1. Are You Overweight? Source: Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 1995, pages 23-24. 6’6” 6’5” 6’4” 6’3” 6’2” 6’1” 6’0” 5’11” 5’10” 5’9” 5’8” 5’7” 5’6” 5’5” 5’4” 5’3” 5’2” 5’1” 5’0” 4’11” 4’10” Healthy Weight Moderate Overweight Severe Overweight Pounds (without clothes) Height (without shoes) 23.022

2. Obesity* Trends Among U.S. Adults BRFSS, 1985 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

3. Obesity* Trends Among U.S. Adults BRFSS, 1986 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) No Data <10% 10%-14% 15-19%  20% Source: BRFSS, CDC.

4. Obesity* Trends Among U.S. Adults BRFSS, 1987 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

5. Obesity* Trends Among U.S. Adults BRFSS, 1988 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

6. Obesity* Trends Among U.S. Adults BRFSS, 1989 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

7. Obesity* Trends Among U.S. Adults BRFSS, 1990 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

8. Obesity* Trends Among U.S. Adults BRFSS, 1991 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

9. Obesity* Trends Among U.S. Adults BRFSS, 1992 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

10. Obesity* Trends Among U.S. Adults BRFSS, 1993 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

11. Obesity* Trends Among U.S. Adults BRFSS, 1994 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

12. Obesity* Trends Among U.S. Adults BRFSS, 1995 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

13. Obesity* Trends Among U.S. Adults BRFSS, 1996 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

14. Obesity* Trends Among U.S. Adults BRFSS, 1997 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

15. Obesity* Trends Among U.S. Adults BRFSS, 1998 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

16. Obesity* Trends Among U.S. Adults BRFSS, 1999 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

17. Obesity* Trends Among U.S. Adults BRFSS, 2000 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: BRFSS, CDC. No Data <10% 10%-14% 15-19%  20%

18. % (Flegal, JAMA 2002) overweight / obese obese 0 10 20 30 40 50 60 70 1988 - 19941999 - 2000

19. Changes in the Prevalence of Obesity (BMI > 95 th Percentile) Among U.S. Female Children and Adolescents

20. Obesity in the USA, 1991-98 Region Percentage Obese New England: + 46% Pacific: + 67% Midwest: + 36% Mid-Atlantic: +32% Southeast: + 67%

21. Women 

22. Calle et al., 2003 Relative Risk of Cancer Mortality Women RR

23. Why are we engulfed in an epidemic of obesity? -- reductions in physical activity -- increased caloric intake -- bad nutritional advice

26. 26.062

27. Role of the food industry in the obesity epidemic -- creation of maximally seductive foods based on sugar, refined starch, trans fats, and salt -- “convenience” -- supersizing as a value -- aggressive marketing of junk to children and adults

28. Who can help control the epidemic? – Researchers (Epidemiologists, Nutritionists, etc) – Health Care Providers – Schools – Governments, Community Organizations – Worksites – Parents – Individuals