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Physical Activity Data Details

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  • PA-1 Reduce the proportion of adults who engage in no leisure-time physical activity

    About the Data

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

    Data Source: 
    National Health Interview Survey
    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

    Comparable Healthy People 2010 Objective: 
    Retained from HP2010 objective
    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
    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 Notes: 

      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 (percent poverty threshold): 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+
      • Sexual Orientation: 18-24, 25-34, 35-44, 45-64, 65+
    Trend Issues: 
    Beginning with 2018, the American Community Survey questions are no longer available in the NHIS. As a result, tabulated data by disability are discontinued after 2017.
  • PA-2 Increase the proportion of adults who meet current Federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity

    • PA-2.1 Increase the proportion of adults who engage in aerobic physical activity of at least moderate intensity for at least 150 minutes/week, or 75 minutes/week of vigorous intensity, or an equivalent combination

      About the Data

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

      Data Source: 
      National Health Interview Survey
      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

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

        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 (percent poverty threshold): 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+
        • Sexual Orientation: 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.
      Trend Issues: 
      Beginning with 2018, the American Community Survey questions are no longer available in the NHIS. As a result, tabulated data by disability are discontinued after 2017.
      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.
    • PA-2.2 Increase the proportion of adults who engage in aerobic physical activity of at least moderate intensity for more than 300 minutes/week, or more than 150 minutes/week of vigorous intensity, or an equivalent combination

      About the Data

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

      Data Source: 
      National Health Interview Survey
      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

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      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
      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 Notes: 

        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 (percent poverty threshold): 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+
        • Sexual Orientation: 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.
      Trend Issues: 
      Beginning with 2018, the American Community Survey questions are no longer available in the NHIS. As a result, tabulated data by disability are discontinued after 2017.
      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.
    • PA-2.3 Increase the proportion of adults who perform muscle-strengthening activities on 2 or more days of the week

      About the Data

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

      Data Source: 
      National Health Interview Survey
      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

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      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
      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 Notes: 

        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 (percent poverty threshold): 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+
        • Sexual Orientation: 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.
      Trend Issues: 
      Beginning with 2018, the American Community Survey questions are no longer available in the NHIS. As a result, tabulated data by disability are discontinued after 2017.
      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
      LHI

      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.

      Data Source: 
      National Health Interview Survey
      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

      Comparable Healthy People 2010 Objective: 
      Not applicable
      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
      Leading Health Indicator:
      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 Notes: 

        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 (percent poverty threshold): 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+
        • Sexual Orientation: 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.
      Trend Issues: 
      Beginning with 2018, the American Community Survey questions are no longer available in the NHIS. As a result, tabulated data by disability are discontinued after 2017.
  • PA-3 Increase the proportion of adolescents who meet current Federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity

    • PA-3.1 Increase the proportion of adolescents who meet current Federal physical activity guidelines for aerobic physical activity

      About the Data: National

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

      Data Source: 
      Youth Risk Behavior Surveillance System
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent
      Baseline (Year): 
      28.7 (2011)
      Target: 
      31.6
      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

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2011 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
      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: State

      Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

      Data Source: 
      Youth Risk Behavior Surveillance System
      Measure: 
      percent
      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 State Data: 

          From the 2011 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

      Revision History

      Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

      Description of Changes Since the Healthy People 2020 Launch: 
      In 2014, the original baseline was revised from 18.4 percent (2009) to 28.7 percent (2011) due to changes in the sequence of the survey questions. In 2009, the question used to track this objective was located in the middle of the physical activity section of the questionnaire; for 2011, it was moved to the beginning of the physical activity questionnaire and the change in placement affected the survey responses. The target was adjusted from 20.2 to 31.6 percent to reflect the revised baseline using the original target-setting method.
    • PA-3.2 Increase the proportion of adolescents who meet current Federal physical activity guidelines for muscle-strengthening activity

      About the Data

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

      Data Source: 
      Youth Risk Behavior Surveillance System
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent
      Baseline (Year): 
      55.6 (2011)
      Target: 
      61.2
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      Number of students in grades 9 through 12 who were participated in muscle-strengthening activity on at least three of the past seven days

      Denominator: 

      Number of students in grades 9-12

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2011 Youth Risk Behavior Surveillance System:

        [NUMERATOR:]

        On how many of the past 7 days did you do exercises to strengthen or tone your muscles, such as push-ups, sit-ups, or weight lifting?

        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
      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 22-07 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.

