International Conference for cardio/cerebrovascular disease Healthy People 2010 Focus Area 12 Heart Diseases
12 Heart Disease and Stroke Heart Disease 12 -1 Coronary heart disease (CHD) deaths 12 -2 Knowledge of symptoms of heart attack and importance of calling 911 12 -3 Artery-opening therapy 12 -4 Bystander response to cardiac arrest 12 -5 Out-of-hospital emergency care 12 -6 Heart failure hospitalizations 12 -6 a 65 to 74 years 12 -6 b 75 to 84 years 12 -6 c 85 years and older Stroke 12 -7 Stroke deaths 12 -8 Knowledge of early warning symptoms of stroke International Conference for cardio/cerebrovascular disease Blood Pressure 12 -9 High blood pressure 12 -10 High blood pressure control 12 -11 Action to help control blood pressure 12 -12 Blood pressure monitoring Cholesterol 12 -13 Mean total blood cholesterol levels 12 -14 High blood cholesterol levels 12 -15 Blood cholesterol screening 12 -16 LDL-cholesterol level in CHD patients
Coronary Heart Disease and Stroke Death Rates, 1980 -2003 International Conference for cardio/cerebrovascular disease Age-adjusted rate per 100, 000 Coronary Heart Disease 2010 target Stroke 2010 target 1980 1985 Source: National Vital Statistics System, NCHS, CDC. 1990 1995 2000
Coronary Heart Disease Death Rates, 2003 International Conference for cardio/cerebrovascular disease Relative risk compared to the total population Black, Not Hispanic Male White, Not Hispanic Female American Indian or Alaska Native Asian or Pacific Islander Source: National Vital Statistics System, NCHS/CDC.
Coronary Heart Disease Deaths by Health Service Area, 1996 -98 International Conference for cardio/cerebrovascular disease
Stroke Death Rates, 2003 International Conference for cardio/cerebrovascular disease Age-adjusted rate per 100, 000 Source: National Vital Statistics System, NCHS/CDC. e al M e al m Fe Bl a Hi ck, sp No an t ic W hi Hi te, sp No an t ic c ni sp a Hi Total A or mer Al ica as n ka In Na dia tiv n e Pa cif ic As Is ian la nd or er 2010 target
Stroke Death Rates by County Adults 35 and Older, 1991 -98 International Conference for cardio/cerebrovascular disease
Cardiovascular Disease Risk Factors International Conference for cardio/cerebrovascular disease Baseline Most recent Age-adjusted percent Adults 50 2010 target Adolescents Percent 40 30 20 10 Obesity Current smoker Moderate activity 0 Overweight Current smoker Moderate activity
Serum Cholesterol Levels > 240 mg/d. L, Adults 20 and Older International Conference for cardio/cerebrovascular disease Age-adjusted percent 1988 -94 1999 -2002 2010 target Female Male Total Female Mexican American Source: National Health and Nutrition Examination Survey, NCHS, CDC. Female Male Black, Not Hispanic Female Male White, Not Hispanic
Hypertension Prevalence in Adults, 1999 -2000 International Conference for cardio/cerebrovascular disease Age-adjusted percent 2010 target Total Mexican Black, Not White, Not American Hispanic 20 years and older Less than High school At least high school graduate some college 25 years and older
Total A or me Al ric as an ka I n N di at an Pa iv ci fic A e Is sia la n nd or H er is pa ni Bl c ac H k, is N p o W an t ic h H ite, is N pa o ni t c Heart attack knowledge (including 911) Total A or me Al ric as an ka I n N di at an Pa iv ci fic A e Is sia la n nd or H er is pa ni Bl c ac H k, is N p o W an t ic h H ite, is N pa o ni t c CVD Knowledge Adults 20 and Older, 2001 International Conference for cardio/cerebrovascular disease Age-adjusted percent 90 Stroke knowledge 80 70 60 50 40 30 20 10 0
Healthy People 2010 Focus Area 5 Diabetes
5 Diabetes 5 -1 Diabetes education 5 -2 New cases of diabetes 5 -3 Overall cases of diagnosed diabetes 5 -4 Diagnosis of diabetes 5 -5 Diabetes deaths 5 -6 Diabetes-related deaths 5 -7 Cardiovascular disease deaths in persons with diabetes 5 -8 Gestational diabetes 5 -9 Foot ulcers International Conference for cardio/cerebrovascular disease 5 -10 Lower extremity amputations 5 -11 Annual urinary microalbumin measurement 5 -12 Annual glycosylated hemoglobin measurement 5 -13 Annual dilated eye examinations 5 -14 Annual foot examinations 5 -15 Annual dental examinations 5 -16 Aspirin therapy 5 -17 Self-blood-glucosemonitoring
Age-adjusted rate per 1, 000 standard population Diagnosed Diabetes Prevalence Rates, 2003 International Conference for cardio/cerebrovascular disease Persons With Diabetes in the U. S. : 17 million (11. 1 million diagnosed + 5. 9 million undiagnosed) 2010 Target Total I 95% confidence interval. American Indian/ Hispanic Black, not White, not Alaska Native Hispanic Asian/Pacific Islander
Prevalence of Diagnosed Diabetes by Age: United States, 1980 -1999 International Conference for cardio/cerebrovascular disease 65 -74 years 75+ years 45 -64 years Total 0 -44 years Note: Data are three-year averages.
