Reduce the proportion of adults who are obese (body mass index (BMI) ≥ 30) ^a

Use these data sources to measure progress toward your goal.

• National Health and Nutrition Examination Survey  
• Behavioral Risk Factor Surveillance System   , selected metropolitan/micropolitan statistical areas  

Reduce the proportion of adolescents aged 12-19 who are considered obese.  ^c

Use these data sources to measure progress toward your goal.

• National Health and Nutrition Examination Survey  
• Youth Risk Behavior Surveillance System (YRBSS)    
• School reports (contact local schools for information) 

Reduce the proportion of children aged 6-11 who are considered obese ^{b c}

Use these data sources to measure progress toward your goal.

• National Health and Nutrition Examination Survey  
• School reports (contact local schools for information) 

Reduce the proportion of children aged 2-5 who are considered obese ^{b c}

Use these data sources to measure progress toward your goal.

• National Health and Nutrition Examination Survey  
• WIC Studies (for low-income children)    

Reduce the proportion of adults who are considered overweight (BMI 25-29.9) ^d

Use these data sources to measure progress toward your goal.

• National Health and Nutrition Examination Survey  
• Behavioral Risk Factor Surveillance System   , selected metropolitan/micropolitan statistical areas  

Reduce the proportion of adolescents aged 12-19 who are considered overweight ^d

Use these data sources to measure progress toward your goal.

• National Health and Nutrition Examination Survey  
• Youth Risk Behavior Surveillance System (YRBSS)    
• School reports (contact local schools for information) 

Reduce the proportion of children aged 6-11 who are considered overweight ^d

Use these data sources to measure progress toward your goal.

• National Health and Nutrition Examination Survey  
• School reports (contact local schools for information) 

Reduce the proportion of children aged 2-5 who are considered overweight ^d

Use these data sources to measure progress toward your goal.

• National Health and Nutrition Examination Survey  
• WIC Studies (for low-income children)    

Reduce the proportion of infants aged 0-2 with weight-for-length greater than the 95th percentile based on Centers for Disease Control and Prevention (CDC) recommendation to use the World Health Organization (WHO) growth charts standard for birth to age 24 months

Use these data sources to measure progress toward your goal.

• National Health and Nutrition Examination Survey  
• WIC Studies (for low-income children)    

Reduce gestational weight gain to meet the IOM (2009) recommendations for total and rate of weight gain based on pre-pregnancy BMI

Use these data sources to measure progress toward your goal.

• Infant Feeding Practices Survey II  
• National Vital Statistics System    
• Birth certificates    
• Pregnancy Risk Assessment Monitoring System (PRAMS)    

Increase the number of children who are born with a birth weight that is appropriate for their gestational age

Use these data sources to measure progress toward your goal.

• National Vital Statistics System    
• Birth certificates    

Reduce the proportion of women whose pre-pregnancy weight is considered obese or overweight

Use these data sources to measure progress toward your goal.

• Infant Feeding Practices Survey II  
• National Vital Statistics System    
• Birth certificates    
• Pregnancy Risk Assessment Monitoring System (PRAMS)    

Reduce the proportion of women who are considered obese or overweight post-pregnancy

Use these data sources to measure progress toward your goal.

• Infant Feeding Practices Survey II  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the proportion of adults who meet current federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity ^{b c}

• Behavioral Risk Factor Surveillance System   , selected metropolitan/micropolitan statistical areas  
• National Health and Nutrition Examination Survey  
• National Health Interview Survey  

Increase the proportion of adolescents who meet current federal physical activity guidelines for aerobic physical activity ^c

• National Health and Nutrition Examination Survey  
• Youth Risk Behavior Surveillance System (YRBSS)    

Increase the proportion of children aged 6-17 who engage in at least 20 minutes per day of vigorous physical activity

• National Survey of Children’s Health  
• National Health and Nutrition Examination Survey  
• Youth Risk Behavior Surveillance System (YRBSS)    

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

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) ^b 

• School Health Policies and Practices Study (SHPPS)   , selected large school districts  

Increase legislative policies for the built environment (i.e., community-scale, street-scale, and transportation and travel policies) that enhance access to and availability of physical activity opportunities  ^{b (developmental)}

• Chronic Disease State Policy Tracking System  

Increase the proportion of walking trips made by adults for leisure or commuting to work ^{b (developmental)}

• American Community Survey    

Increase the proportion of trips to school made by walking 1 mile or less or biking 2 miles or less by children aged 5 to 15 years ^{b (developmental)}

