# 22 {#section .Chapter-# .unnumbered}

# Physical Activity and Fitness

#### Physical Activity in Adults

22-1 No leisure-time physical activity

22-2 Moderate physical activity

22-3 Vigorous physical activity

#### Muscular Strength/Endurance and Flexibility

22-4 Muscular strength and endurance

22-5 Flexibility

#### Physical Activity in Children and Adolescents

22-6 Moderate physical activity in adolescents

22-7 Vigorous physical activity in adolescents

22-8 Physical education requirement in schools

22-8a Middle and junior high schools

22-8b Senior high schools

22-9 Daily physical education in schools

22-10 Physical activity in physical education class

22-11 Television viewing

#### Access

22-12 School physical activity facilities

22-13 Worksite physical activity and fitness

22-14 Community walking

22-14a Adults aged 18 years and older

22-14b Children and adolescents aged 5 to 15 years

22-15 Community bicycling

22-15a Adults aged 18 years and older

22-15b Children and adolescents aged 5 to 15 years

### Physical Activity in Adults

+---------------------+------------------------------------------------+
| 22-1. Reduce the    |                                                |
| proportion of       |                                                |
| adults who engage   |                                                |
| in no leisure-time  |                                                |
| physical activity.  |                                                |
+---------------------+------------------------------------------------+
| **National Data     | National Health Interview Survey (NHIS), CDC,  |
| Source**            | NCHS.                                          |
+---------------------+------------------------------------------------+
| **State Data        | Behavioral Risk Factor Surveillance System     |
| Source**            | (BRFSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **Healthy People    | Adapted from 1.5 (Physical Activity and        |
| 2000 Objective**    | Fitness).                                      |
+---------------------+------------------------------------------------+
| **Measure**         | Percent (age adjusted---see Comments).         |
+---------------------+------------------------------------------------+
| **Baseline**        | 40 (1997).                                     |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of adults aged 18 years and older who   |
|                     | report that they never or are unable to do     |
|                     | light or moderate physical activity for at     |
|                     | least 20 minutes (at least 10 minutes after    |
|                     | 1997) and that they never or are unable to do  |
|                     | vigorous physical activity for at least 20     |
|                     | minutes (at least 10 minutes after 1997).      |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of adults aged 18 years and older.      |
+---------------------+------------------------------------------------+
| **Population        | U.S. civilian, noninstitutionalized            |
| Targeted**          | population.                                    |
+---------------------+------------------------------------------------+
| **Questions Used To | From the 1997 National Health Interview        |
| Obtain the National | Survey:                                        |
| Data**              |                                                |
+---------------------+------------------------------------------------+
|                     | -   How often do you do VIGOROUS activities    |
|                     |     for AT LEAST 10 MINUTES that cause HEAVY   |
|                     |     sweating or LARGE increases in breathing   |
|                     |     or heart rate?                             |
|                     |                                                |
|                     |     Never\                                     |
|                     |     Unable to do this type activity\           |
|                     |     \_\_\_\_\_ times per day/week/month/year   |
+---------------------+------------------------------------------------+
|                     | -   About how long do you do these vigorous    |
|                     |     activities each time?\                     |
|                     |     \_\_\_\_\_ minutes/hours                   |
+---------------------+------------------------------------------------+
|                     | -   How often do you do LIGHT OR MODERATE      |
|                     |     activities for AT LEAST 10 MINUTES that    |
|                     |     cause ONLY LIGHT sweating or a SLIGHT TO   |
|                     |     MODERATE increase in breathing or heart    |
|                     |     rate?                                      |
|                     |                                                |
|                     |     Never\                                     |
|                     |     Unable to do this type activity\           |
|                     |     \_\_\_\_\_ times per day/week/month/year   |
+---------------------+------------------------------------------------+
|                     | -   About how long do you do these light or    |
|                     |     moderate activities each time?             |
|                     |                                                |
|                     |     \_\_\_\_\_ minutes/hours                   |
+---------------------+------------------------------------------------+
| **Expected          | Annual.                                        |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | Adults are classified as not engaging in       |
|                     | leisure time physical activity if they answer  |
|                     | "never" or "Unable to do this type of          |
|                     | activity" to both the vigorous and moderate    |
|                     | physical activity questions. Responses of      |
|                     | "over 28 times per week" to either vigorous or |
|                     | moderate or both sets of questions were        |
|                     | eliminated from the Denominator.               |
+---------------------+------------------------------------------------+
|                     | Although the 1997 baseline reflects responses  |
|                     | of "never" or "unable \[to do physical         |
|                     | activities\] for at least 20 minutes," the     |
|                     | question has been changed. Future updates for  |
|                     | this objective will use a smaller time         |
|                     | reference of 10 minutes. Estimates are         |
|                     | expected to decline slightly.                  |
+---------------------+------------------------------------------------+
|                     | Data are age adjusted to the 2000 standard     |
|                     | population. Age-adjusted percents are weighted |
|                     | sums of age-specific percents. For a           |
|                     | discussion on age adjustment, see Part A,      |
|                     | section 5.                                     |
+---------------------+------------------------------------------------+
|                     | National and State estimates are not           |
|                     | comparable; the questions are different. Also, |
|                     | the national survey is administered by         |
|                     | personal interview, and the State survey is    |
|                     | administered by telephone. Neither survey      |
|                     | accounts for people who report no leisure-time |
|                     | physical activity who may not necessarily have |
|                     | a sedentary lifestyle; their jobs may require  |
|                     | regular or vigorous physical activity that is  |
|                     | not reported in response to these questions.   |
+---------------------+------------------------------------------------+
|                     | This objective is measured differently from    |
|                     | the Healthy People 2000 objective. A           |
|                     | discussion on measuring objective 1.5 can be   |
|                     | found in Healthy People 2000 Statistical       |
|                     | Notes.**^1^**                                  |
+---------------------+------------------------------------------------+
|                     | See Part C for descriptions of NHIS and BRFSS  |
|                     | and Appendix A for focus area contact          |
|                     | information.                                   |
+---------------------+------------------------------------------------+

  

