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<h1>2012 National Healthcare Quality and Disparities Reports </h1>
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<h3>Effectiveness of Care: Lifestyle Modification</h3>
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<a id="lifestyle" name="lifestyle"></a> <p><a href="#lm1"><strong>Lifestyle Modification</strong></a><br /><a href="#lmmt1">Adult smokers with a checkup who received advice to quit smoking</a><br /><a href="#lmmt1a">Obese adults age 20 and over who were told by a doctor they were overweight</a><br /><a href="#lmmt1b">People ages 2-19 who were overweight and who were told by a health provider they were overweight</a><br /><a href="#lmmt2">Obese adults who ever received advice from a health provider to exercise more</a><br /><a href="#lmmt3">Obese adults who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week</a><br /><a href="#lmmt4">Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should pursue</a><br /><a href="#lmmt5">Obese adults who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods</a><br /><a href="#lmmt6">Children ages 2-17 for whom a health provider ever gave advice about healthy eating</a></p><hr /><p><a id="lm1" name="lm1"></a><a id="lmmt1" name="lmmt1"> </a></p><h2>Lifestyle Modification</h2><h3>Measure Title</h3><p>Adult smokers with a checkup who received advice to quit smoking.</p><h3>Measure Source</h3><p>Healthy People 2010.</p><h3>National Tables</h3><p>2_10_1_1.1_1 Adult current smokers with a checkup in the past year who received advice in the last 12 months to quit smoking, United States, 2002-2009</p><p>2_10_1_1.1_2a-d Adult current smokers with a checkup in the past year who received advice in the last 12 months to quit smoking, United States, 2009, by:</p><ol type="a"><li>Race.</li><li>Ethnicity.</li><li>Family income.</li><li>Education.</li></ol><p>2_10_1_1.2 Adults who had a doctor's office or clinic visit in the last 6 months who sometimes or never got advice from provider to quit smoking, Medicaid, by State, 2010-2011</p><p>2_10_1_1.3 Adults who had a doctor's office or clinic visit in the last 6 months who sometimes or never got advice from provider to quit smoking, Medicare managed care, by State, 2010-2011</p><p>2_10_1_1.4 Adults who had a doctor's office or clinic visit in the last 6 months who sometimes or never got advice from provider to quit smoking, Medicare fee-for-service, by State, 2010-2011</p><p>2_10_1_1.5 Adults who had a doctor's office or clinic visit in the last 6 months who sometimes or never got advice from provider to quit smoking, commercial plans, by State, 2010-2011</p><h3>National Data Source</h3><p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).</p><p>National CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Benchmarking Database (NCBD).</p><h3>National Denominator</h3><p>U.S. civilian adults who are current smokers and who had a routine checkup in the past 6 or 12 months, as appropriate.</p><h3>National Numerator</h3><p>Subset of the denominator who indicated they had received advice to quit smoking.</p><h3>Comments</h3><p>The allowable responses to MEPS question about smoking changed in 2003. Therefore, reported national rates may not be comparable with earlier years.</p><p>The National Table reports data from the MEPS Self-Administered Questionnaire (SAQ). Nonrespondents and "Don't Know" responses were excluded from the analysis.</p><p>See the MEPS entry in the NHQR and NHDR Data Sources appendix for more information.</p><p>Estimates are age adjusted to the 2000 U.S. standard population.</p><p>This measure is referred to as measure 1-3c in Healthy People 2010 documentation.</p><p class="size2"><a href="#lifestyle">Top of Page</a></p><hr /><p><a id="lmmt1a" name="lmmt1a"> </a></p><h2>Lifestyle Modification</h2><h3>Measure Title</h3><p>Obese adults age 20 and over who were told by a doctor they were overweight.</p><h3>Measure Source</h3><p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).</p><h3>National Table</h3><p>2_10_1_2.1 Adults with obesity age 20 and over who were told by a doctor they were overweight, United States, 1999-2010</p><h3>National Data Source</h3><p>CDC, NCHS, National Health and Nutrition Examination Survey (NHANES).