Obesity trends among u s adults brfss 1985
Advertisement
This presentation is the property of its rightful owner.
1 / 116

Obesity Trends* Among U.S. Adults BRFSS, 1985 PowerPoint PPT Presentation

No Data <10% 10%–14%. Obesity Trends* Among U.S. Adults BRFSS, 1985. (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman). No Data <10% 10%–14%. Obesity Trends* Among U.S. Adults BRFSS, 1986. (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman).

Download Presentation

Obesity Trends* Among U.S. Adults BRFSS, 1985

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Obesity trends among u s adults brfss 1985

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1985

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1986

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1986

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1987

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1987

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1988

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1988

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1989

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1989

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1990

No Data <10% 10%–14%

Obesity Trends* Among U.S. AdultsBRFSS, 1990

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1991

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1991

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1992

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1992

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1993

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1993

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1994

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1994

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1995

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1995

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1996

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. AdultsBRFSS, 1996

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1997

No Data <10% 10%–14% 15%–19% ≥20

Obesity Trends* Among U.S. AdultsBRFSS, 1997

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1998

No Data <10% 10%–14% 15%–19% ≥20

Obesity Trends* Among U.S. AdultsBRFSS, 1998

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 1999

No Data <10% 10%–14% 15%–19% ≥20

Obesity Trends* Among U.S. AdultsBRFSS, 1999

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 2000

No Data <10% 10%–14% 15%–19% ≥20

Obesity Trends* Among U.S. AdultsBRFSS, 2000

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)


Obesity trends among u s adults brfss 2001

Obesity Trends* Among U.S. AdultsBRFSS, 2001

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%


Introduction lecture

Obesity Trends* Among U.S. AdultsBRFSS, 2002

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” woman)

(*BMI 30, or ~ 30 lbs overweight for 5’4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Source: Behavioral Risk Factor Surveillance System, CDC


Obesity trends among u s adults brfss 2003

Obesity* Trends Among U.S. AdultsBRFSS, 2003

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%


History of weight control

History of Weight Control


History of weight control1

History of Weight Control


History of weight control2

History of Weight Control


Percent of adults who are overweight or obese

Percent of adults who are overweight or obese


Percent of adults who are overweight or obese1

Percent of adults who are overweight or obese

65%

2/3 of adults are

overweight or

obese


Excess body weight and reduction of lifespan

Excess Body Weight and Reduction of Lifespan

-3.1

-3.3

-5.8

-7.1

Ann Intern Med. 2003;138:24-32


Introduction lecture

Diabetes Among Adults in the U.S.,BRFSS 1990

Source: Mokdad et al., Diabetes Care 2000;23:1278-83.


Introduction lecture

Diabetes Among Adults in the U.S.,BRFSS 1991-92

Source: Mokdad et al., Diabetes Care 2000;23:1278-83.


Introduction lecture

Diabetes Among Adults in the U.S.,BRFSS 1993-94

Source: Mokdad et al., Diabetes Care 2000;23:1278-83.


Introduction lecture

Diabetes Among Adults in the U.S.,BRFSS 1995-96

Source: Mokdad et al., Diabetes Care 2000;23:1278-83.


Introduction lecture

Diabetes Among Adults in the U.S.,BRFSS 1995

Source: Mokdad et al., Diabetes Care 2000;23:1278-83.


Introduction lecture

Diabetes Among Adults in the U.S.,BRFSS 1997-98

Source: Mokdad et al., Diabetes Care 2000;23:1278-83.


Introduction lecture

Diabetes Among Adults in the U.S.,BRFSS 1999

Source: Mokdad et al., Diabetes Care 2001;24:412.


Introduction lecture

Diabetes Among Adults in the U.S.,BRFSS 2000

Source: Mokdad et al., J Am Med Assoc 2001;286:10.


Introduction lecture

Diabetes Among Adults in the U.S.,BRFSS 2001

Source: Mokdad et al., J Am Med Assoc 2001;286:10.


Lifetime risk of diabetes for children born in 2000

Lifetime Risk of Diabetes for Children Born in 2000

Venkat Narayan, JAMA 2003;290:1884


Diabetes and reduction in lifespan

Diabetes and Reduction in Lifespan

-14.3 yrs

-11.6 yrs

JAMA 2003;290:1884-1890


Life expectancy in the u s

Life Expectancy in the U.S.

2-5 year decline

in life expectancy


Lifetime risk for chronic diseases

Lifetime Risk for Chronic Diseases

NCI Canada, 2.0; Lancet 1999;353:89


Introduction lecture

How People Died in 2003

Cancer

24 %

Accidents

Suicide

Infections

Kidney failure

Lung failure

Others…

40%

Cardiovascular

Disease

36%


Introduction lecture

How People Died in 2003

CVD

Cancer

Other

Up to 70% of all

causes of death are

lifestyle related and

preventable

The Culprit and The Cure, 2005


National prevalence of lifestyle related health risks

National prevalence of lifestyle related health risks

CDC, BRFSS, 2002


Percent of selected chronic diseases that are likely avoidable

Percent of Selected Chronic Diseases That Are Likely Avoidable

91%

82%

71%

70%

Sources: Stampfer, 2000; Platz, 2000; Hu, 2001


Introduction lecture

How did we get this way?


