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Name
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Physical Activity During Leisure Time(Age 18 and Older)
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Short/Other Names
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Not applicable

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Description
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The percentage

and number

of

persons

the population age

12

18 and older who

report

reported being physically active

to moderately active during their leisure time in the Canadian Community Health Survey (CCHS) Physical activity is measured based on responses to questions about the frequency, nature and duration of participation in leisure time physical activity in the last three months by the population age 12 and older

Being physically active for adults is defined as participating in at least 150 minutes of moderate- to vigorous-intensity aerobic physical activity per week, in bouts of 10 minutes or more. Moderate exercise is defined as an activity that causes a person to breathe harder and sweat at least a little.

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Interpretation
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High results are desirable.
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HSP Framework Dimension
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Social Determinants of Health: Biological, material, psychosocial and behavioural factors

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Areas of Need
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Not applicable

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Geographic Coverage
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All provinces/territories

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Reporting Level/Disaggregation
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National, Province/Territory, Region

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Indicator Results
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Accessing Indicator Results on Your Health System: In Depth

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Identifying Information
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Name
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Physical Activity During Leisure Time(Age 18 and Older)
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Short/Other Names
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Not applicable

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Indicator Description and Calculation
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Description
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The percentage

and number

of

persons

the population age

12

18 and older who

report

reported being physically active

to moderately active during their leisure time in the Canadian Community Health Survey (CCHS) Physical activity is measured based on responses to questions about the frequency, nature and duration of participation in leisure time physical activity in the last three months by the population age 12 and older

Being physically active for adults is defined as participating in at least 150 minutes of moderate- to vigorous-intensity aerobic physical activity per week, in bouts of 10 minutes or more. Moderate exercise is defined as an activity that causes a person to breathe harder and sweat at least a little.

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Calculation: Description
Population age 18 and older considered physically active divided by the total population age 18 and older. Population estimates are based on weighted survey responses to reflect the total population.
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For each leisure-time physical activity reported, average daily energy expenditure is calculated by multiplying the number of times the activity was performed by the average duration of the activity by the energy cost (kilocalories per kilogram of body weight per hour). The index is calculated as the sum of the average daily energy expenditures of all activities. Respondents are then classified based on the index score, as follows:

1. Physically active: 3.0 kcal/kg/day or more

2. Moderately active: 1.5 to 2.9 kcal/kg/day

3. Inactive: Less than 1.5 kcal/day

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Place of residence

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Percentage or proportion

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Calculation: Adjustment Applied
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None

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Calculation: Method of Adjustment
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Not applicable

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Denominator
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Description:

Survey respondents

Population age

12

18 and older

who reported a level of physical activity

(based on weighted survey responses)
Exclusions:
Non-response categories (refusal, don't know and not stated) are excluded as of 2009.

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Numerator
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Description:
Population age

12

18 and older who

reported a level of active or moderately active physical activity, based on their responses to questions about the nature, frequency and duration of their participation in leisure-time physical activity
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Background, Interpretation and Benchmarks

are physically active (based on weighted survey responses)

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Rationale
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The health benefits of physical activity include a reduced risk of ill health and premature death. In particular, studies have found that physical activity reduces the risk of cardiovascular disease, some types of cancer, osteoporosis, diabetes, obesity, high blood pressure, depression, stress and anxiety, and prolongs independence in those who are older. The economic impact of physical inactivity can be substantial. A 10% reduction in the prevalence of physical inactivity has the potential to reduce direct health care expenditures by $150 million a year.

Monitoring trends in prevalence of physical activity is important for understanding population health risks and for planning and evaluating policies and programs for the promotion of physical activity. The Active 2010 strategy is just one example of a multi-faceted approach by the Ontario government that involves government leadership and stakeholder participation in order to continue development of amateur sport and increase physical activity rates within the province.

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Interpretation
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High results are desirable.

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HSP Framework Dimension
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Social Determinants of Health: Biological, material, psychosocial and behavioural factors

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Areas of Need
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Not applicable

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Targets/Benchmarks
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Not applicable

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References
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Chen J, Millar WJ. Starting and sustaining physical activity. Health Reports

(Statistics Canada, Catalogue 82-003) 2001;12(4):33-43

. 2001.

Katzmarzyk PT, Janssen I. The economic costs associated with physical inactivity and obesity in Canada:

an

An update.

Can J Appl Physiol. 2004; 29(1), 90-115

Canadian Journal of Applied Physiology. 2004.

