TY - JOUR
T1 - Increasing Equity of Physical Activity Promotion for Optimal Cardiovascular Health in Adults
T2 - A Scientific Statement From the American Heart Association
AU - Jerome, Gerald J.
AU - Boyer, William R.
AU - Bustamante, Eduardo E.
AU - Kariuki, Jacob
AU - Lopez-Jimenez, Francisco
AU - Paluch, Amanda E.
AU - Swift, Damon L.
AU - Webber-Ritchey, Kashica J.
AU - Barone Gibbs, Bethany
N1 - Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023/6/20
Y1 - 2023/6/20
N2 - Fewer than 1 in 4 adults achieves the recommended amount of physical activity, with lower activity levels reported among some groups. Addressing low levels of physical activity among underresourced groups provides a modifiable target with the potential to improve equity in cardiovascular health. This article (1) examines physical activity levels across strata of cardiovascular disease risk factors, individual level characteristics, and environmental factors; (2) reviews strategies for increasing physical activity in groups who are underresourced or at risk for poor cardiovascular health; and (3) provides practical suggestions for physical activity promotion to increase equity of risk reduction and to improve cardiovascular health. Physical activity levels are lower among those with elevated cardiovascular disease risk factors, among certain groups (eg, older age, female, Black race, lower socioeconomic status), and in some environments (eg, rural). There are strategies for physical activity promotion that can specifically support underresourced groups such as engaging the target community in designing and implementing interventions, developing culturally appropriate study materials, identifying culturally tailored physical activity options and leaders, building social support, and developing materials for those with low literacy. Although addressing low physical activity levels will not address the underlying structural inequities that deserve attention, promoting physical activity among adults, especially those with both low physical activity levels and poor cardiovascular health, is a promising and underused strategy to reduce cardiovascular health inequalities.
AB - Fewer than 1 in 4 adults achieves the recommended amount of physical activity, with lower activity levels reported among some groups. Addressing low levels of physical activity among underresourced groups provides a modifiable target with the potential to improve equity in cardiovascular health. This article (1) examines physical activity levels across strata of cardiovascular disease risk factors, individual level characteristics, and environmental factors; (2) reviews strategies for increasing physical activity in groups who are underresourced or at risk for poor cardiovascular health; and (3) provides practical suggestions for physical activity promotion to increase equity of risk reduction and to improve cardiovascular health. Physical activity levels are lower among those with elevated cardiovascular disease risk factors, among certain groups (eg, older age, female, Black race, lower socioeconomic status), and in some environments (eg, rural). There are strategies for physical activity promotion that can specifically support underresourced groups such as engaging the target community in designing and implementing interventions, developing culturally appropriate study materials, identifying culturally tailored physical activity options and leaders, building social support, and developing materials for those with low literacy. Although addressing low physical activity levels will not address the underlying structural inequities that deserve attention, promoting physical activity among adults, especially those with both low physical activity levels and poor cardiovascular health, is a promising and underused strategy to reduce cardiovascular health inequalities.
KW - AHA Scientific Statements
KW - exercise
KW - health
KW - health equity
KW - health status disparities
KW - lifestyle
KW - physical activity
UR - http://www.scopus.com/inward/record.url?scp=85162877859&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85162877859&partnerID=8YFLogxK
U2 - 10.1161/CIR.0000000000001148
DO - 10.1161/CIR.0000000000001148
M3 - Article
C2 - 37222169
AN - SCOPUS:85162877859
SN - 0009-7322
VL - 147
SP - 1951
EP - 1962
JO - Circulation
JF - Circulation
IS - 25
ER -