1. Weight of the Nation Addressing the Obesity Problem

2. What is Obesity? Obesity is weighing at least 30 lbs. over your appropriate weight Obesity affects all ethnic backgrounds, income, and education levels 36% of US adults are obese Approximately 12.5 million children and adolescents aged 2-19 (17%) are obese

3. 2000 Obesity Trends* Among U.S. Adults BRFSS, 1990, 2000, 2010 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 2010 1990 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

4. Obesity Trends* Among U.S. Adults BRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

5. Obesity Trends* Among U.S. Adults BRFSS, 1986 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

6. Obesity Trends* Among U.S. Adults BRFSS, 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

7. Obesity Trends* Among U.S. Adults BRFSS, 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

8. Obesity Trends* Among U.S. Adults BRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

9. 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%

10. 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%

11. 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%

12. 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%

13. 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%

14. 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%

15. 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%

16. 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%

17. 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%

18. 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%

19. 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%

20. (*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%

21. 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%

22. 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%

23. 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%

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

25. Obesity Trends* Among U.S. Adults BRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

26. 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%

27. 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%

28. 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%

29. Weight Trends in Alabama- Obesity

31. Alabama’s Adult Weight 2010 2% Underweight (UW) 31.3 % Appropriate Body Weight (OK) 66.7% Overweight or Obese (OW/OB)

32. Our Children

33. Alabama’s Children OUR Children ADPH Dental Program 2006-2007 Heights & weights collected for Alabama 3 rd grade students 17.9% overweight 24.6% obese 42.5% 3 rd graders

34. What is the Problem with Being Obese?

35. Obesity and Health 80% of the overweight/obese population have one or more chronic diseases

36. Arthritis: Osteoarthritis knee & hip Rheumatoid Arthritis Birth Defects Cancers: Breast Cancer Colorectal Cancer Esophagus Cancer Endometrial Cancer Renal Cell Cancer Cardiovascular Disease Carpal Tunnel Syndrome Daytime Sleepiness Deep Vein Thrombosis End Stage Renal Disease Gallbladder Disease Gout Heat Disorders The Effect Of Obesity On Health

37. Hypertension Impaired immune response Impaired respiratory function Infections following wounds Infertility Liver Disease Low Back Pain Obstetric & Gynecologic Complications Severe acute biliary and alcoholic pancreatitis Sleep apnea Stroke Surgical complications Type 2 Diabetes (NIDDM) Urinary Stress Incontinence Pain The Effect Of Obesity On Health

38. Alabama’s Health Source: Trust for America’s Health #1 Diabetes, 12.2% ( 2008-10 average) #2 Obese 32.3% (2008-10 average) #3 Hypertension 33.9% (2005-09 average) #4 Physical Inactivity 30.5% (2008-10 average)

39. Obesity and Costs Estimated at $147 BILLION Employer pays $1,400 more for obese employee National annual medical burden of obesity is approximately 9 % of all medical spending, and in AL it is 10% Finkelstein, et al. State-level Estimates of Annual Medical Expenditures Attributable to Obesity.

40. Annual Direct Healthcare Costs by BMI

41. Disability The chart below indicates the impact obesity has on disability. Prevalence of Disability by Body-Weight Category

42. Sick Leave Obese employees use more sick leave than healthy employees (2x as many sick days) Obese patients spent an average of $1,429 more for their medical care than did people within a normal weight range (42 % higher) CDC and RTI study 2009

43. Obesity is Complex Calories In versus Calories Out

44. Approximately 12 % of Alabamians meet the guideline of 30 minutes per day most days of the week

45. What Factors Influence Your Health? Socio-Ecological Model sees the interwoven relationship between the individual and their environment

46. How Can You Help? Help your community: Set up a Weigh the Nation viewing Share materials Become involved

47. What Does a Screening/Viewing Involve? Request a free screening kit – complete with agenda, materials, and videos http://theweightofthenation.hbo.com/screenings Pick a venue –Existing town, school, church, club, etc meeting –Schedule meeting for key leaders Send meeting notices Invite media Host Follow up with next step plans

48. http://theweightofthenation.hbo.com/ Web site give step by step directions on ordering the movies and materials

49. Materials You Can Use

50. Weight of the Nation VIDEO NOT INSERTED CORRECTLY HERE. LINK TO SHORT VIDE0 IS:

51. Other Suggested Actions: Individual, Family, Community, Nation Ask your employer for health assessments/ programs Get involved and attend school meetings Encourage health and wellness topics at faith-based organizations Find out about local policies and programs that promote physical activity Learn about national governments role in regulating foods in the marketplace And many more

52. Additional Actions to Take Listed on the Website

53. For additional information Contact us via web site: Http://www.adph.org/obesity The Alabama Obesity Task Force is a volunteer membership organization that addresses obesity through advocacy, changes and programs. If you would like to be a part of the Alabama Obesity Task Force or would like more information, please email. email