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Physical Activity Data Details

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
36.2 (2008)
Target
32.6
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 18 years and over who report that they never do, or are unable to do, light or moderate physical activity for at least 10 minutes and that they never do, or are unable to do, vigorous physical activity for at least 10 minutes
Denominator
Number of persons aged 18 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Health Interview Survey:

[NUMERATOR:]

The next questions are about physical activities (exercise, sports, physically active hobbies...) that you may do in your LEISURE time.

How often do you do VIGOROUS LEISURE-TIME physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate?

[Read if necessary:] How many times per day, per week, per month, or per year do you do these activities?

  1. Never
  2. Unable to do this type activity
  3. _____ times per day/week/month/year
  4. Refused
  5. Don't know

About how long do you do these vigorous leisure-time physical activities each time?

_____ minutes/hours

How often do you do LIGHT OR MODERATE LEISURE-TIME physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate?

[If necessary, prompt with:] How many times per day, per week, per month, or per year do you do these activities?

  1. Never
  2. Unable to do this type activity
  3. _____ times per day/week/month/year
  4. Refused
  5. Don't know

About how long do you do these light or moderate leisure-time physical activities each time?

_____ minutes/hours

Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Adults are classified as not engaging in leisure time physical activity if they answer “never” or “unable to do this type of activity” to both the vigorous and moderate physical activity questions. Responses of “over 28 times per week” to either vigorous or moderate or both sets of questions were eliminated from the denominator.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 18-24, 25-34, 35-44, 45-64, 65+
  • Sex: 18-24, 25-34, 35-44, 45-64, 65+
  • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
  • Educational Attainment: 25-34, 35-44, 45-64, 65+
  • Family Income: 18-24, 25-34, 35-44, 45-64, 65+
  • Family Type: 18-24, 25-34, 35-44, 45-64, 65+
  • Country of Birth: 18-24, 25-34, 35-44, 45-64, 65+
  • Disability Status: 18-24, 25-34, 35-44, 45-64, 65+
  • Geographic Location: 18-24, 25-34, 35-44, 45-64, 65+
  • Health Insurance Status: 18-24, 25-34, 35-44, 45-64
  • Marital Status: 18-24, 25-34, 35-44, 45-64, 65+
PA-2 Increase the proportion of adults who meet current Federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
43.5 (2008)
Target
47.9
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 18 years and over who report light or moderate physical activity for at least 150 minutes per week or who report vigorous physical activity 75 minutes per week or an equivalent combination of moderate and vigorous activity
Denominator
Number of persons aged 18 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Health Interview Survey:

[NUMERATOR:]

The next questions are about physical activities (exercise, sports, physically active hobbies...) that you may do in your LEISURE time.

How often do you do VIGOROUS LEISURE-TIME physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate?

[Read if necessary:] How many times per day, per week, per month, or per year do you do these activities?

  1. Never
  2. Unable to do this type activity
  3. _____ times per day/week/month/year
  4. Refused
  5. Don't know

About how long do you do these vigorous leisure-time physical activities each time?

_____ minutes/hours

How often do you do LIGHT OR MODERATE LEISURE-TIME physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate?

[If necessary, prompt with:] How many times per day, per week, per month, or per year do you do these activities?

  1. Never
  2. Unable to do this type activity
  3. _____ times per day/week/month/year
  4. Refused
  5. Don't know

About how long do you do these light or moderate leisure-time physical activities each time?

_____ minutes/hours

Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Adults are classified as meeting the objective if they participate in at least 150 minutes of light or moderate leisure-time activity per week, 75 minutes of vigorous activity, or 150 minutes per week of an equivalent combination of activity. Total minutes per week of light or moderate-intensity activity are calculated by multiplying the times per week adults report participating in light or moderate-intensity activity by the number of minutes reported. Total minutes per week of vigorous-intensity activity are calculated by multiplying the times per week adults report participating in vigorous-intensity activity by the number of minutes reported. To calculate minutes per week for the equivalent combination of moderate and vigorous-intensity activity, minutes per week of light or moderate-intensity activity are added to two times the minutes per week of vigorous-intensity activity.

If responses meet the criteria for one activity (vigorous or moderate) but the status of the other activity is unknown, the record is included in the numerator and the denominator. If responses do not meet the criteria for one activity and the status of the other activity is unknown, the record is dropped from the analysis.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 18-24, 25-34, 35-44, 45-64, 65+
  • Sex: 18-24, 25-34, 35-44, 45-64, 65+
  • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
  • Educational Attainment: 25-34, 35-44, 45-64, 65+
  • Family Income: 18-24, 25-34, 35-44, 45-64, 65+
  • Family Type: 18-24, 25-34, 35-44, 45-64, 65+
  • Country of Birth: 18-24, 25-34, 35-44, 45-64, 65+
  • Disability Status: 18-24, 25-34, 35-44, 45-64, 65+
  • Geographic Location: 18-24, 25-34, 35-44, 45-64, 65+
  • Health Insurance Status: 18-24, 25-34, 35-44, 45-64
  • Marital Status: 18-24, 25-34, 35-44, 45-64, 65+
Caveats and Limitations
Since the Numerator questions focus on leisure-time physical activities only, these data may not include physical activity by people whose jobs require regular or vigorous physical activity.
Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 22-2 in that the objective has been modified to reflect the 2008 Federal Physical Activity Guidelines for Americans. The data for the Healthy People 2010 and 2020 objectives are not comparable.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
28.4 (2008)
Target
31.3
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 18 years and over who report light or moderate physical activity for more than 300 minutes per week or who report vigorous physical activity 150 minutes per week or an equivalent combination of moderate and vigorous-intensity activity
Denominator
Number of persons aged 18 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Health Interview Survey:

[NUMERATOR:]

The next questions are about physical activities (exercise, sports, physically active hobbies...) that you may do in your LEISURE time.