Prevalence of Diagnosed Diabetes, Adults 18 years and over 1994 International Conference for cardio/cerebrovascular disease 2000 Age-adjusted percent <4% 44. 9% Note: 1994: 3 -Year Average; 2000: 2 -Year Average. 55. 9% 6+%
Diagnosed Diabetes Incidence* Adults, Age 18 -84, 2000 -2002 International Conference for cardio/cerebrovascular disease Age-adjusted rate per 1, 000 standard population 2010 Target DSU Total American Indian/ Asian/Pacific Hispanic Alaska Native Islander Black, not White, not Hispanic I 95% confidence interval. *Note: Diagnosed incidence derived from algorithm using age at interview and age at diagnosis.
Diabetes-Related Death Rates*: 2003 International Conference for cardio/cerebrovascular disease Age-adjusted death rate per 100, 000 standard population 2010 Target Total American Asian/ Indian/ Pacific Alaska Native Islander Hispanic Black, not White, not Hispanic *Any mention of diabetes on death certificate as underlying or contributing cause. Source: National Vital Statistics System, NCHS/CDC.
Cardiovascular Disease Death Rates Among Persons with Diabetes, 2003 International Conference for cardio/cerebrovascular disease All Cause Deaths in Persons with Diabetes: 820 per 100, 000 Age-adjusted death rate per 100, 000 standard population 2010 Target Total Hispanic Black, not White, Hispanic not Hispanic Females Males Note: Data for American Indians/Alaska Natives and Asian/Pacific Islanders are not shown due to small cell sizes.
Self-Management of Diabetes Adults with Diabetes International Conference for cardio/cerebrovascular disease 2010 Target Most recent level Age-adjusted percent 60% 50% 57% 30% 21% 20% 12% Self monitoring blood glucose 2001 Moderate physical activity 2000 Healthy weight 1999 -2000 Aspirin use 1988 -1994
Selected Risk Factors Age-adjusted percent Moderate physical activity 2000 I 95% confidence interval. International Conference for cardio/cerebrovascular disease Persons with diabetes Healthy weight 1999 -2000 Obesity Persons without diabetes High blood pressure 1988 -94
Obesity and Diagnosed Diabetes Prevalence International Conference for cardio/cerebrovascular disease Diagnosed Diabetes Age-adjusted rate per 1, 000 standard population Obesity Age-adjusted percent Diagnosed Diabetes All ages (1999 -2000) (1988 -94) (1976 -80) Obesity 20+ years Note: Diagnosed diabetes data are 3 -year averages. Obesity is Body Mass Index > 30. Obesity data for 1976 -80 are for ages 20 -74. Sources: National Health Interview Survey, National Health and Nutrition Examination Survey, CDC, NCHS.
