Complete Indicator Profile - Physical Activity - Adolescents (Grades 9-12) - Recommended Levels - 2008 Guidelines (HA2020 Leading Health Indicator: 6B)

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State of Alaska

Complete Indicator Profile of Physical Activity - Adolescents (Grades 9-12) - Recommended Levels - 2008 Guidelines (HA2020 Leading Health Indicator: 6B)

Definition

The percentage of students in grades 9-12 who were physically active doing any kind of physical activity that increased their heart rate and made them breathe hard some of the time for a total of at least 60 minutes per day, every day of the week.

Numerator

Number of students in grades 9-12 who responded 7 days to the question: "During the past 7 days, on how many days were you physically active for a total of at least 60 minutes per day? (Add up all the time you spend in any kind of physical activity that increases your heart rate and makes you breathe hard some of the time.)"

Denominator

Number of students in grades 9-12 with valid responses to the physical activity question.

Why Is This Important?

According to the 2009 Youth Risk Behavior Survey (YRBS), 10.5 percent of all Alaska public high school students were overweight and 6.4 percent were obese. Since diet and physical activity have been shown to help reduce weight and also to maintain weight, monitoring physical activity levels in adolescents is important.

The recommendation based on the most current (as of Oct. 7, 2008) HHS Physical Activity Guidelines for Americans is:

Children and adolescents should participate in one hour or more of physical activity per day; and most of the activity should be moderate or vigorous aerobic physical activity. They should participate in vigorous physical activity at least three days a week. They should participate in muscle-strengthening activities, such as push-ups and sit-ups and playing tug-of-war, three days a week. They should incorporate bone-strengthening activities, such as jumping rope, hopping or running, at least three days a week.

Healthy People Objective PA-3.1:

Increase the proportion of adolescents who meet current Federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity: Aerobic physical activity
U.S. Target: 20.2 percent
State Target: Healthy Alaskans 2020 Target: 23%

What Is Being Done?

In 2008, through funding from the Centers for Disease Control and Prevention, a Physical Activity, Nutrition, and Obesity (PANO) program was established in the Department's Bureau of Health Promotion. The purpose of the grant is to increase healthful eating and physical activity to prevent and control obesity and other chronic diseases by building and sustaining statewide capacity, and implementing population-based strategies and interventions. The State Nutrition & Physical Activity Plan was released in May 2010 and addresses the six areas of focus for the grant (as required by CDC) including 1) Increase physical activity; 2) Increase consumption of fruits and vegetables; 3) Decrease the consumption of sugar sweetened beverages; 4) Increase breastfeeding initiation, duration, and exclusivity; 5) Reduce the consumption of high energy dense foods; 6) Decrease television viewing. Implementation of the plan is currently underway.

In 2007, a newly-formed nonprofit "Alaska Partnership for Healthy Weight" was incorporated. Currently the Partnership is focused on bringing informational and financial resources not readily available to state health departments, to obesity prevention efforts in Alaska. The Partnership will work together to coordinate the many ongoing and future initiatives within Alaska's communities. UDOH staff attend regular meetings of the Partnership and also serve as Partnership board members.

In Schools:
(1) The Gold Medal School Program (GMS) helps elementary schools set up policy and environmental supports that make it easier for students and staff to be physically active and eat healthy food.
(2) The "Unplug 'n Play" program encourages students and their families to limit TV and other screen time to less than two hours per day.
(3) Walk to School Day is promoted each year in October to encourage students and their parents to walk to school safely. The goal is to encourage regular walking or cycling to school throughout the year. This is promoted through cooperation of the PANO program, Safe Routes to School, the Alaska Highway Safety Office, and Safe Kids Alaska.
(4) Height and weight trends are being tracked in a sample of elementary students to see how Alaska students compare to the U.S.
(5) Action for Healthy Kids brings partners together to improve nutrition and physical activity environments in Alaska's schools by implementing the school-based state plan strategies.

