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Production and design of the 2014 Report Card was supported by the Pennington Biomedical Research Center.
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Table of Contents
About the National Physical Activity Plan Alliance
Methodology
10
Sedentary Behaviors
12
Active Transportation
14
16
Active Play
18
Health-Related Fitness
20
24
School
26
28
30
32
34
References
35
Education
Health Care
Mass Media
Public Health
Committee Members:
Kim Beals, PhD, RD, CSSD, LDN
University of Pittsburgh
Pittsburgh, PA
Scott Crouter, PhD, FACSM
The University of Tennessee
Knoxville, TN
Joey C. Eisenmann, PhD
Michigan State University
East Lansing, MI
Thomas L. McKenzie, PhD, FACSM
San Diego State University
San Diego, CA
Russell R. Pate, PhD
University of South Carolina
Columbia, SC
Brian E. Saelens, PhD
University of Washington
Seattle, WA
Susan B. Sisson, PhD, RDN, CHES
University of Oklahoma Health Sciences Center
Oklahoma City, OK
Melinda S. Sothern, PhD, CEP
Louisiana State University Health Sciences Center
New Orleans, LA
Donna Spruijt-Metz, PhD, MFA
University of Southern California
Los Angeles, CA
POLICY ENVIRONMENT
Health care
policies/incentives,
Zoning codes,
Development
regulations,
Transport
investments &
regulations,
Public Recreation
investments,
Park policies
NEIGHBORHOOD:
Ped/bike facilities
Aesthetics
Traffic safety
RECREATION ENVIRONMENT:
Home PA equipment
Parks, trails, programs
Private rec. facilities
Community orgs.
Sports - amateur, pro
Sedentary options
Active
Recreation
Safety
Attractiveness
Comfort
Subsidized
equipment,
Health care policies,
Zoning codes,
Home prices,
Housing-jobs balance
HOME ENVIRONMENT:
PA equipment
Gardens
Stairs
Electronic Entertainment
Labor-saving devices
NEIGHBORHOOD:
Walkability
Ped/bike facilities
Parking
Transit
Traffic
Household
Activities
INTRAPERSONAL
Demographics
Biological
Psychological
Family Situation
Perceived Crime
Active
Transport
Accessibility
Convenience
Occupational
Activities
Interpersonal modeling,
social support,
partners for social activities
Healthcare: counseling, info
Mass media - news, ads
Sports
Informal discussions
Media regulations
Health sector policies
Business practices
INFORMATION
ENVIRONMENT
Advocacy by
individuals & organizations
SOCIAL CULTURAL
ENVIRONMENT
Weather
Topography
Open space
Air Quality
Zoning codes,
Development
regulations,
Transport investments,
Traffic demand, Parking
regulations, Developer
incentives
Zoning codes,
Fire codes,
Parking regulations,
Transportation
investments,
Health care policies
Transport policies
Land use policies
NATURAL
ENVIRONMENT
Source: Sallis JF, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr J. An ecological approach to creating active living communities. Annu Rev Public Health. 2006;27:297-322 [1].
Reprinted, with permission, from the Annual Review of Public Health, Volume 27 2006 by Annual Reviews www.annualreviews.org
Methodology
The Report Card Research Advisory Committee (the
Committee), a sub-committee of The Alliance, included
experts in physical activity and healthy behaviors from
academic institutions across the country, see page 5.
The Committee was charged with the development
and dissemination of the Report Card, which included
determining which indicators to include, identifying the
best available data sources(s) for each indicator, and
assigning a letter grade to each indicator based on the
best available evidence.
The Committee selected 10 indicators related to physical
activity in children and youth: (1) overall physical activity;
(2) sedentary behaviors; (3) active transportation;
(4) organized sport participation; (5) active play;
(6) health-related fitness;
(7) family and peers;
(8) school; (9) community and the built environment; and
(10) government strategies and investments.
