Effectiveness: Lifestyle Modification

2010 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Lifestyle Modification
Adult current smokers with a checkup in the last 12 months who received advice to quit smoking
Adults with obesity age 20 and over who were told by a doctor they were overweight
Adults with obesity who ever received advice from a health provider to exercise more
Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods
Adults with obesity who spend half an hour or more in moderate or vigorous physical activity at least three times a week
Adults age 18 and over who were overweight or obese
 


Lifestyle Modification

Measure Title

Adult current smokers with a checkup in the last 12 months who received advice to quit smoking.

Measure Source

Healthy People 2010.

National Tables

9_1_1.1 Adult current smokers with a checkup within the past year who received advice in the last 12 months to quit smoking, United States, 2002-2007

9_1_1.2a-d Adult current smokers with a checkup within the past year who received advice in the last 12 months to quit smoking, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.
  • Education.

National Data Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Denominator

U.S. civilian adults who are current smokers and who had a routine checkup in the past 12 months.

National Numerator

Subset of the denominator who indicated they had received advice to quit smoking.

Comments

The allowable responses to the MEPS question about smoking changed in 2003. Therefore, reported national rates may not be comparable with earlier years.

The National Table reports data from the MEPS Self-Administered Questionnaire (SAQ). Nonrespondents and "don't know" responses were excluded from the analysis.

See the MEPS entry in the Data Sources appendix for more information.

This measure is referred to as measure 1-3c in Healthy People 2010 documentation.

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Lifestyle Modification

Measure Title

Adults with obesity age 20 and over who were told by a doctor they were overweight.

Measure Source

Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS).

National Table

9_1_2.1 Adults with obesity age 20 and over who were told by a doctor they were overweight, United States, 2001-2004 and 2005-2008

National Data Source

CDC, NCHS, National Health and Nutrition Examination Survey (NHANES).

Denominator

Persons age 20 and over with a body mass index (BMI) of 30 or greater.

Numerator

Subset of denominator who reported they were told by a doctor that they were overweight.

Comments

Estimates are age adjusted to the 2000 U.S. standard population using three age groups: 20-44, 45-64, and 65+ for total, ethnicity, gender, and family income, and 25-44, 45-64, and 65+ for education.

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Lifestyle Modification

Measure Title

Adults with obesity who ever received advice from a health provider to exercise more.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

9_1_3.1 Adults with obesity who ever received advice from a health professional to exercise more, United States, 2002 -2007

9_1_3.2a-d Adults with obesity who ever received advice from a health professional to exercise more, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.
  • Education.

National Data Source

AHRQ, CFACT, MEPS.

Denominator

Persons age 18 and over with a body mass index (BMI) of 30 or greater.

Numerator

Subset of denominator who reported they were given advice about exercise by a doctor or health professional.

Comments

Body mass index is based on reported height and weight.

Nonrespondents and "don't know" responses were excluded from the analysis.

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Lifestyle Modification

Measure Title

Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

9_1_4.1 Adults with obesity who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods, United States, 2002-2007

9_1_4.2a-d Adults with obesity who ever received advice from a health professional about eating fewer high-fat or high-cholesterol foods, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.
  • Education.

National Data Source

AHRQ, CFACT, MEPS.

Denominator

Persons age 18 and over with a body mass index (BMI) of 30 or greater.

Numerator

Subset of denominator who reported they were advised by a doctor or health professional about restricting foods high in fat and cholesterol.

Comments

Body mass index is based on reported height and weight.

Nonrespondents and "don't know" responses were excluded from the analyses.

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Lifestyle Modification

Measure Title

Adults with obesity who spend half an hour or more in moderate or vigorous physical activity at least three times a week.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

9_1_6.1 Adults with obesity who spend half an hour or more in moderate or vigorous physical activity at least three times a week, United States, 2002-2007

9_1_6.2a-d Adults with obesity who spend half an hour or more in moderate or vigorous physical activity at least three times a week, United States, 2007, by:

  • Race.
  • Ethnicity.
  • Family Income.
  • Education.

National Data Source

AHRQ, CFACT, MEPS.

Denominator

Persons age 18 and over with a body mass index (BMI) of 30 or greater.

Numerator

Subset of denominator who spent half an hour or more in moderate or vigorous physical activity at least three times a week.

Comments

Body mass index is based on reported height and weight.

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Lifestyle Modification

Measure Title

Adults age 18 and over who were overweight or obese.

Measure Source

Centers for Disease Control and Prevention (CDC), Behavioral Risk Factor Surveillance System (BRFSS).

National Tables

9_1_7.1 Adults who were obese, United States, 2002-2007

9_1_7.2a-d Adults who were obese, United States, 2007 by:

  • Race.
  • Ethnicity.
  • Family Income.
  • Education.

National Data Source

CDC, BRFSS.

Denominator

Adults age 18 and over who live in households with telephones.

Numerator

Subset of the denominator who reported being overweight or obese.

Comments

This measure is based on Question 12.11 of the 2008 Behavioral Risk Factor Surveillance System.

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Return to Measure Specifications

Current as of February 2011
Internet Citation: Effectiveness: Lifestyle Modification: 2010 National Healthcare Quality and Disparities Reports. February 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr10/measurespec/lifestyle_modification.html