      Revision History

      Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

      Description of Changes Since the Healthy People 2020 Launch: 
      The objective became measurable in 2015.
    • PA-3.3 Increase the proportion of adolescents who meet current Federal physical activity guidelines for aerobic physical activity and muscle-strengthening activity

      About the Data

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

      Data Source: 
      Youth Risk Behavior Surveillance System
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent
      Baseline (Year): 
      21.9 (2011)
      Target: 
      24.1
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      Number of students in grades 9 through 12 who were physically active on all seven of the past seven days and who participated in muscle-strengthening activity on at least three of the past seven days

      Denominator: 

      Number of students in grades 9-12

      Comparable Healthy People 2010 Objective: 
      Not applicable
      Questions Used to Obtain the National Baseline Data: 

        From the 2011 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

        On how many of the past 7 days did you do exercises to strengthen or tone your muscles, such as push-ups, sit-ups, or weight lifting?

        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

      Revision History

      Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

      Description of Changes Since the Healthy People 2020 Launch: 
      In 2015 the objective became measurable.
  • PA-4 Increase the proportion of the Nation’s public and private schools that require daily physical education for all students

    • PA-4.1 Increase the proportion of the Nation’s public and private elementary 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.

      Data Source: 
      School Health Policies and Practices Study
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent
      Baseline (Year): 
      4.4 (2006)
      Target: 
      4.8
      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

      Comparable Healthy People 2010 Objective: 
      Not applicable
      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
      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.

      Revision History

      Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

      Description of Changes Since the Healthy People 2020 Launch: 
      In 2015, the original baseline was revised from 3.8 to 4.4 percent due to programming changes. The target was adjusted from 4.2 to 4.8 percent to reflect the revised baseline using the original target-setting method.
    • PA-4.2 Increase the proportion of the Nation’s public and private middle and junior high 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.

      Data Source: 
      School Health Policies and Practices Study
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent
      Baseline (Year): 
      10.5 (2006)
      Target: 
      11.5
      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

      Comparable Healthy People 2010 Objective: 
      Retained from HP2010 objective
      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
      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.

      Revision History

      Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

      Description of Changes Since the Healthy People 2020 Launch: 
      In 2015, the original baseline was revised from 7.8 to 10.5 percent due to programming changes. The target was adjusted from 8.6 to 11.5 percent to reflect the revised baseline using the original target-setting method.
    • PA-4.3 Increase the proportion of the Nation’s public and private senior high 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.

      Data Source: 
      School Health Policies and Practices Study
      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

      Comparable Healthy People 2010 Objective: 
      Retained from HP2010 objective
      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
      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.

  • PA-5 Increase the proportion of adolescents who participate in daily school physical education

    About the Data: National

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

    Data Source: 
    Youth Risk Behavior Surveillance System
    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

    Comparable Healthy People 2010 Objective: 
    Retained from HP2010 objective
    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

    About the Data: State

    Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

    Data Source: 
    Youth Risk Behavior Surveillance System
    Measure: 
    percent
    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 State 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
  • PA-6 Increase regularly scheduled elementary school recess in the United States

    • PA-6.1 Increase the number of States that require regularly scheduled elementary school recess

      About the Data

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

      Data Source: 
      School Health Policies and Practices Study
      Changed Since the Healthy People 2020 Launch: 
      No
      Measure: 
      number
      Baseline (Year): 
      7 (2006)
      Target: 
      17
      Target-Setting Method: 
      Projection/trend analysis
      Target-Setting Method Justification: 
      One state per year is deemed to be the best target given the fairly low baseline number and the fact that a 10% improvement is not a challenging goal and is not conducive to a state count.
      Numerator: 

      Number of states that require elementary schools to provide students with regularly scheduled recess

      Comparable Healthy People 2010 Objective: 
      Not applicable
      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
      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.
    • PA-6.2 Increase the proportion of school districts that require regularly scheduled elementary school recess

      About the Data

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

      Data Source: 
      School Health Policies and Practices Study
      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)

      Comparable Healthy People 2010 Objective: 
      Not applicable
      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
      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”.

  • PA-7 Increase the proportion of school districts that require or recommend elementary school recess for an appropriate period of time

    About the Data

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

    Data Source: 
    School Health Policies and Practices Study
    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)

    Comparable Healthy People 2010 Objective: 
    Not applicable
    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
    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

    • PA-8.1 Increase the proportion of children aged 0 to 2 years who view no television or videos on an average weekday

      About the Data

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

      Data Source: 
      National Survey of Children's Health
      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

      Comparable Healthy People 2010 Objective: 
      Not applicable
      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
      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

      • PA-8.2.1 Increase the proportion of children aged 2 to 5 years 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.

