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Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents

This HEDIS Measure

Assesses children and adolescents 3–17 years of age who had an outpatient visit with a primary care practitioner or OB/GYN during the measurement year and had evidence of:

  • Body mass index (BMI) percentile documentation.
  • Counseling for nutrition.
  • Counseling for physical activity.

Because BMI norms for youth vary with age and gender, this measure evaluates whether BMI percentile is assessed, rather than an absolute BMI value.

 

So What?

Over the last three decades, childhood obesity has more than doubled in children and tripled in adolescents.1 It is the primary health concern among parents in the United States, topping drug abuse and smoking. 2 Childhood obesity has both immediate and long-term effects on health and well-being.

Healthy lifestyle habits, including healthy eating and physical activity, can lower the risk of becoming obese and developing related diseases.1 Obesity can become a lifelong health issue; therefore, it is important to monitor weight problems in children and adolescents and provide guidance for maintaining a healthy weight and lifestyle.3  

References

1.      Centers for Disease Control and Prevention (CDC). 2013. “Adolescent and School Health: Childhood Obesity Facts.” http://www.cdc.gov/healthyyouth/obesity/facts.htm  American Heart Association. 2013. “Overweight in Children.” http://www.heart.org/HEARTORG/GettingHealthy/WeightManagement/
Obesity/Overweight-in-Children_UCM_304054_Article.jsp

2.      CDC. 2012. “NCHS Data Brief: Physical Activity in U.S. Youth Aged 12–15 Years, 2012.”

http://www.cdc.gov/nchs/data/databriefs/db141.htm

tables
BMI Percentile Assessment (3–17 Years)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016  65.2  52.0  69.1  -- --
2015 61.4 46.0 64.4
2014 61.3 40.0 64.0
2013 57.7 33.3 56.9
2012 51.6 31.2 51.8
2011 44.7 24.6 46.0
2010 35.2 10.9 37.3
2009 35.4 17.4 30.3
Counseling for Nutrition (3–17 Years)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016  60.8  50.0  65.3  --  -- 
2015 58.9 46.6 60.2
2014 59.2 40.5 60.5
2013 56.7 36.2 58.7
2012 54.3 35.4 55.0
2011 46.4 28.4 50.1
2010 37.4 11.8 45.6
2009 41.0 20.3 41.9
Counseling for Physical Activity (3–17 Years)
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016  55.5 44.9 57.6 -- --
2015 54.8 42.4 53.4
2014 56.0 38.2 53.5
2013 53.6 33.9 50.5
2012 50.4 32.6 44.2
2011 43.0 25.7 40.6
2010 35.3 10.5 36.7
2009 36.5 17.6 32.5