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Objectives and Subobjectives
Goal: Promote health and
reduce chronic disease associated with diet and weight.
As a result of the Healthy People 2010 Midcourse
Review, changes were made to the Healthy People 2010 objectives and
subobjectives.
These changes are
specific to the following situations:
- Changes in the wording of an
objective to more accurately describe what is being measured.
-
Changes to reflect a different data
source or new science.
-
Changes resulting from the
establishment of a baseline and a target (that is, when a formerly
developmental objective or subobjective became measurable).
-
Deletion of an objective or
subobjective that lacked a data source.
-
Correction of errors and omissions
in Healthy People 2010.
Revised baselines and targets for measurable objectives and
subobjectives do not fall into any of the above categories and, thus, are not
considered a midcourse review change.1
When changes were made to an objective, three
sections are displayed:
-
In the
Original Objective section, the objective as published in Healthy People 2010 in
2000 is shown.
-
In the
Objective With Revisions section, strikethrough indicates text deleted, and
underlining is used to show new text.
-
In the Revised Objective section, the objective appears as revised
as a result of the midcourse review.
Details of the objectives and subobjectives in this
focus area, including any changes made at the midcourse, appear on the following
pages.
1See Technical Appendix for more information on
baseline and target revisions.
Weight Status and
Growth
NO
CHANGE IN OBJECTIVE
|
19-1. |
Increase
the proportion of adults who are at a healthy weight.
Target:
60 percent.
Baseline:
42 percent of adults aged 20 years and
older were at a healthy weight (defined as a body mass index [BMI] equal to
or greater than 18.5 and less than 25) in 1988–94 (age adjusted to the year
2000 standard population).
Target
setting method:
Better than
the best.
Data
source:
National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
|
19-2. |
Reduce
the proportion of adults who are obese.
Target:
15 percent.
Baseline:
23 percent of adults aged 20 years and
older were identified as obese (defined as a BMI of 30 or more) in 1988–94
(age adjusted to the year 2000 standard population).
Target
setting method:
Better
than the best.
Data
source:
National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
|
19-3. |
Reduce
the proportion of children and adolescents who are overweight or obese.
Target
and baseline:
Objective |
Reduction in Overweight or
Obese Children and Adolescents* |
1988–94
Baseline
Percent |
2010
Target
Percent |
19-3a. |
Children aged 6 to 11 years |
11 |
5 |
19-3b. |
Adolescents aged 12 to 19
years |
11 |
5 |
19-3c. |
Children and adolescents
aged 6 to 19 years |
11 |
5 |
* Defined as at or above the gender- and
age-specific 95th percentile of BMI based on the revised CDC Growth Charts
for the United States.
Target
setting method: Better
than the best.
Data
source: National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
(Data
updated and footnoted)
|
19-4. |
Reduce
growth retardation among low-income children under age 5 years.
Target:
41 percent.
Baseline:
62 percent of
low-income children under age 5 years were growth retarded in 1997 (defined
as height for age below the fifth percentile in the age-gender appropriate
population using the 2000 CDC growth charts; not age adjusted).
Target
setting method: Better
than the best.
Data
source:
Pediatric
Nutrition Surveillance System, CDC, NCCDPHP.
1 Target revised from 5 because of
baseline revision after November 2000 publication.
2 Baseline revised from 8 after November
2000 publication.
|
Food and Nutrient Consumption
NO
CHANGE IN OBJECTIVE
|
19-5. |
Increase the proportion of persons
aged 2 years and older who consume at least two daily servings of fruit.
Target:
75 percent.
Baseline:
28 percent of persons aged 2 years and
older consumed at least two daily servings of fruit in 1994–96 (age adjusted
to the year 2000 standard population).
Target
setting method:
Better
than the best.
Data
source:
Continuing Survey
of Food Intakes by Individuals (CSFII) (2-day average), USDA.
|
NO
CHANGE IN OBJECTIVE
|
19-6. |
Increase the proportion of persons
aged 2 years and older who consume at least three daily servings of
vegetables, with at least one-third being dark green or orange vegetables.
Target: 50 percent.
Baseline: 3 percent of persons aged 2 years and
older consumed at least three daily servings of vegetables, with at least
one-third of these servings being dark green or orange vegetables in 1994–96
(age adjusted to the year 2000 standard population).
Target
setting method: Better
than the best.
Data
source: Continuing Survey
of Food Intakes by Individuals (CSFII) (2-day average), USDA.
|
NO
CHANGE IN OBJECTIVE
|
19-7. |
Increase the proportion of persons
aged 2 years and older who consume at least six daily servings of grain
products, with at least three being whole grains.
Target:
50 percent.
Baseline:
7 percent of persons aged 2 years and
older consumed at least six daily servings of grain products, with at least
three being whole grains in 1994–96 (age adjusted to the year 2000 standard
population).
Target
setting method:
Better
than the best.
Data
source:
Continuing Survey
of Food Intakes by Individuals (CSFII) (2-day average), USDA.
|
NO
CHANGE IN OBJECTIVE
|
19-8. |
Increase the proportion of persons
aged 2 years and older who consume less than 10 percent of calories from
saturated fat.
Target:
75 percent.
Baseline:
36 percent of persons aged 2 years and
older consumed less than 10 percent of daily calories from saturated fat in 1994–96 (age adjusted to
the year 2000 standard population).
Target
setting method:
Better
than the best.
