart disease and arthritis, heart disease only, arthritis only, or neither condition, by selected characteristics -- Behavior Risk Factor Surveillance System, US, 2005 & 2007


Link: GET DATA
Description: Access Table 2: Prevalence of arthritis among adults aged 18 & up with heart disease, and prevalence of physical inactivity among adults with heart disease, with and without arthritis, by state/area -- Behavioral Risk Factor Surveillance System, US, 2005 & 2007


Data Set Citation
Dataset Originator/Creator: Morbidity and Mortality Weekly Report
Dataset Title: Arthritis as a Potential Barrier to Physical Activity Among Adults With Heart Disease --- United States, 2005 and 2007
Dataset Release Date: February 27, 2009
Dataset Publisher: Centers for Disease Control and Prevention
Version: 58(07)
Online Resource: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5807a2.htm


Location Keywords
CONTINENT > NORTH AMERICA > UNITED STATES OF AMERICA


Science Keywords
HUMAN DIMENSIONS >PUBLIC HEALTH    [Definition]
HUMAN DIMENSIONS >PUBLIC HEALTH >MORBIDITY    [Definition]


ISO Topic Category
HEALTH


Platform
FIELD INVESTIGATION    [Information]


Quality
To generate nationwide estimates and 95% confidence intervals (CIs), data from 2005 and 2007 for the 50 states and DC were combined, and an annual average weighting was applied to account for multistage probability sampling. Data for arthritis and heart disease were not collected in all states in 2006, and so, were not included. To assess factors potentially confounding an association between doctor-diagnosed arthritis and physical inactivity among those with heart disease, data were combined across states, in unadjusted and adjusted (by age, sex, race/ethnicity, education level, and BMI) logistic regression models. All other estimates in this report are unadjusted. Estimates were calculated for the 50 states, DC, and territories. Because states are most interested in the number of affected persons and unadjusted prevalence for use in planning and resource allocations, unadjusted state-specific estimates are provided in this report. Statistical significance was determined by the chi-square test (p<0.05).


Data Center
Chronic Disease Prevention, National Center for Chronic Disease Prevention and Health Promotion, CDC, U.S. Department of Health and Human Services    [Information]
Data Center URL: http://www.cdc.gov/nccdphp/

Data Center Personnel
Name: CDC MORBIDITY AND MORALITY WEEKLY REPORT (MMWR)
Phone: (404) 498-1150
Fax: (404) 498-2389
Email: mmwrq at cdc.gov
Contact Address:
1600 Clifton Rd., MS E-90
City: Atlanta
Province or State: Georgia
Postal Code: 30333
Country: United States


Personnel
CDC MORBIDITY AND MORALITY WEEKLY REPORT (MMWR)
Role: TECHNICAL CONTACT
Phone: (404) 498-1150
Fax: (404) 498-2389
Email: mmwrq at cdc.gov
Contact Address:
1600 Clifton Rd., MS E-90
City: Atlanta
Province or State: Georgia
Postal Code: 30333
Country: United States


STEPHANIE K GREBAS
Role: DIF AUTHOR
Email: gsfc-gcmduso at mail.nasa.gov


Publications/References
References

Pearson TA, Blair SN, Daniels SR, et al. AHA guidelines for primary prevention of cardiovascular disease and stroke: 2002 update. Consensus panel guide to comprehensive risk reduction for adult patients without coronary or other atherosclerotic vascular diseases. Circulation 2002;106:388--91.
Zhao G, Ford ES, Li C, Mokdad A. Are United States adults with coronary heart disease meeting physical activity recommendations? Am J Cardiol 2008;101:557--61.
CDC. Summary health statistics for U.S. adults: National Health Interview Survey, 2006. Vital Health Stat 2007;10(235). Available at http://www.cdc.gov/nchs/data/series/sr_10/sr10_235.pdf.
Verbrugge LM, Juarez L. Arthritis disability and heart disease disability. Arthritis Rheum 2008;59:1445--57.
Wilcox S, Der Ananian C, Abbott J, et al. Perceived exercise barriers, enablers, and benefits among exercising and non exercising adults with arthritis: results from a qualitative study. Arthritis Rheum 2006;55:616--27.
Nelson DE, Holtzman D, Bolen J, Stanwyck CA, Mack KA. Reliability and validity of measures from the Behavioral Risk Factor Surveillance System (BRFSS). Soz Praventivmed 2001;46(Suppl 1):S3--42.
CDC. Arthritis intervention programs. Available at http://www.cdc.gov/arthritis/intervention/index.htm.
Smith SC Jr, Allen J, Blair SN, et al. AHA/ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update. Circulation 2006;113:2363--72.
US Department of Health and Human Services. 2008 physical activity guidelines for Americans. Hyattsville, MD: US Department of Health and Human Services; 2008. Available at http://www.health.gov/paguidelines.
Nelson ME, Rejeski WJ, Blair SN, et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation 2007;116:1094--105.

Zhao G, Ford ES, Li C, Mokdad A. Are United States adults with coronary heart disease meeting physical activity recommendations? Am J Cardiol 2008;101:557--61.

CDC. Summary health statistics for U.S. adults: National Health Interview Survey, 2006. Vital Health Stat 2007;10(235). Available at http://www.cdc.gov/nchs/data/series/sr_10/sr10_235.pdf.

Verbrugge LM, Juarez L. Arthritis disability and heart disease disability. Arthritis Rheum 2008;59:1445--57.

Wilcox S, Der Ananian C, Abbott J, et al. Perceived exercise barriers, enablers, and benefits among exercising and non exercising adults with arthritis: results from a qualitative study. Arthritis Rheum 2006;55:616--27.

Nelson DE, Holtzman D, Bolen J, Stanwyck CA, Mack KA. Reliability and validity of measures from the Behavioral Risk Factor Surveillance System (BRFSS). Soz Praventivmed 2001;46(Suppl 1):S3--42.

CDC. Arthritis intervention programs. Available at http://www.cdc.gov/arthritis/intervention/index.htm.

Smith SC Jr, Allen J, Blair SN, et al. AHA/ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update. Circulation 2006;113:2363--72.

US Department of Health and Human Services. 2008 physical activity guidelines for Americans. Hyattsville, MD: US Department of Health and Human Services; 2008. Available at http://www.health.gov/paguidelines.

Nelson ME, Rejeski WJ, Blair SN, et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation 2007;116:1094--105.

Creation and Review Dates
DIF Creation Date: 2011-07-07
Last DIF Revision Date: 2012-11-08

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