Yes, the cynic in me wants to label that term as contradictory. And evidence to support that position is not lacking.
Take, for instance, the latest release from the
American College of Sports Medicine's American Fitness Index. This ranking evaluates the 50 most populous cities in the U.S. and ranks them on conditions that support good health and fitness. The index reflects a combined score based on preventive health behaviors, levels of chronic disease conditions, health care access and community resources and policies that support
physical activity. The term "physical activity" is a term that ACSM and other healthcare providers use frequently as a key aspect of health and wellness. Not to be confused with focused, goal oriented physical training, physical activity includes such innocuous activities as gardening and walking as being key to good health. From my perspective, confusing physical activity with physical training is kind of missing the distinction between Lance Armstrong and a fat guy on a bike.
So which city in the US ranks highest in personal health indicators related to health behaviors, presence of chronic health problems and community/environmental indicators of recreational facilities, park related expenditures, physical education requirements and primary health care providers? Top of the list goes to that fitness bastion resident to our legislators and government top dogs: Washington, D,C. Yup, the combined metropolitan statistical area (MSA) of Washington-Arlington-Alexandria is where you want to live alongside so many other fit and healthy Americans, followed closely by Boston and Minneapolis-St Paul.
When we correlate those findings to the
Adult and Childhood Obesity Rates organized in the How Obesity Threatens America's Future 2010 report, we find that only one "state" had a decrease in obesity between 2009 and 2010. Yup, the only decrease in obesity rates occurred in the
District of Columbia, which dropped from 22.3% in the 2009 report to 21.5% in the 2010 report. Important to note, however, that the data is constructed around information from phone interviews of over 400,000 people who are asked to report their height and weight for calculation of body mass index (BMI). While this does provide "apples to apples" comparisons across the regions, it does permit respondents to estimate themselves as taller and leaner than they really are. Not to infer that Washington D.C. might have a denser population of individuals who bend the truth, of course. This same reports clearly demonstrates higher rates of obesity in minority groups and low income earners, which comprises a large part of District of Columbia population (see also
study here). See summary and commentary also
here.
Very simple explanation why this city ranks higher than Colorado, which is the only state in the US with adult obesity rates below 20% (admittedly just below at 19.1%). The 2006 US Census data shows the
highest rate of violent crimes per 100,000 population as occurring in, you guessed it, District of Columbia. The explanation lies in the joke about two old guys being chased by a bandit. The first old guy says "You don't think you can out run the bandit, do you?" Second shakes his head and says "Nope, but I think I can outrun you."
Perhaps there is a direct relationship between crime and fitness, and our war on crime is fueling America's obesity rate........