Data Source Indicator Topic Notes

Youth Risk Behavior Surveillance System (YRBSS)

Adolescent physical activity

Consumption of fruit (adolescents)

Consumption of vegetables (adolescents)

Daily school physical education

Obesity (adolescents)

Overweight (adolescents)

Sugar-sweetened beverage consumption (adolescents)

Provides self-report data on middle and high school students for a limited number of large school districts

* See Appendix D for further information on these sources.

a Indicator to track and monitor differential rates of exposures to social and policy environments.

counties with data available from SMART BRFSS for a given year will fluctuate because of sample size requirements and because states occasionally face administrative or budgetary requirements to change their sample size and design from one year to another. For low-income preschoolers aged 0-5, BMI data had been available from the Pediatric and Pregnancy Nutrition Surveillance System, but this was discontinued in 2012. Data for other indicators must be collected through special local efforts—and most counties lack resources to do so.

Table 7-2 shows which of the indicators recommended in the APOP report (IOM, 2012a) for describing and tracking progress in obesity prevention are available for larger and smaller communities to consider for inclusion in a CA or surveillance system. All of the recommended indicators, described in Chapter 4, that are available at the county level are included. In addition, indicators that are available and used in some communities are included, even though the evidence linking them to obesity outcomes is less robust. Green denotes that an indicator is readily available for all communities from online sources, yellow denotes that more effort is required but some communities have capacity to analyze locally available data or existing BRFSS or YRBSS data, and red denotes not available. A “larger” community is operationally defined as one that has either SMART BRFSS or local YRBSS data available.

The Committee encourages the use of available core indicators so that communities can compare and contrast their progress with their peers and relative to benchmarks and so that data can be aggregated across communities. The Committee also encourages collecting and reporting on indicators that are not part of the core set, including demographics, norms, and attitudes. Table 7-3 provides indicators that may be useful for CAS but currently are not readily available at the local level from available and ongoing data sources that are recommended in Chapter 4 of this report as well as indicators for APOP-recommended strategies that are not readily available (i.e., gaps). As described below, it is possible for communities to obtain or collect data for these indicators by conducting surveys of their own and partnering with others in their community (e.g., academic institutions, hospitals, businesses, organizations). Each community needs to identify priority indicators given its particular needs, resources, and assets.

Data available in certain communities. In addition to these generally available sources, individual jurisdictions may collect primary data, depending on local resources and interests, or may have unique data available from other sources for secondary analyses. Such data may be quantitative or qualitative. Although



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