Data from multiple nationally representative surveys were
used to provide a comprehensive evaluation of physical
GRADE
A
B
C
D
F
INC
DEFINITION
BENCHMARK
81-100%
61-80%
41-60%
We are succeeding with less than half, but some, children and youth.
21-40%
0-20%
---
*Developed by Active Healthy Kids Canada for the Active Healthy Kids Canada Report Card on Physical Activity for Children and Youth
Figure 2. The 2008 Physical Activity Guidelines for Americans recommendations for children and youth [15].
U.S. Department of Health and Human Services (DHHS). Physical Activity Guidelines for Americans, 2008. Washington, DC: U.S. Government Printing Office; 2008 [15].
dD
f
cinc
INC
inc
cbinc
Indicator
Overall Physical Activity
Sedentary Behaviors
Active Transportation
Organized Sport Participation
Active Play
Health-Related Fitness
Family & Peers
School
Community & the Built Environment
Government Strategies & Investments
9
GRADE
D-
Primary Indicator:
The proportion of U.S. children and youth attaining 60 or more minutes of
moderate-to-vigorous physical activity on at least 5 days per week.
-
The grade of D- indicates that the majority of American children and youth do not meet physical activity
recommendations. According to NHANES, approximately one quarter of children and youth 6-15 y of age were at least
moderately active for 60-minutes per day on at least 5 days per week [17].
10
than the inactive girls [21]. Results from The European Youth
Heart Study also showed significant correlations between
physical activity and cardiovascular and metabolic disease
risk factors, including higher fitness, and lower adiposity,
waist circumference, systolic and diastolic blood pressure,
glucose, insulin, cholesterol, triglycerides, and insulin
resistance [4].
Secondary Indicators:
Figure 3. Percentages of 11, 13, and 15 year old U.S. youth reporting at least 1 hour of moderate-to-vigorous
physical activity daily [20].
Female
Male
11 years old
24%
30%
13 years old
19%
34%
15 years old
17%
33%
Source: Health Behaviour in School-Aged Children Survey. Currie C et al. eds, Social determinants of health and well-being among young people, in Health Behaviour in
School-aged Children (HBSC) study: international report from the 2009/2010 survey. 2012, WHO Regional Office for Europe (Health Policy for Children and Adolescents No.
6): Copenhagen [20].
Figure 4. Average number of accelerometer minutes U.S. children and youth ages 6-19 y spent engaging in
moderate-to-vigorous physical activity per day [19].
88
63.8
54.4
44.4
Am
er
ic
an
er
ic
an
Am
W
hi
c
an
ic
ex
M
Af
ric
an
ni
pa
is
No
n
-H
-19
16
te
e
al
Fe
m
al
s
ar
ye
ar
ye
12
-15
d
ol
d
s
ol
s
ar
ye
11
6-
57.7
25.5
ol
Total
33.3
60.2
52.3
Source: 2003-2006 National Health and Nutrition Examination Survey. Belcher, B.R., et al., Physical activity in US youth: effect of race/ethnicity, age, gender, and weight status.
Med Sci Sports Exerc, 2010. 42(12): p. 2211-21 [19].
11
Sedentary Behaviors
GRADE
Primary Indicator:
The proportion of U.S. youth engaging in 2 hours or less of screen time per day.
Currently, there are no national guidelines for limiting total sedentary time, but the National Heart, Lung, and Blood
Institute and American Academy of Pediatrics (AAP) issued recommendations for television viewing and screen
time, indicating that children should be limited to 2 hours or less screen time per day [22-25]. Overall, approximately
half of American children and youth aged 6 to 11 y meet the guidelines for screen time. However, significant ethnic
disparities exist in screen time. African American youth are much less likely to meet screen time guidelines than
white or Hispanic youth [26]. The grade of D reflects this disparity.