In the Community:
(1) The "A Healthier You Legacy Awards Program" is a collaborative effort of the UDOH and community partners. It is a unique program that started as part of the Salt Lake 2002 Olympic Winter Games. The Program recognizes the efforts of communities, schools, and worksites to increase opportunities for their constituents to participate in health-enhancing areas: nutrition, physical activity, and healthy behaviors. Criteria categories for the award include policy, infrastructure, and outcomes. Recipients can receive bronze, silver, gold, and platinum awards for meeting criteria under these categories.
(2) UDOH joined with Intermountain Healthcare and KUTV in a health promotion program aimed at improving the overall health of Alaska residents. The Check Your Health media campaign promotes the message "Eat Healthy, Be Active!" The campaign encourages all Alaska families to make healthy food choices, develop a regular family mealtime, use correct portion sizes, and get at least 30 minutes of moderate to vigorous physical activity every day. The campaign specifically targets females ages 25-54.
(3) Local health departments receive federal dollars to mobilize community partners to improve or develop active community environments where people can walk and bike safely.
(4) The PANO program leads a statewide coalition to implement community-based strategies within the state plan.

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaskan subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. Below are the strategies identified for enhancing adolescent support systems.

Strategy 1:
Implement a comprehensive social marketing campaign promoting physical activity. Choose campaign topics strategically.

Evidence Base:
Citing the Community Guide and other reviews, the CDC recommends community-wide campaigns as effective in increasing physical activity.

Sources:
Centers for Disease Control and Prevention. Increasing physical activity: A report on recommendations of the Task Force on Community Preventive Services. MMWR. 2001; 50(RR-18): 1-16.
the Community Guide: http://www.thecommunityguide.org/pa/index/html
Kahn EB, Ramsey LT, Brownson RC, et al. The effectiveness of interventions to increase physical activity: a systematic review. Am J Prev Med. 2002; 22(4S): 73-107.

Strategy 2:
Adopt and implement new school physical activity and Nutrition policies, also known as "wellness policies".

Evidence Base:
Many of the evidence-based strategies to address childhood obesity (such as promoting quality PE and health education, and establishing a Safe Routes to School program) depend on the support of schools, communities, and parents to implement. Therefore a strategy recommended by the CDC, US DHHS and the IOM is to support the adoption and implementation of school physical activity and nutrition policies (also known as "wellness policies") by school districts.

Sources:
CDC School Health Guidelines:
http://www.cdc.gov/healthyyouth/npao/strategies.htm
Institute of Medicine. Progress in preventing childhood obesity: How do we measure up? Koplan JP, Liverman CT, Kraak VI, Wisham, SL editors. Washington: National Academies Press; 2007.
US Department of Health and Human Services. The Surgeon General's Vision for a Healthy and Fit Nation. Rockville, MD: US Department of Health and Human Services, Office of the Surgeon General, January 2010.
USDA Healthy, Hunger-Free Kids Act of 2010 SEC. 204 Local School Wellness Policy Implementation: http://www.gpo.gov/fdsys/pkg/PLAW-111publ296/pdf/PLAW-111publ296.pdf



Related Indicators

Related Relevant Population Characteristics Indicator Profiles:


Related Health Care System Factors Indicator Profiles:


Related Risk Factors Indicator Profiles:


Health Status Outcomes

According to the 2009 Youth Risk Behavior Survey (YRBS), 6.4 percent of all Alaska public high school students were obese. Diet and physical activity have been shown to help reduce weight and to maintain a healthy weight.

