New Nutrition, Physical Activity, and Obesity Info-graphic

Where We’ve Been and Where We’re Going

In 2008, Federal Physical Activity Guidelines for Americans was released, and the Healthy People 2020 physical activity objectives developed in 2010 reflected these guidelines. From 2008 to 2016, the rate for adults aged 18 years and over who met the guidelines for aerobic physical activity and muscle-strengthening activity increased by 23.6%, from 18.2% to 22.5% (age adjusted), exceeding the Healthy People 2020 target of 20.1%.

In contrast, between 2005–2008 and 2013–2016, the obesity rate among adults aged 20 years and over increased by 13.9%, from 33.9% to 38.6% (age adjusted), while the change in the rate was not statistically significant among youth aged 2–19 years (16.1% in 2005–2008 and 17.8% in 2013–2016).

Between 2005–2008 and 2011–2014, there was no change in the mean daily vegetable intake of persons aged 2 years and over (0.76 cup equivalents of total vegetables per 1,000 calories, age adjusted, in both 2005–2008 and 2011–2014). The Healthy People 2020 target is 1.16 cup equivalents per 1,000 calories.

Physical Activity (PA-2.4)

  • Healthy People 2020 objective PA-2.4 tracks the proportion of adults who report meeting current federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity: at least 150 minutes of light/moderate or 75 minutes of vigorous physical activity per week or an equivalent combination of moderate- and vigorous-intensity activity and physical activities specifically designed to strengthen muscles at least twice per week.
    • HP2020 Baseline: In 2008, 18.2% of persons aged 18 years and over met the current federal physical activity guidelines (age adjusted).
    • HP2020 Target: 20.1%, a 10% improvement over the baseline.
    • Most Recent: In 2016, 22.5% of persons aged 18 years and over met the current federal physical activity guidelines (age adjusted).
  • In 2016, adults who identified with 2 or more races had the highest rate among racial and ethnic groups, with 25.2% of adults aged 18 years and over (age adjusted) who met current federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity. Age-adjusted rates for other racial/ethnic groups were:
    • 14.7% among the American Indian or Alaska Native population; the best group rate was 71.1% higher
    • 16.6% among the Hispanic population; the best group rate was 51.7% higher
    • 17.0% among the Asian population; the best group rate was 48.0% higher
    • 20.8% among the black non-Hispanic population; the best group rate was 21.0% higher
    • 24.3% among the Native Hawaiian or other Pacific Islander population; not significantly different than the best group rate
    • 25.0% among the white non-Hispanic population; not significantly different than the best group rate
  • Males aged 18 years and over had a 39.9% higher rate of meeting the current federal physical activity guidelines than females (26.3% versus 18.8%, age adjusted) in 2016.
  • Among education groups for adults aged 25 years and over, those with advanced degrees had the highest rate of meeting the current federal physical activity guidelines (32.8%, age adjusted) in 2016. Rates (age adjusted) for individuals in other education groups were:
    • 8.9% among those with less than a high school education; the best group rate was more than 3.5 times as high
    • 13.2% among high school graduates; the best group rate was 2.5 times as high
    • 19.5% among those with some college education; the best group rate was 68.3% higher
    • 23.4% among those with an associate’s degree; the best group rate was 40.3% higher
    • 29.9% among those with a 4-year college degree; the best group rate was 9.8% higher

