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ACSM American Fitness Index™ Actively Moving America to Better Health. A program of the American College of Sports Medicine (ASCM) Presentation by First Last, Ph.D, FACSM Mo/Da/2009. ACSM American Fitness Index™. Funded by the WellPoint Foundation Looks at health status of population - PowerPoint PPT Presentation
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ACSM American Fitness Index™Actively Moving America to Better Health
A program of the American College of Sports Medicine (ASCM)
Presentation by First Last, Ph.D, FACSM
Mo/Da/2009
ACSM American Fitness Index™
Funded by the WellPoint Foundation Looks at health status of population
– Preventive health behaviors– Levels of chronic disease conditions– Access to health care
Looks at community assets that support healthy lifestyles– Community supports– Policies for physical activity
Need for Action
Physical activity and obesity are at epidemic proportions– Increased prevalence of chronic diseases– Increasing health expenditures
Regular physical activity – Therapeutic physical benefits– Fewer health care needs– Combats rising health care expenditures
Need for Action
ACSM-commissioned 2007 Omnibus survey– Solution to decreasing physical activity and
obesity lies at the local level– Highlights:
72% rated community’s efforts to encourage physical activity as average or worse
49% say lack of biking tails and 27% say lack of public parks hinders physical activity
94% acknowledged physical activity is key for disease prevention
What Makes the AFI Unique?
Many may ask, “Why do we need another study to tell us to get more active?”
Need an effective measure that captures:– The state of health– The state of community fitness– Measure at the local level– Scientific- and evidence-based measure
Advisory Board Chair: Walter R. Thompson, Ph.D. FACSM
(Georgia State University) Vice-chair: Barbara Ainsworth, Ph.D. FASCM
(Arizona State University) Steven N. Blair, P.E.D., FACSM
(University of South Carolina) Ralph Bovard, M.D., MPH, FACSM
(HealthPartners Specialty Center) Jacqueline Epping, M.Ed.
(U.S. Centers for Disease Control & Prevention) John M. Jakicic, Ph.D., FACSM
(University of Pittsburgh)
Advisory Board (cont’d) Elizabeth Joy, M.D., MPH, FACSM
(University of Utah) NiCole Keith, Ph.D. FACSM
(Indiana University Purdue University-Indianapolis) Roseann M. Lyle, Ph.D. FACSM
(Purdue University) Melinda M. Manore, Ph.D, R.D., FACSM
(Oregon State University) Angela Smith, M.D., FACSM
(Children’s Hospital of Philadelphia) Stella Lucia Volpe, Ph.D., R.D. FACSM
(University of Pennsylvania) Wes Wong, M.D., M.M.M
(Anthem Blue Cross Blue Shield-WellPoint)
AFI Program Goal
Improve the health, fitness and quality of life of Americans by promoting physical activity.
AFI Program Components #1 - Data
– Collect, aggregate and report metropolitan area dataData related to:
–Healthy lifestyles–Health outcomes–Community resources
– Execute AFI data reportScientific- and evidence-based snapshot
of the health status of major metro areas
AFI Program Components
#2 - Resources– Resources for practical application of
sports medicine and exercise science – Conduct research– Provide education
AFI Program Components
#3 - Health Promotion Partners– Link communities with organizations
and existing programs in their metro area
– Promote collaboration on physical activity and healthy lifestyle initiative
– Connect local, state and national partners and resources
Implementation (Pilot)
Pilot phase focused on data collection and analysis (released May 2008)– Download at AmericanFitnessIndex.org
16 of the most populous U.S. metro areas– Top 15 + Indianapolis– Based on MSA data from U.S. Census
Data collected, analyzed, weighted and aggregated
Implementation (Expansion)
The next phase focused on expanding the data report to the top 50 most populous U.S. metro areas– Download at AmericanFitnessIndex.org
Includes some newly available data
Methodology
AFI uses scientific evidence, expert opinion and statistical methodologies to select, weigh and combine the elements used in the data report.
