Definition

Percentage of adults 18 years of age and older who report on the [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System (BRFSS)] doing at least 150 minutes (2 hours and 30 minutes) a week of moderate-intensity, or 75 minutes (1 hour and 15 minutes) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic activity. Aerobic activity should be performed in episodes of at least 10 minutes, and preferably, it should be spread throughout the week.

Numerator

Weighted number of adults (18+) who report on the BRFSS engaging in 150 minutes or more total per week of moderate or vigorous exercise where each minute of vigorous exercise contributes two minutes to the total.

Denominator

Weighted number of adults (18+) responding to physical activity questions on the BRFSS, excluding those with missing, "Don't know/Not sure", or "Refused" responses.

Data Interpretation Issues

The Physical Activity Rotating Core (PARC) is part of the BRFSS core asked in odd-numbered years to measure progress towards meeting 2008 Physical Activity Guidelines for Americans.^1^ The PARC consists of three components of (1) presence of leisure-time physical activity, (2) listing up to two aerobic activities along with their frequency and duration, and (3) the frequency of muscle-building activities. The first component of leisure-time physical activity is measured by the question: "During the past month, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?" The second component of aerobic activity questions is only asked of respondents who answered "Yes" to the leisure-time physical activity question. It consists of two sets of three questions with the first set being: "What type of physical activity or exercise did you spend the most time doing during the past month?"; "How many times per week or per month did you take part in this activity?"; and "And when you took part in this activity, for how many minutes or hours did you usually keep at it?" The second set of questions is: "What other type of physical activity gave you the next most exercise during the past month?"; "How many times per week or per month did you take part in this activity?"; and "And when you took part in this activity, for how many minutes or hours did you usually keep at it?" The third component of muscle-strengthening activities is measured by the question: "During the past month, how many times per week or per month did you do physical activities or exercises to STRENGTHEN your muscles? Do NOT count aerobic activities like walking, running, or bicycling. Count activities using your own body weight like yoga, sit-ups or push-ups and those using weight machines, free weights, or elastic bands." See '''Resources and References''' for references.

Why Is This Important?

Regular physical activity can improve the health and quality of life of Alaskans of all ages, regardless of the presence of a chronic disease or disability. Adults benefit from moderate physical activity, of at least 150 minutes each week. Physical activity is recognized as an independent protective factor against cardiovascular disease, and has been shown to reduce the risk of some cancers, type 2 diabetes, stroke, and heart disease; and improve general physical and mental health.^1^ Weight-bearing activity can improve bone density, reducing the risk of hip fractures in elderly persons. Regular activity helps to relieve pain from osteoarthritis. Regular physical activity is also known to improve affective disorders such as depression and anxiety, and increase quality of life and independent living among the elderly.^2^[[br]] [[br]] ---- {{class .SmallerFont 1. U.S. Department of Health and Human Services. Physical Activity Guidelines Advisory Committee Report, 2008. [https://health.gov/paguidelines/report/]. Published 2008. Accessed October 14, 2016. 2. U.S. Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. [http://health.gov/paguidelines/guidelines/]. Published 2008. Accessed August 30, 2016. }}

Healthy People Objective: Increase the proportion of adults who engage in aerobic physical activity of at least moderate intensity for at least 150 minutes/week, or 75 minutes/week of vigorous intensity, or an equivalent combination

U.S. Target: 47.9% as measured by the National Health Interview Survey (NHIS) for adults 18 years of age and older.

Other Objectives

Healthy Alaskans 2020 Indicator 6.a: Increase the percentage of adults (age 18 years and older) who meet the 2008 U.S. Dept. of Health and Human Services Physical Activity Guidelines (150 minutes or more total minutes per week of moderate or vigorous exercise) to 61% by 2020. Healthy People Objective PA-2.2: Increase the proportion of adults who engage in aerobic physical activity of at least moderate intensity for more than 300 minutes/week, or more than 150 minutes/week of vigorous intensity, or an equivalent combination. U.S. Target: 31.3% as measured by the National Health Interview Survey (NHIS) for adults 18 years of age and older. Healthy People Objective PA-2.3: Increase the proportion of adults who perform muscle-strengthening activities on 2 or more days of the week. U.S. Target: 24.1% as measured by the National Health Interview Survey (NHIS) for adults 18 years of age and older. Healthy People Objective PA-2.4: Increase the proportion of adults who meet the objectives for aerobic activity and muscle-strengthening activity. U.S. Target: 20.1% as measured by the National Health Interview Survey (NHIS) for adults 18 years of age and older.