        Data Source: 
        National Health and Nutrition Examination Survey
        Changed Since the Healthy People 2020 Launch: 
        No
        Measure: 
        percent
        Baseline (Year): 
        75.6 (2005–08)
        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

        Comparable Healthy People 2010 Objective: 
        Not applicable
        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
        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.

      • PA-8.2.2 Increase the proportion of children and adolescents aged 6 to 14 years 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.

        Data Source: 
        National Survey of Children's Health
        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

        Comparable Healthy People 2010 Objective: 
        Not applicable
        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
        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.

      • PA-8.2.3 Increase the proportion of adolescents in grades 9 through 12 who view television, videos, or play video games for no more than 2 hours a day

        About the Data: National

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

        Data Source: 
        Youth Risk Behavior Surveillance System
        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

        Comparable Healthy People 2010 Objective: 
        Adapted from HP2010 objective
        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
        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.

        About the Data: State

        Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

        Data Source: 
        Youth Risk Behavior Surveillance System
        Measure: 
        percent
        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 State 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
        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.

    • 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

      • PA-8.3.1 Increase the proportion of children aged 2 to 5 years 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.

        Data Source: 
        National Health and Nutrition Examination Survey
        Changed Since the Healthy People 2020 Launch: 
        No
        Measure: 
        percent
        Baseline (Year): 
        97.4 (2005–08)
        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

        Comparable Healthy People 2010 Objective: 
        Not applicable
        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
        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.

      • PA-8.3.2 Increase the proportion of children and adolescents aged 6 to 14 years 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.

        Data Source: 
        National Survey of Children's Health
        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

        Comparable Healthy People 2010 Objective: 
        Not applicable
        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
        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.

      • PA-8.3.3 Increase the proportion of adolescents in grades 9 through 12 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: National

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

        Data Source: 
        Youth Risk Behavior Surveillance System
        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

        Comparable Healthy People 2010 Objective: 
        Adapted from HP2010 objective
        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
        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.

        About the Data: State

        Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

        Data Source: 
        Youth Risk Behavior Surveillance System
        Measure: 
        percent
        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 State 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
        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.

  • PA-9 Increase the number of States with licensing regulations for physical activity provided in child care

    • PA-9.1 Increase the number of States with licensing regulations for physical activity in child care that require activity programs providing large muscle or gross motor activity, development, and/or equipment

      About the Data

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

      Data Source: 
      National Database of Child Care Licensing Regulations
      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.
      Target-Setting Method Justification: 
      After discussion with the nutrition workgroup, which is using a similar objective and the same data source, we determined a challenging, yet achievable goal is to expect to add one state per year for each measure.
      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.

      Comparable Healthy People 2010 Objective: 
      Not applicable
      Data Collection Frequency: 
      Periodic
      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).
      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).
      4. The National Resource Center for Health and Safety in Child Care and Early Education (NRC).
    • PA-9.2 Increase the number of States with licensing regulations for physical activity in child care that require children to engage in vigorous or moderate physical activity

      About the Data

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

      Data Source: 
      National Database of Child Care Licensing Regulations
      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.
      Target-Setting Method Justification: 
      After discussion with the nutrition workgroup, which is using a similar objective and the same data source, we determined a challenging, yet achievable goal is to expect to add one state per year for each measure.
      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

      Comparable Healthy People 2010 Objective: 
      Not applicable
      Data Collection Frequency: 
      Periodic
      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).
      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).
      4. The National Resource Center for Health and Safety in Child Care and Early Education (NRC).
    • PA-9.3 Increase the number of States with licensing regulations for physical activity in child care that require a number of minutes of physical activity per day or by length of time in care

      About the Data

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

      Data Source: 
      National Database of Child Care Licensing Regulations
      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.
      Target-Setting Method Justification: 
      After discussion with the nutrition workgroup, which is using a similar objective and the same data source, we determined a challenging, yet achievable goal is to expect to add one state per year for each measure.
      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

      Comparable Healthy People 2010 Objective: 
      Not applicable
      Data Collection Frequency: 
      Periodic
      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).
      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).
      4. The National Resource Center for Health and Safety in Child Care and Early Education (NRC).
  • PA-10 Increase the proportion of the Nation’s public and private schools that provide access to their physical activity spaces and facilities for all persons outside of normal school hours (that is, before and after the school day, on weekends, and during summer and other vacations)

