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Midcourse Review > Table of Contents > Focus Area 19: Nutrition and Overweight > Objectives and Subobjectives
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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
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NO CHANGE IN OBJECTIVE |
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| 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. |
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NO CHANGE IN OBJECTIVE |
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| 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. |
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NO CHANGE IN OBJECTIVE |
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| 19-3. |
Reduce
the proportion of children and adolescents who are overweight or obese. Target and baseline:
* 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. |
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 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
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NO CHANGE IN OBJECTIVE |
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| 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. |
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NO CHANGE IN OBJECTIVE |
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| 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. |
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NO CHANGE IN OBJECTIVE |
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| 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. |
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NO CHANGE IN OBJECTIVE |
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| 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. |
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NO CHANGE IN OBJECTIVE |
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| 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. |
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NO CHANGE IN OBJECTIVE |
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| 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. |
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 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
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NO CHANGE IN OBJECTIVE |
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| 19-12. |
Reduce iron deficiency among young
children and females of childbearing age. Target and baseline:
* 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. |
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NO CHANGE IN OBJECTIVE |
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| 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. |
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NO CHANGE IN OBJECTIVE |
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| 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
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OBJECTIVE DELETED |
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| 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.
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NO CHANGE IN OBJECTIVE (Data updated and footnoted) |
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| 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. |
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NO CHANGE IN OBJECTIVE |
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| 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
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NO CHANGE IN OBJECTIVE |
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| 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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