• National Household Travel Survey  

Increase the proportion of trips of 5 miles or less made by bicycling by adults for leisure or active transport for commuting purposes ^{b (developmental)}

• American Community Survey  
• National Household Travel Survey  
  

Increase the proportion of recreation and fitness facilities per 1,000 people

• County Business Patterns   

Increase the proportion of children aged 0-17 years living in safe neighborhoods

• National Survey of Children’s Health  

Increase the proportion of children aged 0-17 years living in safe neighborhoods

• National Survey of Children’s Health  

Increase the proportion of older adults (aged 65 and older) with reduced physical or cognitive function who engage in light, moderate, or vigorous leisure-time physical activities ^b

• Behavioral Risk Factor Surveillance System   , selected metropolitan/micropolitan statistical areas  
• National Health and Nutrition Examination Survey  
• National Health Interview Survey  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the proportion of children aged 6-17 who participate in one or more organized physical activities outside of school, such as sports teams or lessons, clubs, or organizations

• National Survey of Children’s Health  

Increase the number of states with licensing regulations for physical activity in child care that require a number of minutes of physical activity per day or by length of time in care (physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity) ^b 

• National Resource Center for Health and Safety in Child Care and Early Education  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Reduce the mean calories consumed among adults to meet Dietary Guideline recommendations for age, gender, and activity levels

• National Health and Nutrition Examination Survey  

Reduce the mean calories consumed among children and adolescents aged 2 to 19 to meet Dietary Guideline recommendations for age, gender, and activity levels

• National Health and Nutrition Examination Survey  
• Youth Risk Behavior Surveillance System (YRBSS)    

States and school districts adopt policies that prohibit the sale of sugar-sweetened beverages in schools and require that schools offer a variety of no- or low-calorie beverage options that are favorably priced ^d 

• Bridging the Gap 
• Classification of Laws Associated with School Students 
• School Health Policies and Practices Study (SHPPS)  selected large school districts 
• School Nutrition Dietary Assessment Study-IV (SNDA-IV) (for child school intake) 

Reduce energy intake from consumption of sugar-sweetened beverages ^d 

• School Health Policies and Practices Study (SHPPS)   , selected large school districts  

Reduce the relative price of low-fat milk (compared to soda/sweetened beverages)

• Quarterly Food-at-Home Price Database, selected metropolitan and non-metropolitan markets  

Increase the number of states that adopt a law imposing an excise tax on sugar-sweetened beverages and dedicating a portion of the revenue to obesity prevention programs

• Bridging the Gap  
• Chronic Disease State Policy Tracking System  
• Yale Rudd Center for Food Policy & Obesity Legislation Database   , selected large metropolitan areas  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Reduce caloric intake by children and adolescents in chain and quick-service restaurants ^d 

• NPD Group  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Reduce consumption of calories from solid fats and added sugars in the population aged 2 years and older ^b 

• National Health and Nutrition Examination Survey  
• School Nutrition Dietary Assessment Study-IV (SNDA-IV) (for child school intake)  

Reduce consumption of calories from solid fats ^b

• National Health and Nutrition Examination Survey  
• School Nutrition Dietary Assessment Study-IV (SNDA-IV) (for child school intake)  

Reduce consumption of calories from added sugars ^b

• National Health and Nutrition Examination Survey  
• School Nutrition Dietary Assessment Study-IV (SNDA-IV) (for child school intake)  

Increase the proportion of states and school districts with policies that require schools to provide access to free, clean, potable water throughout the school setting ^d

• Bridging the Gap  
• Classification of Laws Associated with School Students  
• School Health Policies and Practices Study (SHPPS)   , selected large school districts  

Increase the contribution of fruits to the diets of the population aged 2 years and older ^b

• Behavioral Risk Factor Surveillance System   , selected metropolitan/micropolitan statistical areas  
• National Health and Nutrition Examination Survey  
• Youth Risk Behavior Surveillance System (YRBSS) (adolescents)   

Increase the variety and contribution of total vegetables to the diets of the population aged 2 years and older b c

• Behavioral Risk Factor Surveillance System   , selected metropolitan/micropolitan statistical areas  
• National Health and Nutrition Examination Survey  
• Youth Risk Behavior Surveillance System (YRBSS) (adolescents)   

Increase the contribution of whole grains to the diets of the population aged 2 years and older ^b

