Prevalence of Obesity* among U.S. Adults BRFSS, 2000

Source: Mokdad A H, et al. J Am Med Assoc 2000;284:13

No Data <10% 10%-14% 15-19% 20%

Obesity* Trends Among U.S. AdultsBRFSS, 2001

No Data <10% 10%-14% 15-19% 20-24% 25%

31% of US adults are obese, 31% of US adults are obese, 65% are obese or overweight -- 65% are obese or overweight -- and gaining and gaining

1-2 lbs a year1-2 lbs a year Between 10% and 15% of Between 10% and 15% of

children and teens are children and teens are overweight/obese -- and more overweight/obese -- and more likely to become obese adultslikely to become obese adults

Overweight/obesity rates Overweight/obesity rates highest in low-income and highest in low-income and minority populationsminority populations

Obesity health and productivity Obesity health and productivity costs exceed $117 billion per costs exceed $117 billion per yearyear

Explaining the epidemic

Not genetic or biological Not genetic or biological changeschanges

But sweeping society and But sweeping society and environmental changes -- environmental changes -- we live in an increasingly we live in an increasingly toxic environmenttoxic environment

Caloric Intake is Increasing

Increased fast Increased fast food/soft drink intakefood/soft drink intake

Greater Greater variety/quantity of variety/quantity of energy-dense foods energy-dense foods availableavailable

Excessive “low-fat” Excessive “low-fat” food consumptionfood consumption

Portion sizes growingPortion sizes growing

0

5

10

15

20

25

30

35

40

1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999

Recommended Activity Physical Inactivity

S. Ham, CDC, 2000. Recommended Activity = Moderate or Vigorous Activity

Leisure Time Physical Activity Trends 1986-1999All States Reporting Physical Activity each year, BRFSS

1.4

1.8

2.3

5:066:07

7:04

36%45%

58%

Hours of TV Viewed Daily

1960-1992

Millions of Person-Miles

in Automobiles,

1970-1990

Percent of Workforce in

Sedentary Occupations 1950-1996

Emergence of an Inactive Society

Cars used for 80% of trips <1 mile Cars used for 80% of trips <1 mile 10% of children walk to school vs. 10% of children walk to school vs. 80% of their parents 80% of their parents Suburbs disconnected and Suburbs disconnected and pedestrian-unfriendlypedestrian-unfriendly More sedentary jobs and recreationMore sedentary jobs and recreation

Walking Is Declining, While the Number of Overweight Adults Is Climbing

Based on data from Based on data from the Nationwide the Nationwide Personal Personal Transportation Transportation Survey and the Survey and the Centers for Disease Centers for Disease Control and Control and Prevention.Prevention.