+---------------------+------------------------------------------------+
| 22-2. Increase the  |                                                |
| proportion of       |                                                |
| adults who engage   |                                                |
| regularly,          |                                                |
| preferably daily,   |                                                |
| in moderate         |                                                |
| physical activity   |                                                |
| for at least 30     |                                                |
| minutes per day.    |                                                |
+---------------------+------------------------------------------------+
| **National Data     | National Health Interview Survey (NHIS), CDC,  |
| Source**            | NCHS.                                          |
+---------------------+------------------------------------------------+
| **State Data        | Behavioral Risk Factor Surveillance System     |
| Source**            | (BRFSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **Healthy People    | Adapted from 1.3 (Physical Activity and        |
| 2000 Objective**    | Fitness) (also 15.11 and 17.13).               |
+---------------------+------------------------------------------------+
| **Leading Health    | Physical Activity.                             |
| Indicator**         |                                                |
+---------------------+------------------------------------------------+
| **Measure**         | Percent (age adjusted---see Comments).         |
+---------------------+------------------------------------------------+
| **Baseline**        | 15 (1997).                                     |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of adults aged 18 years and older who   |
|                     | report light or moderate physical activity for |
|                     | at least 30 minutes five or more times per     |
|                     | week.                                          |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of adults aged 18 years and older.      |
+---------------------+------------------------------------------------+
| **Population        | U.S. civilian, noninstitutionalized            |
| Targeted**          | population.                                    |
+---------------------+------------------------------------------------+
| **Questions Used To | From the 1997 National Health Interview        |
| Obtain the National | Survey:                                        |
| Data**              |                                                |
+---------------------+------------------------------------------------+
|                     | -   How often do you do LIGHT OR MODERATE      |
|                     |     activities for AT LEAST 10 MINUTES that    |
|                     |     cause ONLY LIGHT sweating or a SLIGHT TO   |
|                     |     MODERATE increase in breathing or heart    |
|                     |     rate?                                      |
|                     |                                                |
|                     |     Never\                                     |
|                     |     Unable to do this type activity\           |
|                     |     \_\_\_\_\_ times per day/week/month/year   |
+---------------------+------------------------------------------------+
|                     | -   About how long do you do these light or    |
|                     |     moderate activities each time?             |
|                     |                                                |
|                     |     \_\_\_\_\_ minutes/hours                   |
+---------------------+------------------------------------------------+
| **Expected          | Annual.                                        |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | Adults are classified as participating in      |
|                     | light or moderate physical activity if they    |
|                     | answer 5 to 28 times per week and 30 to 720    |
|                     | minutes for each time.                         |
+---------------------+------------------------------------------------+
|                     | Data are age adjusted to the 2000 standard     |
|                     | population. Age-adjusted percents are weighted |
|                     | sums of age-specific percents. For a           |
|                     | discussion on age adjustment, see Part A,      |
|                     | section 5.                                     |
+---------------------+------------------------------------------------+
|                     | Current national and State estimates are not   |
|                     | comparable; the questions are different. Also, |
|                     | the national survey is administered by         |
|                     | personal interview, and the State survey is    |
|                     | administered by telephone. Neither survey      |
|                     | accounts for people whose jobs may require     |
|                     | regular or vigorous physical activity that is  |
|                     | not reported in response to these questions.   |
+---------------------+------------------------------------------------+
|                     | This objective is measured differently from    |
|                     | the Healthy People 2000 objective; the new     |
|                     | questions generally produce smaller estimates  |
|                     | of moderate physical activity. A discussion on |
|                     | measuring objective 1.3 can be found in        |
|                     | Healthy People 2000 Statistical Notes.^**1**^  |
+---------------------+------------------------------------------------+
|                     | This objective is one of the measures used to  |
|                     | track the Physical Activity Leading Health     |
|                     | Indicator. See Appendix H for a complete       |
|                     | listing.                                       |
+---------------------+------------------------------------------------+
|                     | See Part C for descriptions of NHIS and BRFSS  |
|                     | and Appendix A for focus area contact          |
|                     | information.                                   |
+---------------------+------------------------------------------------+

  

+---------------------+------------------------------------------------+
| 22-3. Increase the  |                                                |
| proportion of       |                                                |
| adults who engage   |                                                |
| in vigorous         |                                                |
| physical activity   |                                                |
| that promotes the   |                                                |
| development and     |                                                |
| maintenance of      |                                                |
| cardiorespiratory   |                                                |
| fitness 3 or more   |                                                |
| days per week for   |                                                |
| 20 or more minutes  |                                                |
| per occasion.       |                                                |
+---------------------+------------------------------------------------+
| **National Data     | National Health Interview Survey (NHIS), CDC,  |
| Source**            | NCHS.                                          |
+---------------------+------------------------------------------------+
| **State Data        | Behavioral Risk Factor Surveillance System     |
| Source**            | (BRFSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **Healthy People    | Adapted from 1.4 (Physical Activity and        |
| 2000 Objective**    | Fitness).                                      |
+---------------------+------------------------------------------------+
| **Measure**         | Percent (age adjusted---see Comments).         |
+---------------------+------------------------------------------------+
| **Baseline**        | 23 (1997).                                     |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of adults aged 18 years and older who   |
|                     | report participating in vigorous physical      |
|                     | activity for at least 20 minutes three or more |
|                     | times per week.                                |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of adults aged 18 years and older.      |
+---------------------+------------------------------------------------+
| **Population        | U.S. civilian, noninstitutionalized            |
| Targeted**          | population.                                    |
+---------------------+------------------------------------------------+
| **Questions Used To | From the 1997 National Health Interview        |
| Obtain the National | Survey:                                        |
| Data**              |                                                |
+---------------------+------------------------------------------------+
|                     | -   How often do you do VIGOROUS activities    |
|                     |     for AT LEAST 10 MINUTES that cause HEAVY   |
|                     |     sweating or LARGE increases in breathing   |
|                     |     or heart rate?                             |
|                     |                                                |
|                     |     Never\                                     |
|                     |     Unable to do this type activity\           |
|                     |     \_\_\_\_\_ times per day/week/month/year   |
+---------------------+------------------------------------------------+
|                     | -   About how long do you do these vigorous    |
|                     |     activities each time?                      |
|                     |                                                |
|                     |     \_\_\_\_\_ minutes/hours                   |
+---------------------+------------------------------------------------+
| **Expected          | Annual.                                        |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | Adults are classified as participating in      |
|                     | vigorous physical activity if they answer 3 to |
|                     | 28 times per week and 20 to 720 minutes for    |
|                     | each time.                                     |
+---------------------+------------------------------------------------+
|                     | Data are age adjusted to the 2000 standard     |
|                     | population. Age-adjusted percents are weighted |
|                     | sums of age-specific percents. For a           |
|                     | discussion on age adjustment, see Part A,      |
|                     | section 5.                                     |
+---------------------+------------------------------------------------+
|                     | Current national and State estimates are not   |
|                     | comparable; the questions are different. Also, |
|                     | the national survey is administered by         |
|                     | personal interview, and the State survey is    |
|                     | administered by telephone. Neither survey      |
|                     | accounts for people whose jobs may require     |
|                     | regular or vigorous physical activity that is  |
|                     | not reported in response to these questions.   |
+---------------------+------------------------------------------------+
|                     | This objective is measured differently from    |
|                     | the Healthy People 2000 objective; the new     |
|                     | questions generally produce larger estimates   |
|                     | of vigorous physical activity. A discussion on |
|                     | measuring objective 1.4 can be found in        |
|                     | Healthy People 2000 Statistical Notes.^**1**^  |
+---------------------+------------------------------------------------+
|                     | See Part C for descriptions of NHIS and BRFSS  |
|                     | and Appendix A for focus area contact          |
|                     | information.                                   |
+---------------------+------------------------------------------------+

  

### Muscular Strength/Endurance and Flexibility

  ---------------------- ------------------------------------------------
  22-4. Increase the     
  proportion of adults   
  who perform physical   
  activities that        
  enhance and maintain   
  muscular strength and  
  endurance.             