Methodology
Metro Areas Included Not city limits only
– Overlooks interaction of core city and surrounding suburban areas
– Shared fitness-related resources
Top 50 Metro Areas Atlanta Austin Baltimore Birmingham Boston Buffalo Charlotte Chicago Cincinnati Cleveland Columbus, OH
Dallas Denver Detroit Hartford Houston Indianapolis Jacksonville Kansas City Los Angeles Louisville Memphis
Top 50 Metro Areas Miami Milwaukee Minneapolis/St. Paul Nashville New York Oklahoma City Orlando Philadelphia Phoenix Pittsburgh Portland, OR Providence, RI Raleigh, NC
Richmond, VA Riverside, CA Rochester, NY Sacremento St. Louis Salt Lake City San Antonio San Francisco San Jose Seattle Tampa Virginia Beach Washington, D.C.
Metro Area Breakdown
Example:– Atlanta– AFI rank (5); AFI Score (285)– Population rank (9)– MSA: Atlanta-Sandy Springs-Marietta– Nickname: Metro Atlanta
Indicators Selected for AFI
Must be related to the level of health status and/or physical activity
Must be recently measured and reported by a well-respected agency or organization of the metro area
Must be modifiable through community efforts– Example: smoking rate
Data sources and information
Info gleaned from publicly available federal reports and past studies
Must be recent data with established history
Most data is from 2006
Data sources and information
SMART BRFSS American Community Survey (by Trust
for Public Land) U.S. Census U.S. Dept of Agriculture State Report Cards HRSA Area Resource File
Data on Personal Health
Health Behaviors– % exercising in last 30 days– % exercising at least moderately– % eating 5+ fruit/veggies per day– % currently smoking
Data on Personal Health
Chronic Health Problems– % obese– % in excellent or very good health– % with asthma– % with diabetes– Death rate/100,000 for CV disease– Death rate/100,000 for diabetes
Data on Personal Health
Health Care– % with health insurance
Data - Community/Environment
Built Environment– Parkland as % of MSA land area– Acres of parkland/1,000– Farmers’ Markets/1,000,000– #/10,000 using public transit to work– #/10,000 biking or walking to work
Data - Community/Environment Recreational Facilities
– Ball diamonds/10,000– Dog parks/10,000– Park playgrounds/10,000– Golf courses/100,000– Park units/10,000– Recreation centers/20,000– Swimming pools/100,000– Tennis Courts/10,000
Data - Community/Environment Park-related expenditures per capita
Level of State requirement for PE classes
Data - Health Care Providers # of primary care providers/100,000
Data Limitations
Based on self-reported responses Some missing data for some indicators
in some MSAs– Example: Riverside community and
environmental indicators
Guiding Principles for Healthy Communities
Overall health improvement in U.S. communities must focus on the prevention of behavioral-linked diseases by effectively addressing the underlying risk and community factors
The rise in chronic diseases attributable to physical inactivity and unhealthy diets are a “clear and present danger” to our health and healthcare systems, our communities, our nation and our future
Guiding Principles for Healthy Communities (cont’d)
All U.S. communities, irrespective of size and current health status, can make powerful advances in improving the health of their people through simple, affordable, effective steps.
There is a need for even more synergy and collaboration to assist U.S. communities in actively making the moves toward better health
Moving from pilot to full version
Expanded and enhanced– Expanded to the Top 50 MSAs– Use combined MSAs for communities
with MSA divisions– Expand data elements from BRFSS– Obtain info about certified personal
trainers– Update elements
Next Steps
May 2009 data report– Released during ACSM Annual
Meeting (Seattle, Wash.) Welcome suggestions and comments
– Send comments to [email protected]
What can you do? Provide comments/suggestions Be a role model for good health and physical
activity Educate and bring awareness to the physical
inactivity epidemic in your community– Media relations– Engage community leaders
Volunteer– Check out www.americanfitnessindex.org
for local resources
Thank you
Questions?
www.AmericanFitnessIndex.org