• National Health and Nutrition Examination Survey  

The federal government expands its healthy vending/concession guidelines to include all federal government-owned, -operated, and -occupied buildings, worksites, and facilities ^d

• U.S. General Services Administration  

Increase the number of states with nutrition standards for foods and beverages provided to preschool-aged children in child care ^b

• National Resource Center for Health and Safety in Child Care and Early Education  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the number of states that have state-level policies that incentivize food retail outlets to provide foods that are encouraged by the Dietary Guidelines for Americans ^b 

• State Indicator Report on Fruits and Vegetables  

Reduce the density of fast-food restaurants (per 100,000 population)

• County Business Patterns   

Increase the proportion of healthy food outlets in communities across the United States

• County Business Patterns   

Decrease the relative price of fruit and vegetables (compared to snack items)

• Quarterly Food-at-Home Price Database, selected metropolitan and non-metropolitan markets  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Federal funding for sustained, targeted physical activity and nutrition social marketing campaign, and designation of a lead federal agency to oversee it ^d 

• Status of Appropriations Legislation  
• U.S. Department of Health and Human Services budgets  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the proportion of foods and beverages marketed to children and adolescents that are recommended by the Dietary Guidelines for Americans and reduce the proportion of foods and beverages marketed that are not recommended by the Dietar Guidelines for Americans ^d 

• Nielsen advertising data  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase purchases of reformulated foods that meet the definition in the Dietary Guidelines for Americans of foods and beverages people should consume in greater quantities and reduce purchasing of items not recommended by the Dietary Guidelines for Americans ^d

• National Consumer Panel  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the proportion of states that adopt SNAP-Ed curricula that note which foods and beverages to increase (i.e., those recommended by the Dietary Guidelines for Americans) and which to decrease (e.g., solid fats and added sugars) ^d

• State SNAP-Ed Contacts  
• SNAP Policy Database  

Increase the proportion of foods and beverages purchased by SNAP participants that are recommended by the Dietary Guidelines for Americans and decrease the proportion of foods and beverages purchased that are not recommended by the Dietary Guidelines for Americans ^d

• National Health and Nutrition Examination Survey  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the number of community-based organizations (including local health departments, tribal health services, nongovernmental organizations, and state agencies) providing population-based primary prevention services in the following area: nutrition ^b 

• National Profile of Local Health Departments Study Series  

Increase the number of community-based organizations (including local health departments, tribal health services, nongovernmental organizations, and state agencies) providing population-based primary prevention services in the following area: physical activity ^b

• National Profile of Local Health Departments Study Series  

Increase the proportion of primary care physicians who regularly measure the body mass index of their patients ^b

• National Survey of Energy Balance-Related Care Among Primary Care Physicians  

Increase the proportion of physician office visits that include counseling or education related to nutrition or weight ^b

• Ambulatory Health Care Data  
• National Survey of Energy Balance-Related Care Among Primary Care Physicians  

Increase the proportion of physician office visits that include counseling or education related to physical activity

• Ambulatory Health Care Data  
• National Survey of Energy Balance-Related Care Among Primary Care Physicians  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the number of health plans that include incentives for maintaining healthful lifestyles ^d

• Ambulatory Health Care Data  
• National Survey of Energy Balance-Related Care Among Primary Care Physicians  

Increase the number of health plans that promote obesity screening and prevention ^d

• Ambulatory Health Care Data  
• National Survey of Energy Balance-Related Care Among Primary Care Physicians  

Increase the number of health care plans that use innovative reimbursement strategies for screening and obesity prevention services ^d

• Ambulatory Health Care Data  
• National Survey of Energy Balance-Related Care Among Primary Care Physicians  

Increase the number of health plans reporting and achieving obesity prevention and screening metrics, including universal BMI assessment, weight assessment, and counseling on physical activity and nutrition for children, adolescents, and adults ^d

• National HEDIS Measures  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the proportion of worksites that offer an employee health promotion program to their employees ^{b (developmental)}

• National Survey of Employer-Sponsored Health Plans  

Increase the proportion of employees who participate in employer-sponsored health promotion activities ^{b (developmental)}

• National Survey of Employer-Sponsored Health Plans  

Increase the proportion of employed adults who have access to and participate in employer-based exercise facilities and exercise programs ^{b (developmental)}

• National Health Interview Survey  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the proportion of children between the ages of 6 months and 5 years old who were exclusively breastfed or given breast milk for their first six months

• National Survey of Children’s Health  
• State birth registries/birth records databases  