  **National Data        National Health Interview Survey (NHIS), CDC,
  Source**               NCHS.

  **State Data Source**  Not identified.

  **Healthy People 2000  Adapted from 1.6 (Physical Activity and
  Objective**            Fitness).

  **Measure**            Percent (age adjusted---see Comments).

  **Baseline**           18 (1998).

  **Numerator**          Number of adults aged 18 years and older who
                         report doing physical activities specifically
                         designed to strengthen muscles at least twice a
                         week.

  **Denominator**        Number of adults aged 18 years and older.

  **Population           U.S. civilian, noninstitutionalized population.
  Targeted**             

  **Questions Used To    From the 1998 National Health Interview Survey:
  Obtain the National    
  Data**                 
  ---------------------- ------------------------------------------------

+---------------------+------------------------------------------------+
|                     | -   How often do you do physical activities    |
|                     |     specifically designed to STRENGTHEN your   |
|                     |     muscles such as lifting weights or doing   |
|                     |     calisthenics? (Include all such activities |
|                     |     even if you have mentioned them before.)   |
|                     |                                                |
|                     |     Never\                                     |
|                     |     Unable to do this type activity\           |
|                     |     \_\_\_\_\_ times per day/week/month/year   |
+=====================+================================================+
| **Expected          | Annual.                                        |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | For this objective, adults were classified as  |
|                     | doing strengthening activities if they         |
|                     | responded that they did these activities 2 to  |
|                     | 28 times per week.                             |
+---------------------+------------------------------------------------+
|                     | Data are age adjusted to the 2000 standard     |
|                     | population. Age-adjusted percents are weighted |
|                     | sums of age-specific percents. For a           |
|                     | discussion on age adjustment, see Part A,      |
|                     | section 5.                                     |
+---------------------+------------------------------------------------+
|                     | State data do not come from a specific         |
|                     | question about strengthening activities.       |
|                     | Rather, the respondent is asked about          |
|                     | participating in any physical activities or    |
|                     | exercises and, if so, what type. These data    |
|                     | are not comparable with national data.         |
+---------------------+------------------------------------------------+
|                     | This objective is measured differently from    |
|                     | the Healthy People 2000 objective. A           |
|                     | discussion on measuring objective 1.6 can be   |
|                     | found in Healthy People 2000 Statistical       |
|                     | Notes.^**1**^                                  |
+---------------------+------------------------------------------------+
|                     | See Part C for descriptions of NHIS and        |
|                     | Appendix A for focus area contact information. |
+---------------------+------------------------------------------------+

  

+---------------------+------------------------------------------------+
| 22-5. Increase the  |                                                |
| proportion of       |                                                |
| adults who perform  |                                                |
| physical activities |                                                |
| that enhance and    |                                                |
| maintain            |                                                |
| flexibility.        |                                                |
+---------------------+------------------------------------------------+
| **National Data     | National Health Interview Survey (NHIS), CDC,  |
| Source**            | NCHS.                                          |
+---------------------+------------------------------------------------+
| **State Data        | Not identified.                                |
| Source**            |                                                |
+---------------------+------------------------------------------------+
| **Healthy People    | Adapted from 1.6 (Physical Activity and        |
| 2000 Objective**    | Fitness)                                       |
+---------------------+------------------------------------------------+
| **Measure**         | Percent (age adjusted---see Comments).         |
+---------------------+------------------------------------------------+
| **Baseline**        | 30 (1998).                                     |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of adults aged 18 years and older who   |
|                     | report doing stretching exercises in the past  |
|                     | 2 weeks.                                       |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of adults aged 18 years and older.      |
+---------------------+------------------------------------------------+
| **Population        | U.S. civilian, noninstitutionalized            |
| Targeted**          | population.                                    |
+---------------------+------------------------------------------------+
| **Questions Used To | From the 1998 National Health Interview        |
| Obtain the National | Survey:                                        |
| Data**              |                                                |
+---------------------+------------------------------------------------+
|                     | -   In the past 2 weeks, beginning Monday,     |
|                     |     (date), and ending this past Sunday,       |
|                     |     (date), have you done any of the following |
|                     |     exercises, sports, or physically active    |
|                     |     hobbies...                                 |
|                     |                                                |
|                     |     \[Response categories include:\]           |
|                     |                                                |
|                     |     Stretching exercises?                      |
+---------------------+------------------------------------------------+
| **Expected          | Periodic.                                      |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | This objective is measured in the same way as  |
|                     | the flexibility part of Healthy People 2000    |
|                     | objective 1.6. However, it differs from        |
|                     | objective 1.6, which tracked ages 18 to 64     |
|                     | years only. A discussion of the measurement of |
|                     | objective 1.6 can be found in Healthy People   |
|                     | 2000 Statistical Notes.^**1**^                 |
+---------------------+------------------------------------------------+
|                     | Data are age adjusted to the 2000 standard     |
|                     | population. Age-adjusted percents are weighted |
|                     | sums of age-specific percents. For a           |
|                     | discussion on age adjustment, see Part A,      |
|                     | section 5.                                     |
+---------------------+------------------------------------------------+
|                     | See Part C for descriptions of NHIS and        |
|                     | Appendix A for focus area contact information. |
+---------------------+------------------------------------------------+

  

### Physical Activity in Children and Adolescents

+---------------------+------------------------------------------------+
| 22-6. Increase the  |                                                |
| proportion of       |                                                |
| adolescents who     |                                                |
| engage in moderate  |                                                |
| physical activity   |                                                |
| for at least 30     |                                                |
| minutes on 5 or     |                                                |
| more of the         |                                                |
| previous 7 days.    |                                                |
+---------------------+------------------------------------------------+
| **National Data     | Youth Risk Behavior Surveillance System        |
| Source**            | (YRBSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **State Data        | Youth Risk Behavior Surveillance System        |
| Source**            | (YRBSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **Healthy People    | Adapted from 1.3 (Physical Activity and        |
| 2000 Objective**    | Fitness) (also 15.11 and 17.13).               |
+---------------------+------------------------------------------------+
| **Measure**         | Percent.                                       |
+---------------------+------------------------------------------------+
| **Baseline**        | 27 (1999).                                     |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of students in grades 9 through 12 who  |
|                     | report participating for at least 30 minutes   |
|                     | in physical activity that did not make them    |
|                     | sweat or breathe hard on 5 or more of the 7    |
|                     | days preceding the survey.                     |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of students in grades 9 through 12.     |
+---------------------+------------------------------------------------+
| **Population        | Students in grades 9 through 12.               |
| Targeted**          |                                                |
+---------------------+------------------------------------------------+
| **Questions Used to | From the 1999 Youth Risk Behavior Surveillance |
| Obtain the National | System:                                        |
| Data**              |                                                |
+---------------------+------------------------------------------------+
|                     | -   On how many of the past 7 days did you     |
|                     |     participate in physical activity for at    |
|                     |     least 30 minutes that did not make you     |
|                     |     sweat or breathe hard, such as fast        |
|                     |     walking, slow bicycling, skating, pushing  |
|                     |     a lawn mower, or mopping floors?           |
|                     |                                                |
|                     |     0 days\                                    |
|                     |     1 day\                                     |
|                     |     2 days\                                    |
|                     |     3 days\                                    |
|                     |     4 days\                                    |
|                     |     5 days\                                    |
|                     |     6 days\                                    |
|                     |     7 days                                     |
+---------------------+------------------------------------------------+
| **Expected          | Biennial.                                      |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | This objective differs from Healthy People     |
|                     | 2000 objective 1.3, which tracked moderate     |
|                     | physical activity in adults only.              |
+---------------------+------------------------------------------------+
|                     | See Part C for a description of YRBSS and      |
|                     | Appendix A for focus area contact information. |
+---------------------+------------------------------------------------+

