The Burden of Obesity in North Carolina

The Burden of Obesity in North CarolinaObesity in Children and Youth

Obese children are almost six times more likely than children with healthy weights to have an impaired quality of life--equal to that of children undergoing treatment for cancer.

--JAMA, 2003

NC ranks 5th worst in Childhood Obesity

Obesity and ChildrenNationally, more than one third of children and youth are overweight and 17% are obese.

Approximately 25 million children and youth are obese or overweight. The rate of childhood obesity more than tripled from 1980 to 2004.

The Child Health Assessment and Monitoring Program (CHAMP)A N.C. statewide comprehensive surveillance system

Monitors health and risk behaviors for children and adolescents (ages 0-17)

During the Behavioral Risk Factor Surveillance System (BRFSS) interview, the respondent is asked to participate in a survey about child healthThe interviewer calls back within a week to administer CHAMP to the primary caregiver of the child.

N.C. Children and YouthIn 2008, among N.C. children ages 10-17, 17.6% were overweight, and 15.2% were obese (a combined 32.8% were overweight or obese), compared to 61.3% who were at a healthy weight.

One-third of N.C. children typically consumed one serving or less of vegetables per day and 20% of children did not meet the physical activity recommendation of 60 minutes per day.

In 2007, 50% of children watched more than two hours of television on a typical day.

N.C. Children by BMI

Chart1

6

61.3

17.6

15.2

*BMI category based on percentile (underweight= below 5th percentile, healthy weight= 5th percentile to less than the 85th percentile, overweight= equal to or greater than the 85th, but less than the 95th percentile, obese= equal to or greater than the 95th percentile) for age. Data Source: North Carolina Child Health Assessment and Monitoring Program (CHAMP) Survey Data (2008): State Center for Health Statistics, Raleigh NC.

N.C. Children (Age 10-17), BMI for Age (2007)

CHAMP

UnderweightHealthy WeightOverweightObese

661.317.615.2

CHAMP

*BMI category based on percentile (underweight= below 5th percentile, healthy weight= 5th percentile to less than the 85th percentile, overweight= equal to or greater than the 85th, but less than the 95th percentile, obese= equal to or greater than the 95th percentile) for age. Data Source: North Carolina Child Health Assessment and Monitoring Program (CHAMP) Survey Data (2008): State Center for Health Statistics, Raleigh NC.

N.C. Children (Age 10-17), BMI for Age (2007)

Sheet2

Sheet3

Gender

Chart1

16.919.4

18.310.8

29%

36%

BMI category based on percentile (underweight= below 5th percentile, healthy weight= 5th percentile to less than the 85th percentile, overweight= equal to or greater than the 85th, but less than the 95th percentile, obese= equal to or greater than the 95th percentile) for age. Data Source: North Carolina Child Health Assessment and Monitoring Program (CHAMP) Survey Data (2008): State Center for Health Statistics, Raleigh NC.

Overweight

Obese

Percentage of Children

Percentage of N.C. Children (Age 10-17) Who Were Overweight or Obese, by Gender (2008)

PRAMS

needs source data comment (JRH)

The percentage of overweight and obese mothers in North Carolina has increased steadily over time with approximately 34% of women having BMIs in the overweight and obese category between 1997 and 1999 while this figure increased to 39.3% and 41.2% in the

PRAMS: % of obese NC Mothers1997-19992000-20022003-2005

%95% CI%95% CI%CI 95%Overweight18.820.821.3

ALL Women15.2(13.9-16.7)18.2(16.8-19.6)19.7(18.2-21.2)1997-19992000-20022003-2005Obese15.218.219.7

Table (x) Obese BMI data on mothers in NC 1997-2005 by age over time.Overweight or Obese343941

Obese by race

1997-19992000-20022003-2005

White13.51617.7

African American2125.327.7

PRAMS

0

0

0

Source: North Carolina Pregnancy Risk Assessment Monitoring System Survey Data. N.C. State Center for Health Statistics (1997-1999, 2000-2002, 2003-2005)

Overweight or Obese

Percentage of NC Mothers

Trends in the Percentage of N.C. Mothers Who Were Overweight or Obese (1997-2005)

41%

39%

34%

regional

00

00

00


White

African American

Percentage of Mothers

Trends in the Percentage of N.C. Mothers Who Were Overweight or Obese, by Race (1997-2005)