    About the Data

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

    Data Source: 
    School Health Policies and Practices Study
    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

    Comparable Healthy People 2010 Objective: 
    Retained from HP2010 objective
    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
    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

    • PA-11.1 Increase the proportion of office visits made by patients with a diagnosis of cardiovascular disease, diabetes, or hyperlipidemia that include counseling or education related to exercise

      About the Data

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

      Data Source: 
      National Ambulatory Medical Care Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent (age adjusted—see Comments)
      Baseline (Year): 
      7.7 (2012)
      Target: 
      8.5
      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

      Comparable Healthy People 2010 Objective: 
      Not applicable
      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
      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 Notes: 

        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
      Trend Issues: 
      Due to the change from the International Classification of Disease (ICD)-9-CM to ICD-10-CM this objective has a final tracking data year of 2015.

      Revision History

      Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

      Description of Changes Since the Healthy People 2020 Launch: 
      In 2019, the baseline year was reset from 2007 to 2012 due to a methodological change in the data source. The baseline value was revised from 13.0 to 7.7. The target was revised from 14.3 to 8.5 using the original target-setting method.
    • PA-11.2 Increase the proportion of physician visits made by all child and adult patients that include counseling about exercise

      About the Data

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

      Data Source: 
      National Ambulatory Medical Care Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent (age adjusted—see Comments)
      Baseline (Year): 
      5.3 (2012)
      Target: 
      5.8
      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

      Comparable Healthy People 2010 Objective: 
      Not applicable
      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
      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 Notes: 

        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

      Revision History

      Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

      Description of Changes Since the Healthy People 2020 Launch: 
      In 2019, the basline was reset from 2007 to 2012 due to a methodological change in the data source. The baseline value was revised from 7.9 to 5.3 and the target was revised from 8.7 to 5.8 using the original target setting method.
  • PA-12 (Developmental) Increase the proportion of employed adults who have access to and participate in employer-based exercise facilities and exercise programs

    About the Data

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

    Potential Data Source: 
    National Health Interview Survey
    Changed Since the Healthy People 2020 Launch: 
    No
    Measure: 
    *** Missing ***
    Numerator: 

    *** Missing ***

    Comparable Healthy People 2010 Objective: 
    Adapted from HP2010 objective
  • PA-13 Increase the proportion of trips made by walking

    • PA-13.1 Increase the proportion of trips of 1 mile or less made by walking by adults aged 18 years and older

      About the Data

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

      Data Source: 
      National Household Travel Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent (age adjusted—see Comments)
      Baseline (Year): 
      33.4 (2009)
      Target: 
      36.7
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      Number of trips of 1 mile or less that persons 18 years and older report taking by walking on designated travel day

      Denominator: 

      Number of trips of 1 mile or less that persons 18 years and older report taking on designated travel day

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2009 National Household Travel Survey:

        [NUMERATOR:]

        Now I’d like to talk about the trips {you/SUBJECT} recorded in the diary we sent.] [Now] I have some questions about all trips {you/SUBJECT} took on {TRIPDATE}. {Even though {your/his/her} travel on this day may have been unusual for some reason, we still want to know about {your/SUBJECT’S} trips on this particular day.}

        • Did (you/Person) go anywhere (yesterday/on Travel Day)?
        • (Excluding the trips taken as a regular part of the job), please tell me everywhere (you/Person) went (yesterday/on Travel Day). Remember, we want to know about any time (you/Person) went from one place to another for any purpose.
        • Where did (you/Person) go first (yesterday/on Travel Day)?
        • When (you/Person) left (Destination) where did (you/Person) go next?

        [Repeat question until no more trips....]

        Now I have a few questions about each trip. How far is it from where (you/Person) started to (Destination)? __________miles

        [For nonsegmented trips:]

        How did (you/Person) get to (Destination)? That is, what means of transportation did (you/Person) use for this trip?

        1. Walk
        2. Bicycle

        [For multisegment trips:]

        What means of transportation did (you/Person)use for the (first/next) part of this trip to (Destination)?

        1. Walk
        2. Bicycle

        [Continue for additional segments...]

      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        The travel day was defined as beginning at 4:00 a.m. on the designated day and ending at 3:59 a.m. on the following day. In general, telephone numbers were called the day after their assigned travel day.

        This objective is similar to Healthy People 2020 objective EH-2.2; however, objective EH-2.2 is specific to trip purpose (to work), uses a different data source and year, and includes persons 16 years of age and older. Adult proxies were used for youth younger than 14 years.