How often do you do VIGOROUS LEISURE-TIME physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate?

[Read if necessary:] How many times per day, per week, per month, or per year do you do these activities?

  1. Never
  2. Unable to do this type activity
  3. _____ times per day/week/month/year
  4. Refused
  5. Don't know

About how long do you do these vigorous leisure-time physical activities each time?

_____ minutes/hours

How often do you do LIGHT OR MODERATE LEISURE-TIME physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate?

[If necessary, prompt with:] How many times per day, per week, per month, or per year do you do these activities?

  1. Never
  2. Unable to do this type activity
  3. _____ times per day/week/month/year
  4. Refused
  5. Don't know

About how long do you do these light or moderate leisure-time physical activities each time?

_____ minutes/hours

Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Adults are classified as meeting the objective if they participate in more than 300 minutes of light or moderate activity per week, 150 minutes of vigorous activity, or 300 minutes per week of an equivalent combination of activity. Total minutes per week of light or moderate-intensity activity are calculated by multiplying the times per week adults report participating in light or moderate-intensity activity by the number of minutes reported. Total minutes per week of vigorous-intensity activity are calculated by multiplying the times per week adults report participating in vigorous-intensity activity by the number of minutes reported. To calculate minutes per week for the equivalent combination of moderate and vigorous-intensity activity, minutes per week of light or moderate-intensity activity are added to two times the minutes per week of vigorous-intensity activity.

If responses meet the criteria for one activity (vigorous or moderate) but the status of the other activity is unknown, the record is included in the numerator and the denominator. If responses do not meet the criteria for one activity and the status of the other activity is unknown, the record is dropped from the analysis.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 18-24, 25-34, 35-44, 45-64, 65+
  • Sex: 18-24, 25-34, 35-44, 45-64, 65+
  • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
  • Educational Attainment: 25-34, 35-44, 45-64, 65+
  • Family Income: 18-24, 25-34, 35-44, 45-64, 65+
  • Family Type: 18-24, 25-34, 35-44, 45-64, 65+
  • Country of Birth: 18-24, 25-34, 35-44, 45-64, 65+
  • Disability Status: 18-24, 25-34, 35-44, 45-64, 65+
  • Geographic Location: 18-24, 25-34, 35-44, 45-64, 65+
  • Health Insurance Status: 18-24, 25-34, 35-44, 45-64
  • Marital Status: 18-24, 25-34, 35-44, 45-64, 65+
Caveats and Limitations
Since the Numerator questions focus on leisure-time physical activities only, these data may not include physical activity by people whose jobs require regular or vigorous physical activity.
Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 22-3 in that the objective has been modified to reflect the 2008 Federal Physical Activity Guidelines for Americans. The data for the Healthy People 2010 and 2020 objectives are not comparable.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
21.9 (2008)
Target
24.1
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 18 years and over who report doing physical activities specifically designed to strengthen muscles at least twice per week
Denominator
Number of persons aged 18 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Health Interview Survey:

[NUMERATOR:]

How often do you do LEISURE-TIME physical activities specifically designed to STRENGTHEN your muscles such as lifting weights or doing calisthenics? (Include all such activities even if you have mentioned them before.)

[Read if necessary:] How many times per day, per week, per month, or per year do you do these activities?

  1. Never
  2. Unable to do this type activity
  3. _____ times per day/week/month/year
  4. Refused
  5. Don't know
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

For this indicator, adults were classified as doing strengthening activities if they responded that they did these activities 2 to 28 times per week.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 18-24, 25-34, 35-44, 45-64, 65+
  • Sex: 18-24, 25-34, 35-44, 45-64, 65+
  • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
  • Educational Attainment: 25-34, 35-44, 45-64, 65+
  • Family Income: 18-24, 25-34, 35-44, 45-64, 65+
  • Family Type: 18-24, 25-34, 35-44, 45-64, 65+
  • Country of Birth: 18-24, 25-34, 35-44, 45-64, 65+
  • Disability Status: 18-24, 25-34, 35-44, 45-64, 65+
  • Geographic Location: 18-24, 25-34, 35-44, 45-64, 65+
  • Health Insurance Status: 18-24, 25-34, 35-44, 45-64
  • Marital Status: 18-24, 25-34, 35-44, 45-64, 65+
Caveats and Limitations
Since the Numerator questions focus on leisure-time physical activities only, these data may not include physical activity by people whose jobs require regular or vigorous physical activity.
Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 22-4 in that the objective has been modified to reflect the 2008 Federal Physical Activity Guidelines for Americans. The data for the Healthy People 2010 and 2020 objectives are not comparable.
PA-2.4 Increase the proportion of adults who meet the objectives for aerobic physical activity and for muscle-strengthening activity Leading Health Indicators

Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
18.2 (2008)
Target
20.1
Target-Setting Method
10 percent improvement
Numerator
Number of persons aged 18 years and over who report light or moderate physical activity for at least 150 minutes per week or who report vigorous physical activity 75 minutes per week or an equivalent combination of moderate and vigorous-intensity activity and report doing physical activities specifically designed to strengthen muscles at least twice per week
Denominator
Number of persons aged 18 years and over
Questions Used to Obtain the National Baseline Data

From the 2008 National Health Interview Survey:

[NUMERATOR:]

The next questions are about physical activities (exercise, sports, physically active hobbies...) that you may do in your LEISURE time.

How often do you do VIGOROUS LEISURE-TIME physical activities for AT LEAST 10 MINUTES that cause HEAVY sweating or LARGE increases in breathing or heart rate?

[Read if necessary:] How many times per day, per week, per month, or per year do you do these activities?

  1. Never
  2. Unable to do this type activity
  3. _____ times per day/week/month/year
  4. Refused
  5. Don't know

About how long do you do these vigorous leisure-time physical activities each time?