18%

16%

14%

28%

25%

21%

obese by race

BRFSS

Healthy WeightOverweightObeseOverweight or ObeseUnderweightRecommended RangeOverweightObeseUnderweightRecommended RangeOverweightObese

Western36.436.325.161.4Eastern1.43138.329.3Piedmont2.236.835.225.7

Piedmont36.835.225.760.9

Eastern3138.329.367.7UnderweightRecommended RangeOverweightObese

Western2.336.436.325.1

BRFSS

OverweightObeseOverweight or Obese

Western37.12663.1

Piedmont35.628.263.8

Eastern36.13167.1

obese by race

000

000

000

000

Source: North Carolina Behavioral Risk Factor Surveillance System Survey, N.C. State Center for Health Statistics, N.C. Department of Health and Human Services, (2006).

Western

Piedmont

Eastern

Percentage of Adults

Percentage of NC Adults by BMI Category and Region (2006)

36%

25%

61%

36%

35%

26%

61%

37%

68%

29%

38%

31%

2005 Actual Deaths

0

0

0

0

Eastern

NC BMIs for the Eastern Region (2006)

29%

31%

1%

38%

claims data

0

0

0

0

Western

NC BMIs for the Western Region (2006)

36%

2%

36%

25%

county

0

0

0

0

Piedmont

NC BMIs for the Piedmont Region (2006)

37%

2%

35%

26%

oral health

00

00

00


63%

64%

67%

Overweight

Obese


Percentage of N.C. Adults who are Overweight or Obese by Region (2007)

asthma

Percent Obese in North Carolina by Year, Race, and Sex

19901991199219931994199519961997199819992000200120022003200420052006

NC12.913.413.415.716.316.918.118.319.421.521.822.923.524.025.225.926.6NC

White11.211.710.813.814.614.11615.717.119.619.420.4White

Black21.119.823.924.325.928.626.929.329.730.233.134.9Black

White Male11.311.811.413.617.414.4181817.719.720.522White Male

White Female1111.610.314.111.813.813.913.516.519.518.318.9White Female

Black Male1918.315.123.822.322.721.326.32527.826.928.6Black Male

Black Female22.72131.624.828.933.931.932.133.732.338.740.2Black Female

US11.512.41314.114.815.816.316.918.419.420.421.6US

Adults that meet recommended amounts of Physical Activity and Fruits & Vegetables 2005Adults that do NOT meet recommended amounts of Physical Activity and Fruits & Vegetables 2005

20032005Fruits and VegiesPhysical Activity

Fruits & VegiesPhysical ActivityFruits & VegiesPhysical Activity2005200320052003

Normal Weight24.543.62549.9Recommended Weight7575.5Recommended Weight50.156.4

Overweight22.539.221.741.7Overweight78.377Overweight58.360.8

Obese22.531.12134.3Obese7977.5Obese65.768.9

Adults that do NOT meet recommended daily

amounts of Fruits & Vegetables

asthma

000

000

000

000

Normal Weight

Overweight

Obese

Percent

Adults that meet recommended amounts of Physical Activity and Fruits & Vegetables 2005

44%

25%

39%

22%

31%

21%

disability

000

Source: North Carolina Behavioral Risk Factor Surveillance System Survey Data. SCHS.U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, (2003, and 2005).*Recommended Daily Amount of Physical Activity = Moderate physical activity for 30 or more minutes per day, five or more days per week or vigorous physical activity for 20 or more minutes per day, three or more days per week.

Recommended Weight

Overweight

Obese


Percentage of NC Adults who do NOT meet recommended daily amount* of Physical Activity by Weight Category

56

50%

61

58%

69

66%

Breastfeeding

000

Source: North Carolina Behavioral Risk Factor Surveillance System Survey Data. SCHS.U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, (2003, and 2005). *Recommended Daily Amount of Physical Activity = Moderate physical activity for 30 or more minutes per day, five or more days per week or vigorous physical activity for 20 or more minutes per day, three or more days per week. ^ Recommended Daily amount of Fruits and Vegetables = Consumed five or more servings of fruits or vegetables per day.