White: 55.4%
Hispanic: 61.7%
12
time [22, 23, 25]. This is the guideline used in this years
Report Card. A more recent report from the AAP has
recommended that physicians should council parents to
limit television viewing to less than 1 to 2 hours per day,
which is a more flexible recommendation [31]. However,
given the difficulty in reconciling this new recommendation
with prior established research, the Committee retained the
original definition of no more than 2 hours per day of screen
time.
According to the Youth Risk Behavior Surveillance System
(YRBSS), over half of U.S. high school students met the AAP
guidelines for screen time both by watching television and
using computers, see Figures 5 and 6 [20, 32]. Objective
measurements using accelerometers indicate American
children and youth spent a large percentage of their day;
approximately 50% of waking hours, engaged in sedentary
pursuits, see Table 2 [19].
Sedentary behaviors include both those done during
leisure time (e.g., watching television or playing a screenbased video game) and productive time (e.g., reading or
using a computer for homework). High levels of leisure time
sedentary behavior, such as TV viewing, have been shown
to be associated with higher overweight/obesity prevalence
and increased cardiometabolic disease risk, regardless of
meeting physical activity guidelines [33]. One study found
the odds of an adolescent having metabolic syndrome, a
clustering of risk factors for future cardiovascular disease
and/or type 2 diabetes, increased in a dose-response
manner with each additional hour of television watched per
day, independent of physical activity levels [34]. No such
Sedentary Behaviors
association has been observed with productive sedentary behaviors [33]. Future studies should ensure that productive
sedentary behavior is examined independently of leisure time sedentary behavior. Further research is also needed to
inform the development of sedentary behavior guidelines or recommendations for children and youth.
Secondary Indicators:
Table 2. Number of minutes and hours per day U.S. children and youth spend in sedentary pursuits as measured by
accelerometer (<100 counts per minute) [19].
MINUTES PER DAY SPENT SEDENTARY
minutes (hours)
Overall
424.7 (7.1)
6-11 years
351.0 (5.9)
12-15 years
462.6 (7.7)
16-19 years
499.0 (8.3)
Male
415.1 (6.9)
Female
434.7 (7.2)
White
420.9 (7.0)
African American
445.9 (7.4)
Hispanic
418.1 (7.0)
Source: National Health and Nutrition Examination Survey. Belcher, B.R., et al., Physical activity in US youth: effect of race/ethnicity, age, gender, and weight status. Med Sci
Sports Exerc, 2010. 42(12): p. 2211-21 [19].
e
al
Fe
45.4
A
Am fric
er an
ic
an
te
74.4
hi
sp
an
ic
62.2
Hi
68.4
al
e
66.7
l
ta
To
al
e
Fe
67.6
61.9
A
Am fric
er an
ic
an
hi
te
71.9
sp
an
ic
67.6
Hi
73.4
al
e
64.7
To
ta
68.9
Source: 2011 Youth Risk Behavior Surveillance System. Eaton, D.K., et al., Youth risk
Source: 2011 Youth Risk Behavior Surveillance System. Eaton, D.K., et al., Youth risk
behavior surveillance - United States, 2011. MMWR Surveill Summ, 2012. 61(4): p.
behavior surveillance - United States, 2011. MMWR Surveill Summ, 2012. 61(4): p.
1-162 [32].
1-162 [32].
13
Active Transportation
GRADE
Primary Indicator:
The percentage of U.S. children and youth who usually walk or bike to school.
The U.S. receives a grade of F for active transportation because the vast majority of American children and youth
do not travel to school by active means, such as walking or biking. Since 1969, the proportion of elementary and
middle school students walking or biking to school fell 35 percentage points, from 47.7% to 12.7%, see Figure 7 [35].
14
Active Transportation
Secondary Indicators:
Figure 7. Mode of travel to school among U.S. children and youth, by type and year [35].