Prevalence of Diabetes No Data International Conference for cardio/cerebrovascular disease < 4% 4 -6% > 6%
Healthy People 2010 Focus Area 22 Physical Activity and Fitness
22 Physical Activity and Fitness Physical Activity in Adults 22 -1 No leisure-time physical activity 22 -2 Moderate physical activity 22 -3 Vigorous physical activity Muscular Strength/Endurance and Flexibility 22 -4 Muscular strength and endurance 22 -5 Flexibility International Conference for cardio/cerebrovascular disease Physical Activity in Children and Adolescents 22 -6 Moderate physical activity in adolescents 22 -7 Vigorous physical activity in adolescents 22 -8 Physical education requirement in schools 22 -8 a Middle and junior high schools 22 -8 b Senior high schools 22 -9 Daily physical education in schools 22 -10 Physical activity in physical education class 22 -11 Television viewing Access 22 -12 School physical activity facilities 22 -13 Worksite physical activity and fitness 22 -14 Community walking 22 -14 a Adults aged 18 years and older 22 -14 b Children and adolescents aged 5 to 15 years 22 -15 Community bicycling 22 -15 a Adults aged 18 years and older 22 -15 b Children and adolescents aged 5 to 15 years
Physical Activity and Fitness Objectives International Conference for cardio/cerebrovascular disease Physical Activity among Adults 22 -1. No leisure time physical activity 22 -2. Moderate regular physical activity 22 -3. Vigorous physical activity 22 -4. Muscular strength and endurance 22 -5. Flexibility Physical Activity among Adolescents 22 -6. Moderate physical activity 22 -7. Vigorous physical activity 22 -8. Physical education requirement in schools a. Middle/junior high schools b. Senior high schools Improving Getting worse 22 -9. Participation in daily school PE 22 -10. Physical activity in PE class 22 -11. Television viewing 22 -12. Access to school physical activity facilities Worksites and Communities 22 -13. Worksite physical activity and fitness programs 22 -14. Community walking a. Adults b. Children and adolescents 22 -15. Community bicycling a. Adults b. Children and adolescents Little or no change Cannot assess (limited data)
No Physical Activity for Adults by Sex and Age International Conference for cardio/cerebrovascular disease 2010 Target Total Female Male 1997 18 -24 years 2002 25 -44 years 45 -64 years 65 -74 years 75 years and over 0 20 40 60 80 Age-adjusted percent Note: Data are for no leisure-time physical activity only; for ages 18 years and over, age adjusted to the 2000 standard population. I = 95% confidence interval. Source: National Health Interview Survey, NCHS, CDC. Obj. 22 -1
No Physical Activity for Adults by Race/Ethnicity International Conference for cardio/cerebrovascular disease 2010 Target American Indian 1999 Asian 2002 Black White Hispanic Two or more races 0 20 40 60 80 Age-adjusted percent Note: Data are for no leisure-time physical activity only; for ages 18 years and over, age adjusted to the 2000 standard population. American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I = 95% confidence interval. Source: National Health Interview Survey, NCHS, CDC. Obj. 22 -1
No Physical Activity for Adults by Disability and Arthritis Status International Conference for cardio/cerebrovascular disease Age-adjusted percent Without Disabilities 1997 With 2002* 2010 Target Without Arthritis Note: Data are for no leisure-time physical activity only; for ages 18 years and over, age adjusted to the 2000 standard population. I = 95% confidence interval. *Arthritis data are for 2001 due to a change in the questionnaire. Source: National Health Interview Survey, NCHS, CDC. Obj. 22 -1
Moderate Physical Activity for Adults by Sex and Age International Conference for cardio/cerebrovascular disease Total Female 1997 Male 2002 18 -24 years 25 -44 years 45 -64 years 2010 Target 65 -74 years 75 years and over 0 10 30 20 Age-adjusted percent Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Moderate physical activity is regular leisure-time physical activity (moderate activity 30+ minutes/5+ times a week or vigorous activity 20+ minutes/3+ times a week). I = 95% confidence interval. Source: National Health Interview Survey, NCHS, CDC. 40 50 Obj. 22 -2
Moderate Physical Activity for Adults by Race/Ethnicity International Conference for cardio/cerebrovascular disease 2010 Target American Indian 1999 Asian 2002 Black White Hispanic Two or more races 0 10 30 20 Age-adjusted percent Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Moderate physical activity is regular leisure-time physical activity (moderate activity 30+ minutes/5+ times a week or vigorous activity 20+ minutes/3+ times a week). American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I = 95% confidence interval. Source: National Health Interview Survey, NCHS, CDC. 40 50 Obj. 22 -2