  

+---------------------+------------------------------------------------+
| 22-7. Increase the  |                                                |
| proportion of       |                                                |
| adolescents who     |                                                |
| engage in vigorous  |                                                |
| physical activity   |                                                |
| that promotes       |                                                |
| cardiorespiratory   |                                                |
| fitness 3 or more   |                                                |
| days per week for   |                                                |
| 20 or more minutes  |                                                |
| per occasion.       |                                                |
+---------------------+------------------------------------------------+
| **National Data     | Youth Risk Behavior Surveillance System        |
| Source**            | (YRBSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **State Data        | Youth Risk Behavior Surveillance System        |
| Source**            | (YRBSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **Healthy People    | Adapted from 1.4 (Physical Activity and        |
| 2000 Objective**    | Fitness)**.**                                  |
+---------------------+------------------------------------------------+
| **Leading Health    | Physical Activity.                             |
| Indicator**         |                                                |
+---------------------+------------------------------------------------+
| **Measure**         | Percent.                                       |
+---------------------+------------------------------------------------+
| **Baseline**        | 65 (1999).                                     |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of students in grades 9 through 12 who  |
|                     | report exercising or participating for at      |
|                     | least 20 minutes in physical activity that     |
|                     | made them sweat and breathe hard on 3 or more  |
|                     | of the 7 days preceding the survey.            |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of students in grades 9 through 12.     |
+---------------------+------------------------------------------------+
| **Population        | Students in grades 9 through 12.               |
| Targeted**          |                                                |
+---------------------+------------------------------------------------+
| **Questions Used To | From the 1999 Youth Risk Behavior Surveillance |
| Obtain the National | System:                                        |
| Data**              |                                                |
+---------------------+------------------------------------------------+
|                     | -   On how many of the past 7 days did you     |
|                     |     exercise or participate in physical        |
|                     |     activity for at least 20 minutes that made |
|                     |     you sweat and breathe hard, such as        |
|                     |     basketball, soccer, running, swimming      |
|                     |     laps, fast bicycling, fast dancing, or     |
|                     |     similar aerobic activities?                |
|                     |                                                |
|                     |     0 days\                                    |
|                     |     1 day\                                     |
|                     |     2 days\                                    |
|                     |     3 days\                                    |
|                     |     4 days\                                    |
|                     |     5 days\                                    |
|                     |     6 days\                                    |
|                     |     7 days                                     |
+---------------------+------------------------------------------------+
| **Expected          | Biennial.                                      |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | This objective differs from Healthy People     |
|                     | 2000 objective 1.4, which used different       |
|                     | question wording. The former YRBSS question    |
|                     | was: "On how many of the past 7 days did you   |
|                     | exercise or participate in sports activities   |
|                     | for at least 20 minutes that made you sweat    |
|                     | and breathe hard, such as basketball, jogging, |
|                     | swimming laps, tennis, fast bicycling, or      |
|                     | similar aerobic activities?"                   |
+---------------------+------------------------------------------------+
|                     | This objective is one of the measures used to  |
|                     | track the Physical Activity Leading Health     |
|                     | Indicator. See Appendix H for a complete list. |
+---------------------+------------------------------------------------+
|                     | See Part C for a description of YRBSS and      |
|                     | Appendix A for focus area contact information. |
+---------------------+------------------------------------------------+

  

22-8. Increase the proportion of the Nation's public and private schools
that require daily physical education for all students.

+---------------------+------------------------------------------------+
| 22-8a. Middle and   |                                                |
| junior high         |                                                |
| schools.            |                                                |
+---------------------+------------------------------------------------+
| **National Data     | School Health Policies and Programs Study      |
| Source**            | (SHPPS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **State Data        | School Health Policies and Programs Study      |
| Source**            | (SHPPS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **Healthy People    | Not applicable.                                |
| 2000 Objective**    |                                                |
+---------------------+------------------------------------------------+
| **Measure**         | Percent.                                       |
+---------------------+------------------------------------------------+
| **Baseline**        | 17 (1994).                                     |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of public and private middle and junior |
|                     | high schools for which physical education (PE) |
|                     | is offered 5 days a week, and the number of    |
|                     | years of required PE equals the number of      |
|                     | grades in the school.                          |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of public and private middle and junior |
|                     | high schools.                                  |
+---------------------+------------------------------------------------+
| **Population        | Public and private middle and junior high      |
| Targeted**          | schools.                                       |
+---------------------+------------------------------------------------+
| **Questions Used To | From the 1994 School Health Policies and       |
| Obtain the National | Programs Study Physical Education School       |
| Data**              | Questionnaire:                                 |
+---------------------+------------------------------------------------+
|                     | -   \[Question 3\] How much physical education |
|                     |     are students required to take while        |
|                     |     attending this school? Please count all of |
|                     |     a student's physical education             |
|                     |     requirements.                              |
|                     |                                                |
|                     |     Number of units required:                  |
|                     |                                                |
|                     |     Years\                                     |
|                     |     Semesters\                                 |
|                     |     Trimesters\                                |
|                     |     Quarters\                                  |
|                     |     Weeks\                                     |
|                     |     Carnegie units\                            |
|                     |     Other (SPECIFY UNIT):                      |
+---------------------+------------------------------------------------+
|                     | -   \[Question 8\] During required physical    |
|                     |     education courses, how many days per week  |
|                     |     do students attend class? CHECK THE ONE    |
|                     |     BEST ANSWER (1-7):                         |
|                     |                                                |
|                     |     \(1\) One day\                             |
|                     |     (2) Two days\                              |
|                     |     (3) Two days one week/ three days the next |
|                     |     (alternating)\                             |
|                     |     (4) Three days\                            |
|                     |     (5) Four days\                             |
|                     |     (6) Five days\                             |
|                     |     (7) Differs by grade --- GO ON TO NEXT     |
|                     |     QUESTION                                   |
+---------------------+------------------------------------------------+
|                     | -   \[Question 9\] How many days per week do   |
|                     |     students attend required physical          |
|                     |     education courses by grade in your school? |
|                     |     CHECK BOX (1-7) AND RECORD NUMBER OF DAYS  |
|                     |     FOR EACH GRADE THAT TAKES REQUIRED         |
|                     |     PHYSICAL EDUCATION.                        |
|                     |                                                |
|                     |     Days per week                              |
|                     |                                                |
|                     |     \(1\) 6^th\                                |
|                     |     ^(2) 7^th^\                                |
|                     |     (3) 8^th^\                                 |
|                     |     (4) 9^th^\                                 |
|                     |     (5) 10^th^\                                |
|                     |     (6) 11^th^\                                |
|                     |     (7) 12^th^                                 |
+---------------------+------------------------------------------------+
| **Expected          | Periodic.                                      |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | From question 3, the number of units           |
|                     | (semesters, quarters, etc.) of PE that         |
|                     | students were required to take while attending |
|                     | the particular school were standardized to     |
|                     | years of required PE. If the number of years   |
|                     | of required PE (from question 9) equaled the   |
|                     | number of grades in that school (from another  |
|                     | database), and if the response to question 8   |
|                     | was all 5 days, students were considered to be |
|                     | required to take PE 5 days a week for each     |
|                     | year they attended that school.                |
+---------------------+------------------------------------------------+
|                     | See Part C for a description of SHPPS and      |
|                     | Appendix A for focus area contact information. |
+---------------------+------------------------------------------------+

  

  ---------------------- ------------------------------------------------
  22-8b. Senior high     
  schools.               