Usual mode of transportation to school among K-8 students, 1969 and 2009 (%)
1969
2009
Walk/Bike
12.7%
47.7%
Personal Vehicle
School Bus
38.3%
39.4%
12.2%
45.3%
1.7% other
2.6% other
Source: 1969, 2009 National Household Travel Survey. McDonald, N.C., et al., U.S. school travel, 2009 an assessment of trends. Am J Prev Med, 2011. 41(2): p. 146-51 [35].
Figure 8. Percentages of U.S. children and youth ages 5-14 years who walk or bike to school, by distance
from home to school [35].
55.3%
walk
bike
30.4%
15.1%
0.9%
<0.25
3.4%
2.2%
0.25-0.5
0.5-1.0
1.6%
4.0%
1.0-2.0
Miles to School
Source: 2009 National Household Travel Survey. McDonald, N.C., et al., U.S. school travel, 2009 an assessment of trends. Am J Prev Med, 2011. 41(2): p. 146-51 [35].
15
Organized Sport
Participation
GRADE
C-
Primary Indicator:
The proportion of U.S. high school students participating on at least 1 school or
community sports team.
According to the YRBSS, more than half of U.S. youth participate on at least 1 organized sports team. The prevalence of
sports participation among females is significantly lower than that among males. Organized sport participation also differs
across ethnic groups, see Figure 9 [32]. The grade of C- was selected because of these disparities.
Female: 52.6%
contributing 23 to 60%
of daily moderate-tovigorous activity [42, 43].
16
Secondary Indicators:
Figure 9. Percentages of U.S. high school students
who participated on at least 1 community or sports
team, by gender and ethnicity [32].
64.7 67.3 63
57.1
46.9 44.6
Male
OR
1.74**
1.92**
1.53**
ic
sp
ic
an
Hi
er
Am
an
an
te
hi
W
ic
an
sp
Hi
ric
Source: 2010 National Youth Physical Activity and Nutrition Study. Lowry, R., et al., Obe-
Af
ic
ric
an
Am
er
hi
te
an
Female
Af
sity and other correlates of physical activity and sedentary behaviors among US high
school students. J Obes, 2013. 2013: p. 276318 [44].
Source: 2011 Youth Risk Behavior Surveillance System. Eaton, D.K., et al., Youth
risk behavior surveillance - United States, 2011. MMWR Surveill Summ, 2012.
61(4): p. 1-162 [32].
Figure 10. Most prominent school sport programs among U.S. high school students, by gender [46].
MALES
Football
Track & Field
Basketball
Baseball
Soccer
Wrestling
Cross Country
Tennis
Golf
Swimming & Diving
580,672
538,676
474,791
410,982
270,163
249,200
157,247
152,584
138,177
FEMALES
1,086,627
472,939
433,120
420,208
371,532
362,488
214,369
181,116
163,992
116,508
77,258
17
Source: National Federation of State High School Associations. 2012-13 High School Athletics Participation Survey Results [46].
Active Play
GRADE
INC
Primary Indicator:
The proportion of U.S. children and youth participating in daily unstructured, unorganized
active play.
Active play is an important health indicator among children and youth. However, currently there are insufficientnationally
representative data available to inform the selection of a grade. Therefore, the Committee assigned an Incomplete to this
indicator.
18
Secondary Indicators:
Figure 11. Percentage of U.S. school districts requiring
elementary schools to provide regularly scheduled
recess, 2000-2012 [54, 56].
57.1
58.9
20
12
06
46.3
20
20
0
Male: N/A
Source: 2012 School Health Policies and Practices. Centers for Disease Control and
Prevention., School Health Policies and Practices Study 2012: Results from the School
Health Policies and Practices Study 2012. 2013, U.S. Department of Health and Human
Services.: Atlanta [54]. Source: 2006 School Health Policies and Practices. Centers
for Disease Control and Prevention., School Health Policies and Programs Study:
Changes Between 2000 and 2006. Atlanta: U.S. Department of Health and Human
Services, 2007 [56].