Recommended Weight

Overweight

Obese


Percentage of NC Adults who do NOT meet recommended daily amount* of Fruits & Vegetables by Weight Category

Sheet1

Illicit Drug use744Tobacco Use13500

Motor Vehicles744Diet/Physical Inactivity12500

Sexual Behavior744Alcohol2600

Firearms1488Microbial Agents2300

Toxic Substances2231ToxicAgents1700

Alcohol Misuse3719Motor Vehicles1300

Infectious Agents3719Firearms900

Diet/Physical Inactivity10413Sexual Behavior600

Tobacco Use15619Illicit Drug use500

2007

No Leisure Time Physical Activity24.3

Overweight or Obesity64.6

Inadequate Fruits/Vegetables78.4

2005

N.C.


Overweight or Obesity0


Smoke22.6

Obesity25.9

Overweight36.7

NCU.S.

Current Smoking22.120.6

No Leisure-time Physical Activity23.823.8

< Rec. PA57.950.9

Age Group

Chart1

20.317.4

16.415.5

17.113.6

37%

32%

31%


Overweight

Obese

Child Age (years)

Percentage of Children and Youth

Percentage of N.C. Children (Age 10-17) Who Were Overweight or Obese, by Age Group (2008)

PRAMS





ALL Women15.2(13.9-16.7)18.2(16.8-19.6)19.7(18.2-21.2)1997-19992000-20022003-2005Obese15.218.219.7


Obese by race

1997-19992000-20022003-2005

White13.51617.7


PRAMS

0

0

0


Overweight or Obese



41%

39%

34%

regional

00

00

00


White

African American



18%

16%

14%

28%

25%

21%

obese by race

BRFSS



Piedmont36.835.225.760.9


Western2.336.436.325.1

BRFSS


Western37.12663.1


Eastern36.13167.1

obese by race

000

000

000

000


Western

Piedmont

Eastern



36%

25%

61%

36%

35%

26%

61%

37%

68%

29%

38%

31%

2005 Actual Deaths

0

0

0

0

Eastern


29%

31%

1%

38%

claims data

0

0

0

0

Western


36%

2%

36%

25%

county

0

0

0

0

Piedmont


37%

2%

35%

26%

oral health

00

00

00


63%

64%

67%

Overweight

Obese



asthma


19901991199219931994199519961997199819992000200120022003200420052006

NC12.913.413.415.716.316.918.118.319.421.521.822.923.524.025.225.926.6NC

White11.211.710.813.814.614.11615.717.119.619.420.4White

Black21.119.823.924.325.928.626.929.329.730.233.134.9Black





US11.512.41314.114.815.816.316.918.419.420.421.6US









asthma

000

000

000

000

Normal Weight

Overweight

Obese

Percent


44%

25%

39%

22%

31%

21%

disability

000


Recommended Weight

Overweight

Obese



56

50%

61

58%

69

66%

Breastfeeding

000


Recommended Weight

Overweight

Obese



Sheet1










2007




2005

N.C.




Smoke22.6

Obesity25.9

Overweight36.7

NCU.S.



< Rec. PA57.950.9

Race/Ethnicity

Chart4

15.712

20.220.6

22.521.3

2418.6

17.114.9

28%

41%

44%

43%

32%


Overweight

Obese


Percentage of N.C. Children (Age 10-17) Who Were Overweight or Obese, by Race/Ethnicity (2008)

PRAMS





ALL Women15.2(13.9-16.7)18.2(16.8-19.6)19.7(18.2-21.2)1997-19992000-20022003-2005Obese15.218.219.7