Introduction lecture

5-a-day =

$1 million

Food Marketing = $25 Billion


Advertising

Advertising


Introduction lecture

Type of Fat and Risk of Coronary Heart Disease

CVD risk

Hu, New Eng J Med1997


Introduction lecture

347,877 lives


Lung cancer and vegetable intake

Lung cancer and vegetable intake

Relative risk

Vegetable intake grams/day

Am Inst for Cancer Research, 1997


Stomach cancer and vegetable intake

Stomach cancer and vegetable intake

Relative risk

Vegetable intake grams/day

Am Inst for Cancer Research, 1997


Stomach cancer and fruit intake

Stomach cancer and fruit intake

Relative risk

Fruit intake grams/day

Am Inst for Cancer Research, 1997


Introduction lecture

Unpaired Electrons


Introduction lecture

  • Free radicals can:

    • Disrupt or destroy cells

    • Damage DNA, lipid membranes, mitochondria, and proteins

    • Disrupt vital functions


Introduction lecture

  • DNA in each cell gets a “hit” from a free radical every 10 seconds

  • Each cell gets 10,000 hits/day


Cancer deaths by age in 2001

Cancer deaths by age, in 2001

80% of all cancers occur after age 55


Where do free radicals come from

Where do free radicals come from?

  • Most are produced by our own bodies

  • UV light

  • burned food

  • toxic chemicals

  • Industrial

  • automobile pollution

  • unknown sources


Cigarette smoke

Cigarette Smoke

One puff of smoke contains:

100,000,000,000,000,000

free radical species

Tobacco is responsible for 31% of all cancers


Cancer death and smoking

Cancer death and smoking

Relative risk

Number of cigarettes/day


If you are a smoker

If you are a smoker…

-14.5 yrs

-13.2 yrs

MMWR 1997;46:444-51


How do we protect our selves

How do we protect our selves?


Phytochemicals

Carotenoids

Beta-carotene

Lycopene

Lutein

Zeaxanthin

Organosulfurs

Flavinoids

Phytosterols

Alkaloids

Tannins

Saponins

100,000 more we have yet to identify

Phytochemicals


Our current western lifestyle

Our Current (Western) Lifestyle

  • Little Physical Activity

  • Red meat

  • Processed meat

  • Butter

  • Potatoes

  • Refined grains

  • High fat dairy foods


Adopt and maintain a healthy lifestyle

Adopt and Maintain A Healthy Lifestyle

  • Learn Why lifestyle is important

  • Learn What a healthy lifestyle is

  • Learn How to maintain good behaviors for life


Difference in years of life between high and low health risk

Difference in Years of Life Between High and Low Health Risk

Frazier, Arch Intern Med. 2001;161:1645


Low vs high health risks and life expectancy cumulative

Low vs High Health Risks and Life Expectancy (cumulative)

Age

Frazier et al,Arch Intern Med. 2001;161:1645


Real and possible changes in life span 7 th day adventists

Real and Possible Changes in Life Span (7th Day Adventists)

?

?

Fraser et al. Arch Intern Med, 2001;161:1645-1652


Real and possible changes in life span mormon high priests and wives

Real and Possible Changes in Life Span (Mormon High Priests and wives)

?

?

Mormon High Priests and Wives, Enstrom, UCLA, 1989


What can i expect if i reduce my health risks

What Can I Expect if I Reduce My Health Risks?

10 to 20 years of extended, high-quality living


Introduction lecture

Compression of Morbidity

Morbidity

Lifespan in years

0

76

Chronic

disability

Ann Intern Med, 2003:139:455-459


Introduction lecture

Compression of Morbidity

Morbidity

Lifespan in years

0

76

86

?

Chronic

disability


Introduction lecture

Reductions of Near Death Morbidity

Morbidity

Lifespan in years

Morbidity

Lifespan in years


With a healthy lifestyle

With a Healthy Lifestyle

  • Life span can increase

  • Chronic disability can be delayed from 7-12 years

  • The amount of near death morbidity is reduced by 75%

  • Health care costs are also dramatically reduced


Randomized results

Randomized Results

www.culpritandcure.com


Wall thickening with a western lifestyle

Wall Thickening with a Western Lifestyle


Introduction lecture

Spontaneous or

inherited mutation

Abnormal

cell

Normal

cell

Repair

Carcinogen

Tumor

Metastasis

Cell proliferation


Introduction lecture

Spontaneous or

inherited mutation

Abnormal

cell

Normal

cell

Repair

Activated

carcinogen

Tumor

Metastasis

Cell proliferation


Introduction lecture

Risk of death by body weight and activity

Risk of CVD/cancer death

Hu, NEJM 2004;352:2694


Introduction lecture

Risk of dementia (Alzheimer’s) by risk factors:

(high blood pressure, cholesterol, smoking, or diabetes)

Risk of dementia

Neurology, 2005,64:277-281


Percentage of all trips made from home by walking 1977 1995

Percent

9.3%

10

8.5%

9

7.2%

8

7

5.5%

6

5

4

3

2

1977

1983

1990

1995

Percentage of All Trips Made From Home by Walking, 1977 - 1995

1

0


Modal travel in urban areas europe and north america percent of trips by mode

Modal Travel in Urban Areas:Europe and North America Percent of Trips by Mode

Transportation Quarterly 1997; 51-31


Chip 6 week data

CHIP 6 week data


Introduction lecture

BMI


Systolic blood pressure reductions mm hg

Systolic Blood Pressure Reductions mm/Hg


Diastolic blood pressure reductions mm hg

Diastolic Blood Pressure Reductions mm/Hg


Total cholesterol reductions mg dl

Total Cholesterol Reductions mg/dl


Hdl cholesterol reductions mg dl

HDL Cholesterol Reductions mg/dl


Ldl cholesterol reductions mg dl

LDL Cholesterol Reductions mg/dl


Triglyceride changes mg dl

Triglyceride Changes mg/dl


Glucose reductions mg dl

Glucose Reductions mg/dl


  • Login