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									   OBESITY IN WEST VIRGINIA

              Tom Sims
West Virginia Bureau for Public Health


      Public Health Grand Rounds
            January 19, 2005
1. The extent of the problem of obesity in the
    United States and in West Virginia

2. The health costs of obesity

3. Causes of obesity

4. Recent public health activities in WV
   to address obesity.
    Obesity Trends* Among U.S. Adults
               BRFSS, 1986
           (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)




No Data   <10%       10%–14%
    Obesity Trends* Among U.S. Adults
               BRFSS, 1987
           (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)




No Data   <10%       10%–14%
    Obesity Trends* Among U.S. Adults
               BRFSS, 1988
           (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)




No Data   <10%       10%–14%
    Obesity Trends* Among U.S. Adults
               BRFSS, 1989
           (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)




No Data   <10%       10%–14%
    Obesity Trends* Among U.S. Adults
               BRFSS, 1990
           (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)




No Data   <10%       10%–14%
    Obesity Trends* Among U.S. Adults
               BRFSS, 1991
           (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)




No Data   <10%       10%–14%       15%–19%
    Obesity Trends* Among U.S. Adults
               BRFSS, 1992
           (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)




No Data   <10%       10%–14%       15%–19%
    Obesity Trends* Among U.S. Adults
               BRFSS, 1993
           (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)




No Data   <10%       10%–14%       15%–19%
    Obesity Trends* Among U.S. Adults
               BRFSS, 1994
           (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)




No Data   <10%       10%–14%       15%–19%
    Obesity Trends* Among U.S. Adults
               BRFSS, 1995
           (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)




No Data   <10%       10%–14%       15%–19%
    Obesity Trends* Among U.S. Adults
               BRFSS, 1996
           (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)




No Data   <10%       10%–14%       15%–19%
    Obesity Trends* Among U.S. Adults
               BRFSS, 1997
           (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)




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” woman)




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” woman)




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” woman)




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” woman)




No Data   <10%       10%–14%       15%–19%        20%–24%       ≥25%
          Obesity Trends* Among U.S. Adults
                     BRFSS, 2002
                  (*BMI 30, or ~ 30 lbs overweight person)
             (*BMI ≥30, or ~ 30 lbs overweight for 5’4” for 5’ 4” woman)




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


                   Source: Behavioral Risk Factor Surveillance System, CDC
     Obesity* Trends Among U.S. Adults
                     BRFSS, 2003
      (*BMI 30, or about 30 lbs overweight for 5’4” person)




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

Source: Behavioral Risk Factor Surveillance System, CDC
             Obesity Trends* Among U.S. Adults
                 BRFSS, 1991, 1996, 2003
                 (*BMI 30, or about 30 lbs overweight for 5’4” person)

                    1991                                             1996




                                                 2003




    No            <10           10%-14%          15%-19%   20%-24%     25%
    Data          %
Source: Behavioral Risk Factor Surveillance System, CDC.
Now let’s look at West Virginia.
                  WV OBESITY AND OVERWEIGHT 1987 - 2002
             50

             45

             40

             35                                                                                       37.9 36.1
                                               36.6 36.5 36.6 37.4 36.0 36.5                   36.5
Percentage




                               32.3    33.7                                        33.3 32.4
             30

             25                                                                                           27.6
                                                                                                  25.1
             20                                                                    23.9 24.6 23.2
                                                                       19.9 20.6
             15                                                 18.3
                                               16.9 17.7 17.1
                                   14.6 15.7
             10   12.2 12.7
                            13.4

             5

             0
                  1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

                                                   Obesity         Overweight
                  WV OBESITY AND OVERWEIGHT 1987 - 2002
             50

             45

             40

             35                                                                                       37.9 36.1
                                               36.6 36.5 36.6 37.4 36.0 36.5                   36.5
Percentage




                               32.3    33.7                                        33.3 32.4
             30

             25                                                                                           27.6
                                                                                                  25.1
             20                                                                    23.9 24.6 23.2
                                                                       19.9 20.6
             15                                                 18.3
                                               16.9 17.7 17.1
                                   14.6 15.7
             10   12.2 12.7
                            13.4

             5

             0
                  1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

                                                   Obesity         Overweight
Morbidity Associated with Obesity

   • heart disease

   • type 2 diabetes

   • hypertension
   • higher incidence of joint and
     mobility problems

   • some types of cancer
     CHEESEBURGER
20 Years Ago     Today




 333 calories   590 calories
Hardee’s Monster Burger
Portion size can be a problem
Only in America
Holden, WV   where to walk?
Morgantown - good walking
1. It’s not about Fat, it’s about Health!

2. Increasing physical activity and creating an
   environment that supports healthy choices.

3. Public Health cannot do it alone!

4. We need the political will to get it done.

5. We need sustainable strategies.

								
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