weight of the nation addressing the obesity problem

Weight of the NationAddressing the Obesity Problem

What is Obesity?

• Obesity is weighing at least 30 lbs. over your appropriate weight

• Obesity affects all ethnic backgrounds, income, and education levels

• 36% of US adults are obese

• Approximately 12.5 million children and adolescents aged 2-19 (17%) are obese

2000

Obesity Trends* Among U.S. AdultsBRFSS, 1990, 2000, 2010

(*BMI 30, or about 30 lbs. overweight for 5’4” person)

2010

1990

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. AdultsBRFSS, 1985

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1986

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1988

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1989

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1990

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1991

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1992

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1993

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1994

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1995

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1996

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1997

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% ≥20%

Obesity Trends* Among U.S. AdultsBRFSS, 1998

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% ≥20%

Obesity Trends* Among U.S. AdultsBRFSS, 1999

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% ≥20%

Obesity Trends* Among U.S. AdultsBRFSS, 2000

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% ≥20%

Obesity Trends* Among U.S. AdultsBRFSS, 2001

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

Obesity Trends* Among U.S. AdultsBRFSS, 2002

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Obesity Trends* Among U.S. AdultsBRFSS, 2003

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Obesity Trends* Among U.S. AdultsBRFSS, 2004

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Obesity Trends* Among U.S. AdultsBRFSS, 2005

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. AdultsBRFSS, 2006

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. AdultsBRFSS, 2007

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. AdultsBRFSS, 2008

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. AdultsBRFSS, 2009

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. AdultsBRFSS, 2010

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Weight Trends in Alabama- Obesity

Alabama’s Adult Weight 2010

2% Underweight (UW)31.3 % Appropriate Body Weight (OK)66.7% Overweight or Obese (OW/OB)

Our Children

Alabama’s Children OUR Children

• ADPH Dental Program 2006-2007

• Heights & weights collected for Alabama 3rd grade students

• 17.9% overweight• 24.6% obese

42.5% 3rd graders

What is the Problem with Being Obese?

chronic problems

no problem

Obesity and Health

80% of the overweight/obese population have one or more chronic diseases

• Arthritis: Osteoarthritis knee & hipRheumatoid Arthritis

• Birth Defects • Cancers:

Breast CancerColorectal CancerEsophagus CancerEndometrial CancerRenal Cell Cancer

• Cardiovascular Disease

• Carpal Tunnel Syndrome

• Daytime Sleepiness • Deep Vein Thrombosis • End Stage Renal

Disease • Gallbladder Disease • Gout • Heat Disorders

The Effect Of Obesity On Health

• Hypertension • Impaired immune

response • Impaired respiratory

function • Infections following

wounds • Infertility • Liver Disease • Low Back Pain • Obstetric & Gynecologic

Complications

• Severe acute biliary and alcoholic pancreatitis

• Sleep apnea • Stroke • Surgical complications • Type 2 Diabetes

(NIDDM) • Urinary Stress

Incontinence• Pain

The Effect Of Obesity On Health

Alabama’s Health• Source:

Trust for America’s Health • #1 Diabetes, 12.2%

(2008-10 average)

• #2 Obese 32.3% (2008-10 average)

• #3 Hypertension 33.9%

(2005-09 average)

• #4 Physical Inactivity 30.5% (2008-10 average)

Obesity and Costs

• Estimated at $147 BILLION

• Employer pays $1,400 more for obese employee

• National annual medical burden of obesity is approximately 9 % of all medical spending, and in AL it is 10%

Finkelstein, et al. State-level Estimates of Annual Medical Expenditures Attributable to Obesity.

Annual Direct Healthcare Costs by BMI

Disability

The chart below indicates the impact obesity has on disability.

Prevalence of Disability by Body-Weight Category

Sick Leave• Obese employees use more sick leave

than healthy employees (2x as many sick days)

• Obese patients spent an average of $1,429 more for their medical care than did people within a normal weight range (42 % higher)

CDC and RTI study 2009CDC and RTI study 2009

Obesity is Complex

Calories In versus Calories Out

Approximately 12 % of Alabamians meet the guideline of 30 minutes per day most days of the week

What Factors Influence Your Health?

Socio-Ecological Model sees the interwoven relationship between the individual and their environment

How Can You Help?

Help your community: Set up a Weigh the Nation viewing Share materials Become involved

What Does a Screening/Viewing Involve?

• Request a free screening kit – complete with agenda, materials, and videoshttp://theweightofthenation.hbo.com/screenings

• Pick a venue– Existing town, school, church, club, etc meeting– Schedule meeting for key leaders

• Send meeting notices• Invite media• Host • Follow up with next step plans

http://theweightofthenation.hbo.com/

Web site give step by step directions on ordering the movies and materials

Materials You Can Use

Weight of the Nation

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Other Suggested Actions: Individual, Family, Community, Nation

• Ask your employer for health assessments/ programs

• Get involved and attend school meetings• Encourage health and wellness topics at

faith-based organizations• Find out about local policies and programs

that promote physical activity• Learn about national governments role in

regulating foods in the marketplace• And many more

Additional Actions to Take Listed on the Website

For additional information

Contact us via web site:Http://www.adph.org/obesity

The Alabama Obesity Task Force is a volunteer membership organization that addresses obesity through advocacy, changes and programs.

If you would like to be a part of the Alabama Obesity Task Force or would like more information, please email.