        Age Adjustment Notes: 

        This Indicator uses Age-Adjustment groups:

        • Total: 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
        • Sex: 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
        • Race/Ethnicity: 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
        • Educational Attainment: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
        • Geographic Location: 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 22-14a in that the objective has been modified due to changes in the survey design and questions. The data for the Healthy People 2010 and 2020 objectives are not comparable.

      Revision History

      Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

      Description of Changes Since the Healthy People 2020 Launch: 
      In 2015 the objective became measurable.
    • PA-13.2 Increase the proportion of trips of 1 mile or less made to school by walking by children and adolescents aged 5 to 15 years

      About the Data

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

      Data Source: 
      National Household Travel Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent
      Baseline (Year): 
      28.8 (2009)
      Target: 
      31.7
      Target-Setting Method: 
      10 percent improvement
      Numerator: 

      Number of trips of 1 mile or less to school that children and adolescents aged 5 to 15 years report taking by walking on designated travel day

      Denominator: 

      Number of trips of 1 mile or less to school that children and adolescents aged 5 to 15 years report taking on designated travel day

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2009 National Household Travel Survey:

        [NUMERATOR:]

        Now I’d like to talk about the trips {you/SUBJECT} recorded in the diary we sent.] [Now] I have some questions about all trips {you/SUBJECT} took on {TRIPDATE}. {Even though {your/his/her} travel on this day may have been unusual for some reason, we still want to know about {your/SUBJECT’S} trips on this particular day.}

        • Did (you/Person) go anywhere (yesterday/on Travel Day)?
        • (Excluding the trips taken as a regular part of the job), please tell me everywhere (you/Person) went (yesterday/on Travel Day). Remember, we want to know about any time (you/Person) went from one place to another for any purpose.
        • Where did (you/Person) go first (yesterday/on Travel Day)?
        • When (you/Person) left (Destination) where did (you/Person) go next?

        [Repeat question until no more trips....]

        Now I have a few questions about each trip. How far is it from where (you/Person) started to (Destination)? __________miles

        [For nonsegmented trips:]

        How did (you/Person) get to (Destination)? That is, what means of transportation did (you/Person) use for this trip?

        1. Walk
        2. Bicycle

        [For multisegment trips:]

        What means of transportation did (you/Person)use for the (first/next) part of this trip to (Destination)?

        1. Walk
        2. Bicycle

        [Continue for additional segments...]

      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        The travel day was defined as beginning at 4:00 a.m. on the designated day and ending at 3:59 a.m. on the following day. In general, telephone numbers were called the day after their assigned travel day.

        Adult proxies were used for youth younger than 14 years.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 22-14b in that the objective has been modified due to changes in the survey design and questions. The data for the Healthy People 2010 and 2020 objectives are not comparable.

      Revision History

      Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

      Description of Changes Since the Healthy People 2020 Launch: 
      In 2015 the objective became measurable.
  • PA-14 Increase the proportion of trips made by bicycling

    • PA-14.1 Increase the proportion of trips of 5 miles or less made by bicycling by adults aged 18 years and older

      About the Data

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

      Data Source: 
      National Household Travel Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent (age adjusted—see Comments)
      Baseline (Year): 
      1.0 (2009)
      Target: 
      3.0
      Target-Setting Method: 
      2 percentage point improvement
      Target-Setting Method Justification: 
      Because baseline is less than 5% a more realistic percentage improvement point is between 2 and 4 percentage points.
      Numerator: 

      Number of trips of 5 miles or less that persons 18 years and older report taking by bicycling on designated travel day

      Denominator: 

      Number of trips of 5 miles or less that persons 18 years and older report taking on designated travel day

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2009 National Household Travel Survey:

        [NUMERATOR:]

        Now I’d like to talk about the trips {you/SUBJECT} recorded in the diary we sent.] [Now] I have some questions about all trips {you/SUBJECT} took on {TRIPDATE}. {Even though {your/his/her} travel on this day may have been unusual for some reason, we still want to know about {your/SUBJECT’S} trips on this particular day.}

        • Did (you/Person) go anywhere (yesterday/on Travel Day)?
        • (Excluding the trips taken as a regular part of the job), please tell me everywhere (you/Person) went (yesterday/on Travel Day). Remember, we want to know about any time (you/Person) went from one place to another for any purpose.
        • Where did (you/Person) go first (yesterday/on Travel Day)?
        • When (you/Person) left (Destination) where did (you/Person) go next?