_____ minutes/hours

How often do you do LIGHT OR MODERATE LEISURE-TIME physical activities for AT LEAST 10 MINUTES that cause ONLY LIGHT sweating or a SLIGHT to MODERATE increase in breathing or heart rate?

[If necessary, prompt with:] How many times per day, per week, per month, or per year do you do these activities?

  1. Never
  2. Unable to do this type activity
  3. _____ times per day/week/month/year
  4. Refused
  5. Don't know

About how long do you do these light or moderate leisure-time physical activities each time?

_____ minutes/hours

How often do you do LEISURE-TIME physical activities specifically designed to STRENGTHEN your muscles such as lifting weights or doing calisthenics? (Include all such activities even if you have mentioned them before.)

[Read if necessary:] How many times per day, per week, per month, or per year do you do these activities?

  1. Never
  2. Unable to do this type activity
  3. _____ times per day/week/month/year
  4. Refused
  5. Don't know
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Leading Health Indicator
Nutrition, Physical Activity, and Obesity
Methodology Notes

Adults are classified as meeting the objective if they (1) participate in at least 150 minutes of light or moderate activity per week, 75 minutes of vigorous activity, or 150 minutes per week of an equivalent combination of activity and (2) report doing strengthening activities and respond that they did these activities 2 to 28 times per week.

Total minutes per week of light or moderate-intensity activity are calculated by multiplying the times per week adults report participating in light or moderate-intensity activity by the number of minutes reported. Total minutes per week of vigorous-intensity activity are calculated by multiplying the times per week adults report participating in vigorous-intensity activity by the number of minutes reported. To calculate minutes per week for the equivalent combination of moderate and vigorous-intensity activity, minutes per week of light or moderate-intensity activity are added to two times the minutes per week of vigorous-intensity activity.

If responses meet the criteria for one activity (vigorous or moderate) or strengthening activities but the status of the other activity is unknown, the record is included in the numerator and the denominator. If responses do not meet the criteria for one activity and the status of the other activity is unknown, the record is dropped from the analysis.

Estimates from the National Health Interview Survey (NHIS) and the Behavioral Risk Factor Surveillance System (BRFSS) are not comparable; the questions are different. Also, the NHIS is administered by personal interview, while the BRFSS is administered by telephone.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 18-24, 25-34, 35-44, 45-64, 65+
  • Sex: 18-24, 25-34, 35-44, 45-64, 65+
  • Race/Ethnicity: 18-24, 25-34, 35-44, 45-64, 65+
  • Educational Attainment: 25-34, 35-44, 45-64, 65+
  • Family Income: 18-24, 25-34, 35-44, 45-64, 65+
  • Family Type: 18-24, 25-34, 35-44, 45-64, 65+
  • Country of Birth: 18-24, 25-34, 35-44, 45-64, 65+
  • Disability Status: 18-24, 25-34, 35-44, 45-64, 65+
  • Geographic Location: 18-24, 25-34, 35-44, 45-64, 65+
  • Health Insurance Status: 18-24, 25-34, 35-44, 45-64
  • Marital Status: 18-24, 25-34, 35-44, 45-64, 65+
Caveats and Limitations
Since the Numerator questions focus on leisure-time physical activities only, these data may not include physical activity by people whose jobs require regular or vigorous physical activity.
PA-3 Increase the proportion of adolescents who meet current Federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Youth Risk Behavior Surveillance System (YRBSS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
18.4 (2009)
Target
20.2
Target-Setting Method
10 percent improvement
Numerator
Number of students in grades 9 through 12 who were physically active for a total of at least 60 minutes per day on seven of the past seven days
Denominator
Number of students in grades 9 through 12
Questions Used to Obtain the National Baseline Data

From the 2009 Youth Risk Behavior Surveillance System:

[NUMERATOR:]

During the past 7 days, on how many days were you physically active for a total of at least 60 minutes per day? (Add up all the time you spend in any kind of physical activity that increases your heart rate and makes you breathe hard some of the time.)

  1. 0 days
  2. 1 day
  3. 2 days
  4. 3 days
  5. 4 days
  6. 5 days
  7. 6 days
  8. 7 days
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

The Numerator question addresses aerobic physical activity only. A question to assess muscle-strengthening activity is not currently on the YRBSS questionnaire, but is expected to be added in the future.

Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 22-6 in that the objective has been modified to reflect the 2008 Federal Physical Activity Guidelines for Americans. The data for the Healthy People 2010 and 2020 objectives are not comparable.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Youth Risk Behavior Surveillance System (YRBSS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
*** Missing *** 
Numerator
*** Missing ***
Denominator
Number of students in grades 9-12
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Youth Risk Behavior Surveillance System (YRBSS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
*** Missing *** 
Numerator
*** Missing ***
Denominator
Number of students in grades 9-12
Comparable Healthy People 2010 Objective
Not applicable
PA-4 Increase the proportion of the Nation’s public and private schools that require daily physical education for all students

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
School Health Policies and Practices Study (SHPPS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
3.8 (2006)
Target
4.2
Target-Setting Method
10 percent improvement
Numerator
Number of public and private elementary schools for which physical education (PE) occurred for at least 36 weeks (i.e., a typical school year) per school year for at least 150 minutes per week
Denominator
Number of public and private elementary schools
Questions Used to Obtain the National Baseline Data

From the 2006 School Health Policies and Programs Study:

[NUMERATOR:]

At this school, in which grades do students receive required instruction in physical education? [MARK ALL THAT APPLY]

  1. K
  2. 1st
  3. 2nd
  4. 3rd
  5. 4th
  6. 5th
  7. 6th
  8. 7th
  9. 8th
  10. 9th
  11. 10th
  12. 11th
  13. 12th

ANSWER (THE FOLLOWING QUESTIONS) FOR EACH GRADE ABOVE.

How many weeks during the school year are _____ graders scheduled to take physical education?

_____ Weeks

On average, how many days per week are the _____ graders scheduled to take physical education?