Research provides
evidence that children
may engage in more
moderate-to-vigorous
intensity activity during
free play than during
organized physical
activities [47-49].
19
Health-Related Fitness
GRADE
INC
Primary Indicator:
The proportion of U.S. youth meeting physical fitness standards.
Health-related fitness is an important health indicator among children and youth. However, currently there are insufficient
nationally representative data available to inform the selection of a grade. Therefore, the Committee assigned an
Incomplete to this indicator.
Female: N/A
According to the Bouchard and Shephard model, healthrelated fitness refers to those components of fitness
that are affected favorably or unfavorably by habitual
physical activity and are related to health status [57].
The 5 components of health-related fitness are metabolic,
morphological, motor, muscular, and cardiorespiratory
[57]. See Figure 12 for more information on the factors
measured to assess each of the components. All 5
components are important for children to maintain optimal
health throughout their lifetimes and the components of
fitness tend to track from childhood into adulthood [57].
Cardiorespiratory Fitness
Regular physical activity is associated with higher
cardiorespiratory fitness and a better risk factor profile in
children and youth [58]. According to data from the 199902 NHANES, cardiorespiratory fitness in youth 12-19 y of
age as measured by estimated maximal oxygen uptake
(VO2max) was higher in males (mean = 46.4 mLkg-1min-1)
than females (mean= 38.7 mLkg-1min-1), but did not differ
across white, African American, or Mexican American
ethnic groups [59].
Metabolic Fitness
20
Morphological Fitness
BMI is one factor of morphological fitness widely used to
determine overweight and obesity. For children of the same
age and gender, overweight is defined as a BMI at or above
the 85th but lower than the 95th percentile, and obesity is
defined as a BMI at or above the 95th percentile, according
to Centers for Disease Control and Prevention (CDC) growth
charts [62]. These higher BMIs are associated with increased
risk for cardiovascular disease, hypertension, and type 2
diabetes [63]. During the 50-year span from 1960 to 2010,
the obesity prevalence among children and youth in the U.S.
increased dramatically, see Figure 13 [64, 65]. According to
NHANES data, 31.8% of children and youth in the U.S. are
overweight while 16.9% are obese, and BMI classification
is related to physical activity [60, 66]. Overweight and
obese children were less likely to meet physical activity
recommendations than their normal weight counterparts
[66].
Motor Fitness
Motor fitness is often overlooked as an important facet of
overall physical fitness because the evidence linking motor
fitness, including agility/flexibility, balance, coordination,
and speed of movement, to health outcomes is less
Figure 12. Bouchard and Shephard model of health-related fitness, components and factors [57].
METABOLIC
Glucose tolerance
Insulin sensitivity
Lipid metabolism
Substrate oxidation
characteristics
MOTOR
Agility
Balance
Coordination
Speed of movement
MORPHOLOGICAL
BMI
Body composition
Subcutaneous fat
distribution
Abdominal visceral fat
Bone density
Flexibility
HEALTH-RELATED
FITNESS
CARDIORESPIRATORY
Submaximal exercise
capacity
Maximal aerobic power
Heart functions
Lung functions
Blood pressure
MUSCULAR
Power
Strength
Endurance
Source: Bouchard, C. and R.J. Shephard, Physical Activity, Fitness, and Health: The Model and Key Concepts, in Physical activity, fitness, and health: International proceedings and
consensus statement, C. Bouchard, R.J. Shephard, and T. Stephens, Editors. 1994, England: Human Kinetics Publishers: Champaign, IL. p. pp. 77-88 [57].
Muscular Fitness
21
RISK FACTOR
PREVALENCE (%)
Males
Females
Morphological
BMI
20
17
15
16
66
67
20
27
72
65
0.7
3.7
26
74
90
2.9
3.7
19.4
77.7
90
Metabolic
Total Cholesterol
Fasting Blood
Glucose
Cardiorespiratory
Blood Pressure
BMI: body mass index = weight (kg)/height (m)2 (based on measured height and weight, using age- and gender-specific percentiles from growth charts
developed by Centers for Disease Control and Prevention).
mg: milligram. dL: deciliter.
