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Non-Hispanic
White
Hispanic
Ursula E Bauer
Director, National Center for Chronic Disease Prevention and
Health Promotion
Centers for Disease Control and Prevention
Non-Hispanic
Black
What is obesity
Do we have an obesity
crisis?
Whos obese?
Outline
Public Health
Crisis
Demographics of
obesity
Public
Health
1. To secure certain
inalienable rights
2. To effect the safety
and happiness of the
people
3. All men are created
equal
The
Declaration
He has refused
his Assent to
Laws,
the most
wholesome
and
necessary for the
Public Good.
Public
Health
Crisis -
epidemic
What is
obesity?
Prevalence
of obesity,
US 2014
No Data
<10%
10%14%
15%19%
No Data
<10%
10%14%
15%19%
20%24%
25%
%
40
2-5 years
6-11 years
12-19 years
%
30
Trends in obesity
by age:
US, 1960 -1962
through 2011-12
%
20
%
10
0
1960-1962
1971-74
1976-80
1988-94
Year
199900
2003- 2007-082011-12
04
Source: CDC/NCHS. National Health Examination Surveys II (ages 6-11), III (ages 12-17), and National Health and Nutrition Examination Surveys (NHANES) I-III, and
NHANES 1999-2000, 2001-2002, 2003-2004, 2005-2006, 2007-2008, 2009-2010 and 2011-2012.
http://www.cdc.gov/nchs/data/hestat/obesity_child_11_12/obesity_child_11_12.htm CDC/NCHS National Health Examination Survey, 1960-1962.
45
40.2
40
37
35
Obesity
rates
increase
with
increasing
age
32.3
30
Percent
25
20.5
20
17.5
15
10
8.9
5
0
2 to 5
6 to 11
12 to 19
20 to 39
Age (years)
40 to 59
60 & over
Prevalence of obesity among adults aged 20 and over, by sex, race and Hispanic origin: United States 2011-2014
Women
Women have
higher obesity
rates than men.
Blacks and
Hispanics have
higher rates
than whites and
Asians.
Variations by
race/ethnicity
are greater for
women than
men.
60
Men
56.9
50
45.7
40
35.5
39
37.5
33.6
30
Percent
20
11.9
11.2
10
Non-Hispanic White
Non-Hispanic Black
Non-Hispanic Asian
Hispanic
Prevalence of obesity among adults aged 20 years and over, by poverty income ratio, education and sex: United States, 2005-2008
Men
45
For women,
obesity rates are
inversely
associated with
education and
income.
For men, the
highest rates are
in the middle.
42.1
40
39
34.8
35
Percent
25
42
39.8
38.4
36.2
30
Women
32.1
34.6
32.9
29
27.4
29.2
23.4
20
15
10
5
0
Education
Where are
we?
Obesity refers to an
excess of body fat
Obesity rates have
doubled for adults and
tripled for children since
the 1970s
Obesity rates vary by
age, sex, race/ethnicity,
education, income and
geography
Though common, some
segments of population
are affected more than
others
So what and
who cares?
The consequences of
obesity
What caused
the increase
in obesity?
Designed
for disease
Some
trends
Calories consumed
increased by 314/day
from mid-1970s to early
2000s, then decreased
by 74/day, for adults
Fewer than 3 of 10 high
school students get 60
minutes/day of physical
activity
Work energy expenditure
decreased by
100+calories/day
http://www.blabystayinghealthy.co.uk/portion-size
Counseling
& Education
Clinical
Interventions
Long-lasting
Protective Interventions
Changing the Context
Largest
Impact
Socioeconomic Factors
Eat healthy, be
physically active
Rx for high blood
pressure, high
cholesterol, diabetes
Immunizations, brief
intervention, cessation
treatment, colonoscopy
Fluoridation, 0g trans
fat, iodization, smokefree laws, tobacco tax
Poverty, education,
housing, inequality
What do we
do about it?
And what solutions are
already underway?
Whats
already
underway?
And may be working
Wrap up
Solutions include
Laws most wholesome
and necessary for the
public good
Healthy Hunger-free
Kids Act
Menu Labeling rules
Organized measures
Lets Move
Safe Routes to School
Farm to Institution
Thank you
www.cdc.gov/obesity