  1. 1 Day
  2. 2 Days
  3. 3 Days
  4. 4 Days
  5. 5 Days
  6. 0 Days one week, 1 day the next week
  7. 1 Day one week, 2 days the next week
  8. 2 Days one week, 3 days the next week
  9. 3 Days one week, 4 days the next week
  10. 4 Days one week, 5 days the next week
  11. Other

On average, how many minutes is each session of physical education scheduled to last?

_____ Minutes

How many weeks is the course scheduled to last?

_____ Weeks

On average, how many days per week is the course scheduled to meet?

  1. 1 Day
  2. 2 Days
  3. 3 Days
  4. 4 Days
  5. 5 Days
  6. 0 Days one week, 1 day the next week
  7. 1 Day one week, 2 days the next week
  8. 2 Days one week, 3 days the next week
  9. 3 Days one week, 4 days the next week
  10. 4 Days one week, 5 days the next week
  11. Other

On average, how many minutes is each class period scheduled to last?

_____ Minutes

Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Starting with the 2012 survey, the name of the SHPPS survey was changed from the School Health Policies and Programs Study to the School Health Policies and Practices Study.

Daily physical education (PE) was defined as PE that occurred for at least 36 weeks (i.e., a typical school year) per school year for at least 150 minutes per week in elementary schools and for at least 225 minutes per week in middle and junior high schools, and senior high schools.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
School Health Policies and Practices Study (SHPPS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
7.8 (2006)
Target
8.6
Target-Setting Method
10 percent improvement
Numerator
Number of public and private middle and junior high schools for which physical education (PE) occurred for at least 36 weeks (i e , a typical school year) per school year for at least 225 minutes per week
Denominator
Number of public and private middle and junior high schools
Questions Used to Obtain the National Baseline Data

From the 2006 School Health Policies and Programs Study:

[NUMERATOR:]

At this school, in which grades do students receive required instruction in physical education? [MARK ALL THAT APPLY]

  1. K
  2. 1st
  3. 2nd
  4. 3rd
  5. 4th
  6. 5th
  7. 6th
  8. 7th
  9. 8th
  10. 9th
  11. 10th
  12. 11th
  13. 12th

ANSWER (THE FOLLOWING QUESTIONS) FOR EACH GRADE ABOVE.

How many weeks during the school year are _____ graders scheduled to take physical education?

_____ Weeks

On average, how many days per week are the _____ graders scheduled to take physical education?

  1. 1 Day
  2. 2 Days
  3. 3 Days
  4. 4 Days
  5. 5 Days
  6. 0 Days one week, 1 day the next week
  7. 1 Day one week, 2 days the next week
  8. 2 Days one week, 3 days the next week
  9. 3 Days one week, 4 days the next week
  10. 4 Days one week, 5 days the next week
  11. Other

On average, how many minutes is each session of physical education scheduled to last?

_____ Minutes

How many weeks is the course scheduled to last?

_____ Weeks

On average, how many days per week is the course scheduled to meet?

  1. 1 Day
  2. 2 Days
  3. 3 Days
  4. 4 Days
  5. 5 Days
  6. 0 Days one week, 1 day the next week
  7. 1 Day one week, 2 days the next week
  8. 2 Days one week, 3 days the next week
  9. 3 Days one week, 4 days the next week
  10. 4 Days one week, 5 days the next week
  11. Other

On average, how many minutes is each class period scheduled to last?

_____ Minutes

Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Starting with the 2012 survey, the name of the SHPPS survey was changed from the School Health Policies and Programs Study to the School Health Policies and Practices Study.

Daily physical education (PE) was defined as PE that occurred for at least 36 weeks (i.e., a typical school year) per school year for at least 150 minutes per week in elementary schools and for at least 225 minutes per week in middle and junior high schools, and senior high schools.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
School Health Policies and Practices Study (SHPPS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
2.1 (2006)
Target
2.3
Target-Setting Method
10 percent improvement
Numerator
Number of public and private senior high schools for which physical education (PE) occurred for at least 36 weeks (i e , a typical school year) per school year for at least 225 minutes per week
Denominator
Number of public and private senior high schools
Questions Used to Obtain the National Baseline Data

From the 2006 School Health Policies and Programs Study:

[NUMERATOR:]

At this school, in which grades do students receive required instruction in physical education? [MARK ALL THAT APPLY]

  1. K
  2. 1st
  3. 2nd
  4. 3rd
  5. 4th
  6. 5th
  7. 6th
  8. 7th
  9. 8th
  10. 9th
  11. 10th
  12. 11th
  13. 12th

ANSWER (THE FOLLOWING QUESTIONS) FOR EACH GRADE ABOVE.

How many weeks during the school year are _____ graders scheduled to take physical education?

_____ Weeks

On average, how many days per week are the _____ graders scheduled to take physical education?

  1. 1 Day
  2. 2 Days
  3. 3 Days
  4. 4 Days
  5. 5 Days
  6. 0 Days one week, 1 day the next week
  7. 1 Day one week, 2 days the next week
  8. 2 Days one week, 3 days the next week
  9. 3 Days one week, 4 days the next week
  10. 4 Days one week, 5 days the next week
  11. Other

On average, how many minutes is each session of physical education scheduled to last?

_____ Minutes

How many weeks is the course scheduled to last?

_____ Weeks

On average, how many days per week is the course scheduled to meet?

  1. 1 Day
  2. 2 Days
  3. 3 Days
  4. 4 Days
  5. 5 Days
  6. 0 Days one week, 1 day the next week
  7. 1 Day one week, 2 days the next week
  8. 2 Days one week, 3 days the next week
  9. 3 Days one week, 4 days the next week
  10. 4 Days one week, 5 days the next week
  11. Other

On average, how many minutes is each class period scheduled to last?

_____ Minutes

Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Starting with the 2012 survey, the name of the SHPPS survey was changed from the School Health Policies and Programs Study to the School Health Policies and Practices Study.