Moderate Physical Activity for Adults by Disability and Arthritis Status Age-adjusted percent 1997 International Conference for cardio/cerebrovascular disease 2002* 2010 Target Without Disabilities Without Arthritis Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Moderate physical activity is regular leisure-time physical activity (moderate activity 30+ minutes/5+ times a week or vigorous activity 20+ minutes/3+ times a week). I = 95% confidence interval. *Arthritis data are for 2001 due to a change in the questionnaire. Source: National Health Interview Survey, NCHS, CDC. Obj. 22 -2
Moderate Physical Activity for Adults by State, 2000 International Conference for cardio/cerebrovascular disease Age-adjusted Percent (quartiles) 30 -35 27 -29 25 -26 18 -24 Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Moderate physical activity is regular leisure-time physical activity (moderate activity 30+ minutes/5+ times a week or vigorous activity 20+ minutes/3+ times a week). Source: Behavioral Risk Factor Surveillance System, NCCDPHP, CDC. Obj. 22 -2
Vigorous Physical Activity for Adults by Sex and Age International Conference for cardio/cerebrovascular disease Total Female Male 18 -24 years 1997 25 -44 years 2002 45 -64 years 2010 Target 65 -74 years 75 years and over 0 10 30 20 Age-adjusted percent Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Vigorous physical activity is leisure-time vigorous physical activity 20+ minutes/3+ times a week. I = 95% confidence interval. Source: National Health Interview Survey, NCHS, CDC. 40 50 Obj. 22 -3
Vigorous Physical Activity for Adults by Disability and Arthritis Status Age-adjusted percent 1997 International Conference for cardio/cerebrovascular disease 2002* 2010 Target Without Disabilities Without Arthritis Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Vigorous physical activity is leisure-time vigorous physical activity 20+ minutes/3+ times a week. I = 95% confidence interval. *Arthritis data are for 2001 due to a change in the questionnaire. Source: National Health Interview Survey, NCHS, CDC. Obj. 22 -3
Physical Activity Status for Adults by Race/Ethnicity, 2002 Age-adjusted percent Black None White Moderate International Conference for cardio/cerebrovascular disease Vigorous Hispanic Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Moderate physical activity is regular leisure-time physical activity (moderate activity 30+ minutes/5+ times a week or vigorous activity 20+ minutes/3+ times a week). Vigorous physical activity is leisure-time vigorous physical activity 20+ minutes/3+ times a week. I = 95% confidence interval. Source: National Health Interview Survey, NCHS, CDC. Objs. 22 -1, 2, 3
Physical Activity Status for Adults by Race/Ethnicity, 2002 Age-adjusted percent Black Some White International Conference for cardio/cerebrovascular disease Moderate Vigorous Hispanic Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Moderate physical activity is regular leisure-time physical activity (moderate activity 30+ minutes/5+ times a week or vigorous activity 20+ minutes/3+ times a week). Vigorous physical activity is leisure-time vigorous physical activity 20+ minutes/3+ times a week. I = 95% confidence interval. Source: National Health Interview Survey, NCHS, CDC. Objs. 22 -1 (obverse), 2, 3
Vigorous Physical Activity for Adolescents by Sex and Race/Ethnicity International Conference for cardio/cerebrovascular disease 2010 Target 1999 Total 2001 Female Male Black White Hispanic 0 20 40 60 80 100 Percent Note: Black and white exclude persons of Hispanic origin. Hispanic can be any race. Vigorous physical activity is activity that made students in grades 9 -12 sweat or breathe hard for 20+ minutes on 3+ of the past 7 days. I = 95% confidence interval. Source: Youth Risk Behavior Surveillance System, NCCDPHP, CDC. Obj. 22 -7
Vigorous Physical Activity for Adolescents by Grade Level: 2001 International Conference for cardio/cerebrovascular disease Percent 9 th 10 th 11 th Note: Vigorous physical activity is activity that made students in grades 9 -12 sweat or breathe hard for 20+ minutes on 3+ of the past 7 days. I = 95% confidence interval. Source: Youth Risk Behavior Surveillance System, NCCDPHP, CDC. 12 th Obj. 22 -7
Healthy People 2010 Focus Area 19 Nutrition and Overweight
