 Information compiled from the BRFSS data David G. Schlundt, Ph.D. Vanderbilt University

 Obtained Behavioral Risk Factor Surveillance System (BRFSS) data from the CDC  Combined data from 1997 – 2010  Used weights provided by CDC to adjust prevalence rates to be representative of state populations  Used standard definitions of o Overweight BMI ≥ 25 o Obese BMI ≥ 30 o Extreme obesity ≥ 40  Computed prevalence rates for each state and rank ordered them to get state rankings  Computed US average using 50 states plus District of Columbia

TN moved ahead of US average around Declined in TN last year

While the obesity rate in US continued to increase, dropped in TN from 2009 to 2010

Continue to be higher than US average, but showed a small drop last year

3 out 4 and 2 out of 3 is not good. But, larger decrease among African Americans

There continues to be a large disparity in obesity rates in TN

Extreme obesity is a growing problem for Tennessee

Decline in overweight is in Metropolitan areas not rural areas of TN

Obesity prevalence increased in rural areas and decreased in Metro areas

Increased prevalence in rural areas and decline in metro areas

We moved from 2 nd highest to 4 th highest from 2009 to 2010

We moved from 3 rd highest to 8 th highest from 2009 to 2010

Moved from 4 th highest to 3 rd highest from 2009 to 2010

 There is clearly some good news this year. o We have seen declines in overweight, obesity, and extreme obesity overall o We see sharper declines among African Americans and in the major metropolitan areas of the state o Our national rankings have improved for overweight and obesity  There is much work to be done o We need to study these data more carefully to see which segments of the population are improving and which are not o We need to focus our efforts on the rural parts of the state o We need to continue to address our vulnerable populations  Thank the following states

It is close, so we should be careful about bragging too much