  **National Data        School Health Policies and Programs Study
  Source**               (SHPPS), CDC, NCCDPHP.

  **State Data Source**  School Health Policies and Programs Study
                         (SHPPS), CDC, NCCDPHP.

  **Healthy People 2000  Not applicable.
  Objective**            

  **Measure**            Percent.

  **Baseline**           2 (1994).

  **Numerator**          Number of public and private senior high schools
                         for which physical education (PE) is offered 5
                         days a week, and the number of years of required
                         PE equals the number of grades in the school.

  **Denominator**        Number of public and private senior high
                         schools.

  **Population           Public and private senior high schools.
  Targeted**             

  **Questions Used To    From the 1994 School Health Policies and
  Obtain the National    Programs Study school physical education
  Data**                 questionnaire:

                         See Questions Used To Obtain the National Data
                         provided with objective 22-8a.

  **Expected             Periodic.
  Periodicity**          

  **Comments**           See Comments provided with objective 22-8a for
                         more information.
  ---------------------- ------------------------------------------------

  

+---------------------+------------------------------------------------+
| 22-9. Increase the  |                                                |
| proportion of       |                                                |
| adolescents who     |                                                |
| participate in      |                                                |
| daily school        |                                                |
| physical education. |                                                |
+---------------------+------------------------------------------------+
| **National Data     | Youth Risk Behavior Surveillance System        |
| Source**            | (YRBSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **State Data        | Youth Risk Behavior Surveillance System        |
| Source**            | (YRBSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **Healthy People    | 1.8 (Physical Activity and Fitness).           |
| 2000 Objective**    |                                                |
+---------------------+------------------------------------------------+
| **Measure**         | Percent.                                       |
+---------------------+------------------------------------------------+
| **Baseline**        | 29 (1999).                                     |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of students in grades 9 through 12 who  |
|                     | report participating in physical education     |
|                     | classes five times per week.                   |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of students in grades 9 through 12.     |
+---------------------+------------------------------------------------+
| **Population        | Students in grades 9 through 12.               |
| Targeted**          |                                                |
+---------------------+------------------------------------------------+
| **Questions Used To | From the 1999 Youth Risk Behavior Surveillance |
| Obtain the National | System:                                        |
| Data**              |                                                |
+---------------------+------------------------------------------------+
|                     | -   In an average week when you are in school, |
|                     |     on how many days do you go to physical     |
|                     |     education (PE) classes?                    |
|                     |                                                |
|                     |     0 days\                                    |
|                     |     1 day\                                     |
|                     |     2 days\                                    |
|                     |     3 days\                                    |
|                     |     4 days\                                    |
|                     |     5 days                                     |
+---------------------+------------------------------------------------+
| **Expected          | Biennial.                                      |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | See Part C for a description of YRBSS and      |
|                     | Appendix A for focus area contact information. |
+---------------------+------------------------------------------------+

  

+---------------------+------------------------------------------------+
| 22-10. Increase the |                                                |
| proportion of       |                                                |
| adolescents who     |                                                |
| spend at least 50   |                                                |
| percent of school   |                                                |
| physical education  |                                                |
| class time being    |                                                |
| physically active.  |                                                |
+---------------------+------------------------------------------------+
| **National Data     | Youth Risk Behavior Surveillance System        |
| Source**            | (YRBSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **State Data        | Youth Risk Behavior Surveillance System        |
| Source**            | (YRBSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **Healthy People    | 1.9 (Physical Activity and Fitness).           |
| 2000 Objective**    |                                                |
+---------------------+------------------------------------------------+
| **Measure**         | Percent.                                       |
+---------------------+------------------------------------------------+
| **Baseline**        | 38 (1999).                                     |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of students in grades 9 through 12 who  |
|                     | report spending 21 or more minutes exercising  |
|                     | or playing sports in physical education class  |
|                     | three to five times a week.                    |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of students in grades 9 through 12.     |
+---------------------+------------------------------------------------+
| **Population        | Students in grades 9 through 12.               |
| Targeted**          |                                                |
+---------------------+------------------------------------------------+
| **Questions Used To | From the 1999 Youth Risk Behavior Surveillance |
| Obtain the National | System:                                        |
| Data**              |                                                |
+---------------------+------------------------------------------------+
|                     | -   In an average week when you are in school, |
|                     |     on how many days do you go to physical     |
|                     |     education (PE) classes?                    |
|                     |                                                |
|                     |     0 days\                                    |
|                     |     1 day\                                     |
|                     |     2 days\                                    |
|                     |     3 days\                                    |
|                     |     4 days\                                    |
|                     |     5 days                                     |
+---------------------+------------------------------------------------+
|                     | -   During an average physical education (PE)  |
|                     |     class, how many minutes do you spend       |
|                     |     actually exercising or playing sports?     |
|                     |                                                |
|                     |     I do not take PE\                          |
|                     |     Less than 10 minutes\                      |
|                     |     10 to 20 minutes\                          |
|                     |     21 to 30 minutes\                          |
|                     |     More than 30 minutes                       |
+---------------------+------------------------------------------------+
| **Expected          | Biennial.                                      |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | See Part C for a description of YRBSS and      |
|                     | Appendix A for focus area contact information. |
+---------------------+------------------------------------------------+

  

+---------------------+------------------------------------------------+
| 22-11. Increase the |                                                |
| proportion of       |                                                |
| adolescents who     |                                                |
| view television 2   |                                                |
| or fewer hours on a |                                                |
| school day.         |                                                |
+---------------------+------------------------------------------------+
| **National Data     | Youth Risk Behavior Surveillance System        |
| Source**            | (YRBSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **State Data        | Youth Risk Behavior Surveillance System        |
| Source**            | (YRBSS), CDC, NCCDPHP.                         |
+---------------------+------------------------------------------------+
| **Healthy People    | Not applicable.                                |
| 2000 Objective**    |                                                |
+---------------------+------------------------------------------------+
| **Measure**         | Percent.                                       |
+---------------------+------------------------------------------------+
| **Baseline**        | 57 (1999).                                     |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of students in grades 9 through 12 who  |
|                     | report watching TV for 2 or fewer hours on an  |
|                     | average school day.                            |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of students in grades 9 through 12.     |
+---------------------+------------------------------------------------+
| **Population        | Students in grades 9 through 12.               |
| Targeted**          |                                                |
+---------------------+------------------------------------------------+
| **Questions Used To | From the 1999 Youth Risk Behavior Surveillance |
| Obtain the National | System:                                        |
| Data**              |                                                |
+---------------------+------------------------------------------------+
|                     | -   On an average school day, how many hours   |
|                     |     do you watch TV?                           |
|                     |                                                |
|                     |     I do not watch TV on an average school     |
|                     |     day\                                       |
|                     |     Less than 1 hour per day\                  |
|                     |     1 hour per day\                            |
|                     |     2 hours per day\                           |
|                     |     3 hours per day\                           |
|                     |     4 hours per day\                           |
|                     |     5 or more hours per day                    |
+---------------------+------------------------------------------------+
| **Expected          | Biennial.                                      |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | Students who report that they did not watch TV |
|                     | on an average school day or watched TV less    |
|                     | than 1 hour per day, 1 hour per day, or 2      |
|                     | hours per day were classified as viewing       |
|                     | television for 2 or fewer hours during a       |
|                     | school day.                                    |
+---------------------+------------------------------------------------+
|                     | See Part C for a description of YRBSS and      |
|                     | Appendix A for focus area contact information. |
+---------------------+------------------------------------------------+