How Are We Doing?

In 2015, the prevalence of getting the recommended equivalent amount of 150 minutes or more per week of moderate or vigorous physical activity was 59% for all Alaska adults and 48% for Alaska Native adults, both below the Healthy Alaskans 2020 goal of 61%. Prevalence of meeting physical activity recommendations has not changed significantly since 2011. However, most groups still maintained a percentage higher than the Healthy People 2020 target of 47.9% for this measure. The prevalence rates for the standard aerobic physical activity measure (i.e., 150+ minutes per week) from the BRFSS are initially presented for all Alaskans, Alaska Native people, and the median from states, District of Columbia, and territories for all available years. The aerobic physical activity measure of 300+ minutes per week for additional and more extensive health benefits is presented for all Alaskans and Alaska Native adults. Recommended levels of twice-weekly strength training and overall physical fitness (150+ minutes per week) in conjunction with the strength training are displayed for all Alaskans, Alaska Native adults, and the national median. Subsequent analyses of the 150+ minutes per week of physical activity recommendation are presented by demographic subpopulations (i.e., sex, age, race/ethnicity, ethnicity, marital status, education, employment status, income, and poverty status). Differences were observed by race group and region of the state. Prevalence of meeting recommendations increased along with education and income levels. Crosstabulations of meeting aerobic physical activity recommendations by body mass index (BMI), current smoking, sexual orientation, disability, and Adverse Childhood Experiences (ACEs) score were conducted for the 3-year average of 2013-2015. Only the significant differences related to BMI, smoking, and disability are presented, but the other comparisons are available upon request. Regional displays of this aerobic physical activity recommendation are presented for the most recent time period allowing reporting for all Alaskans and Alaska Native people: 1) single-year for the 6 Alaska Public Health Regions, 2) two-year averages by the 7 Metropolitan and Micropolitan Statistics Areas and rural remainder, 3) single-year for the 10 behavioral health assessment regions based upon aggregations of 20,000 population, 4) two-year averages for 29 boroughs and census areas, and 5) two-year averages for the 12 tribal health organization regions.

How Do We Compare With the U.S.?

When compared to the median of states on the BRFSS, Alaska adults display higher rates of physical activity. In 2015, 58.5% of Alaska adults met the recommended amount of 150+ minutes per week of aerobic physical activity compared to the national median value of 51.0%. For the measure of twice weekly muscle-strengthening activities, 33.1% of Alaska adults met the recommendation compared to the national median of 30.2%. Nearly one-quarter (23.9%) of Alaska adults met both the aerobic and muscle-strengthening recommendations compared to just one-fifth (20.3% in 2015) for the national median.

What Is Being Done?

The Play Every Day campaign delivers Alaska-specific messages focused on raising awareness about childhood obesity in Alaska and encouraging parents and families to prioritize daily physical activity and serving fewer sugary drinks to their families.^3^ Play Every Day uses community and school events, as well as media and other marketing resources, to create a sustained campaign aimed at increasing youth and family physical activity, promoting participation in the Healthy Futures Challenge and physical activity events, and reducing sugary drink consumption.[[br]] [[br]] ---- {{class .SmallerFont 3. Alaska Department of Health and Social Services. Play Every Day. [http://dhss.alaska.gov/dph/PlayEveryDay/pages/default.aspx] Accessed August 30, 2016. }}

