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Physical Activity and Fitness

Goal

Introduction

Modifications to Objectives and Subobjectives

Progress Toward Healthy People 2010 Targets

Progress Toward Elimination of Health Disparities

Opportunities and Challenges

Emerging Issues

Progress Quotient Chart

Disparities Table (See below)

Race and Ethnicity

Gender, Education, Location, and Disability

Objectives and Subobjectives

References

Related Objectives From Other Focus Areas

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Midcourse Review Healthy People 2010 logo
Physical Activity and Fitness Focus Area 22

Objectives and Subobjectives



Goal: Improve health, fitness, and quality of life through daily physical activity.

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:

  1. In the Original Objective section, the objective as published in Healthy People 2010 in 2000 is shown.
  2. In the Objective With Revisions section, strikethrough indicates text deleted, and underlining is used to show new text.
  3. 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.


Physical Activity in Adults


NO CHANGE IN OBJECTIVE
22-1. Reduce the proportion of adults who engage in no leisure-time physical activity.

Target: 20 percent.

Baseline: 40 percent of adults aged 18 years and older engaged in no leisure-time physical activity in 1997 (age adjusted to the year 2000 standard population).

Target setting method: Better than the best.

Data source: National Health Interview Survey (NHIS), CDC, NCHS.



NO CHANGE IN OBJECTIVE
(Data updated and footnoted)
22-2. Increase the proportion of adults who engage in moderate physical activity for at least 30 minutes per day 5 or more days per week or vigorous physical activity for at least 20 minutes per day 3 or more days per week.1

Target: 502 percent.

Baseline: 323 percent of adults aged 18 years and older engaged in moderate physical activity for at least 30 minutes per day or vigorous physical activity for at least 20 minutes per day1 in 1997 (age adjusted to the year 2000 standard population).

Target setting method: Better than the best.

Data source: National Health Interview Survey (NHIS), CDC, NCHS.

1 In 2001, the language of objective 22-2 was changed after November 2000 publication to include adults who met the definition for vigorous physical activity.
2 Target revised from 30 because of baseline revision after November 2000 publication.
3 Baseline revised from 15 after November 2000 publication.




NO CHANGE IN OBJECTIVE
22-3. Increase the proportion of adults who engage in vigorous physical activity that promotes the development and maintenance of cardiorespiratory fitness for at least 20 minutes per day 3 or more days per week.

Target: 30 percent.

Baseline: 23 percent of adults aged 18 years and older engaged in vigorous physical activity 3 or more days per week for 20 or more minutes per occasion in 1997 (age adjusted to the year 2000 standard population).

Target setting method: Better than the best.

Data source: National Health Interview Survey (NHIS), CDC, NCHS.


Muscular Strength/Endurance and Flexibility


NO CHANGE IN OBJECTIVE
22-4. Increase the proportion of adults who perform physical activities that enhance and maintain muscular strength and endurance.

Target: 30 percent.

Baseline: 18 percent of adults aged 18 years and older performed physical activities that enhance and maintain strength and endurance 2 or more days per week in 1998 (age adjusted to the year 2000 standard population).

Target setting method: Better than the best.

Data source: National Health Interview Survey (NHIS), CDC, NCHS.



NO CHANGE IN OBJECTIVE
22-5. Increase the proportion of adults who perform physical activities that enhance and maintain flexibility.

Target: 43 percent.

Baseline: 30 percent of adults aged 18 years and older did stretching exercises in the past 2 weeks in 1998 (age adjusted to the year 2000 standard population).

Target setting method: Better than the best.

Data source: National Health Interview Survey (NHIS), CDC, NCHS.


Physical Activity in Children and Adolescents


ORIGINAL OBJECTIVE
22-6. Increase the proportion of adolescents who engage in moderate physical activity for at least 30 minutes on 5 or more of the previous 7 days per week.

Target: 35 percent.

Baseline: 27 percent of students in grades 9 through 12 engaged in moderate physical activity for at least 30 minutes on 5 or more of the previous 7 days in 1999.

Target setting method: Better than the best.

Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP.

OBJECTIVE WITH REVISIONS
22-6. Increase the proportion of adolescents who engage in moderate physical activity for at least 30 minutes per day on 5 or more of the previous 7 days per week.

Target: 35 percent.

Baseline: 27 percent of students in grades 9 through 12 engaged in moderate physical activity for at least 30 minutes on 5 or more of the previous 7 days in 1999.

Target setting method: Better than the best.

Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP.

REVISED OBJECTIVE
22-6. Increase the proportion of adolescents who engage in moderate physical activity for at least 30 minutes per day 5 or more days per week.

Target: 35 percent.

Baseline: 27 percent of students in grades 9 through 12 engaged in moderate physical activity for at least 30 minutes on 5 or more of the previous 7 days in 1999.

Target setting method: Better than the best.

Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP.



NO CHANGE IN OBJECTIVE
22-7. Increase the proportion of adolescents who engage in vigorous physical activity that promotes cardiorespiratory fitness 3 or more days per week for 20 or more minutes per occasion.