  

### Access

+---------------------+------------------------------------------------+
| 22-12.              |                                                |
| (Developmental)     |                                                |
| Increase the        |                                                |
| proportion of the   |                                                |
| Nation's public and |                                                |
| private schools     |                                                |
| that provide access |                                                |
| to their physical   |                                                |
| activity spaces and |                                                |
| facilities for all  |                                                |
| persons outside of  |                                                |
| normal school hours |                                                |
| (that is, before    |                                                |
| and after the       |                                                |
| school day, on      |                                                |
| weekends, and       |                                                |
| during summer and   |                                                |
| other vacations).   |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | An operational definition could not be         |
|                     | specified at the time of publication.          |
+---------------------+------------------------------------------------+
|                     | The expected national data source for this     |
|                     | objective is the School Health Policies and    |
|                     | Programs Study (SHPPS) Physical Education      |
|                     | School Questionnaire, CDC, NCCDPHP, from which |
|                     | 2000 baseline data will be obtained.           |
+---------------------+------------------------------------------------+
|                     | The numerator will be the number of schools    |
|                     | that allow children, adolescents, and adults   |
|                     | who are not school employees to use any of the |
|                     | school's physical activity or athletic         |
|                     | facilities outside of school hours or when     |
|                     | school is not in session; the denominator will |
|                     | be the number of schools with indoor physical  |
|                     | activity or athletic facilities.               |
+---------------------+------------------------------------------------+
|                     | The 2000 baseline data will be obtained by the |
|                     | following three questions:                     |
+---------------------+------------------------------------------------+
|                     | -   Outside of school hours or when school is  |
|                     |     not in session, do children or adolescents |
|                     |     use any of this school's physical activity |
|                     |     or athletic facilities for...              |
|                     |                                                |
|                     |     Community-sponsored sports teams?\         |
|                     |     Community-sponsored classes or lessons,    |
|                     |     such as tennis or gymnastics?\             |
|                     |     Community-sponsored supervised "open-gym"  |
|                     |     or "free play?"                            |
+---------------------+------------------------------------------------+
|                     | -   Outside of school hours or when school is  |
|                     |     not in session, do adults who are not      |
|                     |     school employees use any of this school's  |
|                     |     physical activity or athletic facilities   |
|                     |     for\...                                    |
|                     |                                                |
|                     |     Community-sponsored sports teams?\         |
|                     |     Community-sponsored classes or lessons,    |
|                     |     such as tennis or aerobics?\               |
|                     |     Community-sponsored supervised "open-gym?" |
+---------------------+------------------------------------------------+
|                     | -   Can children or adults in the community    |
|                     |     use this school's outdoor physical         |
|                     |     activity and athletic facilities without   |
|                     |     being in a supervised program?             |
+---------------------+------------------------------------------------+
|                     | See Part C for a description of SHPPS and      |
|                     | Appendix A for focus area contact information. |
+---------------------+------------------------------------------------+

  

+---------------------+------------------------------------------------+
| 22-13. Increase the |                                                |
| proportion of       |                                                |
| worksites offering  |                                                |
| employer-sponsored  |                                                |
| physical activity   |                                                |
| and fitness         |                                                |
| programs.           |                                                |
+---------------------+------------------------------------------------+
| **National Data     | 1999 National Worksite Health Promotion Survey |
| Source**            | (NWHPS), Association for Worksite Health       |
|                     | Promotion (AWHP) and OPHS, ODPHP.              |
+---------------------+------------------------------------------------+
| **State Data        | Not identified.                                |
| Source**            |                                                |
+---------------------+------------------------------------------------+
| **Healthy People    | Adapted from 1.10 (Physical Activity and       |
| 2000 Objective**    | Fitness).                                      |
+---------------------+------------------------------------------------+
| **Measure**         | Percent.                                       |
+---------------------+------------------------------------------------+
| **Baseline**        | 46 (1998--99).                                 |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of nongovernmental worksites with 50 or |
|                     | more employees offering employer-sponsored     |
|                     | physical activity and fitness programs at the  |
|                     | worksite or through their health plans.        |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of nongovernmental worksites with 50 or |
|                     | more employees.                                |
+---------------------+------------------------------------------------+
| **Population        | Nongovernmental worksites with 50 or more      |
| Targeted**          | employees.                                     |
+---------------------+------------------------------------------------+
| **Questions Used to | From the 1999 National Worksite Health         |
| Obtain the National | Promotion Survey:                              |
| Data**              |                                                |
+---------------------+------------------------------------------------+
|                     | -   During the last 12 months, did you offer   |
|                     |     physical activity and/or fitness programs  |
|                     |     or activities to your employees at the     |
|                     |     worksite?                                  |
+---------------------+------------------------------------------------+
|                     | -   During the last 12 months, did you offer   |
|                     |     physical activity and/or fitness programs  |
|                     |     or activities to your employees through    |
|                     |     one of your health plans?                  |
+---------------------+------------------------------------------------+
| **Expected          | Periodic.                                      |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | Worksites for which respondents answered "yes" |
|                     | to either question above were classified as    |
|                     | offering employer-sponsored physical activity  |
|                     | and fitness programs.                          |
+---------------------+------------------------------------------------+
|                     | This objective differs from Healthy People     |
|                     | 2000 objective 1.10, which used different      |
|                     | surveys, none of which asked about programs or |
|                     | activities through worksite health plans.      |
+---------------------+------------------------------------------------+
|                     | See Part C for a description of NWHPS and      |
|                     | Appendix A for focus area contact information. |
+---------------------+------------------------------------------------+

  

22-14. Increase the proportion of trips made by walking.