Physical Activity by Education: Adults Aged 25 Years and Over, 2016

Physical Activity by Education: Adults Aged 25 Years and Over, 2016

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

  • In 2016, adults aged 18–24 years had the highest rate of meeting the physical activity guidelines, 30.7%, among age groups. Rates for other age groups were:
    • 27.0% among those aged 25–44 years; the best group rate was 13.9% higher
    • 20.8% among those aged 45–54 years; the best group rate was 47.8% higher
    • 17.1% among those aged 55–64 years; the best group rate was 79.3% higher
    • 15.7% among those aged 65–74 years; the best group rate was twice as high
    • 10.1% among those aged 75–84 years; the best group rate was 3 times as high
    • 3.9% among those aged 85 years and over; the best group rate was 8 times as high
  • Adults aged 18–64 years with private health insurance had the highest rate of meeting the physical activity guidelines (28.9%, age adjusted) among insurance groups in 2016. Those with public insurance and the uninsured had rates of 14.0% and 15.9% (age adjusted), respectively. The rate for adults with private insurance was more than twice the rate for those with public insurance and 81.4% higher than the rate for the uninsured.
  • In 2016, adults aged 18 years and over in families with incomes 600% or more of the poverty threshold had the highest rate of physical activity, 34.3% (age adjusted). Rates (age adjusted) for individuals in other income groups were:
    • 11.8% for those with incomes under the poverty threshold; the best group rate was more than 2.5 times as high
    • 14.5% for those with incomes 100% to 199% of the poverty threshold; the best group rate was more than 2 times as high
    • 20.0% for those with incomes 200% to 399% of the poverty threshold; the best group rate was 71.8% higher
    • 26.6% for those with incomes 400% to 599% of the poverty threshold; the best group rate was 28.9% higher
  • In 2016, adults aged 18 years and over living in metropolitan areas had a 55.6% higher rate of meeting the physical activity guidelines than those living in non-metropolitan areas (23.8% versus 15.3%, age adjusted).
  • Adults aged 18 years and over born in the U.S. had a 38.5% higher rate of meeting the physical activity guidelines than adults born outside the U.S. (23.9% versus 17.2%, age adjusted) in 2016.
  • Among adults aged 18 years and over, married persons had the highest rate of meeting the physical activity guidelines (22.2%, age adjusted) among groups by marital status in 2016. Rates for widowed, never married, cohabitating, and divorced persons were 7.5%, 21.0%, 21.4%, and 21.4% (age adjusted), respectively. The rate for married adults was more than 2.5 times that for widowed persons. The rates for cohabitating partners and never married and divorced persons were not significantly different than the best group rate.

Endnotes:

  • Unrounded values with additional decimal places beyond what are shown here are used in calculating health disparities, including identifying the best group and calculating the differences between groups. Rounded values displayed here are used in calculating changes over time and percent change needed to meet the target.
  • Unless otherwise stated, all disparities described are statistically significant at the 0.05 level of significance.
  • Data (except those by educational attainment, health insurance status, and age group) are age adjusted to the 2000 standard population using the age groups 18–24, 25–34, 35–44, 45–64, and 65 years and over. Data by educational attainment are adjusted using the age groups 25–34, 35–44, 45–64, and 65 years and over. Data by health insurance status are adjusted using the age groups 18–44, 45–54, and 55–64. Data by age group are not age adjusted. Age-adjusted rates are weighted sums of age-specific rates.
  • Data for this measure are available annually and come from the National Health Interview Survey, CDC/NCHS.

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Obesity in Adults (NWS-9)

  • Healthy People 2020 objective NWS-9 tracks the proportion of adults with obesity (BMI ? 30).
    • HP2020 Baseline: In 2005–2008, the rate of obesity was 33.9% among adults aged 20 years and over (age adjusted).
    • HP2020 Target: 30.5%, a 10% improvement over the baseline.
    • Most Recent: In 2013–2016, the rate of obesity was 38.6% among adults aged 20 years and over (age adjusted).
  • Males aged 20 years and over had a lower rate of obesity than females (36.5% versus 40.5%, age adjusted) in 2013–2016. The rate for females was 11.0% higher than that for males.
  • Among racial and ethnic groups, the Asian non-Hispanic population had the lowest (best) rate of obesity, 12.5% of adults aged 20 years and over (age adjusted) in 2013–2016. Rates (age adjusted) for other racial and ethnic groups were:
    • 48.0% among the black non-Hispanic population; more than 3.5 times the best group rate
    • 44.9% among the Hispanic population; more than 3.5 times the best group rate
    • 37.1% among the white non-Hispanic population; 3 times the best group rate

Adult Obesity by Race/Ethnicity, 2013–2016

Adult Obesity by Race/Ethnicity, 2013–2016

Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.

