Behaviors Related to Physical Activity and Nutrition Among U.S. High School Students



      National data related to physical activity (PA) and nutrition among adolescents are needed to help develop effective obesity prevention programs. The 2010 National Youth Physical Activity and Nutrition Study (NYPANS) was conducted to provide nationally representative data on behaviors and behavioral correlates related to healthy eating and PA.


      NYPANS used a three-stage cluster sample design to obtain data representative of public- and private-school students in grades 9 through 12 in the United States (n = 11,429). Students completed an anonymous, self-administered questionnaire in their classrooms during a regular class period. Trained data collectors directly measured the students' height and weight at school using a standard protocol.


      Analyses revealed that 19.0% of students were obese and 17.8% were overweight. Students participated in a range of physical activities during the 12 months before the survey; prevalence ranged from 5.0% for ice hockey to 83.9% for walking. In addition, 52.5% of students enjoyed the physical education classes they took at school. During the 7 days before the survey, 74.8% of students ate at least one meal or snack from a fast food restaurant, with black students more likely than white and Hispanic students to have done so. Forty-one percent of students always or most of the time have a TV on while eating dinner at home.


      These and other NYPANS results can be used to develop obesity prevention programs that address specific behaviors and behavioral correlates, and target subgroups in which behaviors and behavioral correlates related to obesity are most prevalent.


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        • Ogden C.L.
        • Carroll M.D.
        • Kit B.K.
        • Flegal K.M.
        Prevalence of obesity and trends in body mass index in U.S. children and adolescents, 1999–2010.
        JAMA. 2012; 307: 483-490
        • Office of the Surgeon General
        The Surgeon General's vision of a healthy and fit nation.
        U.S. Department of Health and Human Services, Rockville, MD2010
        • Wright J.D.
        • Borrud L.G.
        • McDowell M.A.
        • et al.
        Nutrition assessment in the National Health and Nutrition Examination Survey 1999–2002.
        J Am Diet Assoc. 2007; 107: 822-829
        • Gordon-Larsen P.
        • McMurray R.G.
        • Popkin B.M.
        Adolescent physical activity and inactivity vary by ethnicity: The National Longitudinal Study of Adolescent Health.
        J Pediatr. 1999; 134: 301-306
        • Centers for Disease Control and Prevention
        Youth risk behavior surveillance—United States, 2009.
        MMWR Surveill Summ. 2010; 59: 1-142
        • Johnston L.D.
        • Delva J.
        • O'Malley P.M.
        Sports participation and physical education in American secondary schools: Current levels and racial/ethnic and socioeconomic disparities.
        Am J Prev Med. 2007; 33: S195-S208
        • Berkey C.S.
        • Rockett H.R.H.
        • Field A.E.
        • et al.
        Activity, dietary intake, and weight change in a longitudinal study of preadolescent and adolescent boys and girls.
        Pediatrics. 2000; 105: e56
        • Albertson A.M.
        • Franko D.L.
        • Thompson D.
        • et al.
        Longitudinal patterns of breakfast eating in black and white adolescent girls.
        Obesity. 2007; 15: 2282-2292
        • Neumark-Sztainer D.
        • Story M.
        • Hannan P.
        • Moe J.
        Overweight status and eating patterns among adolescents: Where do youth stand in comparison to the Healthy People 2010 objectives?.
        Am J Public Health. 2002; 92: 844-851
        • Hoefer W.R.
        • McKenzie T.L.
        • Sallis J.F.
        • et al.
        Parental provision of transportation for adolescent physical activity.
        Am J Prev Med. 2001; 21: 48-51
        • Heitzler C.D.
        • Martin S.L.
        • Duke J.
        • Huhman M.
        Correlates of physical activity in a national sample of children aged 9–13 years.
        Prev Med. 2006; 42: 254-260
        • Sallis J.F.
        • Prochaska J.J.
        • Taylor W.C.
        • et al.
        Correlates of physical activity in a national sample of girls and boys in grades 4 through 12.
        Health Psychol. 1999; 18: 410-415
        • Trost S.G.
        • Sallis J.F.
        • Pate R.R.
        • et al.
        Evaluating a model of parental influence on youth physical activity.
        Am J Prev Med. 2003; 25: 277-282
        • Park S.
        • Blanck H.M.
        • Sherry B.
        • et al.
        Factors associated with sugar-sweetened beverage intake among United States high school students.
        J Nutr. 2012; 142: 306-312
        • Park S.
        • Blanck H.M.
        • Sherry B.
        • et al.
        Factors associated with low water intake among U.S. high school students—National Youth Physical Activity and Nutrition Study, 2010.
        J Acad Nutr Diet. 2012; 112: 1421-1427
        • Centers for Disease Control and Prevention
        Beverage consumption among high school students—United States, 2010.
        MMWR. 2011; 60: 778-780
        • Kim S.A.
        • Grimm K.A.
        • Harris D.M.
        • et al.
        Fruit and vegetable consumption among high school students—United States, 2010.
        MMWR. 2011; 60: 1583-1586
        • Song M.
        • Fulton J.E.
        • Carroll D.
        • et al.
        Physical activity levels of high school students—United States, 2010.
        MMWR. 2011; 60: 773-777
        • Kuczmarkski R.J.
        • Ogden C.L.
        • Grummer-Strawn L.M.
        • et al.
        CDC growth charts: United States.
        in: Advance Data from Vital and Health Statistics, No. 314. National Center for Health Statistics, Hyattsville, MD2000
        • Barr-Anderson D.J.
        • van den Berg P.
        • Neumark-Sztainer D.
        • Story M.
        Characteristics associated with older adolescents who have a television in their bedrooms.
        Pediatrics. 2008; 121: 718-724
        • Cooper A.R.
        • Andersen L.B.
        • Wedderkopp N.
        • et al.
        Physical activity levels of children who walk, cycle, or are driven to school.
        Am J Prev Med. 2005; 29: 179-184
        • Arango C.M.
        • Parra D.C.
        • Eyler A.
        • et al.
        Walking or bicycling to school and weight status among adolescents from Monteria, Colombia.
        J Phys Act Health. 2011; 8: S171-S177
      1. Boutelle KN, Fulkerson JA, Neumark-Sztainer D, et al. Fast food for family meals: Relationships with parent and adolescent food intake, home food availability and weight status. Public Health Nutr 10:16–23.

