The Physical Activity Vital Sign: Why and How

Rippe JM . Lifestyle medicine in the COVID-19 era. Am J Lifestyle Med. 2020;14(4):340-341.

Hacker KA Briss PA . An ounce of prevention is still worth a pound of cure, especially in the time of COVID-19. Prev Chronic Dis. 2021;18:E03. doi:10.5888/pcd18.200627

Butler MJ Barrientos RM . The impact of nutrition on COVID-19 susceptibility and long-term consequences. Brain Behav Immun. 2020;87:53-54.

De Frel DL Atsma DE Pijl H , et al. The impact of obesity and lifestyle on the immune system and susceptibility to infections such as COVID-19. Front Nutr. 2020;7:597600. doi:10.3389/fnut.2020.597600

Sallis R Young DR Tartof SY , et al. Physical inactivity is associated with a higher risk for severe COVID-19 outcomes: a study in 48 440 adult patients. Br J Sports Med. 2021;55(19):1099-1105.

U.S. Department of Health and Human Services . Physical Activity Guidelines for Americans. 2nd ed. Washington, DC: U.S. Department of Health and Human Services; 2018.

Centers for Disease Control and Prevention . Underlying conditions and the higher risk for severe COVID-19. Updated July 30, 2024. Available at: https://www.cdc.gov/covid/hcp/clinical-care/underlying-conditions.html. Accessed December 20, 2024.

Coleman KJ Ngor E Reynolds K , et al. Initial validation of an exercise “vital sign” in electronic medical records. Med Sci Sports Exerc. 2012;44(11):2071-2076.

Kuntz JL Young DR Saelens BE , et al. Validity of the exercise vital sign tool to assess physical activity. Am J Prev Med. 2021;60(6):866-872.

Lobelo F Rohm Young D Sallis R , et al. Routine assessment and promotion of physical activity in healthcare settings: a scientific statement from the American Heart Association. Circulation. 2018;137(18):e495-522.

Fryar CD Kit B Carroll MD Afful J . Hypertension Prevalence, Awareness, Treatment, and Control Among Adults Age 18 and Older: United States, August 2021–August 2023. NCHS Data Brief, No 511. Hyattsville, MD: National Center for Health Statistics; 2024.

Elgaddal N Kramarow EA Reuben C . Physical activity among adults aged 18 and over: United States, 2020. NCHS Data Brief. 2022;443:1-8.

Grant RW Schmittdiel JA Neugebauer RS Uratsu CS Sternfeld B . Exercise as a vital sign: a quasi-experimental analysis of a health system intervention to collect patient-reported exercise levels. J Gen Intern Med. 2014;29(2):341-348.

American College of Sports Medicine . Physical activity guidelines. Available at: https://www.acsm.org/education-resources/trending-topics-resources/physical-activity-guidelines. Accessed December 20, 2024.

HL7 International . Physical activity implementation guide. Available at: https://build.fhir.org/ig/HL7/physical-activity/. Accessed December 20, 2024.

American College of Sports Medicine . Major milestone achieved for exercise professionals. Health Care. Updated May 5, 2023. Available at: https://www.acsm.org/news-detail/2023/05/05/acsm-eim-achieve-major-victory-for-exercise-professionals-health-care. Accessed December 20, 2024.

Barnes PM Schoenborn CA . Trends in adults receiving a recommendation for exercise or other physical activity from a physician or other health professional. NCHS Data Brief. 2012;86:1-8.

Office of Disease Prevention and Health Promotion . Move your Way. Available at: https://odphp.health.gov/moveyourway. Accessed December 20, 2024.

Centers for Disease Control and Prevention . Moving Matters. Available at: https://www.cdc.gov/moving-matters/about/index.html. Accessed December 20, 2024.

Thompson WR Sallis R Joy E Jaworski CA Stuhr RM Trilk JL . Exercise is medicine. Am J Lifestyle Med. 2020;14(5):511-523.