Weight of the Nation
Addressing 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
Obesity Trends* Among U.S. Adults
BRFSS, 1990, 2000, 2010
(*BMI 30, or about 30 lbs. overweight for 5’4” person)
2000
1990
2010
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Obesity Trends* Among U.S. Adults
BRFSS, 1985
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1986
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1988
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1989
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
Obesity Trends* Among U.S. Adults
BRFSS, 1991
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1992
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1993
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1994
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1996
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
Obesity Trends* Among U.S. Adults
BRFSS, 1997
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 1998
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 1999
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data
<10%
10%–14%
15%–19%
≥20%
Obesity Trends* Among U.S. Adults
BRFSS, 2001
(*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. Adults
BRFSS, 2002
(*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. Adults
BRFSS, 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. Adults
BRFSS, 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. Adults
BRFSS, 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. Adults
BRFSS, 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. Adults
BRFSS, 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. Adults
BRFSS, 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. Adults
BRFSS, 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. Adults
BRFSS, 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
40.0
Proportion of Adults in Alabama that are Obese
BRFFS Data
1995 - 2010
35.0
30.0
25.0
Significantly different
from 2002 but not from
each other
20.0
15.0
Upper
ESTIMATE
Lower
1995
20.7
18.7
16.7
1996
22.5
20.5
18.5
1997
20.0
18.2
16.4
1998
23.4
21.3
19.2
1999
24.5
22.4
20.3
2000
26.0
23.9
21.8
2001
26.3
24.5
22.7
2002
27.6
25.7
23.8
2003
30.2
28.4
26.6
2004
30.6
28.8
27.0
2005
31.0
28.9
26.8
2006
32.7
30.5
28.3
2007
32.7
30.9
29.1
2008
34.1
32.2
30.4
2009
33.4
31.6
29.9
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?
Obesity and Health
80% of the overweight/obese
population have one or more chronic
diseases
no problem
chronic
problems
The Effect Of Obesity On Health
• Arthritis:
Osteoarthritis knee & hip
Rheumatoid Arthritis
• Birth Defects
• Cancers:
Breast Cancer
Colorectal Cancer
Esophagus Cancer
Endometrial Cancer
Renal 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
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 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 videos
http://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.