Disability and Physical Activity -- United States, 2009-2012
Overall, 11.6% of U.S. adults aged 18–64 years, approximately 21.5 million persons, reported a disability. Prevalence estimates by disability type were 1.7% (vision), 2.2% (hearing), 3.0% (cognitive), and 5.8% (mobility). A significantly higher prevalence of adults with disabilities reported having one or more chronic diseases (40.5% versus 13.7%, p<0.001), and being physically inactive (47.1% versus 26.1%, p<0.001) compared with those without disabilities. A significantly higher prevalence of chronic disease and physical inactivity was also noted for each disability type compared with those without a disability ( Table 1 ).
Among an estimated 10.1 million inactive adults with disabilities in the United States, 46.3% (approximately 4.7 million adults) reported one or more chronic diseases. Among 6.7 million active adults with disabilities, 31.1% (approximately 2.1 million adults) reported one or more chronic diseases (Figure 1). The prevalence of reporting one or more chronic diseases by disability type among inactive adults was 36.0% (hearing), 36.2% (vision), 34.3% (cognitive), and 54.2% (mobility). The prevalence among active adults was 28.6% (hearing), 26.8% (vision), 24.1% (cognitive), and 42.6% (mobility).
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Figure 1.
Prevalence and weighted population estimates of the absence or presence of one or more chronic diseases* among adults aged 18–64 years with a disability (N = 10,690), by aerobic physical activity level— National Health Interview Survey, United States, 2009–2012
*Chronic diseases include diabetes, cancer, stroke, and heart disease.
Aerobic physical activity levels categorized as active (≥150 minutes/week of moderate-intensity equivalent aerobic activity), insufficiently active (at least one bout of aerobic physical activity per week that lasted ≥10 minutes, but not enough total weekly activity to meet the guideline), or inactive (no bouts of aerobic physical activity per week that lasted ≥10 minutes).
0 chronic disease: N = 5.4 million; ≥1 chronic disease: N = 4.7 million.
0 chronic disease: N = 2.8 million; ≥1 chronic disease: N = 2.0 million; weighted population estimates do not add to the overall N of 4.7 million because of rounding.
**0 chronic disease: N = 4.6 million; ≥1 chronic disease: N = 2.1 million.
Adults with any disability who were inactive were more likely than those who were active to report one or more chronic diseases (AOR = 1.50; 95% confidence interval [CI] = 1.30–1.72). Significant associations were also found for each disability type except hearing [vision (AOR = 1.52; CI = 1.07–2.14), cognitive (AOR = 1.45; CI = 1.07–1.96), and mobility (AOR = 1.32; CI = 1.09–1.61)] ( Table 2 ).
Among adults with a disability who had visited a health professional in the previous 12 months, 44.3% reported that they had received a recommendation for physical activity from a health professional ( Table 1 ). The distribution of aerobic physical activity levels differed significantly by recommendation status (X = 5.3, df = 2, p=0.006), with a higher prevalence of inactivity among those not receiving a recommendation (54.8% versus 43.6%) (Figure 2). Compared with those who did not report receiving a physical activity recommendation, those who did had significantly higher odds of being active (AOR = 1.82; CI = 1.25–2.64) or insufficiently active (AOR = 1.84; CI = 1.25–2.71) than inactive, even after controlling for demographic characteristics, health behaviors, and the presence of one or more chronic diseases.
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Figure 2.
Prevalence* of aerobic physical activity level†among adults aged 18–64 years with a disability (N = 1,090), by whether or not a doctor or health professional recommended exercise or physical activity in the past 12 months — National Health Interview Survey, United States, 2010
*The denominator for this variable also excludes those who have not seen a doctor or other health professional in the past 12 months.
Aerobic physical activity levels categorized as active (≥150 minutes/week of moderate-intensity equivalent aerobic activity), insufficiently active (at least one bout of aerobic physical activity per week that lasted ≥10 minutes, but not enough total weekly activity to meet the guideline), or inactive (no bouts of aerobic physical activity per week that lasted ≥10 minutes).
X = 5.3, df = 2, p=0.006.
