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Healthier Food Access
Baseline:
24 States had nutrition standards for foods and beverages provided to preschool-aged children in child care in 2006
Target:
34 States (can include the District of Columbia)
Target-Setting Method:
1 State per year improvement (can include the District of Columbia)
Data Sources:
National Resource Center for Health and Safety in Child Care and Early Education, and child care licensing websites from each State government and the District of Columbia
More Information:
NWS-2 Increase the proportion of schools that offer nutritious foods and beverages outside of school meals
Baseline:
9.3 percent of schools did not sell or offer calorically sweetened beverages to students in 2006
Target:
21.3 percent
Target-Setting Method:
Modeled on previous data: 12 percentage point increase
Data Source:
School Health Policies and Programs Study, CDC
Baseline:
6.6 percent of school districts required schools to make fruits or vegetables available whenever other foods are offered or served in 2006
Target:
18.6 percent
Target-Setting Method:
12.0 percentage point increase
Data Source:
School Health Policies and Program Study, CDC
Baseline:
8 States (including the District of Columbia) had State-level policies that incentivized food retail outlets to provide foods that are encouraged by the Dietary Guidelines in 2009
Target:
18 States (including the District of Columbia)
Target-Setting Method:
Modeled on previous data; 1 State per year improvement
Data Source:
CDC State Indicator Report on Fruits and Vegetables. The report gathers data from three data sources: (1) CDC Nutrition, Physical Activity, and Obesity Legislative Database, (2) National Conference of State Legislatures Health Community Design and Access to Healthy Food Legislative Database, (3) The Food Trust
More Information:
Potential Data Source:
To be determined
Healthcare and Worksite Settings
NWS-5 Increase the proportion of primary care physicians who regularly measure the body mass index of their patients
Baseline:
48.7 percent of primary care physicians regularly assessed body mass index (BMI) in their adult patients in 2008
Target:
53.6 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Survey on Energy Balance Related Care among Primary Care Physicians
More Information:
Baseline:
49.7 percent of primary care physicians regularly assessed body mass index (BMI) for age and sex in their child or adolescent patients in 2008
Target:
54.7 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Survey on Energy Balance Related Care Among Primary Care Physicians
More Information:
NWS-6 Increase the proportion of physician office visits that include counseling or education related to nutrition or weight
Baseline:
20.8 percent of physician office visits of adult patients with a diagnosis of cardiovascular disease, diabetes, or hyperlipidemia included counseling or education related to diet and nutrition in 2007 (age adjusted to the year 2000 standard population)
Target:
22.9 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Ambulatory Medical Care Survey, CDC, NCHS
More Information:
Baseline:
28.9 percent of physician office visits of adult patients who are obese included counseling or education related to weight reduction, nutrition, or physical activity in 2007 (age adjusted to the year 2000 standard population)
Target:
31.8 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Ambulatory Medical Care Survey, CDC, NCHS
More Information:
Baseline:
12.2 percent of physician office visits of all child or adults patients included counseling about nutrition or diet in 2007 (age adjusted to the year 2000 standard population)
Target:
15.2 percent
Target-Setting Method:
3 percentage point improvement
Data Source:
National Ambulatory Medical Care Survey, CDC, NCHS
More Information:
Potential Data Source:
A followup survey to the 2004 National Worksite Health Promotion Survey
Weight Status
Baseline:
30.8 percent of persons aged 20 years and over were at a healthy weight in 2005–08 (age adjusted to the year 2000 standard population)
Target:
33.9 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
Baseline:
34.0 percent of persons aged 20 years and over were obese in 2005–08 (age adjusted to the year 2000 standard population)
Target:
30.6 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
NWS-10 Reduce the proportion of children and adolescents who are considered obese
Baseline:
10.7 percent of children aged 2 to 5 years were considered obese in 2005–08
Target:
9.6 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
Baseline:
17.4 percent of children aged 6 to 11 years were considered obese in 2005–08
Target:
15.7 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
Baseline:
17.9 percent of adolescents aged 12 to 19 years were considered obese in 2005–08
Target:
16.1 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
Baseline:
16.2 percent of children and adolescents aged 2 to 19 years were considered obese in 2005–08
Target:
14.6 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
NWS-11 (Developmental) Prevent inappropriate weight gain in youth and adults
Potential Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
Potential Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
Potential Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
Potential Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
Potential Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
Food Insecurity
Baseline:
1.3 percent of households with children had very low food security among children in 2008
Target:
0.2 percent
Target-Setting Method:
Consistent with the Department of Agriculture’s policy to eliminate childhood hunger by 2015
Data Source:
Food Security Supplement to the Current Population Survey, U.S. Department of Commerce, Bureau of the Census
More Information:
Baseline:
14.6 percent of households were food insecure in 2008
Target:
6.0 percent
Target-Setting Method:
Retain 2010 target
Data Source:
Food Security Supplement to the Current Population Survey, U.S. Department of Commerce, Bureau of the Census
More Information:
Food and Nutrient Consumption
Baseline:
0.5 cup equivalents of fruits per 1,000 calories was the mean daily intake by persons aged 2 years and older in 2001–04
Target:
0.9 cup equivalents per 1,000 calories
Target-Setting Method:
Evidence-based approach (Considered the baseline in relation to 2005 Dietary Guidelines for Americans [DGA] recommendations, past trends and potentially achievable shift in the usual intake distribution, and applicability of the target to subpopulations)
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS
More Information:
NWS-15 Increase the variety and contribution of vegetables to the diets of the population aged 2 years and older
Baseline:
0.8 cup equivalents of total vegetables per 1,000 calories was the mean daily intake by persons aged 2 years and older in 2001–04 (age adjusted to the year 2000 standard population)
Target:
1.1 cup equivalents per 1,000 calories
Target-Setting Method:
Evidence-based approach (Considered the baseline in relation to 2005 DGA recommendations, past trends and potentially achievable shift in the usual intake distribution, and applicability of the target to subpopulations)
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS
More Information:
Baseline:
0.1 cup equivalents of dark green or orange vegetables or legumes per 1,000 calories was the mean daily intake by persons aged 2 years and older in 2001–04 (age adjusted to the year 2000 standard population)
Target:
0.3 cup equivalents per 1,000 calories
Target-Setting Method:
Evidence-based approach (Considered the baseline in relation to USDA Food Guide recommendations, past trends and potentially achievable shift in the usual intake distribution, and applicability of the target to subpopulations)
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS
More Information:
Baseline:
0.3 ounce equivalents of whole grains per 1,000 calories was the mean daily intake by persons aged 2 years and older in 2001–04 (age adjusted to the year 2000 standard population)
Target:
0.6 ounce equivalents per 1,000 calories
Target-Setting Method:
Evidence-based approach (Considered the baseline in relation to 2005 DGA recommendation, past trends and potentially achievable shift in the usual intake distribution, and applicability of the target to subpopulations)
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS
More Information:
NWS-17 Reduce consumption of calories from solid fats and added sugars in the population aged 2 years and older
Baseline:
18.9 percent was the mean percentage of total daily calorie intake provided by solid fats for the population aged 2 years and older in 2001–04 (age adjusted to the year 2000 standard population)
Target:
16.7 percent
Target-Setting Method:
Evidence-based approach (Considered the baseline in relation to USDA Food Guide recommendations, potentially achievable shift in the usual intake distribution, and applicability of the target to subpopulations)
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS
More Information:
Baseline:
15.7 percent was the mean percentage of total daily calorie intake provided by added sugars for the population aged 2 years and older in 2001–04 (age adjusted to the year 2000 standard population)
Target:
10.8 percent
Target-Setting Method:
Evidence- based approach (Considered the baseline in relation to USDA Food Guide recommendations, potentially achievable shift in the usual intake distribution, and applicability of the target to subpopulations)
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS
More Information:
Baseline:
34.6 percent was the mean percentage of total daily calorie intake provided by solid fats and added sugars for the population aged 2 years and older in 2001–04 (age adjusted to the year 2000 standard population)
Target:
29.8 percent
Target-Setting Method:
Evidence-based approach (Considered the baseline in relation to USDA Food Guide recommendations, potentially achievable shift in the usual intake distribution, and applicability of the target to subpopulations)
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS
More Information:
Baseline:
11.3 percent was the mean percentage of total daily calorie intake provided by saturated fat for the population aged 2 years and older in 2003–06 (age adjusted to the year 2000 standard population)
Target:
9.5 percent
Target-Setting Method:
Evidence-based approach (Considered the baseline in relation to 2005 DGA recommendation, past trends and potentially achievable shift in the usual intake distribution, and applicability of the target to subpopulations)
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS
More Information:
Baseline:
3,641 milligrams of sodium from foods, dietary supplements and antacids, drinking water, and salt use at the table was the mean total daily intake by persons aged 2 years and older in 2003–06 (age adjusted to the year 2000 standard population)
Target:
2,300 milligrams
Target-Setting Method:
Evidence-based approach (Considered the baseline in relation to the 2005 DGA recommendations and Institute of Medicine [IOM] Dietary Reference Intakes [DRIs], past trends and potentially achievable shift in the usual intake distribution, and applicability
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS
More Information:
Baseline:
1,118 milligrams of calcium from foods, dietary supplements and antacids, and drinking water was the mean total daily intake by persons aged 2 years and older in 2003–06 (age adjusted to the year 2000 standard population)
Target:
1,300 milligrams
Target-Setting Method:
Evidence-based approach (Considered the baseline in relation to IOM DRIs, past trends and potentially achievable shift in the usual intake distribution, and applicability of the target to subpopulations)
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS and USDA, ARS
More Information:
Iron Deficiency
NWS-21 Reduce iron deficiency among young children and females of childbearing age
Baseline:
15.9 percent of children aged 1 to 2 years were iron deficient in 2005–08
Target:
14.3 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
Baseline:
5.3 percent of children aged 3 to 4 years were iron deficient in 2005–08
Target:
4.3 percent
Target-Setting Method:
1 percentage point improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
Baseline:
10.4 percent of females aged 12 to 49 years old were iron deficient in 2005–08
Target:
9.4 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
Baseline:
16.1 percent of pregnant females were iron deficient in 2003–06
Target:
14.5 percent
Target-Setting Method:
10 percent improvement
Data Source:
National Health and Nutrition Examination Survey (NHANES), CDC, NCHS
More Information:
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