Daily physical education (PE) was defined as PE that occurred for at least 36 weeks (i.e., a typical school year) per school year for at least 150 minutes per week in elementary schools and for at least 225 minutes per week in middle and junior high schools, and senior high schools.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Youth Risk Behavior Surveillance System (YRBSS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
33.3 (2009)
Target
36.6
Target-Setting Method
10 percent improvement
Numerator
Number of students in grades 9 through 12 who attended physical education (PE) classes on five or more days in an average week when they were in school
Denominator
Number of students in grades 9 through 12
Questions Used to Obtain the National Baseline Data

From the 2009 Youth Risk Behavior Surveillance System:

[NUMERATOR:]

In an average week when you are in school, on how many days do you go to physical education (PE) classes?

  1. 0 days
  2. 1 day
  3. 2 days
  4. 3 days
  5. 4 days
  6. 5 days
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
PA-6 Increase regularly scheduled elementary school recess in the United States

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
School Health Policies and Practices Study (SHPPS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
7 (2006)
Target
17
Target-Setting Method
Projection/trend analysis
Numerator
Number of states that require elementary schools to provide students with regularly scheduled recess
Questions Used to Obtain the National Baseline Data

From the 2006 School Health Policies and Programs Study:

[NUMERATOR:]

Does your state require or recommend that elementary schools provide students with regularly scheduled recess?

  1. Require
  2. Recommend
  3. Neither
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Starting with the 2012 survey, the name of the SHPPS survey was changed from the School Health Policies and Programs Study to the School Health Policies and Practices Study.

States are counted as requiring an appropriate amount of recess time if the response to the Numerator question is “require”.

Target Calculation Methods
Between 2000 and 2006, five states (or approximately one state per year) implemented policies for regularly scheduled elementary school recess. This trend is expected to continue.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
School Health Policies and Practices Study (SHPPS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
57.1 (2006)
Target
62.8
Target-Setting Method
10 percent improvement
Numerator
Number of districts that require elementary schools to provide students with regularly scheduled recess
Denominator
Number of districts (538)
Questions Used to Obtain the National Baseline Data

From the 2006 School Health Policies and Programs Study:

[NUMERATOR:]

Does your district require or recommend that elementary schools provide students with regularly scheduled recess?

  1. Require
  2. Recommend
  3. Neither
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Starting with the 2012 survey, the name of the SHPPS survey was changed from the School Health Policies and Programs Study to the School Health Policies and Practices Study.

Districts are counted as requiring an appropriate amount of recess time if the response to the Numerator question is “require”.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
School Health Policies and Practices Study (SHPPS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
61.5 (2006)
Target
67.7
Target-Setting Method
10 percent improvement
Numerator
Number of districts that require elementary schools to provide students with regularly scheduled recess for 20 minutes or more
Denominator
Number of districts (538)
Questions Used to Obtain the National Baseline Data

From the 2006 School Health Policies and Programs Study:

[NUMERATOR:]

Does your district require or recommend that elementary schools provide students with regularly scheduled recess?

  1. Require
  2. Recommend
  3. Neither

How many minutes per day of recess are required or recommended for elementary school students?

  1. Less than 10 minutes per day
  2. 10 to 19 minutes per day
  3. 20 to 29 minutes per day
  4. 30 or more minutes per day
  5. No specified time requirements or recommendations
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Starting with the 2012 survey, the name of the SHPPS survey was changed from the School Health Policies and Programs Study to the School Health Policies and Practices Study.

An appropriate period of time that school districts required or recommended was 20 minutes or more of recess per day. Districts are counted as requiring an appropriate amount of recess time if the response to the first Numerator question is “require” and the response to the second question is 20 minutes or more per recess day.

PA-8 Increase the proportion of children and adolescents who do not exceed recommended limits for screen time

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey of Children's Health (NSCH); Health Resources and Services Administration, Maternal and Child Health Bureau, and Centers for Disease Control and Prevention, National Center for Health Statistics (HRSA/MCHB and CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
40.6 (2007)
Target
44.7
Target-Setting Method
10 percent improvement
Numerator
Number of children under 2 years of age whose parents report that their child views no television or videos on an average weekday
Denominator
Number of children under 2 years of age
Questions Used to Obtain the National Baseline Data

From the 2007 National Survey of Children's Health:

[NUMERATOR:]

On an average weekday, about how much time does [CHILD] usually watch TV or watch videos?

  1. ENTER NUMBER ______
  2. DON'T OWN TV OR VIDEO PLAYER
  3. DON'T KNOW
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Children whose parents report that their child did not watch TV or watch video on an average day or those who reported not owning a TV or video player are classified as viewing no television on an average weekday.

PA-8.2 Increase the proportion of children and adolescents aged 2 years through 12th grade who view television, videos, or play video games for no more than 2 hours a day

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
75.6 (2005-2008)
Target
83.2
Target-Setting Method
10 percent improvement
Numerator
Number of children aged 2 to 5 years whose parent reports that they watch TV or videos for 2 or fewer hours
Denominator
Number of children aged 2 to 5 years
Questions Used to Obtain the National Baseline Data

From the 2005-2008 National Health and Nutrition Examination Survey:

[NUMERATOR:]

Over the past 30 days, on average how many hours per day did your child sit and watch TV or videos? Would you say ...

  1. Less than 1 hour
  2. 1 hour
  3. 2 hours
  4. 3 hours
  5. 4 hours
  6. 5 hours or more
  7. None
  8. Refused
  9. Don't know
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Children aged 2-5: Children whose parents report that their child did not watch TV over the past 30 days or on average watched TV less than 1 hour per day, 1 hour per day, or 2 hours per day are classified as viewing television for 2 or fewer hours during a school day.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey of Children's Health (NSCH); Health Resources and Services Administration, Maternal and Child Health Bureau, and Centers for Disease Control and Prevention, National Center for Health Statistics (HRSA/MCHB and CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
78.9 (2007)
Target
86.8
Target-Setting Method
10 percent improvement
Numerator
Number of children aged 6 to 14 years whose parents report that they watch TV for 2 or fewer hours
Denominator
Number of children aged 6 to 14 years
Questions Used to Obtain the National Baseline Data

From the 2007 National Survey of Children's Health:

[NUMERATOR:]

On an average weekday, about how much time does [CHILD] usually watch TV, watch videos, or play video games?

