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.
Why It Matters
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.
Health 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 health weight and lifestyle.²
Results – National Averages
BMI Percentile Assessment (3–17 Years)
| Measure Year | Commerical HMO | Commercial PPO | Medicaid HMO |
|---|---|---|---|
| 2022 | 74.4 | 62.1 | 76.8 |
| 2021 | 72.1 | 60.6 | 76.1 |
| 2020 | 65.9 | 58.5 | 74.5 |
| 2019 | 73.2 | 59.7 | 76.9 |
| 2018 | 72.6 | 60.9 | 74.3 |
| 2017 | 70.3 | 56.6 | 72.5 |
| 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)
| Measure Year | Commercial HMO | Commercial PPO | Medicaid HMO |
|---|---|---|---|
| 2022 | 64.3 | 53.9 | 68.1 |
| 2021 | 66.5 | 55 | 69.2 |
| 2020 | 60.2 | 52.9 | 67.3 |
| 2019 | 66.9 | 54.2 | 68.0 |
| 2018 | 66.5 | 56 | 67.3 |
| 2017 | 64.3 | 52.9 | 67.1 |
| 2016 | 60.8 | 50 | 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 |
| 2011 | 46.4 | 28.4 | 50.1 |
| 2010 | 37.4 | 11.8 | 45.6 |
| 2009 | 41 | 20.3 | 41.9 |
Counseling For Physical Activity (3–17 Years)
| Measure Year | Commercial HMO | Medicaid PPO | Medicaid HMO |
|---|---|---|---|
| 2022 | 61.5 | 51.1 | 64.8 |
| 2021 | 63.2 | 52.4 | 65.7 |
| 2020 | 56.4 | 49.0 | 63.3 |
| 2019 | 62.8 | 50.2 | 63.8 |
| 2018 | 62.3 | 51.0 | 62.4 |
| 2017 | 59.5 | 47.8 | 60.6 |
This State of Healthcare Quality Report classifies health plans differently than NCQA’s Quality Compass. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. PPO corresponds to PPO and EPO within Quality Compass.
Figures do not account for changes in the underlying measure that could break trending. Contact Information Products via my.ncqa.org for analysis that accounts for trend breaks.
Reference
- 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 - CDC. 2012. “NCHS Data Brief: Physcial Activity in U.S. Youth Aged 12-15 Years, 2012.” http://www.cdc.gov/nchs/data/databriefs/db141.htm