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaska subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. '''Strategy 1:''' [[br]]Implement a comprehensive social marketing campaign promoting physical activity. Choose campaign topics strategically. '''Evidence Base:''' [[br]]Citing the Community Guide and other reviews, the CDC recommends community-wide campaigns as effective in increasing physical activity. '''Sources:''' [[br]]Centers for Disease Control and Prevention. Increasing physical activity: A report on recommendations of the Task Force on Community Preventive Services. MMWR 2001;50(RR-18):1-16. The Community Guide: [http://www.thecommunityguide.org/pa/index/html] Kahn EB, Ramsey LT, Brownson RC, Heath GW, et al. The effectiveness of interventions to increase physical activity: a systematic review. Am J Prev Med 2002;22(4S):73-107. '''Strategy 2:''' [[br]]Adopt and implement new school physical activity and Nutrition policies, also known as "wellness policies". '''Evidence Base:''' [[br]]Many of the evidence-based strategies to address childhood obesity (such as promoting quality PE and health education, and establishing a Safe Routes to School program) depend on the support of schools, communities, and parents to implement. Therefore a strategy recommended by the CDC, US DHHS and the IOM is to support the adoption and implementation of school physical activity and nutrition policies (also known as "wellness policies") by school districts. '''Sources:''' [[br]]CDC School Health Guidelines. [http://www.cdc.gov/healthyyouth/npao/strategies.htm]. Institute of Medicine. Progress in preventing childhood obesity: How do we measure up? Koplan JP, Liverman CT, Kraak VI, Wisham, SL editors. Washington: National Academies Press; 2007. U.S. Department of Health and Human Services. The Surgeon General's Vision for a Healthy and Fit Nation. [http://www.surgeongeneral.gov/priorities/healthy-fit-nation/obesityvision2010.pdf]. Published 2010. Accessed August 30, 2016. USDA Healthy, Hunger-Free Kids Act of 2010 SEC. 204 Local School Wellness Policy Implementation. [http://www.gpo.gov/fdsys/pkg/PLAW-111publ296/pdf/PLAW-111publ296.pdf] A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_6_Physical_Activity.pdf].

Relevant Population Characteristics

There are age, gender, and socio-economic related risk factors associated with physical inactivity.

Health Care System Factors

Health care system factors relate primarily to access to care and a reported low rate of health care provider counseling for physical activity recommendations.

Risk Factors

The percentage of persons who reported no physical activity during leisure time was higher among women, older adults, people who were overweight or obese, and those with less formal education and less income.

Health Status Outcomes

Small changes in levels of physical activity such as walking or gardening can lead to big improvements in personal health. In fact, the greatest benefits occur among those who have never exercised regularly. Even moderate amounts of exercise can substantially reduce an individual's chance of dying from heart disease, cancer, or other causes.

Data Notes

U.S. values are based upon the median value of the states, District of Columbia, and territories. Alaska Native people in analyses of the BRFSS refers to any mention of American Indian or Alaska Native heritage when enumerating racial and ethnic background. Individuals who indicate multiple races including American Indian/Alaska Native are considered Alaska Native in the data. When race and ethnicity are consider concurrently, Hispanic individuals with American Indian/Alaska Native heritage are combined into the Alaska Native (any mention) group and removed from the Hispanic class. This measure is relevant for measuring progress to Healthy People 2020 Objective PA-2.1: Increase the proportion of adults who engage in aerobic physical activity of at least moderate intensity for at least 150 minutes/week, or 75 minutes/week of vigorous intensity, or an equivalent combination with a national target of 47.9%.

Data Notes

Definition: Percentage of adults aged 18 years of age and older who report on the Behavioral Risk Factor Surveillance System (BRFSS) doing at least 300 minutes (5 hours) a week of moderate-intensity, or 150 minutes (2 hours and 30 minutes) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous intensity aerobic activity. Aerobic activity should be performed in episodes of at least 10 minutes, and preferably, it should be spread throughout the week. Numerator: Weighted number of adults (18+) who report on the BRFSS engaging in 300 minutes or more total per week of moderate or vigorous exercise where each minute of vigorous exercise contributes two minutes to the total. Denominator: Weighted number of adults (18+) responding to physical activity questions on the BRFSS, excluding those with missing, "Don't know/Not sure" or "Refused" responses. This measure is relevant for measuring progress to Healthy People 2020 Objective PA-2.2: Increase the proportion of adults who engage in aerobic physical activity of at least moderate intensity for more than 300 minutes/week, or more than 150 minutes/week of vigorous intensity, or an equivalent combination with a national target of 31.3%.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

The percentage of adults whom strengthen muscles two-times per week is presented because the HHS 2008 Physical Activity Guidelines recommend muscle-strengthening activities that are of moderate to high intensity and involve all major muscle groups on 2 or more days a week.^1^[[br]] [[br]] ---- {{class .SmallerFont 1. 2008 Physical Activity Guidelines for Americans. Office of Disease Prevention and Health Promotion, Office of the Assistant Secretary for Health, Office of the Secretary, U.S. Department of Health and Human Services. [http://health.gov/paguidelines/guidelines/]. Accessed August 30, 2016. }}