Obese by race

1997-19992000-20022003-2005

White13.51617.7


PRAMS

0

0

0


Overweight or Obese



41%

39%

34%

regional

00

00

00


White

African American



18%

16%

14%

28%

25%

21%

obese by race

BRFSS



Piedmont36.835.225.760.9


Western2.336.436.325.1

BRFSS


Western37.12663.1


Eastern36.13167.1

obese by race

000

000

000

000


Western

Piedmont

Eastern



36%

25%

61%

36%

35%

26%

61%

37%

68%

29%

38%

31%

2005 Actual Deaths

0

0

0

0

Eastern


29%

31%

1%

38%

claims data

0

0

0

0

Western


36%

2%

36%

25%

county

0

0

0

0

Piedmont


37%

2%

35%

26%

oral health

00

00

00


63%

64%

67%

Overweight

Obese



asthma


19901991199219931994199519961997199819992000200120022003200420052006

NC12.913.413.415.716.316.918.118.319.421.521.822.923.524.025.225.926.6NC

White11.211.710.813.814.614.11615.717.119.619.420.4White

Black21.119.823.924.325.928.626.929.329.730.233.134.9Black





US11.512.41314.114.815.816.316.918.419.420.421.6US









asthma

000

000

000

000

Normal Weight

Overweight

Obese

Percent


44%

25%

39%

22%

31%

21%

disability

000


Recommended Weight

Overweight

Obese



56

50%

61

58%

69

66%

Breastfeeding

000


Recommended Weight

Overweight

Obese



Sheet1










2007




2005

N.C.




Smoke22.6

Obesity25.9

Overweight36.7

NCU.S.



< Rec. PA57.950.9

Physical Activity

Chart5

83.7

76.9

92.5

86.9

76.1

65.3

Data Source: North Carolina Child Health Assessment and Monitoring Program (CHAMP) Survey Data (2007): State Center for Health Statistics, Raleigh NC.

Age (years)

at least 1 hour


Percentage of N.C. Children (Age 6-17) who met the Recommendation of 60 minutes of Physical Activity on a typical day by Gender and Age group (2007)

84%

77%

93%

87%

76%

65%

PRAMS





ALL Women15.2(13.9-16.7)18.2(16.8-19.6)19.7(18.2-21.2)1997-19992000-20022003-2005Obese15.218.219.7


Obese by race

1997-19992000-20022003-2005

White13.51617.7


PRAMS

0

0

0


Overweight or Obese


Trends in the Percentage of N.C. Overweight or Obese Mothers (1997-2005)

41%

39%

34%

regional

00

00

00


White

African American


Trends in the Percentage of N.C. Obese Pre-Pregnancy Mothers by Race (1997-2005)

18%

16%

14%

28%

25%

21%

obese by race

BRFSS



Piedmont36.835.225.760.9


Western2.336.436.325.1

BRFSS


Western37.12663.1


Eastern36.13167.1

obese by race

000

000

000

000


Western

Piedmont

Eastern



36%

25%

61%

36%

35%

26%

61%

37%

68%

29%

38%

31%

sheet 1

0

0

0

0

Eastern


29%

31%

1%

38%

2005 Actual Deaths

0

0

0

0

Western


36%

2%

36%

25%

claims data

0

0

0

0

Piedmont


37%

2%

35%

26%

county

00

00

00


63%

64%

67%

Overweight

Obese



oral health


19901991199219931994199519961997199819992000200120022003200420052006

NC12.913.413.415.716.316.918.118.319.421.521.822.923.524.025.225.926.6NC

White11.211.710.813.814.614.11615.717.119.619.420.4White

Black21.119.823.924.325.928.626.929.329.730.233.134.9Black





US11.512.41314.114.815.816.316.918.419.420.421.6US









oral health

000

000

000

000

Normal Weight

Overweight

Obese

Percent


44%

25%

39%

22%

31%

21%

asthma

000


Recommended Weight

Overweight

Obese



56

50%

61

58%

69

66%

disability

000


Recommended Weight

Overweight

Obese



Breastfeeding

Sheet1










2007




2005

N.C.




Smoke22.6

Obesity25.9

Overweight36.7

NCU.S.



< Rec. PA57.950.9

Fruit and Vegetable Consumption

Chart2

27.734

28.246.6

28.337.7

27.527.5

26.320.4

Data Source: North Carolina Child Health Assessment and Monitoring Program (CHAMP) Survey Data (2007): State Center for Health Statistics, Raleigh NC.