Increase the percentage of U.S. hospitals with policies and practices to support breastfeeding ^d

• Maternity Practices in Infant Nutrition and Care (mPINC) Survey  

Increase the proportion of employers that have worksite lactation - support programs ^b

• Infant Feedings Practices Survey II  
• Employee Benefits Survey–National Compensation Survey   selected metropolitan/micropolitan statistical areas  

Reduce disparities in breastfeeding initiation and maintenance ^d

• National Immunization Survey  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the proportion of college and university students who receive information from their institution on the priority health risk behavior area: inadequate physical activity ^b 

• National College Health Assessment  

Increase the proportion of college and university students who receive information from their institution on the priority health risk behavior area: unhealthy dietary patterns ^b 

• National College Health Assessment  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the proportion of adolescents who participate in daily school physical education ^b 

• Youth Risk Behavior Surveillance System (YRBSS) (adolescents)   
• School Health Policies and Practices Study (SHPPS)   , selected large school districts  

Increase the proportion of public and private schools that require daily physical education for all students ^b

• Bridging the Gap  
• School Health Policies and Practices Study (SHPPS)   , selected large school districts  

Increase the number of states that require regularly scheduled elementary school recess ^b

• Bridging the Gap  
• School Health Policies and Practices Study (SHPPS)   , selected large school districts  

Increase the proportion of school districts that require regularly scheduled elementary school recess ^b

• Bridging the Gap  
• School Health Policies and Practices Study (SHPPS)   , selected large school districts  

Increase the proportion of school districts that require or recommend elementary school recess for an appropriate period of time ^b

• Bridging the Gap  
• School Health Policies and Practices Study (SHPPS)   , selected large school districts  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the proportion of school districts that require schools to make fruits or vegetables available whenever other food is offered or sold ^b 

• Bridging the Gap  
• School Health Policies and Practices Study (SHPPS)   , selected large school districts  
• School Nutrition Dietary Assessment Study-IV (SNDA-IV) (for child school intake)  

Increase the proportion of schools with a School Breakfast Program ^b

• Bridging the Gap  
• School Health Policies and Practices Study (SHPPS)   , selected large school districts  
• School Nutrition Dietary Assessment Study-IV (SNDA-IV) (for child school intake)  

Increase the proportion of children and adolescents aged 5-18 who consume foods and beverages at school recommended by the Dietary Guidelines for Americans ^d

• National Health and Nutrition Examination Survey  
• School Nutrition Dietary Assessment Study-IV (SNDA-IV) (for child school intake)  

Increase the proportion of schools offering meals that meet the 2012 federal nutrition standards for school meals

• School Nutrition Dietary Assessment Study-IV (SNDA-IV) (for child school intake)  

Decrease the proportion of children and adolescents aged 5-18 who consume foods and beverages at school not recommended by the Dietary Guidelines for Americans such as those containing solid fats and added sugars (SOFAS) ^d

• National Health and Nutrition Examination Survey  

Increase the number of schools with Farm - to-School programs

• National Farm-to-School Network  
• School Nutrition Dietary Assessment Study-IV (SNDA-IV) (for child school intake)  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).

Increase the proportion of schools that require cumulative instruction in health education that meet the National Health Education Standards for elementary, middle, and senior high schools ^b 

• School Health Policies and Practices Study (SHPPS)   , selected large school districts  

Increase the proportion of required health education classes or courses taught by a teacher who has had professional development related to nutrition and dietary behavior within the past 2 years

• School Health Policies and Practices Study (SHPPS)   , selected large school districts  

*The indicators in this report are best aligned with the recommendations included in the IOM’s Accelerating Progress in Obesity Prevention report (IOM, 2012) based on available and ongoing data sources.

NOTE: Physical activity is defined to include large muscle or gross motor activity, development, and/or equipment as well as vigorous or moderate physical activity.

^a Objective wording based on wording available from data source and/or Healthy People 2020 (HHS, 2010) wording, if applicable. 

^b Healthy People 2020 indicator (HHS, 2010). “Developmental” indicates that there is no baseline data available for the indicator and therefore does not currently have a set target.

^c Leading Health Indicators are a subset of the Healthy People 2020 indicators selected on priority health issues (HHS, 2010).

^d Accelerating Progress in Obesity Prevention indicator (IOM, 2012).

^e Additional indicators in this table of interest to the school and child care environment include: school (#30 and 38) and child care (#27 and 43).