Data Notes

Definition: Respondent reports participation in muscle-strengthening activities at least 2 times per week. Numerator: Those responding to the question: "During the past month, how many times per week or per month did you do physical activities or exercises to STRENGTHEN your muscles? Do NOT count aerobic activities like walking, running, or bicycling. Count activities using your own body weight like yoga, sit-ups or push-ups and those using weight machines, free weights, or elastic bands." Denominator: Weighted number of adults aged 18 years and older responding to physical activity questions, excluding those with missing, "Don't know/Not sure" or "Refused" responses. U.S. values are based upon the median value of the states, District of Columbia, and territories. This measure is relevant for measuring progress to Healthy People 2020 Objective PA-2.3: Increase the proportion of adults who perform muscle-strengthening activities on 2 or more days of the week with a national target of 24.1%.

** = Data not available

Data Notes

Definition: Respondent reports participation in muscle-strengthening activities at least 2 times per week AND at least 150 minutes per week of moderate-intensity activity, or at least 75 minutes per week of vigorous-intensity activity, or an equivalent combination of moderate-intensity and vigorous-intensity activity (multiplied by 2) totaling at least 150 minutes per week. Numerator: Weighted number of adults aged 18 years and older who report 150 minutes or more total per week of moderate or vigorous exercise where each minute of vigorous exercise contributes two minutes to the total and participates in muscle-strengthening activities at least 2 times per week. Denominator: Weighted number of adults aged 18 years and older responding to physical activity questions, excluding those with missing, "Don't know/Not sure" or "Refused" responses. This measure is relevant for measuring progress to Healthy People 2020 Objective PA-2.4: Increase the proportion of adults who meet the objectives for aerobic physical activity and for muscle-strengthening activity with a national target of 20.1%. U.S. values are based upon the median value of the states, District of Columbia, and territories.

Data Notes

The sex of the respondent is only asked if necessary.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

Respondents are asked, "What is your age?, which is coded in years. Responses of Refused are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator. Race/ethnicity is determined by responses to three questions: [[br]] 1) "Are you Hispanic, Latino/a, or Spanish origin?" "If yes, are you...?" One or more categories may be selected from categories of (1) "Mexican, Mexican American, Chicano/a"; (2) "Puerto Rican"; (3) "Cuban"; (4) "Another Hispanic, Latino/a, or Spanish origin".[[br]] 2) "Which one or more of the following would you say is your race?" Response categories consist of "White", "Black or African American", "American Indian or Alaska Native", "Asian" (with subcategories of Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or Other Asian), "Pacific Islander" (with subcategories of Native Hawaiian, Guamanian or Chamorro, Samoan, or Other Pacific Islander), Other, or No additional choices. [[br]] 3) If more than one response to race, then "Which one of these groups would you say best represents your race?" with choices from the list

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

Ethnicity is defined independent of race. It is based upon responses to the question, "Are you Hispanic, Latino/a, or Spanish origin?" Responses of "Don't Know/Not Sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

Marital status is determined by the question, "Are you ...?" with responses of "Married", 'Divorced", "Widowed", "Separated", "Never married," or "A member of an unmarried couple". Responses of "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

Education is based upon education completed by or after 25 years of age. Individuals less than 25 years of age are excluded. Education is assessed by responses to the question: "What is the highest grade or year of school you completed?" Responses are "Never attended school or only attended kindergarten", "Grades 1 through 8 (Elementary)", "Grades 9 through 11 (Some high school)", "Grade 12 (High School Graduate)", "College 1 year to 3 years (Some college or technical school)", "College 4 years or more (College graduate)", or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

Employment status is assessed by the question: "Are you currently ...?" with responses of "Employed for wages", "Self-employed", "Out of work for 1 year or more", "Out of work for less than 1 year", "A Homemaker", "A Student", "Retired", "Unable to work" or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