Source: Shay, C.M., et al., Status of cardiovascular health in US adolescents: prevalence estimates from the National Health and Nutrition Examination
Surveys (NHANES) 2005-2010. Circulation, 2013. 127(13): p. 1369-76 [60].
20
18
71
6-11 y
16
14
12
143
12-19 y
10
6-11 y
2-5 y
68
12-15 y
116
Year
22
0
20
15
0
10
50
20
10
0
0
20
90
19
80
19
19
70
19
60
Pounds
Source: Ogden, C.L., et al., Prevalence of obesity and trends in body mass index among
Source: 2012 NHANES National Youth Fitness Survey. Ervin, R.B., et al., Measures
of muscular strength in U.S. children and adolescents, 2012. NCHS Data Brief,
2013(139): p. 1-8 [71].
Source: Ogden CL, C.M., Prevalence of obesity among children and adolescents: United
States, trends 1963-65 through 2007-2008. NCHS Health E Stat, 2010 [65].
Regular physical
activity is associated
with higher
cardiorespiratory
fitness and a better
risk factor profile in
children and youth [58].
23
GRADE
INC
Primary Indicator:
None.
Family and peer support of physical activity is an important determinant of this behavior in children and youth. However,
currently there are insufficient nationally representative data available to inform the selection of a grade. Therefore, the
Committee assigned an Incomplete to this indicator.
Female: N/A
24
Secondary Indicators:
Table 5. Prevalence of adult support for physical activity
among U.S. high school students [44].
73.9%
48.5%
67.8%
61.8%
OR
1.09**
1.12**
1.10**
OR: odds ratio, adjusted for gender, ethnicity, grade, and other PA correlates. MVPA:
moderate-to-vigorous physical activity. VPA: vigorous physical activity.
**P value < 0.001
Source: 2010 National Youth Physical Activity and Nutrition Study. Lowry, R., et al.,
Obesity and other correlates of physical activity and sedentary behaviors among US
high school students. J Obes, 2013. 2013: p. 276318 [44].
School
GRADE
C-
Primary Indicator:
The proportion of U.S. high school students attending at least one physical
education (PE) class in an average week.
Approximately half of American high school students report attending a PE class during an average school week. At
many high schools throughout the country, PE classes are not mandated for all 4 years, and a school grade disparity
within PE participation is seen. PE participation in high school is highest in 9th grade, decreases in 10th and 11th
grade students, and is lowest in 12th grade. In addition to the grade disparity, PE participation also differs by gender
with males more likely to regularly attend PE classes than females [32]. A grade of C- was selected for this indicator
because only half of youth participate in daily PE and due to this gender disparity in attendance.
Female: 46.7%
26
School
Secondary Indicators:
Table 7. Associations between attending daily physical
education classes and meeting the 2008 Physical Activity
Guidelines among U.S. high school students [44].
Daily PE Classes (5 days/week)
Meeting guidelines for
OR
1.4*
2.80**
2.57**
Policies School
Districts Require
Elementary
Schools
Middle
Schools
High
Schools
93.6
91.9
92.4
11.8
10.8
2.0
PE: Physical Education. OR: odds ratio, adjusted for gender, ethnicity, grade, and other
PA correlates. MVPA: moderate-to-vigorous physical activy.
Source: 2012 School Health Policies and Practices Study. Centers for Disease Control
and Prevention., School Health Policies and Practices Study 2012: Results from the School
Source: 2010 National Youth Physical Activity and Nutrition Study. Lowry, R., et al.,
Health Policies and Practices Study 2012. 2013, U.S. Department of Health and Human
Obesity and other correlates of physical activity and sedentary behaviors among US
12
E
GR
AD
11
42.9 38.5
GR
AD
E
10
54.6
GR
AD
E
GR
AD
E
68.1
Source: 2011 Youth Risk Behavior Surveillance System. Eaton, D.K., et al., Youth risk behavior surveillance - United States, 2011. MMWR Surveill Summ, 2012. 61(4): p. 1-162 [32].