3+ Servings of Vegetables per Day

3+ Servings of Fruit per Day

Percentage of Children

Percentage of N.C. Children (Age 1-17) Who Ate 3+ Servings of Fruit or Vegetables on a Typical Day, by Age (2007)

PRAMS





ALL Women15.2(13.9-16.7)18.2(16.8-19.6)19.7(18.2-21.2)1997-19992000-20022003-2005Obese15.218.219.7


Obese by race

1997-19992000-20022003-2005

White13.51617.7


PRAMS

0

0

0


Overweight or Obese



41%

39%

34%

regional

00

00

00


White

African American



18%

16%

14%

28%

25%

21%

obese by race

BRFSS



Piedmont36.835.225.760.9


Western2.336.436.325.1

BRFSS


Western37.12663.1


Eastern36.13167.1

obese by race

000

000

000

000


Western

Piedmont

Eastern



36%

25%

61%

36%

35%

26%

61%

37%

68%

29%

38%

31%

sheet 1

0

0

0

0

Eastern


29%

31%

1%

38%

2005 Actual Deaths

0

0

0

0

Western


36%

2%

36%

25%

claims data

0

0

0

0

Piedmont


37%

2%

35%

26%

county

00

00

00


63%

64%

67%

Overweight

Obese



oral health


19901991199219931994199519961997199819992000200120022003200420052006

NC12.913.413.415.716.316.918.118.319.421.521.822.923.524.025.225.926.6NC

White11.211.710.813.814.614.11615.717.119.619.420.4White

Black21.119.823.924.325.928.626.929.329.730.233.134.9Black





US11.512.41314.114.815.816.316.918.419.420.421.6US









oral health

000

000

000

000

Normal Weight

Overweight

Obese

Percent


44%

25%

39%

22%

31%

21%

asthma

000


Recommended Weight

Overweight

Obese



56

50%

61

58%

69

66%

disability

000


Recommended Weight

Overweight

Obese



Breastfeeding

Sheet1










2007




2005

N.C.




Smoke22.6

Obesity25.9

Overweight36.7

NCU.S.



< Rec. PA57.950.9

The North Carolina Nutrition and Physical Activity Surveillance System (NC-NPASS)Child health indicators from local public health departments and Women, Infants and Children (WIC) programs

Includes height, weight, a few lab measures and limited behavioral data

May not be representative of the total population as a whole

N.C. Children and Youth Overweight Trends

Chart3

12.513.415.5

12.714.315.6

13.114.817.3

12.913.816.7

13.614.516.4

13.915.116.8

1414.8716.75

14.214.817

15.2615.6717.04

15.616.0218.3

15.416.2218.1

15.716.8317.32

15.7516.9217.66

*BMI based on body mass index for age and gender. Source: North Carolina-Nutrition and Physical Activity Surveillance System (NC-NPASS) includes data on children seen in North Carolina Public Health Sponsored WIC and Child Health Clinics and some School Based Health Centers. (1995-2007).

2-4 years

5-11 years

12-18 years

Percentage

Percentage of NC Children and Youth who are Overweight* by Age Group (1995-2007)

PRAMS





ALL Women15.2(13.9-16.7)18.2(16.8-19.6)19.7(18.2-21.2)1997-19992000-20022003-2005Obese15.218.219.7


Obese by race

1997-19992000-20022003-2005

White13.51617.7


PRAMS

0

0

0


Overweight or Obese



41%

39%

34%

regional

00

00

00


White

African American



18%

16%

14%

28%

25%

21%

Recs for fruit& Veg &PA

BRFSS



Piedmont36.835.225.760.9


Western2.336.436.325.1

BRFSS


Western37.12663.1


Eastern36.13167.1


000

000

000

000


Western

Piedmont

Eastern



36%

25%

61%

36%

35%

26%

61%

37%

68%

29%

38%

31%

sheet 1

0

0

0

0

Eastern


29%

31%

1%

38%

2005 Actual Deaths

0

0

0

0

Western


36%

2%

36%

25%

claims data

0

0

0

0

Piedmont


37%

2%

35%

26%

county

00

00

00


63%

64%

67%

Overweight

Obese



oral health


19901991199219931994199519961997199819992000200120022003200420052006

NC12.913.413.415.716.316.918.118.319.421.521.822.923.524.025.225.926.6NC

White11.211.710.813.814.614.11615.717.119.619.420.4White

Black21.119.823.924.325.928.626.929.329.730.233.134.9Black





US11.512.41314.114.815.816.316.918.419.420.421.6US









oral health

000

000

000

000

Normal Weight

Overweight

Obese

Percent


44%

25%

39%

22%

31%

21%

asthma

000


Recommended Weight

Overweight

Obese



56

50%

61

58%

69

66%

disability

000


Recommended Weight

Overweight

Obese



Breastfeeding

Sheet1










NCU.S.