Related Health Status Outcomes Indicator Profiles:




Graphical Data Views

Percentage of adolescents (students in grades 9-12 in traditional high schools) who reported getting the recommended amount of physical activity, all Alaskans, Alaska Natives, and U.S., 2007-2019

::chart - missing::

Alaska Comparisons Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 16
All Alaskans 2007 18.7% 16.1% 21.6%
All Alaskans 2009 20.2% 17.4% 23.3%
All Alaskans 2011 21.3% 18.5% 24.3%
All Alaskans 2013 20.9% 18.3% 23.9%
Alaska Natives 2007 9.6% 5.7% 15.9%
Alaska Natives 2009 17.1% 11.5% 24.6%
Alaska Natives 2011 23.3% 16.5% 31.9%
Alaska Natives 2013 18.9% 14.4% 24.4%
U.S. 2007 **
U.S. 2009 **
U.S. 2011 28.7% 27.1% 30.3%
U.S. 2013 27.1% 25.5% 28.8%
Healthy Alaskans Goal 2013 23.0%
Healthy Alaskans Goal 2015 23.0%
Healthy Alaskans Goal 2017 23.0%
Healthy Alaskans Goal 2019 23.0%

Data Notes

Healthy Alaskans 2020 Target: 23%

** Data Not Available.   Traditional high schools are public high schools that are distinct from correspondence schools, alternative high schools, which serve students at risk of not graduating, and students enrolled in high school in correctional facilities. Healthy Alaskans 2020 goals were established using results from traditional high school students.

Data Sources

  • Youth Risk Behavior Surveillance System, National Center for Chronic Disease Prevention and Health Promotion
  • Alaska Youth Risk Behavior Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, School Health and YRBS Program



Percentage of adolescents (students in grades 9-12 in traditional high schools) who reported getting the recommended amount of physical activity, by sex, all Alaskans, 2011-2020

::chart - missing::

HA: Males vs. Females Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 12
Males 2011 28.0% 24.1% 32.2%
Males 2013 27.7% 23.9% 31.9%
Females 2011 14.3% 11.3% 17.9%
Females 2013 14.2% 11.2% 17.8%
Healthy Alaskans Goal 2013 23.0%
Healthy Alaskans Goal 2014 23.0%
Healthy Alaskans Goal 2015 23.0%
Healthy Alaskans Goal 2016 23.0%
Healthy Alaskans Goal 2017 23.0%
Healthy Alaskans Goal 2018 23.0%
Healthy Alaskans Goal 2019 23.0%
Healthy Alaskans Goal 2020 23.0%

Data Notes

Healthy Alaskans 2020 Target: 23%

** Data Not Available



Percentage of adolescents (students in grades 9-12 in traditional high schools) who reported getting the recommended amount of physical activity, by age, all Alaskans, 2011-2020

::chart - missing::

HA: Adolescent Age Groups Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 18
14 or Younger 2011 16.4% 9.9% 25.9%
14 or Younger 2013 28.0% 20.6% 37.0%
15 2011 25.1% 20.8% 30.0%
15 2013 18.1% 14.0% 23.2%
16 2011 20.3% 16.1% 25.4%
16 2013 20.4% 16.1% 25.6%
17 2011 18.7% 13.9% 24.6%
17 2013 20.3% 15.5% 26.2%
18 or Older 2011 23.7% 16.7% 32.5%
18 or Older 2013 23.0% 16.5% 31.1%
Healthy Alaskans Goal 2013 23.0%
Healthy Alaskans Goal 2014 23.0%
Healthy Alaskans Goal 2015 23.0%
Healthy Alaskans Goal 2016 23.0%
Healthy Alaskans Goal 2017 23.0%
Healthy Alaskans Goal 2018 23.0%
Healthy Alaskans Goal 2019 23.0%
Healthy Alaskans Goal 2020 23.0%

Data Notes

Healthy Alaskans 2020 Target: 23%

** Data Not Available



Percentage of adolescents (students in grades 9-12 in traditional high schools) who reported getting the recommended amount of physical activity, by race, all Alaskans, 2011-2020

::chart - missing::

HA: Race: white, AK Native, other Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 14
white 2011 20.9% 17.5% 24.7%
white 2013 22.7% 19.0% 26.8%
Alaska Native 2011 23.3% 16.5% 31.9%
Alaska Native 2013 18.9% 14.4% 24.4%
other 2011 19.7% 15.8% 24.2%
other 2013 19.6% 15.9% 23.9%
Healthy Alaskans Goal 2013 23.0%
Healthy Alaskans Goal 2014 23.0%
Healthy Alaskans Goal 2015 23.0%
Healthy Alaskans Goal 2016 23.0%
Healthy Alaskans Goal 2017 23.0%
Healthy Alaskans Goal 2018 23.0%
Healthy Alaskans Goal 2019 23.0%
Healthy Alaskans Goal 2020 23.0%