  • Adults aged 20 years and over without activity limitations had a lower rate of obesity than adults with activity limitations (36.6% versus 45.0%, age adjusted) in 2013–2016. The rate for adults with activity limitations was 23.1% higher than the rate for persons without activity limitations.
  • Among educational attainment groups for adults aged 25 years and over, college graduates or above had the lowest (best) rate of obesity, 29.7% (age adjusted) in 2013–2016. Rates (age adjusted) for other educational attainment groups were:
    • 41.1% among adults with less than a high school education; 38.4% higher than the best group rate
    • 44.2% among adults with a high school education; 48.7% higher than the best group rate
    • 46.8% among adults with some college or an AA degree; 57.7% higher than the best group rate
  • Adults aged 20 years and over living in families with incomes 500% or more of the poverty threshold had the lowest rate of obesity among family income groups, 31.2% (age adjusted) in 2013–2016. Rates (age adjusted) for individuals in other family income groups were:
    • 42.1% for those with incomes under the poverty threshold; 34.6% higher than the best group rate
    • 42.9% for those with incomes 100% to 199% of the poverty threshold; 37.2% higher than the best group rate
    • 41.5% for those with incomes 200% to 399% of the poverty threshold; 32.7% higher than the best group rate
    • 39.2% for those with incomes 400% to 499% of the poverty threshold; 25.5% higher than the best group rate
  • Adults aged 20 years and over born outside the U.S. had a lower rate of obesity than adults born in the U.S. (29.9% versus 40.6%, age adjusted) in 2013–2016. The rate for adults born in the U.S. was 36.0% higher than the rate for adults born outside the U.S.
  • Among groups by health insurance status for adults aged 20–64 years, those with private health insurance had the lowest rate of obesity, 37.1% (age adjusted) in 2013–2016, whereas adults with public insurance had a rate of 45.8% (age adjusted) and those without insurance had a rate of 39.2% (age adjusted). Compared to the rate for those with private insurance, the rate for those with public health insurance was 23.4% higher and the rate for those without health insurance was not significantly different.
  • Among broad age groups, adults aged 20–44 years had the lowest rate of obesity, 36.8% in 2013–2016. Rates for other age groups were:
    • 42.1% among adults aged 45–64 years; 14.3% higher than the best group rate
    • 37.6% among adults aged 65 years and over; not significantly different than the best group rate
  • When further refining the age groups, adults aged 80 years and over had the lowest rate of obesity, 26.7% in 2013–2016. Rates for the other age groups were:
    • 27.2% among adults aged 20–24 years; not significantly different than the best group rate
    • 39.2% among adults aged 25–44 years; 46.7% higher than the best group rate
    • 40.5% among adults aged 45–54 years; 51.5% higher than the best group rate
    • 43.8% among adults aged 55–64 years (highest rate); 63.9% higher than the best group rate
    • 42.0% among adults aged 65–74 years; 57.2% higher than the best group rate
    • 36.4% among adults aged 75–79 years; 36.1% higher than the best group rate

Endnotes:

  • Unrounded values with additional decimal places beyond what are shown here are used in calculating health disparities, including identifying the best group and calculating the differences between groups. Rounded values displayed here are used in calculating changes over time and percent change needed to meet the target.
  • Unless otherwise stated, all comparisons described are statistically significant at the 0.05 level of significance.
  • Data for this measure are available biennially and come from the National Health and Nutrition Examination Survey (NHANES), CDC/NCHS. Preferably 4 years of data are pooled for analysis when available.
  • The terms “Hispanic or Latino” and “Hispanic” are used interchangeably in this report.
  • Data (except those by education status, health insurance coverage, and age group) are age adjusted to the 2000 standard population using the age groups 20–29, 30–39, 40–49, 50–59, 60–69, 70–79, and 80 years and over. Data by education status are adjusted using the age groups 25–29, 30–39, 40–49, 50–59, 60–69, 70–79, and 80 years and over. Data by health insurance coverage are adjusted using the age groups 20–29, 30–39, 40–49, 50–59, and 60–64 years. Data by age group are not age adjusted. Age-adjusted rates are weighted sums of age-specific rates.