        [Repeat question until no more trips....]

        Now I have a few questions about each trip. How far is it from where (you/Person) started to (Destination)? __________miles

        [For nonsegmented trips:]

        How did (you/Person) get to (Destination)? That is, what means of transportation did (you/Person) use for this trip?

        1. Walk
        2. Bicycle

        [For multisegment trips:]

        What means of transportation did (you/Person)use for the (first/next) part of this trip to (Destination)?

        1. Walk
        2. Bicycle

        [Continue for additional segments...]

      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        The travel day was defined as beginning at 4:00 a.m. on the designated day and ending at 3:59 a.m. on the following day. In general, telephone numbers were called the day after their assigned travel day.

        This objective is similar to Healthy People 2020 objective EH-2.1; however, objective EH-2.1 is specific to trip purpose (to work), uses a different data source and year, and includes persons 16 years of age and older. Adult proxies were used for youth younger than 14 years.

        Age Adjustment Notes: 

        This Indicator uses Age-Adjustment groups:

        • Total: 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
        • Sex: 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
        • Race/Ethnicity: 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
        • Educational Attainment: 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
        • Geographic Location: 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+
      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 22-15 in that the objective has been modified due to changes in the survey design and questions. The data for the Healthy People 2010 and 2020 objectives are not comparable.

      Revision History

      Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

      Description of Changes Since the Healthy People 2020 Launch: 
      In 2015 the objective became measurable.
    • PA-14.2 Increase the proportion of trips of 2 miles or less made to school by bicycling by children and adolescents aged 5 to 15 years

      About the Data

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

      Data Source: 
      National Household Travel Survey
      Changed Since the Healthy People 2020 Launch: 
      Yes
      Measure: 
      percent
      Baseline (Year): 
      1.4 (2009)
      Target: 
      3.4
      Target-Setting Method: 
      2 percentage point improvement
      Target-Setting Method Justification: 
      Because baseline is less than 5% a more realistic percentage point improvement is between 2 and 4 percentage points.
      Numerator: 

      Number of trips of 2 miles or less that children and adolescents aged 5 to 15 years report taking by bicycling to school on designated travel day

      Denominator: 

      Number of trips of 2 miles or less that children and adolescents aged 5 to 15 years and older report taking on designated travel day

      Comparable Healthy People 2010 Objective: 
      Adapted from HP2010 objective
      Questions Used to Obtain the National Baseline Data: 

        From the 2009 National Household Travel Survey:

        [NUMERATOR:]

        Now I’d like to talk about the trips {you/SUBJECT} recorded in the diary we sent.] [Now] I have some questions about all trips {you/SUBJECT} took on {TRIPDATE}. {Even though {your/his/her} travel on this day may have been unusual for some reason, we still want to know about {your/SUBJECT’S} trips on this particular day.}

        • Did (you/Person) go anywhere (yesterday/on Travel Day)?
        • (Excluding the trips taken as a regular part of the job), please tell me everywhere (you/Person) went (yesterday/on Travel Day). Remember, we want to know about any time (you/Person) went from one place to another for any purpose.
        • Where did (you/Person) go first (yesterday/on Travel Day)?
        • When (you/Person) left (Destination) where did (you/Person) go next?

        [Repeat question until no more trips....]

        Now I have a few questions about each trip. How far is it from where (you/Person) started to (Destination)? __________miles

        [For nonsegmented trips:]

        How did (you/Person) get to (Destination)? That is, what means of transportation did (you/Person) use for this trip?

        1. Walk
        2. Bicycle

        [For multisegment trips:]

        What means of transportation did (you/Person)use for the (first/next) part of this trip to (Destination)?

        1. Walk
        2. Bicycle

        [Continue for additional segments...]

      Data Collection Frequency: 
      Periodic
      Methodology Notes: 

        The travel day was defined as beginning at 4:00 a.m. on the designated day and ending at 3:59 a.m. on the following day. In general, telephone numbers were called the day after their assigned travel day.

        Adult proxies were used for youth younger than 14 years.

      Changes Between HP2010 and HP2020: 
      This objective differs from Healthy People 2010 objective 22-15 in that the objective has been modified due to changes in the survey design and questions. The data for the Healthy People 2010 and 2020 objectives are not comparable.

      Revision History

      Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

      Description of Changes Since the Healthy People 2020 Launch: 
      In 2015 the objective became measurable.
  • PA-15 (Developmental) Increase legislative policies for the built environment that enhance access to and availability of physical activity opportunities