+---------------------+------------------------------------------------+
| 22-14a. Adults aged |                                                |
| 18 years and older. |                                                |
+---------------------+------------------------------------------------+
| **National Data     | Nationwide Personal Transportation Survey      |
| Source**            | (NPTS), DOT.                                   |
+---------------------+------------------------------------------------+
| **State Data        | Not identified.                                |
| Source**            |                                                |
+---------------------+------------------------------------------------+
| **Healthy People    | Not applicable.                                |
| 2000 Objective**    |                                                |
+---------------------+------------------------------------------------+
| **Measure**         | Percent (age adjusted---see Comments).         |
+---------------------+------------------------------------------------+
| **Baseline**        | 17 (1995).                                     |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of trips of 1 mile or less that adults  |
|                     | aged 18 years and older report taking by       |
|                     | walking on designated travel day.              |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of trips of 1 mile or less that adults  |
|                     | aged 18 years and older report taking on       |
|                     | designated travel day.                         |
+---------------------+------------------------------------------------+
| **Population        | U.S. civilian, noninstitutionalized            |
| Targeted**          | population.                                    |
+---------------------+------------------------------------------------+
| **Questions Used to | From the 1995 Nationwide Personal              |
| Obtain the National | Transportation Survey:                         |
| Data**              |                                                |
+---------------------+------------------------------------------------+
|                     | Now I have some questions about all trips      |
|                     | (you/[Person]{.underline}) took (yesterday/on  |
|                     | [Travel Day]{.underline}), (including long     |
|                     | trips that may have already been reported).    |
|                     | For these questions, a "trip" is any time      |
|                     | (you/[Person]{.underline}) went from one       |
|                     | address to another by car, bus, walking,       |
|                     | bicycling, or some other means. For example,   |
|                     | if you leave work, stop at the store, and then |
|                     | continue home that would be two trips---one to |
|                     | the store and one from the store to home.      |
+---------------------+------------------------------------------------+
|                     | -   Did (you/[Person]{.underline}) go anywhere |
|                     |     (yesterday/on [Travel Day]{.underline})?   |
+---------------------+------------------------------------------------+
|                     | -   (Excluding the trips taken as a regular    |
|                     |     part of the job), please tell me           |
|                     |     everywhere (you/[Person]{.underline}) went |
|                     |     (yesterday/on [Travel Day]{.underline}).   |
|                     |     [Remember, we want to know about any time  |
|                     |     (you/]{.underline}Person) went from one    |
|                     |     place to another for any purpose.          |
+---------------------+------------------------------------------------+
|                     | -   Where did (you/[Person]{.underline}) go    |
|                     |     first (yesterday/on [Travel]{.underline}   |
|                     |     [Day]{.underline})?                        |
+---------------------+------------------------------------------------+
|                     | -   When (you/[Person]{.underline}) left       |
|                     |     ([Destination]{.underline}) where did      |
|                     |     (you/[Person]{.underline}) go next?        |
|                     |                                                |
|                     |     \[Repeat question until no more            |
|                     |     trips\....\]                               |
+---------------------+------------------------------------------------+
|                     | Now I have a few questions about each trip.    |
+---------------------+------------------------------------------------+
|                     | -   How far is it from where                   |
|                     |     (you/[Perso]{.underline}n) started to      |
|                     |     ([Destination]{.underline})?               |
|                     |     \_\_\_\_\_\_\_\_\_\_miles                  |
+---------------------+------------------------------------------------+

+---------------------+------------------------------------------------+
|                     | \[For nonsegmented trips:\]                    |
|                     |                                                |
|                     | -   How did (you/[Person]{.underline}) get to  |
|                     |     ([Destination]{.underline})? That is, what |
|                     |     means of transportation did                |
|                     |     (you/[Person]{.underline}) use for this    |
|                     |     trip?                                      |
|                     |                                                |
|                     |     Walk\                                      |
|                     |     Bicycle                                    |
+---------------------+------------------------------------------------+
|                     | \[For multisegment trips:\]                    |
|                     |                                                |
|                     | -   What means of transportation did           |
|                     |     (you/[Person]{.underline}) use for the     |
|                     |     (first/next) part of this trip to          |
|                     |     ([Destination]{.underline})?               |
|                     |                                                |
|                     |     Walk\                                      |
|                     |     Bicycle                                    |
|                     |                                                |
|                     |     \[Continue for additional segments\...\]   |
+---------------------+------------------------------------------------+
| **Expected          | Periodic.                                      |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | The 1995 NPTS sample design provided a         |
|                     | scientific sample of households with           |
|                     | telephones in the United States, covering all  |
|                     | 50 States and the District of Columbia. The    |
|                     | sample was stratified by geography and time so |
|                     | that the data collection would be dispersed    |
|                     | nearly uniformly throughout the country and    |
|                     | across the data collection period. The         |
|                     | sampling was also controlled by day of the     |
|                     | week to capture variations in personal travel  |
|                     | within a week. A Mitofsky-Waksberg             |
|                     | random-digit-dialing design was used to select |
|                     | the sample telephone numbers, both listed and  |
|                     | unlisted. The population of interest was       |
|                     | defined as all persons aged 5 years and older. |
+---------------------+------------------------------------------------+
|                     | Demographic data for each household member     |
|                     | included age, sex, and race of the household   |
|                     | reference person (person who owned or rented   |
|                     | the home) and the relationship of each         |
|                     | household member to the reference person,      |
|                     | annual combined household income, and          |
|                     | education.                                     |
+---------------------+------------------------------------------------+
|                     | The travel day was defined as beginning at     |
|                     | 4:00 a.m. on the designated day and ending at  |
|                     | 3:59 a.m. on the following day. In Quarter 1,  |
|                     | a primary number was randomly assigned to each |
|                     | day of the week---one-seventh to each day. All |
|                     | households identified in the cluster           |
|                     | associated with the primary number were        |
|                     | assigned the same travel day. In Quarters 2,   |
|                     | 3, and 4, every sample telephone number was    |
|                     | randomly assigned a day of the week so that    |
|                     | about one-seventh were assigned to each day.   |
|                     | In general, telephone numbers were called the  |
|                     | day after their assigned travel day.           |
+---------------------+------------------------------------------------+
|                     | Data for adults are age adjusted to the 2000   |
|                     | standard population. Age-adjusted percents are |
|                     | weighted sums of age-specific percents. For a  |
|                     | discussion on age adjustment, see Part A,      |
|                     | section 5.                                     |
|                     |                                                |
|                     | The age groups used to age adjust the NPTS     |
|                     | estimates are 18 to 24 years, 25 to 34 years,  |
|                     | 35 to 44 years, 45 to 54 years, 55 to 64       |
|                     | years, 65 to 74 years, 75 to 84 years, and 85  |
|                     | years and older.                               |
+---------------------+------------------------------------------------+
|                     | This objective is similar to Healthy People    |
|                     | 2010 objective 8-2b; however, objective 8-2b   |
|                     | does not specify distance, age, or purpose of  |
|                     | trip.                                          |
+---------------------+------------------------------------------------+
|                     | See Appendix A for focus area contact          |
|                     | information.                                   |
+---------------------+------------------------------------------------+

  

