Arena Ross, Pronk Nicolaas P, Woodard Colin
Department of Physical Therapy, College of Applied Science, University of Illinois, Chicago, IL; Healthy Living for Pandemic Event Protection (HL - PIVOT) Network, Chicago, IL.
Healthy Living for Pandemic Event Protection (HL - PIVOT) Network, Chicago, IL; HealthPartners Institute, Minneapolis, MN; Department of Health Policy and Management, University of Minnesota, Minneapolis, MN.
Curr Probl Cardiol. 2023 Dec;48(12):102007. doi: 10.1016/j.cpcardiol.2023.102007. Epub 2023 Aug 4.
Efforts to reverse the physical inactivity (PI) and obesity pandemics in the United States (U.S.) have been unsuccessful. This commentary provides a view of PI and obesity in the U.S. from the intersection of politics, socioeconomics, race, and culture. On a national level, counties where the Democratic presidential candidate received more votes in 2020 than the Republican candidate had a lower PI and obesity prevalence. The percentage completing some college and Black individuals as well as median household income were higher in counties where the Democratic candidate received more votes. Regionally, unique, region-specific cultural identities and partisan coalition demographics were apparent and serve as potential explanations for inconsistencies in PI and obesity prevalence across the U.S. Identifying the driving forces of PI and obesity within specific U.S. regions and crafting messaging that has optimal efficacy on a local level is essential to reducing the burden of cardiovascular disease and other chronic conditions.
在美国，扭转身体活动不足（PI）和肥胖流行趋势的努力一直没有成功。本评论从政治、社会经济、种族和文化的交叉点审视了美国的身体活动不足和肥胖问题。在国家层面，2020年民主党总统候选人获得选票多于共和党候选人的县，身体活动不足和肥胖患病率较低。民主党候选人获得更多选票的县，完成部分大学学业的人口比例、黑人人口以及家庭收入中位数更高。在地区层面，独特的、特定地区的文化特征和党派联盟人口结构很明显，这可能是美国各地身体活动不足和肥胖患病率不一致的原因。确定美国特定地区身体活动不足和肥胖的驱动因素，并制定在地方层面具有最佳效果的信息，对于减轻心血管疾病和其他慢性病的负担至关重要。