19 Nutrition and Overweight Weight Status and Growth 19 -1 Healthy weight in adults 19 -2 Obesity in adults 19 -3 Overweight or obesity in children and adolescents 19 -3 a Aged 6 to 11 years 19 -3 b Aged 12 to 19 years 19 -3 c Aged 6 to 19 years 19 -4 Growth retardation in children International Conference for cardio/cerebrovascular disease Food and Nutrient Consumption 19 -5 Fruit intake 19 -6 Vegetable intake 19 -7 Grain product intake 19 -8 Saturated fat intake 19 -9 Total fat intake 19 -10 Sodium intake 19 -11 Calcium intake Iron Deficiency and Anemia 19 -12 Iron deficiency in young children and in females of childbearing age 19 -12 a Children aged 1 to 2 years 19 -12 b Children aged 3 to 4 years 19 -12 c Nonpregnant females aged 12 to 49 years 19 -13 Anemia in low-income pregnant females 19 -14 Iron deficiency in pregnant females
Nutrition and Overweight Objectives Weight Status and Growth Iron Deficiency and Anemia Healthy weight in adults Obesity in adults Overweight or obesity in children and adolescents Growth retardation in children Food and Nutrient Consumption Fruit intake Vegetable intake Grain product intake Saturated fat intake Total fat intake Sodium intake Calcium intake International Conference for cardio/cerebrovascular disease Iron deficiency in young children and in females of childbearing age Anemia in low-income pregnant females Iron deficiency in pregnant females (dev. ) Schools, Worksites, and Nutrition Counseling Meals and snacks at school (dev. ) Worksite promotion of nutrition education and weight management Nutrition counseling for medical conditions Food Security Food security Improving Getting worse Little or no change Cannot assess (limited data)
Adults at a Healthy Weight 1988 -94 International Conference for cardio/cerebrovascular disease 2010 Target Total White Black Mexican American Female Male 0 10 20 30 Percent 40 Note: Data are for ages 20 years and over, age adjusted to the 2000 standard population. Healthy weight is defined as 18. 0<BMI<25. 0. Black and white exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC. 50 60 Obj. 19 -1
Adults at a Healthy Weight 1999 -2002 International Conference for cardio/cerebrovascular disease 2010 Target 1988 -94 Total 1999 -2002 White Black Mexican American Female Male 0 10 20 30 Percent 40 Note: Data are for ages 20 years and over, age adjusted to the 2000 standard population. Healthy weight is defined as 18. 5<BMI<25. 0. Black and white exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC. 50 60 Obj. 19 -1
Trends in Adult Obesity International Conference for cardio/cerebrovascular disease Percent Total Females Males 1960 -62 1971 -74 1976 -80 1988 -94 1999 -02 Note: Data are for ages 20 -74 years, age adjusted to the 2000 standard population. Obesity is defined as BMI >= 30. 0. Source: National Health Examination Survey, National Health and Nutrition Examination Surveys I, III and 1999 -2002, NCHS, CDC. Obj. . 19 -2
Adult Obesity, 1988 -1994 International Conference for cardio/cerebrovascular disease 2010 Target 20 -39 years 40 -64 years 65+ years With disabilities Without disabilities With self-reported diabetes Without self-reported diabetes 0 10 20 30 40 Percent Note: Data are for ages 20 years and over, age adjusted to the 2000 standard population. Obesity is defined as BMI >= 30. 0. Source: National Health and Nutrition Examination Survey, NCHS, CDC. 50 60 70 Obj. 19 -2
Adult Obesity, 1999 -2002 International Conference for cardio/cerebrovascular disease 2010 Target 20 -39 years 1988 -94 40 -64 years 65+ years With disabilities Without disabilities With self-reported diabetes Without self-reported diabetes 0 10 20 30 40 Percent Note: Data are for ages 20 years and over, age adjusted to the 2000 standard population. Obesity is defined as BMI >= 30. 0. Source: National Health and Nutrition Examination Survey, NCHS, CDC. 50 60 70 Obj. 19 -2
Changes in Prevalence of Adult Obesity International Conference for cardio/cerebrovascular disease 25%+ 20 -24% 15 -19% 10 -14% <10% No data Note: Data are for ages 18 years and over, based on self-reported weight and height via telephone interview. Obesity is defined as BMI >= 30. 0. Source: Behavioral Risk Factor Surveillance System, NCCDPHP, CDC. Obj. 19 -2
Trends in Child and Adolescent Overweight International Conference for cardio/cerebrovascular disease Percent Total 1963 -70 1971 -74 1976 -80 1988 -94 Note: Overweight is defined as BMI >= gender- and weight-specific 95 th percentile from the 2000 CDC Growth Charts for the United States. Source: National Health Examination Surveys II (ages 6 -11) and III (ages 12 -17), National Health and Nutrition Examination Surveys I, III and 1999 -2002, NCHS, CDC. 1999 -2002 Obj. 19 -2
Progress review data and slides can be found on the web at: http: //www. cdc. gov/nchs/hpho me. htm
International Conference for cardio/cerebrovascular disease
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