</p><h3>National Denominator</h3><p>People age 20 and over with a body mass index (BMI) of 30 or greater.</p><h3>National Numerator</h3><p>Subset of the denominator who reported they were told by a doctor that they were overweight.</p><h3>Comments</h3><p>Estimates are age adjusted to the 2000 U.S. standard population, except where indicated. Total, race, ethnicity, gender, and family income are adjusted using three age groups: 20-44, 45-64, and 65 and over; education is adjusted using age groups 25-44, 45-64, and 65 and over.</p><p class="size2"><a href="#lifestyle">Top of Page</a></p><hr /><p><a id="lmmt1b" name="lmmt1b"> </a></p><h2>Lifestyle Modification</h2><h3>Measure Title</h3><p>People ages 2-19 who were overweight and who were told by a health provider they were overweight.</p><h3>Measure Source</h3><p>Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).</p><h3>National Tables</h3><p>2_10_1_3.1 Obese children and teens ages 2-19 who were told by a doctor or health professional that they were obese, United States, 2001-2010</p><h3>National Data Source</h3><p>CDC, NCHS, National Health and Nutrition Examination Survey (NHANES).</p><h3>National Denominator</h3><p>People ages 2-19 with a body mass index (BMI) greater than or equal to the 95th percentile on the BMI-for-age, sex-specific 2000 CDC growth charts for the United States.</p><h3>National Numerator</h3><p>Subset of denominator who reported they were told by a doctor or health professional that they were overweight.</p><p class="size2"><a href="#lifestyle">Top of Page</a></p><hr /><p><a id="lmmt2" name="lmmt2"> </a></p><h2>Lifestyle Modification</h2><h3>Measure Title</h3><p>Obese adults who ever received advice from a health provider to exercise more.</p><h3>Measure Source</h3><p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).</p><h3>National Tables</h3><p>2_10_1_4.1 Adults with obesity who ever received advice from a health professional to exercise more, United States, 2002-2009</p><p>2_10_1_4.2a-d Adults with obesity who ever received advice from a health professional to exercise more, United States, 2009, by:</p><ol type="a"><li>Race.</li><li>Ethnicity.</li><li>Family income.</li><li>Education.</li></ol><h3>National Data Source</h3><p>AHRQ, CFACT, MEPS.</p><h3>National Denominator</h3><p>People age 18 and over with a body mass index (BMI) of 30 or greater.</p><h3>National Numerator</h3><p>Subset of the denominator who reported they were given advice about exercise by a doctor or health professional.</p><h3>Comments</h3><p>BMI is based on reported height and weight. Estimates are age adjusted to the 2000 U.S. standard population using three age groups: 18-44, 45-64, and 65 and over.</p><p>Nonrespondents and "Don't Know" responses were excluded from the analysis.</p><p class="size2"><a href="#lifestyle">Top of Page</a></p><hr /><p><a id="lmmt3" name="lmmt3"> </a></p><h2>Lifestyle Modification</h2><h3>Measure Title</h3><p>Obese adults who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week.</p><h3>Measure Source</h3><p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).</p><h3>National Tables</h3><p>2_10_1_5.1 Adults with obesity who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week, United States, 2002-2009</p><p>2_10_1_5.2a-d Adults with obesity who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week, United States, 2009, by:</p><ol type="a"><li>Race.</li><li>Ethnicity.</li><li>Family income.</li><li>Education.</li></ol><h3>National Data Source</h3><p>AHRQ, CFACT, MEPS.</p><h3>National Denominator</h3><p>People age 18 and over with a body mass index (BMI) of 30 or greater.</p><h3>National Numerator</h3><p>Subset of the denominator who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week.</p><h3>Comments</h3><p>BMI is based on reported height and weight. Estimates are age adjusted to the 2000 U.S. standard population using three age groups: 18-44, 45-64, and 65 and over.</p><p class="size2"><a href="#lifestyle">Top of Page</a></p><hr /><p><a id="lmmt4" name="lmmt4"> </a></p><h2>Lifestyle Modification</h2><h3>Measure Title</h3><p>Children ages 2-17 for whom a health provider ever gave advice about the amount and kind of exercise, sports, or physically active hobbies they should pursue.</p><h3>Measure Source</h3><p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).