Income is measure by the question: "Is your annual household income from all sources ---" with categories of "Less than $10,000", "Less than $15,000", "less than $20,000", "less than $25,000", "less than $35,000", "less than $50,000", "less than $75,000", "$75,000 or more", and "Don't know / Not sure" or "Refused". Responses of "Don't know / Not sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Poverty thresholds are intended for use as a statistical yardstick, not as a complete description of what people and families need to live. Poverty thresholds are the dollar amounts assigned by the U.S. Census Bureau to determine poverty status. Poverty thresholds are assigned based upon the size of the family and the ages of the members (i.e., adults versus children). The same thresholds are used throughout the United States. Poverty thresholds were originally derived in the 1963-1964 using U.S. Department of Agriculture food budgets designed for families under economic stress and data about what proportion of their income families spent on food. The thresholds are updated annually for inflation using the Consumer Price Index for All Urban Consumers (CPI-U). How the Census Bureau Measures Poverty - U.S. Census Bureau [https://www.census.gov/hhes/www/poverty/about/overview/measure.html]

Data Notes

Poverty thresholds computed using the BRFSS assume that householders are less than 65 years of age as the ages of the household heads are not recorded. The maximum of the income range provided for the household is used to evaluate the proportion of the poverty threshold. This is a conservative approach as there are no errors of misclassification into the lowest poverty group. The category of Poor represents less than 100% of the poverty threshold. Near Poor is 100% through 199% of the poverty threshold. Middle/High income families are 200% or higher of the poverty threshold. How the Census Bureau Measures Poverty - U.S. Census Bureau [https://www.census.gov/hhes/www/poverty/about/overview/measure.html]

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

Body Mass Index (BMI) is computed based upon responses to the questions, "About how much do you weight without shoes?" and "About how tall are you without shoes?" Responses of "Don't know / Not sure" or "Refused" to either questions are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

Current smoking is assessed using two questions: "Have you smoked at least 100 cigarettes in your entire life?" and, if "Yes", "Do you now smoke cigarettes every day, some days, or not at all?" Current smokers are defined as those who have smoked at least 100 cigarettes and who now smoke every day or some days. Non-current smokers are those who have either never smoke 100 cigarettes or whom now smoke cigarettes not at all. Responses of "Don't know / Not sure" or "Refused" to either question are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

Disability is assessed using responses from 5 questions: 1) "Are you blind or do you have serious difficulty seeing, even when wearing glasses?"; 2) Because of physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?"; 3) "Do you have a serious difficulty walking or climbing stairs?"; 4) "Do you have difficulty dressing or bathing?"; and 5) "Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping?" A "Yes" response to one or more of the questions when all questions have valid answers is used to classify the respondent as having a disability. Responses of "No" to all 5 questions denotes the absence of a disability. Responses of "Don't know / Not sure" or "Refused" to one or more questions result in the survey being excluded from analysis on disability status.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of the public health regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_phr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

** Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of the metropolitan and micropolitan statistical areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_mmsa.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of the behavioral health systems assessment reporting regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bhs.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of boroughs and census areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bca.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

Data Notes

** = Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of the tribal health organization regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_thr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

References and Community Resources

'''References:''' 1. U.S. Department of Health and Human Services. Physical Activity Guidelines Advisory Committee Report, 2008. [https://health.gov/paguidelines/report/]. Published 2008. Accessed October 14, 2016. 2. U.S. Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. [http://health.gov/paguidelines/guidelines/]. Published 2008. Accessed August 30, 2016. 3. Alaska Department of Health and Social Services. Play Every Day. [http://dhss.alaska.gov/dph/PlayEveryDay/pages/default.aspx] Accessed August 30, 2016. '''Resources:''' CDC's Division of Nutrition and Physical Activity. [http://www.cdc.gov/nccdphp/dnpa] Healthy Futures. [http://healthyfuturesak.org/] The National Heart, Lung, and Blood Institute ([http://www.nhlbi.nih.gov]) has extensive resources on physical activity for patients, health care providers, and general consumers. The University of South Carolina's Prevention Research Centers )([http://prevention.sph.sc.edu/index.htm]) provide resources and information about physical activity to researchers, public health practitioners, and others who are interested in promoting physical activity in their communities. More information on the Behavioral Risk Factor Surveillance System ([http://www.cdc.gov/brfss/]) may be found on the website of the Centers for Disease Control and Prevention.