Data
source:
Continuing Survey
of Food Intakes by Individuals (CSFII) (2-day average), USDA.
|
NO
CHANGE IN OBJECTIVE
|
19-9. |
Increase the proportion of persons
aged 2 years and older who consume no more than 30 percent of calories from
total fat.
Target:
75 percent.
Baseline:
33 percent of persons aged 2 years and
older consumed no more than 30 percent of daily calories from total fat in
1994–96 (age adjusted to the year 2000 standard population).
Target
setting method:
Better
than the best.
Data
source:
Continuing Survey
of Food Intakes by Individuals (CSFII) (2-day average), USDA.
|
NO
CHANGE IN OBJECTIVE
|
19-10. |
Increase the proportion of persons
aged 2 years and older who consume 2,400 mg or less of sodium daily.
Target:
65 percent.
Baseline:
21 percent of persons aged 2 years and
older consumed 2,400 mg or less of sodium daily (from foods, dietary
supplements, tap water, and salt use at the table) in 1988–94 (age adjusted
to the year 2000 standard population).
Target
setting method:
Better
than the best.
Data
source:
National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
(Data
updated and footnoted)
|
19-11. |
Increase the proportion of persons
aged 2 years and older who meet dietary recommendations for calcium.
Target:
741 percent.
Baseline:
452 percent of persons aged 2
years and older were at or above approximated mean calcium requirements
(based on consideration of calcium from foods, dietary supplements, and
antacids) in 1988–94 (age adjusted to the year 2000 standard population).
Target
setting method:
Better
than the best.
Data
source: National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS.
1 Target revised from 75 because of
baseline revision after November 2000 publication.
2 Baseline revised from 46 after November
2000 publication.
|
Iron Deficiency and Anemia
NO
CHANGE IN OBJECTIVE
|
19-12. |
Reduce iron deficiency among young
children and females of childbearing age.
Target
and baseline:
Objective |
Reduction in Iron
Deficiency* |
1988–94
Baseline
Percent |
2010
Target
Percent |
19-12a. |
Children aged 1 to 2 years |
9 |
5 |
19-12b. |
Children aged 3 to 4 years |
4 |
1 |
19-12c. |
Nonpregnant females aged 12
to 49 years |
11 |
7 |
* Iron deficiency is defined as having abnormal
results for two or more of the following tests: serum ferritin concentration,
erythrocyte protoporphyrin, or transferrin saturation. Refer to Tracking Healthy People 2010
for threshold values.
Target
setting method:
Better
than the best.
Data
source:
National Health
and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
NO
CHANGE IN OBJECTIVE
|
19-13. |
Reduce anemia among low-income
pregnant females in their third trimester.
Target:
20 percent.
Baseline:
29 percent of low-income pregnant females
in their third trimester were anemic (defined as hemoglobin <11.0 g/dL) in
1996.
Target
setting method:
Better
than the best.
Data
source:
Pregnancy
Nutrition Surveillance System, CDC, NCCDPHP.
|
NO
CHANGE IN OBJECTIVE
|
19-14. |
(Developmental) Reduce iron
deficiency among pregnant females.
Potential
data source:
National
Health and Nutrition Examination Survey (NHANES), CDC, NCHS.
|
Schools,
Worksites, and Nutrition Counseling
OBJECTIVE
DELETED
|
19-15. |
(Objective
deleted due to lack of a suitable data source that would provide at least two sets of
nationally representative estimates this decade)
(Developmental) Increase the proportion of children and adolescents aged 6 to
19 years whose intake of meals and snacks at school contributes to good
overall dietary quality.
|
NO
CHANGE IN OBJECTIVE
(Data
updated and footnoted)
|
19-16. |
Increase the proportion of worksites
that offer nutrition or weight management classes or counseling.
Target:
841 percent.
Baseline:
542 percent of worksites with
50 or more employees offered nutrition or weight management classes or
counseling at the worksite or through their health plans in 1998–99.
Target
setting method:
55 percent
improvement.
Data
source: National Worksite
Health Promotion Survey (NWHPS), Partnership for Prevention and OPHS, ODPHP.
1 Target revised from 85 because of
baseline revision after November 2000 publication.
2 Baseline revised from 55 after November
2000 publication.
|
NO
CHANGE IN OBJECTIVE
|
19-17. |
Increase the proportion of physician
office visits made by patients with a diagnosis of cardiovascular disease,
diabetes, or hyperlipidemia that include counseling or education related to
diet and nutrition.
Target:
75 percent.
Baseline: 42 percent of physician office visits made
by patients with a diagnosis of cardiovascular disease, diabetes, or
hyperlipidemia included ordering or providing counseling or education on diet
and nutrition in 1997 (age adjusted to the year 2000 standard population).
Target
setting method: Better
than the best.
Data
source: National
Ambulatory Medical Care Survey (NAMCS), CDC, NCHS.
|
Food Security
NO
CHANGE IN OBJECTIVE
|
19-18. |
Increase food security among U.S.
households and in so doing reduce hunger.
Target:
94 percent.
Baseline:
88 percent of all U.S. households were
food secure in 1995.
Target
setting method:
6
percentage point improvement (50 percent decrease in food insecurity;
consistent with the U.S. pledge to the 1996 World Food Summit).
Data
source:
Food Security
Supplement to the Current Population Survey, U.S. Department of Commerce,
Bureau of the Census.
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