Smoke22.620.5

No Leisure Time Physical Activity25.623.9

Obesity25.924.4

Overweight36.736.7

Inadequate Fruits/Vegetables77.576.8

NCU.S.



< Rec. PA57.950.9

N.C. Children and Youth Obesity Trends

Chart4

8.9914.6822.73

9.415.8724.38

10.0315.925.61

10.6416.8624.88

11.218.2723.85

12.2420.6126.02

12.0220.2726.03

13.521.126.3

14.3722.7726.47

14.8623.8127.24

14.5524.4927.29

15.1725.2429.55

15.2824.9229.9

*BMI based on body mass index for age and gender. Source: North Carolina-Nutrition and Physical Activity Surveillance System (NC-NPASS) includes data on children seen in North Carolina Public Health Sponsored WIC and Child Health Clinics and some School Based Health Centers. (1995-2007).

2-4 years

5-11 years

12-18 years

Percentage

Percentage of NC Children and Youth who are Obese* by Age Group (1995-2007)

PRAMS





ALL Women15.2(13.9-16.7)18.2(16.8-19.6)19.7(18.2-21.2)1997-19992000-20022003-2005Obese15.218.219.7


Obese by race

1997-19992000-20022003-2005

White13.51617.7


PRAMS

0

0

0


Overweight or Obese



41%

39%

34%

regional

00

00

00


White

African American



18%

16%

14%

28%

25%

21%


BRFSS



Piedmont36.835.225.760.9


Western2.336.436.325.1

BRFSS


Western37.12663.1


Eastern36.13167.1


000

000

000

000


Western

Piedmont

Eastern



36%

25%

61%

36%

35%

26%

61%

37%

68%

29%

38%

31%

sheet 1

0

0

0

0

Eastern


29%

31%

1%

38%

2005 Actual Deaths

0

0

0

0

Western


36%

2%

36%

25%

claims data

0

0

0

0

Piedmont


37%

2%

35%

26%

county

00

00

00


63%

64%

67%

Overweight

Obese



oral health


19901991199219931994199519961997199819992000200120022003200420052006

NC12.913.413.415.716.316.918.118.319.421.521.822.923.524.025.225.926.6NC

White11.211.710.813.814.614.11615.717.119.619.420.4White

Black21.119.823.924.325.928.626.929.329.730.233.134.9Black





US11.512.41314.114.815.816.316.918.419.420.421.6US









oral health

000

000

000

000

Normal Weight

Overweight

Obese

Percent


44%

25%

39%

22%

31%

21%

asthma

000


Recommended Weight

Overweight

Obese



56

50%

61

58%

69

66%

disability

000


Recommended Weight

Overweight

Obese



Breastfeeding

Sheet1










NCU.S.

Smoke22.620.5


Obesity25.924.4

Overweight36.736.7


NCU.S.



< Rec. PA57.950.9

The Youth Risk Behavior Surveillance System (YRBSS)Developed by CDC to monitor priority health-risk behaviors among youth

National, school-based survey

Completed by students (in approximately 45 minutes) in the classroom

Conducted biennially since 1991, at the national, state and local levels.

Trends in Weight of N.C. High School Students

Chart1

14.412.827.2

14.712.527.2

15.713.529.2

17.112.829.9

Weight category based percentile (overweight= equal to or greater than the 85th, but less than the 95th percentile, obese= equal to or greater than the 95th percentile) for age and gender. Source: North Carolina Youth Risk Behavior Surveillance System, North Carolina Department of Public Instruction and North Carolina Department of Health and Human Services. (2001, 2003, 2005, and 2007).

