Obesity Trends* Among U.S. Adults BRFSS, 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: These next few slides are from the CDC (Centers for Disease Control) and they show the obesity rates of all the states. Every year the CDC randomly calls thousands of households across the country and asks folks to answer questions, two of which are: how tall are you and how much do you weigh…for the folks that actually stay on the line and answer the questions, they then calculate each person’s BMI. Now, BMI is a measure of your weight in relation to your height. A BMI of 30 or higher is considered obese, a BMI between 25-29 is considered overweight, and a BMI between 19-24 is associated with the lowest health risk. So, these next slides highlight just the levels of obesity among adults across the nation. I’ll go through these fairly quickly and we’ll take a look at the changes. Notice in the mid-90’s here that the only levels on the map are 10-14% and 15-19% of adults at the obese level. No Data <10% 10%–14% 15%–19% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: 1995 – more than half the states are in that navy (15-19%) range. No Data <10% 10%–14% 15%–19% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: 1996. No Data <10% 10%–14% 15%–19% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: 1997…Notice, they had to add another color to the map. The yellow color represents over 20% of the adults in those states are in that BMI over 30/obese range. That’s 1 in 5 adults. No Data <10% 10%–14% 15%–19% ≥20% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: 1998… No Data <10% 10%–14% 15%–19% ≥20% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: 1999…There are even more states in that yellow/over 20% range. No Data <10% 10%–14% 15%–19% ≥20% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: 2000… No Data <10% 10%–14% 15%–19% ≥20% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: In 2001, they had to add yet another color…One in four adults in Mississippi are in that obese range. Now, Colorado is still hanging on in that 10-14% range. What do you think is going on in Colorado? <Get input from participants. Afterwards, you can make the joke that Colorado is just lying…>. No Data <10% 10%–14% 15%–19% 20%–24% ≥25% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 2002 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: 2002…A couple more states join Mississippi in the over 25% range and Colorado stopped lying; they’re now in that navy color. No Data <10% 10%–14% 15%–19% 20%–24% ≥25% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: 2003. No Data <10% 10%–14% 15%–19% 20%–24% ≥25% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: 2004, even more states above the 25% mark, and only a few states left at the 15-19% level. No Data <10% 10%–14% 15%–19% 20%–24% ≥25% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: In 2005, they had to add yet another color! This time Louisiana, Mississippi, and West Virginia jump up to over 30% of the adult population being considered obese. That’s 1 in 3 people in those states. No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: 2006. No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) Script: 2007…All the states except Colorado are now at 20% or more in their obesity rates. No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% Source: CDC Behavioral Risk Factor Surveillance System

Obesity Trends* Among U.S. Adults BRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. Adults BRFSS, 2010 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. Adults BRFSS, 1990, 1999, 2010 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 1990 1999 2010 Script: So as we think about changing the trend, it is important that we realize that it is not going to change overnight. It is going to take time to reverse this trend. And that brings us to our second assumption… No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%