The Effect of Leisure-Time Physical Activity on Obesity, Diabetes, High BP and Heart Disease Among Canadians: Evidence from 2000/2001 to 2005/2006

Health Econ. 2015 Dec;24(12):1531-47. doi: 10.1002/hec.3106. Epub 2014 Sep 23.

Abstract

Although studies have looked at the effect of physical activity on obesity and other health outcomes, the causal nature of this relationship remains unclear. We fill this gap by investigating the impact of leisure-time physical activity (LTPA) and work-related physical activity (WRPA) on obesity and chronic conditions in Canadians aged 18-75 using instrumental variable and recursive bivariate probit approaches. Average local temperatures surrounding the respondents' interview month are used as a novel instrument to help identify the causal relationship between LTPA and health outcomes. We find that an active level of LTPA (i.e., walking ≥1 h/day) reduces the probability of obesity by five percentage points, which increases to 11 percentage points if also combined with some WRPA. WRPA exhibits a negative effect on the probability of obesity and chronic conditions.

Keywords: C23; Canada; I10; I12; I18; J18; chronic disease; instrumental variable; obesity; physical activity; probit; recursive bivariate probit.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Body Mass Index
  • Canada
  • Diabetes Mellitus*
  • Exercise / physiology*
  • Female
  • Health Surveys / trends
  • Heart Diseases*
  • Humans
  • Hypertension*
  • Leisure Activities
  • Life Style
  • Male
  • Middle Aged
  • Models, Statistical
  • Obesity*
  • Young Adult