Overweight

Obese

Overweight or Obese

Percentage of High School Students

Trends in the Percentage of N.C. High School Students Who Were Overweight or Obese (2001, 2003, 2005, and 2007)

PRAMS





ALL Women15.2(13.9-16.7)18.2(16.8-19.6)19.7(18.2-21.2)1997-19992000-20022003-2005Obese15.218.219.7


Obese by race

1997-19992000-20022003-2005

White13.51617.7


PRAMS

0

0

0


Overweight or Obese



41%

39%

34%

regional

00

00

00


White

African American



18%

16%

14%

28%

25%

21%

obese by race

BRFSS



Piedmont36.835.225.760.9


Western2.336.436.325.1

BRFSS


Western37.12663.1


Eastern36.13167.1

obese by race

000

000

000

000


Western

Piedmont

Eastern



36%

25%

61%

36%

35%

26%

61%

37%

68%

29%

38%

31%

sheet 1

0

0

0

0

Eastern


29%

31%

1%

38%

2005 Actual Deaths

0

0

0

0

Western


36%

2%

36%

25%

claims data

0

0

0

0

Piedmont


37%

2%

35%

26%

county

00

00

00


63%

64%

67%

Overweight

Obese



oral health


19901991199219931994199519961997199819992000200120022003200420052006

NC12.913.413.415.716.316.918.118.319.421.521.822.923.524.025.225.926.6NC

White11.211.710.813.814.614.11615.717.119.619.420.4White

Black21.119.823.924.325.928.626.929.329.730.233.134.9Black





US11.512.41314.114.815.816.316.918.419.420.421.6US









oral health

000

000

000

000

Normal Weight

Overweight

Obese

Percent


44%

25%

39%

22%

31%

21%

asthma

000


Recommended Weight

Overweight

Obese



56

50%

61

58%

69

66%

disability

000


Recommended Weight

Overweight

Obese



Breastfeeding

Sheet1










2007




2005

N.C.




Smoke22.6

Obesity25.9

Overweight36.7

NCU.S.



< Rec. PA57.950.9

N.C. Middle and High School Students, by Grade

Chart5

2017.2

18.814.4

17.116.2

1714.4

20.612.6

1512.4

15.410.8

*BMI based on body mass index for age and gender. Source: North Carolina Youth Risk Behavior Surveillance System, North Carolina Department of Public Instruction and North Carolina Department of Health and Human Services (2005 and 2007).

37%

33%

33%

31%

34%

27%

26%

Overweight*

Obese*

Percentage of Students

Percentage of N.C. Middle School (2005) and High School (2007) Students Who Are Overweight or Obese, by Grade

PRAMS





ALL Women15.2(13.9-16.7)18.2(16.8-19.6)19.7(18.2-21.2)1997-19992000-20022003-2005Obese15.218.219.7


Obese by race

1997-19992000-20022003-2005

White13.51617.7


PRAMS

0

0

0


Overweight or Obese



41%

39%

34%

regional

00

00

00


White

African American



18%

16%

14%

28%

25%

21%


BRFSS



Piedmont36.835.225.760.9


Western2.336.436.325.1

BRFSS


Western37.12663.1


Eastern36.13167.1


000

000

000

000


Western

Piedmont

Eastern



36%

25%

61%

36%

35%

26%

61%

37%

68%

29%

38%

31%

sheet 1

0

0

0

0

Eastern


29%

31%

1%

38%

2005 Actual Deaths

0

0

0

0

Western


36%

2%

36%

25%

claims data

0

0

0

0

Piedmont


37%

2%

35%

26%

county

00

00

00


63%

64%

67%

Overweight

Obese



oral health


19901991199219931994199519961997199819992000200120022003200420052006

NC12.913.413.415.716.316.918.118.319.421.521.822.923.524.025.225.926.6NC

White11.211.710.813.814.614.11615.717.119.619.420.4White

Black21.119.823.924.325.928.626.929.329.730.233.134.9Black





US11.512.41314.114.815.816.316.918.419.420.421.6US









oral health

000

000

000

000

Normal Weight

Overweight

Obese

Percent


44%

25%

39%

22%

31%

21%

asthma

000


Recommended Weight

Overweight

Obese



56

50%

61

58%

69

66%

disability

000


Recommended Weight

Overweight

Obese



Breastfeeding

Sheet1










NCU.S.

Smoke22.620.5


Obesity25.924.4

Overweight36.736.7


NCU.S.



< Rec. PA57.950.9

Students Who Described Themselves as Overweight or Were Trying to Lose Weight

Chart2

22.742.8

22.344.7

24.845.1

Source: North Carolina Youth Risk Behavior Surveillance System, North Carolina Department of Public Instruction and North Carolina Department of Health and Human Services. (2007).