        • Larson N.I.
        • Story M.
        • Wall M.
        • Neumark-Sztainer D.
        Calcium and dietary intakes of adolescents are associated with their home environment, taste preferences, personal health beliefs, and meal patterns.
        J Am Diet Assoc. 2006; 106: 1816-1824
        • Niemeier H.M.
        • Raynor H.A.
        • Lloyd-Richardson E.E.
        • et al.
        Fast food consumption and breakfast skipping: Predictors of weight gain from adolescence to adulthood in a nationally representative sample.
        J Adolesc Health. 2006; 39: 842-849
        • Franko D.L.
        • Striegel-Moore R.H.
        • Thompson D.
        • et al.
        The relationship between meal frequency and body mass index in black and white adolescent girls: More is less.
        Int J Obes. 2008; 32: 23-29
        • Haines J.
        • Neumark-Sztainer D.
        • Wall M.
        • Story M.
        Personal, behavioral, and environmental risk and protective factors for adolescent overweight.
        Obesity. 2007; 15: 2748-2760
        • Berge J.M.
        A review of familial correlates of child and adolescent obesity: What has the 21st century taught us so far?.
        Int J Adolesc Med Health. 2009; 21: 457-483
        • Neumark-Sztainer D.
        • Hannan P.J.
        • Story M.
        • et al.
        Family meal patterns: Associations with sociodemographic characteristics and improved dietary intake among adolescents.
        J Am Diet Assoc. 2003; 103: 317-322
        • Feldman S.
        • Eisenberg M.E.
        • Neumark-Sztainer D.
        • Story M.
        Associations between watching TV during family meals and dietary intake among adolescents.
        J Nutr Educ Behav. 2007; 39: 257-263
        • Neumark-Sztainer D.
        • Story M.
        • Perry C.
        • Casey M.A.
        Factors influencing food choices of adolescents: Findings from focus-group discussions with adolescents.
        J Am Diet Assoc. 1999; 99: 929-937
        • Neumark-Sztainer D.
        • Wall M.
        • Perry C.
        • Story M.
        Correlates of fruit and vegetable intake among adolescents: Findings from Project EAT.
        Prev Med. 2003; 37: 198-208
        • Chapman C.
        • Laird J.
        • KewalRamani A.
        Trends in high school dropout and completion rates in the United States: 1972–2008.
        U.S. Department of Education, National Center for Education Statistics, Washington, DC2010
        • Brener N.D.
        • Billy J.O.G.
        • Grady W.R.
        Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: Evidence from the scientific literature.
        J Adolesc Health. 2003; 33: 436-457
        • Centers for Disease Control and Prevention
        School health guidelines to promote healthy eating and physical activity.
        MMWR. 2011; 60: 1-76
        • Watson M.
        • Dannenberg A.L.
        Investment in safe routes to school projects: Public health benefits for the larger community.
        Prev Chronic Dis. 2008; 5 (Available at)
        • Davies S.L.
        • Harrington K.
        • Franklin F.A.
        • et al.
        Hi5+: Systematic development of a family intervention to increase fruit and vegetable intake.
        Health Promot Pract. 2005; 6: 190-201
        • Kettel Khan L.
        • Sobush K.
        • Keener D.
        • et al.
        Recommended community strategies and measurements to prevent obesity in the United States.
        MMWR. 2009; 58: 1-29
        • Centers for Disease Control and Prevention
        Strategies to prevent obesity and other chronic diseases: The CDC guide to strategies to increase the consumption of fruits and vegetables.
        U.S. Department of Health and Human Services, Atlanta, GA2012
        • Centers for Disease Control and Prevention
        Strategies to prevent obesity and other chronic diseases: The CDC guide to strategies to increase physical activity in the community.
        U.S. Department of Health and Human Services, Atlanta, GA2012