Target: 85 percent.

Baseline: 65 percent of students in grades 9 through 12 engaged in vigorous physical activity for at least 20 minutes on 3 or more of the previous 7 days in 1999.

Target setting method: Better than the best.

Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP.




NO CHANGE IN OBJECTIVE
(Data updated and footnoted)
22-8. Increase the proportion of the Nation’s public and private schools that require daily physical education for all students.

Target and baseline:
Objective Increase in Schools Requiring Daily Physical Activity for All Students
2000 Baseline

Percent
2010 Target

Percent
22-8a. Middle and junior high school 6.41 9.42
22-8b. Senior high schools 5.83 14.54

Target setting method: 47 percent improvement for middle and junior high schools; 150 percent improvement for senior high schools.

Data source: School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

1 Baseline and baseline year revised from 17 and 1994 after November 2000 publication.
2 Target revised from 25 because of baseline revision after November 2000 publication.
3 Baseline and baseline year revised from 2 and 1994 after November 2000 publication.
4 Target revised from 5 because of baseline revision after November 2000 publication.



NO CHANGE IN OBJECTIVE
22-9. Increase the proportion of adolescents who participate in daily school physical education.

Target: 50 percent.

Baseline: 29 percent of students in grades 9 through 12 participated in daily school physical education in 1999.

Target setting method: Better than the best.

Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP.



NO CHANGE IN OBJECTIVE
22-10. Increase the proportion of adolescents who spend at least 50 percent of school physical education class time being physically active.

Target: 50 percent.

Baseline: 38 percent of students in grades 9 through 12 were physically active in physical education class more than 20 minutes 3 to 5 days per week in 1999.

Target setting method: Better than the best.

Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP.



NO CHANGE IN OBJECTIVE
22-11. Increase the proportion of adolescents who view television 2 or fewer hours on a school day.

Target: 75 percent.

Baseline: 57 percent of students in grades 9 through 12 viewed television 2 or fewer hours per school day in 1999.

Target setting method: Better than the best.

Data source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP.

Access


ORIGINAL OBJECTIVE
22-12. (Developmental) 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).

Potential data source: School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

OBJECTIVE WITH REVISIONS
22-12. (Developmental) 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).

Target: 50 percent.

Baseline: 35 percent of public and private elementary, middle/junior high, and senior high schools provided community access to their physical activity or athletic facilities in 2000.

Target setting method: 43 percent improvement.

Potential dData source: School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.

REVISED OBJECTIVE
22-12. 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).

Target: 50 percent.

Baseline: 35 percent of public and private elementary, middle/junior high, and senior high schools provided community access to their physical activity or athletic facilities in 2000.

Target setting method: 43 percent improvement.

Data source: School Health Policies and Programs Study (SHPPS), CDC, NCCDPHP.



NO CHANGE IN OBJECTIVE
22-13. Increase the proportion of worksites offering employer-sponsored physical activity and fitness programs.

Target: 75 percent.

Baseline: 46 percent of worksites with 50 or more employees offered physical activity and/or fitness programs at the worksite or through their health plans in 1998–1999.
Worksite Size
Worksite or Health Plan

Percent
Health Plan

Percent
Worksite

Percent
Total (50 or more employees) 46 22 36
50 to 99 employees 38 21 24
100 to 249 employees 42 20 31
250 to 749 employees 56 25 44
750 or more employees 68 27 61
Less than 50 employees Developmental Developmental Developmental

Target setting method: Better than the best.

Data source: National Worksite Health Promotion Survey (NWHPS), Partnership for Prevention and OPHS, ODPHP.




NO CHANGE IN OBJECTIVE
(Data updated and footnoted)
22-14. Increase the proportion of trips made by walking.

Target and baseline:
Objective Increase in Trips Made by Walking
Length of Trip
1995 Baseline*

Percent
2010 Target

Percent
22-14a. Adults aged 18 years and older Trips of 1 mile or less 17 25
22-14b. Children and adolescents aged 5 to 15 years Trips to school of 1 mile or less 31 50

* Age adjusted to the year 2000 standard population.

Target setting method: 47 percent improvement for 22-14a and 611 percent improvement for 22-14b. (Better than the best will be used when data are available.)

Data source: Nationwide Personal Transportation Survey (NPTS), DOT.

1 Target setting method corrected from 68 percent after November 2000 publication.



NO CHANGE IN OBJECTIVE
22-15. Increase the proportion of trips made by bicycling.

Target and baseline:
Objective Increase in Trips Made by Bicycling
Activity
1995 Baseline*

Percent
2010 Target

Percent
22-15a. Adults aged 18 years and older Trips of 5 miles or less 0.6 2.0
22-15b. Children and adolescents aged 5 to 15 years Trips to school of 2 miles or less 2.4 5.0

* Age adjusted to the year 2000 standard population.

Target setting method: 233 percent improvement for 22-15a and 108 percent improvement for 22-15b. (Better than the best will be used when data are available.)

Data source: Nationwide Personal Transportation Survey (NPTS), DOT.




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