  1. __ __ __ ENTER NUMBER
  2. __ __ __ HOURS
  3. __ __ __ MINUTES
  4. DON'T OWN TV OR VIDEO PLAYER
  5. Refused
  6. Don't know
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Children aged 6-14: Children whose parents report that on an average weekday that their child did not watch TV or on average watched TV 2 hours or less than 2 hours per day are classified as viewing television for 2 or fewer hours during a school day.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Youth Risk Behavior Surveillance System (YRBSS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
67.2 (2009)
Target
73.9
Target-Setting Method
10 percent improvement
Numerator
Number of students in grades  9 through 12 who report watching TV for 2 or fewer hours on an average school day
Denominator
Number of students in grades  9 through 12
Questions Used to Obtain the National Baseline Data

From the 2009 Youth Risk Behavior Surveillance System:

[NUMERATOR:]

On an average school day, how many hours do you watch TV?

  1. I do not watch TV on an average school day
  2. Less than 1 hour per day
  3. 1 hour per day
  4. 2 hours per day
  5. 3 hours per day
  6. 4 hours per day
  7. 5 or more hours per day
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Adolescents in grades 9 through 12: Students who report that they did not watch TV on an average school day or watched TV less than 1 hour per day, 1 hour per day, or 2 hours per day are classified as viewing television for 2 or fewer hours during a school day.

Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 22-11 in that the objective has been modified to reflect the 2008 Federal Physical Activity Guidelines for Americans. The data for the Healthy People 2010 and 2020 objectives are not comparable.
PA-8.3 Increase the proportion of children and adolescents aged 2 years to 12th grade who use a computer or play computer games outside of school (for nonschool work) for no more than 2 hours a day

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
97.4 (2005-2008)
Target
Not applicable
Target-Setting Method
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Numerator
Number of children aged 2 to 5 years whose parents report that they use a computer or play computer games outside of school (for non-school work) for no more than 2 hours a day
Denominator
Number of children aged 2 to 5 years
Questions Used to Obtain the National Baseline Data

From the 2005-2006, 2007-2008 National Health and Nutrition Examination Survey:

[NUMERATOR:]

Over the past 30 days, on average how many hours per day did [CHILD] use a computer or play computer games outside of school? Would you say...

  1. less than 1 hour
  2. 1 hour
  3. 2 hours
  4. 3 hours
  5. 4 hours
  6. 5 hours or more
  7. [CHILD] does not use a computer outside of school
  8. Refused
  9. Don't know

[Note: The 2005-2006 question did not specify that computer use was outside of school.]

Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Children aged 2-5: Children whose parents report that they did not use a computer outside of school over the past 30 days or on average used a computer or played computer games less than 1 hour per day, 1 hour per day, or 2 hours per day were classified as using a computer or playing computer games outside of school (for non-school work) for no more than 2 hours a day.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Survey of Children's Health (NSCH); Health Resources and Services Administration, Maternal and Child Health Bureau, and Centers for Disease Control and Prevention, National Center for Health Statistics (HRSA/MCHB and CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
93.3 (2007)
Target
100
Target-Setting Method
10 percent improvement
Numerator
Number of children aged 6 to 14 years whose parent reports that they use a computer or play computer games outside of school (for non-school work) for no more than 2 hours a day
Denominator
Number of children aged 6 to 14 years
Questions Used to Obtain the National Baseline Data

From the 2007 National Survey of Children's Health:

[NUMERATOR:]

On an average weekday, about how much time does [CHILD] use a computer for purposes other than schoolwork?

  1. __ __ __ ENTER NUMBER
  2. __ __ __ HOURS
  3. __ __ __ MINUTES
  4. DON'T OWN COMPUTER
  5. Refused
  6. Don't know
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Children aged 6-14: Children whose parents report that they don’t own a computer or that on an average weekday that they spent 2 hours or less than 2 hours using a computer for purposes other than schoolwork were classified as using a computer or playing computer games outside of school (for non-school work) for no more than 2 hours a day.

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
Youth Risk Behavior Surveillance System (YRBSS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
75.1 (2009)
Target
82.6
Target-Setting Method
10 percent improvement
Numerator
Number of students in grades 9 through 12 who report using a computer or playing computer games outside of school (for non-school work) for no more than 2 hours a day
Denominator
Number of students in grades 9 through 12
Questions Used to Obtain the National Baseline Data

From the 2009 Youth Risk Behavior Surveillance System:

[NUMERATOR:]

On an average school day, how many hours do you play video or computer games or use a computer for something that is not school work? (Include activities such as Nintendo, Game Boy, PlayStation, Xbox, computer games, and the Internet.)

  1. I do not play video or computer games or use a computer for something that is not school work
  2. Less than 1 hour per day
  3. 1 hour per day
  4. 2 hours per
  5. 3 hours per day
  6. 4 hours per day
  7. 5 or more hours per day
Data Collection Frequency
Biennial
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
Methodology Notes

Adolescents in grades 9 through 12:.Students who report not playing video or computer games or using a computer for something that is not school work or played video or computer games or used a computer less than 1 hour per day, 1 hour per day, or 2 hours per day were classified as using a computer or playing computer games outside of school (for non-school work) for no more than 2 hours a day.

Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 22-11 in that the objective has been modified to reflect the 2008 Federal Physical Activity Guidelines for Americans. The data for the Healthy People 2010 and 2020 objectives are not comparable.
PA-9 Increase the number of States with licensing regulations for physical activity provided in child care

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
25 (2006)
Target
35
Target-Setting Method
Maintain consistency with national programs, regulations, policies, and laws.
Numerator
Number of states that require activity programs providing large muscle or gross motor activity, development and/or equipment in child care centers, large family homes, and small family homes.
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Kaphingst and Story (2009) reported the regulations of all 50 U.S. states as they relate to physical activity promotion for activity programs providing large muscle or gross motor activity, development and/or equipment in child care centers, large family homes, and small family homes. The objective was based on guidelines set forth by the National Association for Sport and Physical Education. The initial assessment of physical activity policies was conducted in 2006. Findings varied by setting (i.e. child care center, small family child care home, large family or group child care home). The requirements assessed included, activity programs engaging large muscle groups (19-39 states), daily outdoor activity time (24-36 states), quantified physical activity time requirements (2 states), and physical activity intensity requirements (2-10 states). These data can be used as a benchmark to assess physical activity policies enacted at the state level.

References

Additional resources about the objective.

  1. Kaphingst K and Story M. (2009). Child care as an untapped setting for obesity prevention: state child care licensing regulations related to nutrition, physical activity, and media use for preschool-aged children in the United States. Prev Chronic Dis, 6(1). http://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
    http://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
  2. National Association for Sport and Physical Education. (2009). Active Start: A Statement of Physical Activity Guidelines for Children From Birth to Age 5 (2nd Ed.). National Association for Sport and Physical Education, Reston, VA.
  3. State Licensing and Regulation Information. The National Resource Center for Health and Safety in Child Care and Early Education (NRC). http://nrckids.org/STATES/states.htm
    http://nrckids.org/STATES/states.htm
  4. The National Resource Center for Health and Safety in Child Care and Early Education (NRC) http://nrckids.org
    http://nrckids.org

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
3 (2006)
Target
13
Target-Setting Method
Maintain consistency with national programs, regulations, policies, and laws.
Numerator
Number of states that require children engage in vigorous or moderate intensity physical activity in child care centers, large family homes, and small family homes
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Kaphingst and Story (2009) reported the regulations of all 50 U.S. states as they relate to physical activity promotion. The guidelines were set by the National Association for Sport and Physical Education. The initial assessment of physical activity policies was conducted in 2006.

Findings varied by setting (i.e. child care center, small family child care home, large family or group child care home). The requirements assessed included, activity programs engaging large muscle groups (19-39 states), daily outdoor activity time (24-36 states), quantified physical activity time requirements (2 states), and physical activity intensity requirements (2-10 states). These baseline data can be used as a benchmark to assess physical activity policies enacted at the state level. More information is available at the National Resource Center for Health and Safety in Child Care and Early Education Database website.

References

Additional resources about the objective.

  1. Kaphingst K and Story M. (2009). Child care as an untapped setting for obesity prevention: state child care licensing regulations related to nutrition, physical activity, and media use for preschool-aged children in the United States. Prev Chronic Dis, 6(1). http://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
  2. National Association for Sport and Physical Education. (2009). Active Start: A Statement of Physical Activity Guidelines for Children From Birth to Age 5 (2nd Ed.). National Association for Sport and Physical Education, Reston, VA.
  3. State Licensing and Regulation Information. The National Resource Center for Health and Safety in Child Care and Early Education (NRC). http://nrckids.org/STATES/states.htm
    http://nrckids.org/STATES/states.htm
  4. The National Resource Center for Health and Safety in Child Care and Early Education (NRC) http://nrckids.org
    http://nrckids.org

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
1 (2006)
Target
11
Target-Setting Method
Maintain consistency with national programs, regulations, policies, and laws.
Numerator
Number of states that require number of minutes of physical activity per day or by length of time in care in child care centers, large family homes, and small family homes
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Kaphingst and Story (2009) reported the regulations of all 50 U.S. states as they relate to physical activity promotion. The initial assessment of physical activity policies were conducted in 2006.

Findings varied by setting (i.e. child care center, small family child care home, large family or group child care home). The requirements assessed included, activity programs engaging large muscle groups (19-39 states), daily outdoor activity time (24-36 states), quantified physical activity time requirements (2 states), and physical activity intensity requirements (2-10 states). These baseline data can be used as a benchmark to assess physical activity policies enacted at the state level. More information is available at the National Resource Center for Health and Safety in Child Care and Early Education Database website.

References

Additional resources about the objective.

  1. Kaphingst K and Story M. (2009). Child care as an untapped setting for obesity prevention: state child care licensing regulations related to nutrition, physical activity, and media use for preschool-aged children in the United States. Prev Chronic Dis, 6(1). http://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
    http://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
  2. National Association for Sport and Physical Education. (2009). Active Start: A Statement of Physical Activity Guidelines for Children From Birth to Age 5 (2nd Ed.). National Association for Sport and Physical Education, Reston, VA.
  3. State Licensing and Regulation Information. The National Resource Center for Health and Safety in Child Care and Early Education (NRC). http://nrckids.org/STATES/states.htm
    http://nrckids.org/STATES/states.htm
  4. The National Resource Center for Health and Safety in Child Care and Early Education (NRC) http://nrckids.org
    http://nrckids.org

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
School Health Policies and Practices Study (SHPPS); Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP)
Changed Since the Healthy People 2020 Launch
No
Measure
percent 
Baseline (Year)
28.8 (2006)
Target
31.7
Target-Setting Method
10 percent improvement
Numerator
Number of public and private elementary, middle/junior, and senior high schools that provide community access to their physical activity or athletic facilities
Denominator
Number of public and private elementary, middle/junior, and senior high schools
Questions Used to Obtain the National Baseline Data

From the 2006 School Health Policies and Programs Study School Physical Education Questionnaire:

[NUMERATOR:]

Outside of school hours or when school is not in session, do children or adolescents use any of this school's physical activity or athletic facilities for ...

