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HDS-10.4 Data Details

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HDS-10.4 Increase the proportion of adults with hypertension who meet the recommended guidelines for 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 and Nutrition Examination Survey
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent (age adjusted—see Comments)
Baseline (Year): 
28.0 (2007–10)
Target: 
33.7
Target-Setting Method: 
Minimal statistical significance
Target-Setting Method Justification: 
The target value of 33.7 percent represents the smallest change that will result in a statistically meaningful improvement over the baseline value and would yield a realistic, probably attainable target value.
Numerator: 

Number of persons aged 18 years and over, excluding pregnant women, with high blood pressure/hypertension who report moderate physical activity for at least 150 minutes per week or vigorous physical activity for at least 75 minutes per week or an equivalent combination

Denominator: 

Number of persons aged 18 years and over, excluding pregnant women, with high blood pressure/hypertension

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

    From the 2007-2008 and 2009-2010 National Health and Nutrition Examination Survey:

    [NUMERATOR:]

    Transportation

    {Do you/Does SP} walk or use a bicycle for at least 10 minutes continuously to get to and from places?

    1. Yes
    2. No
    3. Refused
    4. Don't know

    In a typical week, on how many days {do you/does SP} walk or bicycle for at least 10 minutes continuously to get to and from places?

    • _______ Days

    How much time {do you/does SP} spend walking or bicycling for travel on a typical day?

    • _______ Minutes

    Moderate activity

    {Do you/Does SP} do any moderate-intensity sports, fitness, or recreational activities that cause a small increase in breathing or heart rate such as brisk walking, bicycling, swimming, or golf for at least 10 minutes continuously?

    1. Yes
    2. No
    3. Refused
    4. Don't know

    In a typical week, on how many days {do you/does SP} do moderate-intensity sports, fitness or recreational activities?

    • _______ Days

    How much time {do you/does SP} spend doing moderate-intensity sports, fitness or recreational activities on a typical day?

    • _______ Minutes

    Vigorous activity

    {Do you/Does SP} do any vigorous-intensity sports, fitness, or recreational activities that cause large increases in breathing or heart rate like running or basketball for at least 10 minutes continuously?

    1. Yes
    2. No
    3. Refused
    4. Don't know

    In a typical week, on how many days {do you/does SP} do vigorous-intensity sports, fitness or recreational activities?

    • _______ Days

    How much time {do you/does SP} spend doing vigorous-intensity sports, fitness or recreational activities on a typical day?

    • _______ Minutes
Data Collection Frequency: 
Periodic
Methodology Notes: 

    For blood pressure management among persons with hypertension it is recommended that they engage in regular aerobic physical activity as defined by the Federal physical activity guidelines. Adults are classified as meeting the objective if they participate in at least 150 minutes of moderate activity per week (including walking or biking for transportation), 75 minutes of vigorous activity, or 150 minutes per week of an equivalent combination of activity. Total minutes per week of moderate-intensity activity are calculated by multiplying the days per week adults report participating in moderate-intensity activity by the number of minutes reported. Total minutes per week of vigorous-intensity activity are calculated by multiplying the days 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 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.

    Adults are defined as having high blood pressure/hypertension if they either: (a) have a measurement of mean systolic blood pressure (SBP) ≥140 mm Hg or (b) mean diastolic blood pressure (DBP) ≥90 mm Hg or (c) report that they are taking high blood pressure medicine. Blood pressure is measured by averaging up to 3 blood pressure readings taken during the physical examination in the NHANES mobile examination center. A detailed description of the procedures for blood pressure measurement in the NHANES has been published elsewhere.

    Age Adjustment Notes: 

    This Indicator uses Age-Adjustment Groups:

    • Total: 18-49, 50-59, 60-69, 70-79, 80+
    • Sex: 18-49, 50-59, 60-69, 70-79, 80+
    • Race/Ethnicity: 18-49, 50-59, 60-69, 70-79, 80+
    • Educational Attainment: 25-49, 50-59, 60-69, 70-79, 80+
    • Family Income (percent poverty threshold): 18-49, 50-59, 60-69, 70-79, 80+
    • Country of Birth: 18-49, 50-59, 60-69, 70-79, 80+
    • Disability Status: 20-49, 50-59, 60-69, 70-79, 80+
    • Health Insurance Status: 18-49, 50-59, 60-64
    • Diabetes Status: 18-49, 50-59, 60-69, 70-79, 80+
    • Marital Status: 20-49, 50-59, 60-69, 70-79, 80+
    • Veteran Status: 18-49, 50-59, 60-69, 70-79, 80+
    • Obesity Status: 20-49, 50-59, 60-69, 70-79, 80+
Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 12-11 in that this objective which tracks adults with high blood pressure/hypertension who meet the recommended guidelines for physical activity is a component of the Healthy People 2010 objective, which tracked adults with high blood pressure who report taking action to help control blood their blood pressure through diet, sodium and alcohol reduction, exercise, or high blood pressure medication. The data source was changed from the National Health Interview Survey to the National Health and Nutrition Examination Survey to enable more precise measurement of physical activity in reference to specific guidelines.

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, this objective became measurable.

References

Additional resources about the objective

  1. National Center for Health Statistics. National Health and Nutrition Examination Survey, 2007-2008, Public Use Blood Pressure and Cholesterol Questionnaire Documentation. Hyattsville, MD: Centers for Disease Control and Prevention, September 2009.
  2. National Center for Health Statistics. National Health and Nutrition Examination Survey, 2007-2008, Public Use Physical Activity Questionnaire Documentation. Hyattsville, MD: Centers for Disease Control and Prevention, September 2009.
  3. National Center for Health Statistics. National Health and Nutrition Examination Survey, 2009-2010, Health Tech/Blood Pressure Procedures Manual. Hyattsville, MD: Centers for Disease Control and Prevention, May 2009.