U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Friday, September 21, 2012

Division of Diabetes Treatment and Prevention - Leading the effort to treat and prevent diabetes in American Indians and Alaska Natives


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Household Circuit Activity Program

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Why is this important?

  • Diverse forms of physical activity have been shown to improve health outcomes and reduce risk for chronic disease.
  • Systematically combining a number of household and yard chores in a defined period of time or "circuit" can improve daily energy expenditure without having to travel to a gym or exercise class.
  • Doing domestic chores as a circuit activity may result in significant caloric expenditure and weight loss. This can reduce risk for developing diabetes and other cardiometabolic conditions.

Action steps:

  • Complete a Domestic Physical Activity History Form [PDF - 44KB] on the patient before assigning specific household or yard chores to the circuit.
  • Complete the Household Circuit Form [PDF - 37KB] by coupling two or more household, yard or community activities spaced with 1- or 2-minute rest break periods.
  • The duration of each activity or chore depends on the time requirement of the chore/activity but is generally between 5-15 minutes.
  • In the beginning two or three activities will be sufficient; however as the participant's stamina and fitness improve each circuit should increase to include six to ten diverse activities.
  • Always start and end the circuit with activity that requires a low-level physical effort, e.g., easy stretching or slow walking and then add activities in an order that requires increasing effort.
  • The total time for the circuit should be between 20-90 minutes depending on the health status and fitness of the participant.
  • The total energy expenditure (kcal) will be dependent on the total duration, average intensity or work load of the circuit activities and the body mass of the participant.
  • Refer to the Ainsworth's Compendium of Activities Exit Disclaimer – You Are Leaving www.ihs.gov which compares hundreds of domestic activities by their relative energy expenditure (in METs).
Overview How To Other Resources EHR Documentation

Division of Diabetes Treatment and Prevention | Phone: (505) 248-4182 | Fax: (505) 248-4188 | diabetesprogram@ihs.gov