Prevalence of Meeting Aerobic, Muscle-Strengthening, and Combined Physical Activity Guidelines During Leisure Time Among Adults, by Rural-Urban Classification and Region — United States, 2020

What is already known about this topic? Physical activity is important in health promotion and disease prevention; rural-urban and regional disparities among adults in meeting the combined leisure time physical activity guidelines exist. What is added by this report? Analysis of 2020 National Health Interview Survey data found a low proportion of U.S. adults met leisure-time aerobic, muscle-strengthening, and combined physical activity guidelines. Residents in larger metropolitan areas and in the West U.S. Census Bureau region were more likely than were those in less populated urban and rural areas or other regions to meet these guidelines. What are the implications for public health practice? Rural residents might benefit from investments in structural capacity and policy, systems, and environment change to support leisure-time physical activity.