1. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity: Is there really an epidemic?* –The personal and national costs of an epidemic of over-weight and obesity have garnered much attention. –Is this problem exaggerated? Are we, as a nation, really doing that badly with portion size, food choice and physical inactivity? –The following slides will help to answer those questions. *The above questions are posed by CSBA and not attributable to CDC.

2. Obesity Trends Among U.S. Adults between 1985 and 2005 Definitions: Obesity: having a very high amount of body fat in relation to lean body mass, or Body Mass Index (BMI) of 30 or higher. Body Mass Index (BMI): a measure of an adult’s weight in relation to his or her height, specifically the adult’s weight in kilograms divided by the square of his or her height in meters. Definitions: Obesity: having a very high amount of body fat in relation to lean body mass, or Body Mass Index (BMI) of 30 or higher. Body Mass Index (BMI): a measure of an adult’s weight in relation to his or her height, specifically the adult’s weight in kilograms divided by the square of his or her height in meters.

3. Obesity Trends Among U.S. Adults between 1985 and 2005 Source of the data: The data shown in these maps were collected through CDC’s Behavioral Risk Factor Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect data through a series of monthly telephone interviews with U.S. adults. Prevalence estimates generated for the maps may vary slightly from those generated for the states by BRFSS (http://aps.nccd.cdc.gov/brfss) as slightly different analytic methods are used. Source of the data: The data shown in these maps were collected through CDC’s Behavioral Risk Factor Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect data through a series of monthly telephone interviews with U.S. adults. Prevalence estimates generated for the maps may vary slightly from those generated for the states by BRFSS (http://aps.nccd.cdc.gov/brfss) as slightly different analytic methods are used.

4. A brief review of what you are about to see: During the past 20 years there has been a dramatic increase in obesity in the United States. In 1985, only a few states were participating in the CDC's Behavioral Risk Factor Surveillance System (BRFSS) and providing obesity data. In 1990, 4 states had obesity prevalence rates of 15–19 percent and no states had rates at or above 20 percent. A brief review of what you are about to see: During the past 20 years there has been a dramatic increase in obesity in the United States. In 1985, only a few states were participating in the CDC's Behavioral Risk Factor Surveillance System (BRFSS) and providing obesity data. In 1990, 4 states had obesity prevalence rates of 15–19 percent and no states had rates at or above 20 percent.

5. In 1995, obesity prevalence in all 50 states was less than 20 percent. In 2000, only 28 states had obesity prevalence rates less than 20 percent. In 1990, 4 states had obesity prevalence rates of 15–19 percent and no states had rates at or above 20 percent. In 1995, obesity prevalence in all 50 states was less than 20 percent. In 2000, only 28 states had obesity prevalence rates less than 20 percent.

6. In 2005: only 4 states had obesity prevalence rates less than 20 percent. 17 states had prevalence rates equal to or greater than 25 percent. 3 of those 17 states had prevalences equal to or greater than 30 percent (Louisiana, Mississippi, and West Virginia). In 2005: only 4 states had obesity prevalence rates less than 20 percent. 17 states had prevalence rates equal to or greater than 25 percent. 3 of those 17 states had prevalences equal to or greater than 30 percent (Louisiana, Mississippi, and West Virginia).

7. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

8. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 1986 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

9. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 1987 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

10. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

11. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

12. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%

13. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

14. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

15. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

16. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

17. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

18. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

19. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

20. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

21. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

22. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

23. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

24. Source: Behavioral Risk Factor Surveillance System, CDC. (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) Obesity Trends* Among U.S. Adults BRFSS, 2002 No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

25. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

26. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

27. Source: Behavioral Risk Factor Surveillance System, CDC. 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%

28. Source: Behavioral Risk Factor Surveillance System, CDC. 1995 Obesity Trends* Among U.S. Adults BRFSS, 1990, 1995, 2005 (*BMI 30, or about 30 lbs overweight for 5’4” person) 2005 1990 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

29. Source: Behavioral Risk Factor Surveillance System, CDC. Obesity: There is, really an epidemic! –The personal and national costs of an epidemic of over- weight and obesity have garnered much attention. –This problem is not exaggerated. We are, as a nation, doing badly with portion size, food choice and physical inactivity. –Although the slides reflect the weight status of adults, it is clear that youth are following this national trend with dramatic health consequences. –Poor nutrition and physical inactivity are creating a generation of children who are not expected to live as long, nor have as great a quality of life as their parents.

30. Source: Behavioral Risk Factor Surveillance System, CDC. This we know for certain: Healthy students are better learners

31. Citations Source: BRFSS, CDC. Source: Mokdad A H, et al. JAMA 1999;282:16. Source: Mokdad A H, et al. JAMA 2001;286:10. Source: Mokdad A H, et al. JAMA 2003;289:1. Source: MMWR 2006;55:36. Source: BRFSS, CDC. Source: Mokdad A H, et al. JAMA 1999;282:16. Source: Mokdad A H, et al. JAMA 2001;286:10. Source: Mokdad A H, et al. JAMA 2003;289:1. Source: MMWR 2006;55:36.