Statistics Canada. Health

Trends. Statistics Canada Catalogue No. 82-213-XWE. Released December 12, 2013. http://www12.statcan.gc.ca/health-sante/82-213/index.cfm?Lang=ENG Accessed January 31, 2014.

Statistics Canada. Physical Activity During Leisure Time, 2011. Available at http://www.statcan.gc.ca/pub/82-625-x/2012001/article/11667-eng.htm . Accessed January 31, 2014

Public Health Agency of Canada. Physical Activity. Available at http://www.phac-aspc.gc.ca/hp-ps/hl-mvs/pa-ap/index-eng.php. Accessed January 31, 2014

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Availability of Data Sources and Results

trends. Accessed September 16, 2016.

Public Health Agency of Canada. Physical activity. Accessed September 16, 2016.

Statistics Canada. Canadian Community Health Survey — Annual component (CCHS). Accessed January 22, 2018.

Canadian Research Data Centre Network. The Canadian Community Health Survey: What's New in the 2015 Cycle? [PPT presentation]. January 25, 2017.

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Data Sources
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CCHS, Statistics Canada, Statistics Canada. CANSIM Table 105-0509: Canadian health characteristics, two year period estimates, by age group and sex, Canada, provinces, territories and health regions.

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Available Data Years
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Type of Year:
Calendar
First Available Year:

2003

2015
Last Available Year:

2014

2016

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Geographic Coverage
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All provinces/territories

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Reporting Level/Disaggregation
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National, Province/Territory, Region

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Result Updates
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Update Frequency
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Every year

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Indicator Results
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Web Tool:
Your Health System: In Depth
URL:
Accessing Indicator Results on Your Health System: In Depth

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Updates
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Not applicable

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Quality Statement
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Caveats and Limitations
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Results are reported using 2013 health region boundaries

This indicator is calculated based on 2 years of pooled data from 2015 and 2016.

Data for the Canadian Community Health Survey (CCHS) is collected yearly from a sample of approximately 65,000 respondents. CANSIM Table 105-0509 presents estimates from 2-year combined data and features estimates for all provinces and territories as well as for health regions. The 2-year combined data has higher precision (less variability) than annual estimates; annual CCHS estimates are not available at the health region level.

Some values have data quality flags that indicate "use with caution" or "suppressed" due to high coefficients of variation: health regions with small populations and results disaggregated by age group or sex within small regions.

The

two-year combined data is less current than annual estimates but has higher precision (less variability). Users should refer to the annual CANSIM Table 105-0501 as the primary source for the most current estimates from the

CCHS

as well as to obtain data from previous years. However, where data quality flags indicate suppression (F) or higher variability (E), the two-year CANSIM Table 105-0502 should be used. Self-reported data is subject to bias.The CCHS

covers the population age 12 and older living in the 10 provinces and 3 territories. Excluded from the survey's coverage are the following:

–Persons living on reserves and other Aboriginal settlements in the provinces

–Full-time members of the Canadian Forces

–Children age 12 to 17 living in foster care

–The population of institutionalized persons

–Persons living in

two

2 Quebec health regions: Nunavik

Health

Region and Terres-Cries-de-la-Baie-James

Health

Region

Altogether, these exclusions represent less than 3% of the

target

Canadian population

. In the north, the frame for the CCHS covers 92% of the target population in Yukon, 96% in the Northwest Territories and 92% in Nunavut. Before 2013, coverage in Nunavut was 71%

age 12 and older.

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Trending Issues
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As a result of a redesign in 2015, the CCHS has a new collection strategy and sample design. For this reason, Statistics Canada does not recommend making comparisons with CCHS data from 2001 to 2014.

Prior to the 2015 CCHS, physical activity was reported based on physical activity during leisure time for the population age 12 and older.

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Trending IssuesComments
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Comments
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Data for Ontario's local health integration networks and British Columbia's regional health authorities was received from Statistics Canada through custom tabulation requests:

Source: Statistics Canada. Selected CCHS Indicators for Ontario by Local Health Integration Network, 2015–2016. February 27, 2018. Reproduced and distributed on an "as is" basis with the permission of Statistics Canada.

Source: Statistics Canada. Selected CCHS Indicators for British Columbia by Regional Health Authority, 2015–2016. March 12, 2018. Reproduced and distributed on an "as is" basis with the permission of Statistics Canada.

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