+---------------------+------------------------------------------------+
| 22-14b. Children    |                                                |
| and adolescents     |                                                |
| aged 5 to 15 years. |                                                |
+---------------------+------------------------------------------------+
| ######              | Nationwide Personal Transportation Survey      |
| National Data Sourc | (NPTS), DOT.                                   |
| e {#national-data-s |                                                |
| ource .Heading6THP} |                                                |
+---------------------+------------------------------------------------+
| **State Data        | Not identified.                                |
| Source**            |                                                |
+---------------------+------------------------------------------------+
| **Healthy People    | Not applicable.                                |
| 2000 Objective**    |                                                |
+---------------------+------------------------------------------------+
| **Measure**         | Percent.                                       |
+---------------------+------------------------------------------------+
| **Baseline**        | 31 (1995).                                     |
+---------------------+------------------------------------------------+
| **Numerator**       | Number of trips to school of 1 mile or less    |
|                     | that children and adolescents aged 5 to 15     |
|                     | years report taking by walking on designated   |
|                     | travel day.                                    |
+---------------------+------------------------------------------------+
| **Denominator**     | Number of trips to school of 1 mile or less    |
|                     | that children and adolescents aged 5 to 15     |
|                     | years report taking on designated travel day.  |
+---------------------+------------------------------------------------+
| **Population        | U.S. civilian, noninstitutionalized            |
| Targeted**          | population.                                    |
+---------------------+------------------------------------------------+
| **Questions Used To | From the 1995 Nationwide Personal              |
| Obtain the National | Transportation Survey:                         |
| Data**              |                                                |
+---------------------+------------------------------------------------+
|                     | Now I have some questions about all trips      |
|                     | (you/[Person]{.underline}) took (yesterday/on  |
|                     | [Travel Day]{.underline}), (including long     |
|                     | trips that may have already been reported).    |
|                     | For these questions, a "trip" is any time      |
|                     | (you/[Person]{.underline}) went from one       |
|                     | address to another by car, bus, walking,       |
|                     | bicycling, or some other means. For example,   |
|                     | if you leave work, stop at the store, and then |
|                     | continue home that would be two trips C one to |
|                     | the store and one from the store to home.      |
+---------------------+------------------------------------------------+
|                     | -   Did (you/[Person]{.underline}) go anywhere |
|                     |     (yesterday/on [Travel Day]{.underline})?   |
+---------------------+------------------------------------------------+
|                     | -   (Excluding the trips taken as a regular    |
|                     |     part of the job), please tell me           |
|                     |     everywhere (you/[Person]{.underline}) went |
|                     |     (yesterday/on [Travel Day]{.underline}).   |
|                     |     Remember, we want to know about any time   |
|                     |     (you/[Person]{.underline}) went from one   |
|                     |     place to another for any purpose.          |
+---------------------+------------------------------------------------+
|                     | -   Where did (you/[Person]{.underline}) go    |
|                     |     first (yesterday/on [Travel                |
|                     |     Day]{.underline})?                         |
+---------------------+------------------------------------------------+
|                     | -   When (you/[Person]{.underline}) left       |
|                     |     ([Destination]{.underline}) where did      |
|                     |     (you/[Person]{.underline}) go next?        |
|                     |                                                |
|                     |     \[Repeat question until no more            |
|                     |     trips\....\]                               |
+---------------------+------------------------------------------------+
|                     | Now I have a few questions about each trip.    |
+---------------------+------------------------------------------------+
|                     | -   What was the main purpose of the trip to   |
|                     |     ([Destination]{.underline})?               |
|                     |                                                |
|                     |     School/church                              |
+---------------------+------------------------------------------------+
|                     | -   How far is it from where                   |
|                     |     (you/[Person]{.underline}) started to      |
|                     |     ([Destination]{.underline})?               |
|                     |                                                |
|                     |     \_\_\_\_\_\_\_\_\_\_miles                  |
+---------------------+------------------------------------------------+
|                     | \[For nonsegmented trips:\]                    |
|                     |                                                |
|                     | -   How did (you/[Person]{.underline}) get to  |
|                     |     ([Destination]{.underline})? That is, what |
|                     |     means of transportation did                |
|                     |     (you[/Person]{.underline}) use for this    |
|                     |     trip?                                      |
|                     |                                                |
|                     |     Walk\                                      |
|                     |     Bicycle                                    |
+---------------------+------------------------------------------------+
|                     | \[For multisegment trips:\]                    |
|                     |                                                |
|                     | -   What means of transportation did           |
|                     |     (you/[Person]{.underline}) use for the     |
|                     |     (first/next) part of this trip to          |
|                     |     ([Destination]{.underline})?               |
|                     |                                                |
|                     |     Walk\                                      |
|                     |     Bicycle                                    |
|                     |                                                |
|                     |     \[Continue for additional segments\...\]   |
+---------------------+------------------------------------------------+
| **Expected          | Periodic.                                      |
| Periodicity**       |                                                |
+---------------------+------------------------------------------------+
| **Comments**        | See Comments provided with objective 22-14a    |
|                     | for more information.                          |
+---------------------+------------------------------------------------+

  

*22-15. Increase the proportion of trips made by bicycling.*

  ---------------------- ------------------------------------------------
  22-15a. Adults aged 18 
  years and older.       

  **National Data        Nationwide Personal Transportation Survey
  Source**               (NPTS), DOT.

  **State Data Source**  Not identified.

  **Healthy People 2000  Not applicable.
  Objective**            

  **Measure**            Percent.

  **Baseline**           0.6 (1995).

  **Numerator**          Number of trips of 5 miles or less that adults
                         aged 18 years and older report taking by
                         bicycling on designated travel day.

  **Denominator**        Number of trips of 5 miles or less that adults
                         aged 18 years and older report taking on
                         designated travel day.

  **Population           U.S. civilian, noninstitutionalized population.
  Targeted**             

  **Questions Used To    See Questions Used To Obtain the National Data
  Obtain the National    provided with objective 22-14a.
  Data**                 

  **Expected             Periodic.
  Periodicity**          

  **Comments**           See Comments provided with objective 22-14a for
                         more information.

                         This objective is similar to Healthy People 2010
                         objective 8-2a; however, objective 8-2a does not
                         specify distance, age, or purpose of trip.

                         See Appendix A for focus area contact
                         information.
  ---------------------- ------------------------------------------------

  

  ---------------------- ------------------------------------------------
  22-15b. Children and   
  adolescents aged 5 to  
  15 years.              

  **National Data        Nationwide Personal Transportation Survey
  Source**               (NPTS), DOT.

  **State Data Source**  Not identified.

  **Healthy People 2000  Not applicable.
  Objective**            

  **Measure**            Percent.

  **Baseline**           2.4 (1995).

  **Numerator**          Number of trips to school of 2 miles or less
                         that children and adolescents aged 5 to 15 years
                         report taking by bicycle on designated travel
                         day.

  **Denominator**        Number of trips to school of 2 miles or less
                         that children and adolescents aged 5 to 15 years
                         report taking on designated travel day.

  **Population           U.S. civilian, noninstitutionalized population.
  Targeted**             

  **Questions Used To    See Questions Used To Obtain the National Data
  Obtain the National    provided with objective 22-14b.
  Data**                 

  **Expected             Periodic.
  Periodicity**          

  **Comments**           See Comments provided with objectives 22-14a and
                         22-15a for more information.
  ---------------------- ------------------------------------------------

  

## Reference

1\. Chong, Y.; Klein, R.; Plepys, C.; et al. Operational definitions for
year 2000 objectives: Priority area 1, Physical Activity and Fitness.
*Healthy People 2000 Statistical Notes*, No. 18. Hyattsville, MD:
National Center for Health Statistics, 1998.