Results
Overall, 11.6% of U.S. adults aged 18–64 years, approximately 21.5 million persons, reported a disability. Prevalence estimates by disability type were 1.7% (vision), 2.2% (hearing), 3.0% (cognitive), and 5.8% (mobility). A significantly higher prevalence of adults with disabilities reported having one or more chronic diseases (40.5% versus 13.7%, p<0.001), and being physically inactive (47.1% versus 26.1%, p<0.001) compared with those without disabilities. A significantly higher prevalence of chronic disease and physical inactivity was also noted for each disability type compared with those without a disability ( Table 1 ).
Among an estimated 10.1 million inactive adults with disabilities in the United States, 46.3% (approximately 4.7 million adults) reported one or more chronic diseases. Among 6.7 million active adults with disabilities, 31.1% (approximately 2.1 million adults) reported one or more chronic diseases (Figure 1). The prevalence of reporting one or more chronic diseases by disability type among inactive adults was 36.0% (hearing), 36.2% (vision), 34.3% (cognitive), and 54.2% (mobility). The prevalence among active adults was 28.6% (hearing), 26.8% (vision), 24.1% (cognitive), and 42.6% (mobility).
(Enlarge Image)
Figure 1.
Prevalence and weighted population estimates of the absence or presence of one or more chronic diseases* among adults aged 18–64 years with a disability (N = 10,690), by aerobic physical activity level— National Health Interview Survey, United States, 2009–2012
*Chronic diseases include diabetes, cancer, stroke, and heart disease.
Aerobic physical activity levels categorized as active (≥150 minutes/week of moderate-intensity equivalent aerobic activity), insufficiently active (at least one bout of aerobic physical activity per week that lasted ≥10 minutes, but not enough total weekly activity to meet the guideline), or inactive (no bouts of aerobic physical activity per week that lasted ≥10 minutes).
0 chronic disease: N = 5.4 million; ≥1 chronic disease: N = 4.7 million.
0 chronic disease: N = 2.8 million; ≥1 chronic disease: N = 2.0 million; weighted population estimates do not add to the overall N of 4.7 million because of rounding.
**0 chronic disease: N = 4.6 million; ≥1 chronic disease: N = 2.1 million.
Adults with any disability who were inactive were more likely than those who were active to report one or more chronic diseases (AOR = 1.50; 95% confidence interval [CI] = 1.30–1.72). Significant associations were also found for each disability type except hearing [vision (AOR = 1.52; CI = 1.07–2.14), cognitive (AOR = 1.45; CI = 1.07–1.96), and mobility (AOR = 1.32; CI = 1.09–1.61)] ( Table 2 ).
Among adults with a disability who had visited a health professional in the previous 12 months, 44.3% reported that they had received a recommendation for physical activity from a health professional ( Table 1 ). The distribution of aerobic physical activity levels differed significantly by recommendation status (X = 5.3, df = 2, p=0.006), with a higher prevalence of inactivity among those not receiving a recommendation (54.8% versus 43.6%) (Figure 2). Compared with those who did not report receiving a physical activity recommendation, those who did had significantly higher odds of being active (AOR = 1.82; CI = 1.25–2.64) or insufficiently active (AOR = 1.84; CI = 1.25–2.71) than inactive, even after controlling for demographic characteristics, health behaviors, and the presence of one or more chronic diseases.
(Enlarge Image)
Figure 2.
Prevalence* of aerobic physical activity level†among adults aged 18–64 years with a disability (N = 1,090), by whether or not a doctor or health professional recommended exercise or physical activity in the past 12 months — National Health Interview Survey, United States, 2010
*The denominator for this variable also excludes those who have not seen a doctor or other health professional in the past 12 months.
Aerobic physical activity levels categorized as active (≥150 minutes/week of moderate-intensity equivalent aerobic activity), insufficiently active (at least one bout of aerobic physical activity per week that lasted ≥10 minutes, but not enough total weekly activity to meet the guideline), or inactive (no bouts of aerobic physical activity per week that lasted ≥10 minutes).
X = 5.3, df = 2, p=0.006.
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