Tennessee Obesity Update: 2010

Information compiled from the 1997-2010 BRFSS dataDavid G. Schlundt, Ph.D.

Vanderbilt University

Methodology Obtained Behavioral Risk Factor Surveillance System

(BRFSS) data from the CDC Combined data from 1997 – 2010 Used weights provided by CDC to adjust prevalence

rates to be representative of state populations Used standard definitions of

o Overweight BMI ≥ 25o Obese BMI ≥ 30o Extreme obesity ≥ 40

Computed prevalence rates for each state and rank ordered them to get state rankings

Computed US average using 50 states plus District of Columbia

Overweight Prevalence: US to TN

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 201030%

35%

40%

45%

50%

55%

60%

65%

70%

75%

53.16% 54.55%56.05% 57.31% 58.62% 58.78% 59.34% 60.24% 61.35% 61.35%

62.80% 63.06% 63.66% 64.10%

52.75% 54.15%56.27%

59.42% 58.88%61.38% 60.43%

64.21%62.38%

65.33%67.46% 68.04% 69.03% 67.77%

Overweight Prevalence 1997-2010 US vs. TN

USA TN

TN moved ahead of US average around 2000. Declined in TN last year

Obesity Prevalence: US to TN

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 201010%

15%

20%

25%

30%

35%

16.9%18.4%

19.4%20.4%

21.6% 21.9%22.8% 23.5%

24.5% 25.1%26.3% 26.7% 27.4% 27.8%

17.6%19.2%

20.5%

23.0% 23.5%24.6% 25.0%

27.2% 27.4%28.8%

30.7% 31.2%32.9%

31.7%

Obesity Prevalence 1997-2010 US vs. TN

USA TN

While the obesity rate in US continued to increase, dropped in TN from 2009 to 2010

Extreme Obesity Prevalence: US to TN

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

0%1%2%3%4%5%6%

Overweight Prevalence 1997-2010

US vs. TN

USA TN

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20100%

1%

2%

3%

4%

5%

6%

1.4%1.9% 1.9%

2.2% 2.3% 2.5%2.7% 2.8%

3.1% 3.2%3.5% 3.5%

3.8% 3.8%

1.7% 1.8% 1.8%

2.7%

1.7%

3.3% 3.5% 3.6% 3.6%

4.2%4.5% 4.4%

5.3% 5.1%

Extreme Obesity Prevalence 1997-2010 US vs. TN

USA TN

Continue to be higher than US average, but showed a small drop last year

Overweight Prevalence: Race

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20100%

10%

20%

30%

40%

50%

60%

70%

80%

90%

51.7% 52.3% 55.3% 57.5% 58.2% 59.8% 59.2%63.7% 61.8% 64.0% 65.7% 66.4% 66.9% 66.3%60.7% 63.7% 63.1%

71.6%64.6%

69.6% 70.0% 69.2%72.4% 71.2%

79.1% 76.6% 78.7%75.6%

Tennessee Overweight Prevalence by Race 1997-2010

White only, Non-Hispanic Black only, Non-Hispanic

3 out 4 and 2 out of 3 is not good. But, larger decrease among African Americans

Obesity Prevalence: Race

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20100%

5%

10%

15%

20%

25%

30%

35%

40%

45%

16.1%18.3%

20.3% 21.2%22.9% 22.4% 23.2%

26.2% 25.6% 26.4%28.9% 29.2%

31.3% 30.9%27.2%24.2%

22.7%

33.9%

27.4%

36.6% 36.8%33.4%

42.1%40.5%

42.4%

38.0%

42.7% 41.9%

Tennessee Obesity Prevalence by Race 1997-2010

White only, Non-Hispanic Black only, Non-Hispanic

There continues to be a large disparity in obesity rates in TN

Extreme Obesity Prevalence: Race

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20100%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

1.3%1.7% 1.8%

2.6%

1.2%

2.7%3.5%

3.0%3.3%

3.7% 3.8%4.2%

5.0% 5.0%3.8%

2.3% 2.2%

3.4% 3.3%

8.6%

4.5%

5.9%6.5%

6.9%7.2%

6.5%

8.1%

6.5%

Tennessee Extreme Obesity Prevalence by Race 1997-2010

White only, Non-Hispanic Black only, Non-Hispanic

Extreme obesity is a growing problem for Tennessee

Overweight Prevalence: Rural/Metro

2005 2006 2007 2008 2009 201056%

58%

60%

62%

64%

66%

68%

70%

72%

62.9%

68.8% 68.4%

70.8% 70.7% 70.4%

62.2%

63.8%

67.0% 66.8%68.3%

66.6%

Tennessee Overweight Prevalence by Rural or Urban 2005-2010

Rural Metro

Decline in overweight is in Metropolitan areas not rural areas of TN

Obesity Prevalence: Rural/Metro

2005 2006 2007 2008 2009 201020%

22%

24%

26%

28%

30%

32%

34%

36%

38%

27.5%

30.7%31.4%

35.2% 35.2%35.9%

27.4% 28.0%

30.4%29.5%

31.9%

29.8%

Tennessee Obesity Prevalence by Rural or Urban Area 2005-2010

Rural Metro

Obesity prevalence increased in rural areas and decreased in Metro areas

Extreme Obesity Prevalence: Rural/Metro

2005 2006 2007 2008 2009 20100%

1%

2%

3%

4%

5%

6%

7%

3.8%

4.6%4.3% 4.5%

5.6%

6.4%

3.6%4.0%

4.6% 4.4%

5.2%4.5%

Tennessee Extreme Obesity Prevalence by Rural or Urban 2005-2010

Rural Metro

Increased prevalence in rural areas and decline in metro areas

Overweight Rankings

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20100

5

10

15

20

25

30

35

3028

24

12

27

9

20

3

22

5 42 2

4

Tennessee Overweight National Rank 1997-2010

We moved from 2nd highest to 4th highest from 2009 to 2010

Obese Rankings

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20100

5

10

15

20

25

17

22

18

79 8 9

4

8 7

3 4 3

8

Tenneessee Obesity National Ranking 1997-2010

We moved from 3rd highest to 8th highest from 2009 to 2010

Extreme Obesity Rankings

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20100

5

10

15

20

25

30

35

40

45

50

9

25 27

8

43

25 5

105 5

84 3

Tennessee Extreme Obesity National Rank 1997-2010

Moved from 4th highest to 3rd highest from 2009 to 2010

Conclusions There is clearly some good news this year.

o We have seen declines in overweight, obesity, and extreme obesity overall

o We see sharper declines among African Americans and in the major metropolitan areas of the state

o Our national rankings have improved for overweight and obesity

There is much work to be doneo We need to study these data more carefully to see which

segments of the population are improving and which are not

o We need to focus our efforts on the rural parts of the state

o We need to continue to address our vulnerable populations

Thank the following states

1 Mississippi 34.47%2 Alabama 32.96%3 West Virginia 32.86%4 South Carolina 31.99%5 Kentucky 31.80%6 Louisiana 31.72%7 Texas 31.70%8 Tennessee 31.66%9 Michigan 31.63%10 Missouri 31.35%It is close, so we should be careful about bragging too much