Challenge Obesity In WV

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OBESITY IN WEST VIRGINIA Tom Sims West Virginia Bureau for Public Health Public Health Grand Rounds January 19, 2005

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The extent of the problem of obesity in the United States and in West Virginia The health costs of obesity Causes of obesity Recent public health activities in WV to address obesity.

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Obesity Trends* Among U.S. AdultsBRFSS, 1986: 

Obesity Trends* Among U.S. Adults BRFSS, 1986 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1987: 

Obesity Trends* Among U.S. Adults BRFSS, 1987 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1988: 

Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1989: 

Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1990: 

Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1991: 

Obesity Trends* Among U.S. Adults BRFSS, 1991 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1992: 

Obesity Trends* Among U.S. Adults BRFSS, 1992 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1993: 

Obesity Trends* Among U.S. Adults BRFSS, 1993 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1994: 

Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1995: 

Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1996: 

Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1997: 

Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1998: 

Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 1999: 

Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 2000: 

Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

Obesity Trends* Among U.S. AdultsBRFSS, 2001: 

Obesity Trends* Among U.S. Adults BRFSS, 2001 No Data andlt;10% 10%–14% 15%–19% 20%–24% ≥25% (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4' woman)

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

Obesity* Trends Among U.S. AdultsBRFSS, 2003: 

No Data andlt;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)

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Source: Behavioral Risk Factor Surveillance System, CDC. 1996 2003 Obesity Trends* Among U.S. Adults BRFSS, 1991, 1996, 2003 No Data andlt;10% 10%-14% 15%-19% 20%-24%  25% (*BMI 30, or about 30 lbs overweight for 5’4' person)

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Now let’s look at West Virginia.

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WV OBESITY AND OVERWEIGHT 1987 - 2002

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WV OBESITY AND OVERWEIGHT 1987 - 2002

Morbidity Associated with Obesity: 

Morbidity Associated with Obesity heart disease type 2 diabetes hypertension higher incidence of joint and mobility problems some types of cancer

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590 calories CHEESEBURGER 20 Years Ago Today 333 calories

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Hardee’s Monster Burger

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Portion size can be a problem

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Only in America

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Holden, WV where to walk?

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Morgantown - good walking

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It’s not about Fat, it’s about Health! Increasing physical activity and creating an environment that supports healthy choices. Public Health cannot do it alone! We need the political will to get it done. We need sustainable strategies.

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