</p><h3>National Tables</h3><p>2_10_1_6.1 Children ages 2-17 for whom a health provider gave advice within the past 2 years about the amount and kind of exercise, sports, or physically active hobbies they should pursue, United States, 2002-2009</p><p>2_10_1_6.2a-c Children ages 2-17 for whom a health provider gave advice within the past 2 years about the amount and kind of exercise, sports, or physically active hobbies they should pursue , United States, 2009, by:</p><ol type="a"><li>Race.</li><li>Ethnicity.</li><li>Family income.</li></ol><h3>National Data Source</h3><p>AHRQ, CFACT, MEPS.</p><h3>National Denominator</h3><p>Children ages 2-17.</p><h3>National Numerator</h3><p>Subset of the denominator for whom a health provider gave advice within the past 2 years about the amount and kind of exercise, sports, or physically active hobbies they should pursue.</p><h3>Comments</h3><p>Estimates exclude nonrespondents to the question: "Has a doctor or other health provider ever given advice about amount and kind of exercise, sports, or physically active hobbies you should have?" "Don't Know" responses were also excluded.</p><p class="size2"><a href="#lifestyle">Top of Page</a></p><hr /><p><a id="lmmt5" name="lmmt5"> </a></p><h2>Lifestyle Modification</h2><h3>Measure Title</h3><p>Obese adults who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods.</p><h3>Measure Source</h3><p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).</p><h3>National Tables</h3><p>2_10_1_7.1 Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods, United States, 2002-2009</p><p>2_10_1_7.2a-d Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods, United States, 2009, by:</p><ol type="a"><li>Race.</li><li>Ethnicity.</li><li>Family income.</li><li>Education.</li></ol><h3>National Data Source</h3><p>AHRQ, CFACT, MEPS.</p><h3>National Denominator</h3><p>People age 18 and over with a body mass index (BMI) of 30 or greater.</p><h3>National Numerator</h3><p>Subset of the denominator who reported they were advised by a doctor or health professional about restricting foods high in fat and cholesterol.</p><h3>Comments</h3><p>BMI is based on reported height and weight. Estimates are age adjusted to the 2000 U.S. standard population using three age groups: 18-44, 45-64, and 65 and over. Nonrespondents and "Don't Know" responses were excluded from the analyses.</p><p class="size2"><a href="#lifestyle">Top of Page</a></p><hr /><p><a id="lmmt6" name="lmmt6"> </a></p><h2>Lifestyle Modification</h2><h3>Measure Title</h3><p>Children ages 2-17 for whom a health provider ever gave advice about healthy eating.</p><h3>Measure Source</h3><p>Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).</p><h3>National Tables</h3><p>2_10_1_8.1 Children ages 2-17 for whom a health provider gave advice within the past 2 years about healthy eating, United States, 2002-2009</p><p>2_10_1_8.2a-c Children ages 2-17 for whom a health provider gave advice within the past 2 years about healthy eating, United States, 2009, by:</p><ol type="a"><li>Race.</li><li>Ethnicity.</li><li>Family income.</li></ol><h3>National Data Source</h3><p>AHRQ, CFACT, MEPS.</p><h3>National Denominator</h3><p>Children ages 2-17.</p><h3>National Numerator</h3><p>Subset of the denominator for whom a health provider gave advice within the past 2 years about healthy eating.</p><h3>Comments</h3><p>Estimates exclude nonrespondents to the question: "Has a doctor or other health provider ever given advice about eating healthy?" "Don't Know" responses were excluded.</p><p class="size2"><a href="#lifestyle">Top of Page</a></p><p class="size2"><a href="/research/findings/nhqrdr/nhqrdr12/measurespec/index.html">Return to Contents</a><br /><a href="/research/findings/nhqrdr/nhqrdr12/measurespec/rehabilitation.html">Proceed to Next Section</a></p></div>
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<div class="current-as-of">Page last reviewed June 2013</div>
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<span>Internet Citation: 2012 National Healthcare Quality and Disparities Reports : Effectiveness of Care: Lifestyle Modification.
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June 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr12/measurespec/lifestyle_modification.html</span>
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