27
GRADE
B-
Primary Indicator:
The proportion of children and youth living in neighborhoods with at least 1 park or
playground area.
According to the National Survey of Childrens Health (NSCH), the large majority of American children and youth
live in neighborhoods with at least 1 park or playground area. However, significant disparities exist by ethnicity and
socioeconomic status as measured relative to the federal poverty level (FPL) [76]. The grade of B- was selected because of
these disparities.
28
Secondary Indicators:
Figure 16. Percentage of U.S. high school
students who reported living in physical activity
supportive neighborhoods [44].
73.5
95.1
93.2
68.4
90.3
86.6
77.2
Playgrounds,
77.0 74.3
83.5
Neighborhood
parks, or gyms
safe for
close to home
autonomous PA
L
FP
0%
40
20
0-
39
9%
FP
FP
L
9%
19
10
0-
99
ic
er
Am
an
Af
ric
[44].
FP
an
te
hi
W
an
l
ta
sp
Hi
R., et al., Obesity and other correlates of physical activity and sedentary
To
Source: 2010 National Youth Physical Activity and Nutrition Study. Lowry,
ic
82.5
20
0
-3
99
FP
FP
L
40
0%
FP
L
L
9%
019
10
99
FP
an
an
Af
ric
77.1
73.9
72.4
er
ic
te
hi
Am
ic
an
sp
ta
73.6
Hi
To
81.5
77.1
76.6
29
GRADE
INC
Primary Indicator:
Strategies, policies, and investments made by the U.S federal government toward increasing
physical activity levels and developing guidelines recommending healthful amounts of physical
activity among American children and youth.
The U.S. government has established or continued programs and policies aimed at improving physical activity levels
of children and youth. Notable initiatives include the 2008 Physical Activity Guidelines for Americans, the Community
Transformation Grant Program, the Federal Safe Routes to School Program, Lets Move!, NHANES National Youth Fitness
Survey, and the Presidents Council on Fitness, Sports, and Nutrition. However, currently there are insufficient nationally
representative data to inform the selection of a grade. Therefore, the Committee assigned an Incomplete to this indicator.
31
32
activity and dietary determinants with BMI and weight status. The
study included an in-person questionnaire capturing information
related to demographics, physical activity routines, and dietary
habits, standardized height and weight measurements, and
24-hour dietary recall telephone interview. The 2010 NYPANS
collected data from 11,429 students in public and private high
schools in all 50 states and the District of Columbia. The data
included in this report card are published in Obesity and Other
Correlates of Physical Activity and Sedentary Behaviors among
US High School Students [44]. For more information, please visit:
http://www.cdc.gov/healthyyouth/yrbs/nypans.htm.
33
34
Abbreviation
Definition
AAP
AHA
BMI
CDC
D.C.
District of Columbia
HHS
FPL
FY
Fiscal Year
HBSC
HDL
High-density Lipoprotein
HSAPS
INC
Incomplete
MAP-21
METs
Metabolic Equivalents
MVPA
NHANES
NHTS
NNYFS
NPAP
NSCH
NYPANS
OR
Odds Ratio
PA
Physical Activity
PCFSN
PE
Physical Education
SHPPS
SRTS
SAFETEA-LU
Safe Accountable Efficient Transportation Equity Act: A Legacy for All Users
TAP
The Alliance
The Committee
The 2014 U.S. Report Card on Physical Activity for Children and Youth
U.S.
United States
VO2max
VPA
WHO
YRBSS
References
1.
2.
3.
4.
5.
6.
7.
8.
9.
35
36
37
38
39
www.physicalactivityplan.org