Implementing Strategies to Enhance
Public Health Surveillance of
Physical Activity in the United States
Committee on Strategies for Implementing Physical Activity
Food and Nutrition Board
Health and Medicine Division
A Consensus Study Report of
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This activity was supported by a contract between the National Academy of Sciences and the Department of Health and Human Services (Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention [#200-2011-38807/75D30118F00068]). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-49268-3
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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2019. Implementing strategies to enhance public health surveillance of physical activity in the United States. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25444.
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COMMITTEE ON STRATEGIES FOR IMPLEMENTING PHYSICAL ACTIVITY SURVEILLANCE
RUSSELL R. PATE (Chair), Professor of Exercise Science, Arnold School of Public Health, University of South Carolina
GENEVIEVE FRIDLUND DUNTON, Associate Professor, Director, USC Real-Time Eating Activity and Children’s Health (REACH) Lab, Departments of Preventive Medicine and Psychology, University of Southern California
ELIZABETH A. JOY, Medical Director, Community Health, Health Promotion and Wellness, and Nutrition Services, Intermountain Healthcare
KESHIA M. POLLACK PORTER, Professor, Health Policy and Management, Bloomberg School of Public Health, John Hopkins University
DANIEL A. RODRIGUEZ, Chancellor’s Professor, City and Regional Planning, University of California, Berkeley
JAMES F. SALLIS, Distinguished Professor Emeritus, Department of Family Medicine and Public Health, University of California, San Diego
LAURIE P. WHITSEL, Vice President, Policy Research and Translation, American Heart Association
HEATHER DEL VALLE COOK, Study Director
MEREDITH YOUNG, Research Assistant
ANN L. YAKTINE, Director, Food and Nutrition Board
EMILY CALLAHAN, EAC Consulting
MATHEMATICA POLICY RESEARCH
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This Consensus Study Report was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published report as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process.
We thank the following individuals for their review of this report:
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the conclusions or recommendations of this report nor did they see the final draft before its release. The review of this report was overseen by DIANE F. BIRT, Iowa State University, and MAXINE HAYES, Washington State Department of Health. They were responsible for making certain that an independent examination of this report was carried out in accordance with the standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the authoring committee and the National Academies.
Physical activity has long been recognized as a key component of a healthy lifestyle, and promotion of physical activity has been a longstanding priority in some societal sectors including education, health care, and recreation/parks. However, it is only in recent decades that physical activity has become a focus of the public health sector. Because physical activity is a relatively new element in public health, important components of a comprehensive public health strategy for promoting physical activity are still being developed. Surveillance, the systematic, ongoing collection and analysis of health-related data, is a core public health function. The existing public health system in the United States includes some important physical activity surveillance resources. But, many gaps remain to be filled. This report provides a comprehensive set of recommended actions that, when taken, will contribute importantly to filling those gaps and establishing a robust physical activity surveillance system in the United States.
This report builds on the products of two previous projects. In 2014, the Centers for Disease Control and Prevention and the American College of Sports Medicine convened an expert panel that identified priority areas for enhancing physical activity surveillance. This was followed by the work of a group of experts, convened in 2017 by the Physical Activity Innovation Collaborative, an entity affiliated with the Roundtable on Obesity Solutions of the National Academies of Sciences, Engineering, and Medicine. That group identified key strategies for enhancing physical activity surveillance. The work of the committee that produced the current report was informed by the products of the two previous projects. This Consensus
Study Report extends the recommendations of those projects by identifying specific actions that should be taken to implement strategies for enhancement of physical activity surveillance.
The committee has many people to thank for their support in developing the strategies and recommended actions presented in this report. In particular, the committee expresses its gratitude to the experts who were convened to advise the committee on specific actions to enhance physical activity surveillance. That group’s thoughtful, thorough, and detailed input was critical to the successful production of this report. In addition, the committee acknowledges the many public health practitioners and researchers whose work has established the foundation of evidence on which the content of this report is based.
The committee also thanks Emily Callahan for copyediting, and the team from Mathematica Policy Research, Kelley Borradaile, Daniel Finkelstein, and Andrew Hurwitz, for their contributions to the committee’s work. Finally, the committee could not have done its work without the outstanding guidance and support of Heather Del Valle Cook, Senior Program Officer, and Meredith Young, Research Assistant, with the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine. We are deeply appreciative of the skill, energy, and warmth with which they supported the committee’s efforts. Lastly, we thank Ann Yaktine, Director of the Food and Nutrition Board, for her wisdom and support.
Russell R. Pate, Chair
Committee on Strategies for Implementing
Physical Activity Surveillance