  1. Community-sponsored sports teams
  2. Community-sponsored classes or lessons, such as tennis or gymnastics
  3. Community-sponsored supervised "open-gym" or "free play"

Are any of these physical activity programs for children and adolescents offered ...

  1. Before school
  2. After school
  3. In the evenings
  4. On the weekends
  5. During school vacations

Outside of school hours or when school is not in session, do adults who are not school employees use any of this school's physical activity or athletic facilities for ...

  1. Community-sponsored sports teams
  2. Community-sponsored classes or lessons, such as tennis or aerobics
  3. Community-sponsored "open-gym"

Are any of these physical activity programs for children and adolescents offered ...

  1. Before school
  2. After school
  3. In the evenings
  4. On the weekends
  5. During school vacations

Can children or adults in the community use this school's outdoor physical activity and athletic facilities without being in a supervised program ...

  1. Before school
  2. After school
  3. In the evenings
  4. On the weekends
  5. During school vacations
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Retained from HP2010 objective
Methodology Notes

Starting with the 2012 survey, the name of the SHPPS survey was changed from the School Health Policies and Programs Study to the School Health Policies and Practices Study.

Schools are considered to provide access to their facilities if there is a positive response to at least a part of each of the Numerator questions.

PA-11 Increase the proportion of physician office visits that include counseling or education related to physical activity

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Ambulatory Medical Care Survey (NAMCS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
13.0 (2007)
Target
14.3
Target-Setting Method
10 percent improvement
Numerator
Number of visits by ambulatory patients aged 20 years and over to non-Federal physicians in office-based practice with diagnosis of cardiovascular disease (ICD-9-CM codes 391-392.0, 393-398, 401, 402, 404, 410-416, 420-429), diabetes mellitus (ICD-9-CM code 250), or hyperlipidemia (ICD-9-CM codes 272.0-272.4) OR whose physician reports that the patient currently has congestive heart failure, diabetes, hyperlipidemia, hypertension or ischemic heart disease in which exercise education was ordered or provided
Denominator
Number of visits by ambulatory patients aged 20 years and over to non-Federal physicians in office-based practice with diagnosis of cardiovascular disease, diabetes mellitus, or hyperlipidemia (as defined in the Numerator statement) OR whose physician reports that the patient currently has congestive heart failure, diabetes, hyperlipidemia, hypertension or ischemic heart disease
Questions Used to Obtain the National Baseline Data

From the 2007 National Ambulatory Medical Care Survey:

[NUMERATOR:]

Physician's diagnoses for this visit -- as specifically as possible, list diagnose related to this visit including chronic conditions (e.g., depression, obesity, asthma, etc.) [Up to three diagnoses may be reported.]

  1. _________________
  2. _________________
  3. _________________

Regardless of the diagnosis written in 5a, does the patient now have - Mark (X) all that apply. [List of 15 conditions includes: congestive heart failure, diabetes, hyperlipidemia, hypertension or ischemic heart disease.]

Health education: Mark (X) all ordered or provided at this visit.

  1. None
  2. Asthma education
  3. Diet/Nutrition
  4. Exercise
  5. Growth/Development
  6. Injury prevention
  7. Stress management
  8. Tobacco use/exposure
  9. Weight reduction
  10. Other
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Because certain questions in the NAMCS are rotated, updated estimates may be available on a periodic rather than an annual basis.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 20-44, 45-64, 65+
  • Sex: 20-44, 45-64, 65+
  • Race/Ethnicity: 20-44, 45-64, 65+
  • Geographic Location: 20-44, 45-64, 65+
  • Health Insurance Status: 20-44, 45-64

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Ambulatory Medical Care Survey (NAMCS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
7.9 (2007)
Target
8.7
Target-Setting Method
10 percent improvement
Numerator
Number of visits by ambulatory patients of all ages to non-Federal physicians in office-based practice in which exercise counseling or education was ordered or provided
Denominator
Number of visits by ambulatory patients of all ages to non-Federal physicians in office-based practice
Questions Used to Obtain the National Baseline Data

From the 2007 National Ambulatory Medical Care Survey:

[NUMERATOR:]

Health education: Mark (X) all ordered or provided at this visit.

  1. None
  2. Asthma education
  3. Diet/Nutrition
  4. Exercise
  5. Growth/Development
  6. Injury prevention
  7. Stress management
  8. Tobacco use/exposure
  9. Weight reduction
  10. Other
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Because certain questions in the NAMCS are rotated, updated estimates may be available on a periodic rather than an annual basis.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 20-44, 45-64, 65+
  • Sex: 20-44, 45-64, 65+
  • Race/Ethnicity: 20-44, 45-64, 65+
  • Geographic Location: 20-44, 45-64, 65+
  • Health Insurance Status: 20-44, 45-64

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

National Data Source
National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
*** Missing *** 
Numerator
*** Missing ***
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective
PA-13 (Developmental) Increase the proportion of trips made by walking

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
*** Missing *** 
Numerator
*** Missing ***
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
*** Missing *** 
Numerator
*** Missing ***
Comparable Healthy People 2010 Objective
Not applicable
PA-14 (Developmental) Increase the proportion of trips made by bicycling

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
*** Missing *** 
Numerator
*** Missing ***
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
*** Missing *** 
Numerator
*** Missing ***
Comparable Healthy People 2010 Objective
Not applicable
PA-15 (Developmental) Increase legislative policies for the built environment that enhance access to and availability of physical activity opportunities

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
*** Missing *** 
Numerator
*** Missing ***
Comparable Healthy People 2010 Objective
Not applicable

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
*** Missing *** 
Numerator
*** Missing ***
Comparable Healthy People 2010 Objective
Not applicable

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
*** Missing *** 
Numerator
*** Missing ***
Comparable Healthy People 2010 Objective
Not applicable