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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).

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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. Adults ≥20BRFSS, 2001

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

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


Obesity Trends* Among U.S. Adults ≥20BRFSS, 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. Adults ≥20BRFSS, 2003

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

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





Percent of adults who are overweight or obese
Percent of adults who are ≥20overweight or obese


Percent of adults who are overweight or obese1
Percent of adults who are ≥20overweight 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 ≥20

-3.1

-3.3

-5.8

-7.1

Ann Intern Med. 2003;138:24-32


Body fat and risk
Body Fat and Risk ≥20

Risk

Body Mass Index


Diabetes Among Adults in the U.S., ≥20BRFSS 1990

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


Diabetes Among Adults in the U.S., ≥20BRFSS 1991-92

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


Diabetes Among Adults in the U.S., ≥20BRFSS 1993-94

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


Diabetes Among Adults in the U.S., ≥20BRFSS 1995-96

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


Diabetes Among Adults in the U.S., ≥20BRFSS 1995

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


Diabetes Among Adults in the U.S., ≥20BRFSS 1997-98

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


Diabetes Among Adults in the U.S., ≥20BRFSS 1999

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


Diabetes Among Adults in the U.S., ≥20BRFSS 2000

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


Diabetes Among Adults in the U.S., ≥20BRFSS 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 ≥20

Venkat Narayan, JAMA 2003;290:1884


Diabetes and reduction in lifespan
Diabetes and Reduction in Lifespan ≥20

-14.3 yrs

-11.6 yrs

JAMA 2003;290:1884-1890


Diabetes and reduction in quality adjusted life years
Diabetes and Reduction in Quality Adjusted Life Years ≥20

-18.6 yrs

-22.0 yrs

JAMA 2003;290:1884-1890


Life expectancy in the u s
Life Expectancy in the U.S. ≥20

2-5 year decline

in life expectancy


Lifetime risk for chronic diseases
Lifetime Risk for Chronic Diseases ≥20

NCI Canada, 2.0; Lancet 1999;353:89


How People Died in 2003 ≥20

Cancer

24 %

Accidents

Suicide

Infections

Kidney failure

Lung failure

Others…

40%

Cardiovascular

Disease

36%


How People Died in 2003 ≥20

CVD

Cancer

Other

Up to 70% of all

causes of death are

lifestyle related and

preventable

The Culprit and The Cure, 2005



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



5-a-day = Avoidable

$1 million

Food Marketing = $25 Billion


Advertising
Advertising Avoidable


Type of Fat and Risk of Coronary Heart Disease Avoidable

CVD risk

Hu, New Eng J Med1997


Lung cancer and vegetable intake
Lung cancer and vegetable intake Avoidable

Relative risk

Vegetable intake grams/day

Am Inst for Cancer Research, 1997


Stomach cancer and vegetable intake
Stomach cancer and vegetable intake Avoidable

Relative risk

Vegetable intake grams/day

Am Inst for Cancer Research, 1997


Stomach cancer and fruit intake
Stomach cancer and fruit intake Avoidable

Relative risk

Fruit intake grams/day

Am Inst for Cancer Research, 1997



  • Free radicals can: Avoidable

    • Disrupt or destroy cells

    • Damage DNA, lipid membranes, mitochondria, and proteins

    • Disrupt vital functions



Cancer deaths by age in 2001
Cancer deaths by age, in 2001 10 seconds

80% of all cancers occur after age 55


Where do free radicals come from
Where do free radicals come from? 10 seconds

  • Most are produced by our own bodies by the electron transport system (ETC)

  • UV light

  • burned food

  • toxic chemicals

  • Industrial

  • automobile pollution

  • unknown sources


Cigarette smoke
Cigarette Smoke 10 seconds

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 10 seconds

Relative risk

Number of cigarettes/day


If you are a smoker
If you are a smoker… 10 seconds

-14.5 yrs

-13.2 yrs

MMWR 1997;46:444-51



Phytochemicals

Carotenoids 10 seconds

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 10 seconds

  • Little Physical Activity

  • Red meat

  • Processed meat

  • Butter

  • Potatoes

  • Refined grains

  • High fat dairy foods


Adopt and maintain a healthy lifestyle
Adopt and Maintain 10 secondsA 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 10 seconds

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) 10 seconds

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 (7 10 secondsth 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 10 seconds(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 seconds

10 to 20 years of extended, high-quality living


And… 10 seconds

  • Improved quality of life

  • Reduced Chronic Disease

  • Less medications

  • Less Hospital time

  • Fewer Surgical procedures

  • Postponed disability (Compression of Morbidity)


Compression of Morbidity 10 seconds

Morbidity

Lifespan in years

0

76

Chronic

disability

Ann Intern Med, 2003:139:455-459


Compression of Morbidity 10 seconds

Morbidity

Lifespan in years

0

76

86

?

Chronic

disability


Reductions of Near Death Morbidity 10 seconds

Morbidity

Lifespan in years

Morbidity

Lifespan in years


With a healthy lifestyle
With a Healthy Lifestyle 10 seconds

  • 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 10 seconds

www.culpritandcure.com


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