D-16.1 Increase the proportion of persons at high risk for diabetes with prediabetes who report increasing their levels of physical activity

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 (age adjusted—see Comments)
Baseline (Year)
44.6 (2005-2008)
Target
49.1
Target-Setting Method
10 percent improvement
Numerator
Number adults 18 + who are high risk for diabetes, and report increasing physical activity
Denominator
Adults 18 + without self reported diabetes who have as fasting glucose greater than or equal to 100 and less than 126mg/dl or an HbA1c value >5.7% and <6.5%
Questions Used to Obtain the National Baseline Data

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

[NUMERATOR:]

To lower {your/his/her} risk for certain diseases, {are you/is s/he} now doing any of the following:

b. increasing {your/his/her} physical activity or exercise? ____

  1. Yes
  2. No
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Not applicable

Comments

Methodology Notes

The population at high risk for developing diabetes is defined as persons who have pre-diabetes—this includes persons who have do not have doctor diagnosed diabetes and have either a fasting blood glucose level of greater than or equal to 100 or less than 126 mg/dl or have an A1c level of >5.7% to <6.5.

Adults 18+ who respond yes to the question listed are in the numerator.

Data for HbA1c are available for the whole sample, but data for fasting glucose are only measured for the morning examination session. For these analysis the cohort examined is restricted to persons in the AM exam session only.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Disability Status: 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Education Level: 25-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Race/Ethnicity: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Family Income Level: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Sex: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Health Insurance Status: 18-29, 30-39, 40-49, 50-59, 60-64
  • Marital Status: 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Country of Birth: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Veteran Status: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Obesity Status: 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
  • Total: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+
Trend Issues
Hemoglobin A1c results for 2007-2008 (GHB_E) and 2009-2010 (GHB_F) were temporarily withdrawn in November 2011 to evaluate a shift to the right (increased values) in the distribution of Hemoglobin A1c in 2007-2010 compared to 1999-2006. After careful evaluation of participant data, laboratory quality control data and non-NHANES A1c studies, a cause for this shift in the distribution of Hemoglobin A1c could not be identified. Therefore, the Hemoglobin A1c data for 2007-2008 (GHB_E) and 2009-2010 (GHB_F) were re-released in March 2012 without changes to the data. The user will need to carefully consider the information presented in this analytic note when analyzing Hemoglobin A1c data from 1999-2010.