Effectiveness of Care: Lifestyle Modification

2011 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 smokers with a checkup in the last 12 months who received advice to quit smoking
Obese adults age 20 and over who were told by a doctor they were overweight
Obese adults who ever received advice from a health provider to exercise more
Obese adults who ever received advice from a health provider about eating fewer high-fat or high-cholesterol foods
Obese adults who did not spend half an hour or more in moderate or vigorous physical activity at least three times a week
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
Children ages 2-17 for whom a health provider ever gave advice about healthy eating
 


 

Lifestyle Modification

Measure Title

Adult 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 in the past year who received advice in the last 12 months to quit smoking, United States, 2002-2008

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, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. 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 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 NHQR and NHDR Data Sources appendix for more information.

Estimates are age adjusted to the 2000 U.S. standard population.

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

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Lifestyle Modification

Measure Title

Obese adults 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 Tables

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).

National Denominator

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

National Numerator

Subset of the 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, except where indicated. Total, race, ethnicity, gender, and family income are adjusted using three age groups: 20-44, 44-64, and 65 and over; education is adjusted using age groups 25-44, 45-64, and 65 and over.

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Lifestyle Modification

Measure Title

Obese adults 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, 2002-2008

9_1_3.2a-d Adults with obesity who ever received advice from a health professional to exercise more, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

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

National Numerator

Subset of the 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. 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 analysis.

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Lifestyle Modification

Measure Title

Obese adults 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, 2002-2008

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, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

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

National Numerator

Subset of the 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. 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.

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Lifestyle Modification

Measure Title

Obese adults who did not 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 did not spend half an hour or more in moderate or vigorous physical activity at least three times a week, United States, 2002-2008

9_1_6.1_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, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

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

National Numerator

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.

Comments

Body mass index 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.

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Lifestyle Modification

Measure Title

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.

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_8.1 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, 2002-2008

9_1_8.2a-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, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children ages 2-17.

National Numerator

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.

Comments

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.

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Lifestyle Modification

Measure Title

Children ages 2-17 for whom a health provider ever gave advice about healthy eating.

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_9.1 Children ages 2-17 for whom a health provider gave advice within the past 2 years about healthy eating, United States, 2002-2008

9_1_9.2a-c Children ages 2-17 for whom a health provider gave advice within the past 2 years about healthy eating, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children ages 2-17.

National Numerator

Subset of the denominator for whom a health provider gave advice within the past 2 years about healthy eating.

Comments

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.

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Page last reviewed March 2012
Internet Citation: Effectiveness of Care: Lifestyle Modification: 2011 National Healthcare Quality and Disparities Reports. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr11/measurespec/lifestyle_modification.html