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Obesity in Children and Adolescents (NWS-10.4)

  • Healthy People 2020 objective NWS-10.4 tracks the proportion of children and adolescents with obesity (BMI at or above the gender- and age-specific 95th percentile from the CDC Growth Charts).
    • HP2020 Baseline: In 2005–2008, the rate of obesity was 16.1% among children and adolescents aged 2–19 years.
    • HP2020 Target: 14.5%, a 10% improvement over the baseline.
    • Most Recent: In 2013–2016, the rate of obesity was 17.8% among children and adolescents aged 2–19 years.
  • Among racial and ethnic groups, the Asian non-Hispanic population had the lowest (best) rate of obesity, 9.8% of youth aged 2–19 years in 2013–2016. Rates for other racial and ethnic groups were:
    • 23.6% among the Hispanic population; more than twice the best group rate
    • 20.4% among the black non-Hispanic population; more than twice the best group rate
    • 14.7% among the white non-Hispanic population; 50.2% higher than the best group rate
  • Youth aged 2–19 years with private health insurance had the lowest rate of obesity, 14.8% in 2013–2016. Those with public insurance and the uninsured both had rates of 20.9%. The rate for youth without health insurance was 41.3% higher than the best group rate; the rate for youth with public insurance was 41.2% higher than the best group rate.i
  • Youth aged 2–19 years living in families with incomes 400% to 499% of the poverty threshold had the lowest rate of obesity among family income groups, 11.9% in 2013–2016. Rates for youth in other family income groups were:
    • 21.0% for those with incomes under the poverty threshold; 75.8% higher than the best group rate
    • 20.7% for those with incomes 100% to 199% of the poverty threshold; 73.3% higher than the best group rate
    • 16.9% for those with incomes 200% to 399% of the poverty threshold; not significantly different than the best group rate
    • 12.3% for those with incomes 500% or more of the poverty threshold; not significantly different than the best group rate

Child and Adolescent Obesity by Family Income, 2013–2016

Child and Adolescent Obesity by Family Income, 2013–2016

Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.

Endnotes:

  • iUnrounded values with additional decimal places beyond what are shown here are used in calculating health disparities, including identifying the best group and calculating the differences between groups. Rounded values displayed here are used in calculating changes over time and percent change needed to meet the target.
  • Unless otherwise stated, all comparisons described are statistically significant at the 0.05 level of significance.
  • Data for this measure are available biennially and come from the National Health and Nutrition Examination Survey (NHANES), CDC/NCHS. Preferably 4 years of data are pooled for analysis when available.
  • The terms “Hispanic or Latino” and “Hispanic” are used interchangeably in this report.

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Total Vegetable Intake (NWS-15.1)

  • Healthy People 2020 objective NWS-15.1 tracks the contribution of total vegetables to the diets of the population aged 2 years and over.
    • HP2020 Baseline: In 2005–2008, 0.76 cup equivalents of total vegetables per 1,000 calories was the mean daily intake of persons aged 2 years and over (age adjusted).
    • HP2020 Target: 1.16 cup equivalents per 1,000 calories (age adjusted), 90th percentile of usual vegetable intake at baseline.
    • Most Recent: In 2011–2014, 0.76 cup equivalents of total vegetables per 1,000 calories was the mean daily intake of persons aged 2 years and over (age adjusted).
  • Among racial and ethnic groups, the Asian non-Hispanic population aged 2 years and over had the highest mean daily vegetable intake, 0.95 cup eq. per 1,000 kcal (age adjusted) in 2011–2014. Intakes (age adjusted) for other racial and ethnic groups were:
    • 0.66 cup eq. per 1,000 kcal among the black non-Hispanic population; the best group rate was 44.0% higher
    • 0.75 cup eq. per 1,000 kcal among the white non-Hispanic population; the best group rate was 25.4% higher
    • 0.81 cup eq. per 1,000 kcal among the Hispanic population; the best group rate was 17.0% higher
  • Females aged 2 years and over had a 16.4% higher mean daily vegetable intake than males (0.82 versus 0.70 cup eq. per 1,000 kcal, age adjusted) in 2011–2014.
  • Adults aged 20 years and over without activity limitations had a 22.4% higher mean daily vegetable intake than adults with activity limitations (0.87 versus 0.71 cup eq. per 1,000 kcal, age adjusted) in 2011–2014.
  • Persons aged 51 years and over had the highest mean daily vegetable intake, 0.94 cup eq. per 1,000 kcal (not age adjusted) in 2011–2014, among broad age groups. Intakes for other age groups were:
    • 0.52 cup eq. per 1,000 kcal among persons aged 2–18 years; the best group rate was 78.8% higher
    • 0.78 cup eq. per 1,000 kcal among persons aged 19–50 years; the best group rate was 20.7% higher