Data Notes

Healthy Alaskans 2020 Target: 23%

** Data Not Available



Percentage of adolescents (students in grades 9-12 in traditional high schools) who reported getting the recommended amount of physical activity, by Hispanic, all Alaskans, 2011-2020

::chart - missing::

HA: Ethnicity - Hispanic/Latino Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 12
Hispanic/Latino 2011 18.2% 12.6% 25.6%
Hispanic/Latino 2013 19.6% 13.5% 27.5%
Not Hispanic/Latino 2011 21.4% 18.5% 24.7%
Not Hispanic/Latino 2013 21.1% 18.3% 24.3%
Healthy Alaskans Goal 2013 23.0%
Healthy Alaskans Goal 2014 23.0%
Healthy Alaskans Goal 2015 23.0%
Healthy Alaskans Goal 2016 23.0%
Healthy Alaskans Goal 2017 23.0%
Healthy Alaskans Goal 2018 23.0%
Healthy Alaskans Goal 2019 23.0%
Healthy Alaskans Goal 2020 23.0%

Data Notes

Healthy Alaskans 2020 Target: 23%

** Data Not Available



Percentage of adolescents (students in grades 9-12 in traditional high schools) who reported getting the recommended amount of physical activity, by grade level, all Alaskans, 2011-2020

::chart - missing::

HA: Grade Level Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 16
9th 2011 23.1% 18.7% 28.1%
9th 2013 23.3% 17.9% 29.8%
10th 2011 22.7% 18.1% 28.1%
10th 2013 19.6% 15.7% 24.3%
11th 2011 16.7% 12.4% 22.1%
11th 2013 19.6% 14.4% 26.0%
12th 2011 22.4% 16.8% 29.1%
12th 2013 20.9% 16.9% 25.5%
Healthy Alaskans Goal 2013 23.0%
Healthy Alaskans Goal 2014 23.0%
Healthy Alaskans Goal 2015 23.0%
Healthy Alaskans Goal 2016 23.0%
Healthy Alaskans Goal 2017 23.0%
Healthy Alaskans Goal 2018 23.0%
Healthy Alaskans Goal 2019 23.0%
Healthy Alaskans Goal 2020 23.0%

Data Notes

Healthy Alaskans 2020 Target: 23%

** Data Not Available



Percentage of adolescents (students in grades 9-12 in traditional high schools) who reported getting the recommended amount of physical activity, by academic performance, all Alaskans, 2011-2020

::chart - missing::

HA: Academic Performance Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 12
mostly As and Bs 2011 20.4% 16.7% 24.7%
mostly As and Bs 2013 22.3% 19.3% 25.7%
not mostly As and Bs 2011 22.9% 19.5% 26.8%
not mostly As and Bs 2013 17.5% 13.8% 21.8%
Healthy Alaskans Goal 2013 23.0%
Healthy Alaskans Goal 2014 23.0%
Healthy Alaskans Goal 2015 23.0%
Healthy Alaskans Goal 2016 23.0%
Healthy Alaskans Goal 2017 23.0%
Healthy Alaskans Goal 2018 23.0%
Healthy Alaskans Goal 2019 23.0%
Healthy Alaskans Goal 2020 23.0%

Data Notes

Healthy Alaskans 2020 Target: 23%

** Data Not Available


References and Community Resources

More information on the Youth Risk Behavior Surveillance System may be found on the website of the Centers for Disease Control and Prevention - http://www.cdc.gov/nccdphp/dash/yrbs/index.htm

More Resources and Links

Alaska and national goals may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 01/06/2015, Published on 01/15/2015
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Wed, 01 April 2015 5:17:42 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov".

Content updated: Thu, 15 Jan 2015 11:06:04 AKST