Abstract 15485: Nationally Representative Trends of Overall Physical Activity and Its Subtypes Among US Adults With Diabetes, Hypertension, and Dyslipidemia: Findings From NHANES 2007-2020

Abstract

Background: Physical activity is associated with reduced risk of CV events. Evaluating the nature of physical activity is essential to target improving CV outcomes. Methods: We identified US adults from NHANES 2007-2020 with CV risk factors of DM, hypertension, and dyslipidemia based on self-report, medication history, and lab values. We examined self-reported physical activity, disaggregated into vocational, recreational, and transportational physical activity. We defined adequate physical activity according to AHA guidelines and assessed trends using weighted logistic regression models and complex survey methods. Results: Based on 40,336 adult participants of NHANES during 2007-2020 who reported their physical activity, an estimated 68% (95% CI: 67-69) of US adults adhered to the physical activity recommendations in 2017-2020 compared with 62% (60-64) of those with hypertension, 57% (53-61) of those with DM, and 66% (63-69) of those with dyslipidemia. From 2007-2020, overall physical activity significantly increased among US adults and those with hypertension and DM, but not among those with dyslipidemia. Among those at risk for CVD, vocational, recreational, and transportational physical activity accounted for 51-54%, 35-38%, and 10-13% of overall physical activity, respectively, in 2017-2020 (Fig). Conclusions: While those with CV risk factors had lower physical activity, with a third of them not adhering to physical activity recommendations, overall physical activity improved during 2007-2020. Vocational physical activity accounts for half of the overall physical activity among those at risk for CVD.