Mean Daily Intake of Total Vegetables by Age, 2011–2014

Mean Daily Intake of Total Vegetables by Age, 2011–2014

Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS.

  • Among educational attainment groups for adults aged 25 years and over, college graduates or above had the highest mean daily vegetable intake, 0.96 cup eq. per 1,000 kcal (age adjusted) in 2011–2014. Intakes (age adjusted) for other educational attainment groups were:
    • 0.77 cup eq. per 1,000 kcal among adults with less than a high school education; the best group rate was 24.9% higher
    • 0.80 cup eq. per 1,000 kcal among adults with a high school education; the best group rate was 19.5% higher
    • 0.84 cup eq. per 1,000 kcal among adults with some college education or an AA degree; the best group rate was 14.4% higher
  • Persons aged 2 years and over living in families with incomes 400–499% of the poverty threshold had the highest mean daily vegetable intake, 0.80 cup eq. per 1,000 kcal (age adjusted) in 2011–2014. Intakes (age adjusted) for other income groups were:ii
    • 0.71 cup eq. per 1,000 kcal among persons from families with incomes under the poverty threshold; the best group rate was 13.1% higher
    • 0.71 cup eq. per 1,000 kcal among persons from families with incomes 100–199% of the poverty threshold; the best group rate was 14.0% higher
    • 0.77 cup eq. per 1,000 kcal among persons from families with incomes 200–399% of the poverty threshold; not significantly different than the best group rate
    • 0.80 cup eq. per 1,000 kcal among persons from families with incomes 500% or more of the poverty threshold; not significantly different than the best group rate
  • Persons aged 2 years and over born outside the U.S. had an 18.8% higher mean daily vegetable intake than persons born in the U.S. (0.88 versus 0.74 cup eq. per 1,000 kcal, age adjusted) in 2011–2014.

Endnotes:

  • iiUnrounded values with additional decimal places beyond what are shown here are used in calculating health disparities, including identifying the best group and calculating the differences between groups. Rounded values displayed here are used in calculating changes over time and percent change needed to meet the target.
  • Unless otherwise stated, all comparisons described are statistically significant at the 0.05 level of significance.
  • Data for this measure are available biennially and come from the National Health and Nutrition Examination Survey (NHANES), CDC/NCHS. Preferably 4 years of data are pooled for analysis when available. Cup equivalents were calculated using the USDA Food Patterns Equivalents Database (FPED).
  • The terms “Hispanic or Latino” and “Hispanic” are used interchangeably in this report.
  • Data (except those by educational attainment, disability status, health insurance status, and age group) are age adjusted using the age groups 2–5, 6–11, 12–19, 20–29, 30–39, 40–49, 50–59, 60–69, 70–79, and 80 years and over. Data by educational attainment are adjusted using the age groups 25–29, 30–39, 40–49, 50–59, 60–69, 70–79, and 80 years and over. Data by disability status are adjusted using the age groups 20–29, 30–39, 40–49, 50–59, 60–69, 70–79, and 80 years and over. Data by health insurance status are adjusted using the age groups 2–3, 4–8, 9–13, 14–18, 19–30, 31–50, and 51–64. Data by age group are not age adjusted. Age-adjusted rates are weighted sums of age-specific rates.
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