Percentage of students who describe themselves as overweight

Percentage of students who are trying to lose weight

Percentage of Students

Percentage of N.C. Middle School Students Who Described Themselves as Overweight or Were Trying to Lose Weight (2007)

23%

22%

25%

43%

45%

45%

PRAMS





ALL Women15.2(13.9-16.7)18.2(16.8-19.6)19.7(18.2-21.2)1997-19992000-20022003-2005Obese15.218.219.7


Obese by race

1997-19992000-20022003-2005

White13.51617.7


PRAMS

0

0

0


Overweight or Obese



41%

39%

34%

regional

00

00

00


White

African American



18%

16%

14%

28%

25%

21%

obese by race

BRFSS



Piedmont36.835.225.760.9


Western2.336.436.325.1

BRFSS


Western37.12663.1


Eastern36.13167.1

obese by race

000

000

000

000


Western

Piedmont

Eastern



36%

25%

61%

36%

35%

26%

61%

37%

68%

29%

38%

31%

sheet 1

0

0

0

0

Eastern


29%

31%

1%

38%

2005 Actual Deaths

0

0

0

0

Western


36%

2%

36%

25%

claims data

0

0

0

0

Piedmont


37%

2%

35%

26%

county

00

00

00


63%

64%

67%

Overweight

Obese



oral health


19901991199219931994199519961997199819992000200120022003200420052006

NC12.913.413.415.716.316.918.118.319.421.521.822.923.524.025.225.926.6NC

White11.211.710.813.814.614.11615.717.119.619.420.4White

Black21.119.823.924.325.928.626.929.329.730.233.134.9Black





US11.512.41314.114.815.816.316.918.419.420.421.6US









oral health

000

000

000

000

Normal Weight

Overweight

Obese

Percent


44%

25%

39%

22%

31%

21%

asthma

000


Recommended Weight

Overweight

Obese



56

50%

61

58%

69

66%

disability

000


Recommended Weight

Overweight

Obese



Breastfeeding

Sheet1










2007




2005

N.C.




Smoke22.6

Obesity25.9

Overweight36.7

NCU.S.



< Rec. PA57.950.9

N.C. High School Students, by Race/Ethnicity

Chart3

13.410.9

2415

2016.7

9.719.4

Source: North Carolina Youth Risk Behavior Surveillance System, North Carolina Department of Public Instruction and North Carolina Department of Health and Human Services. (2007).

Overweight

Obese

Percentage of High School Students

Percentage of N.C. High School Students Who Were Overweight or Obese, by Race/Ethnicity (2007)

10%

20%

24%

13%

19%

17%

15%

11%

PRAMS





ALL Women15.2(13.9-16.7)18.2(16.8-19.6)19.7(18.2-21.2)1997-19992000-20022003-2005Obese15.218.219.7


Obese by race

1997-19992000-20022003-2005

White13.51617.7


PRAMS

0

0

0


Overweight or Obese



41%

39%

34%

regional

00

00

00


White

African American



18%

16%

14%

28%

25%

21%

obese by race

BRFSS



Piedmont36.835.225.760.9


Western2.336.436.325.1

BRFSS


Western37.12663.1


Eastern36.13167.1

obese by race

000

000

000

000


Western

Piedmont

Eastern



36%

25%

61%

36%

35%

26%

61%

37%

68%

29%

38%

31%

sheet 1

0

0

0

0

Eastern


29%

31%

1%

38%

2005 Actual Deaths

0

0

0

0

Western


36%

2%

36%

25%

claims data

0

0

0

0

Piedmont


37%

2%

35%

26%

county

00

00

00


63%

64%

67%

Overweight

Obese



oral health


19901991199219931994199519961997199819992000200120022003200420052006

NC12.913.413.415.716.316.918.118.319.421.521.822.923.524.025.225.926.6NC

White11.211.710.813.814.614.11615.717.119.619.420.4White

Black21.119.823.924.325.928.626.929.329.730.233.134.9Black





US11.512.41314.114.815.816.316.918.419.420.421.6US









oral health

000

000

000

000

Normal Weight

Overweight

Obese

Percent


44%

25%

39%

22%

31%

21%

asthma

000


Recommended Weight

Overweight

Obese



56

50%

61

58%

69

66%

disability

000


Recommended Weight

Overweight

Obese



Breastfeeding

Sheet1





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The Burden of Obesity in North Carolina

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