Obesity Trends Among U'S' Adults 1985

1
Obesity Trends Among U.S. Adults1985
2
Obesity Trends Among U.S. Adults1986
3
Obesity Trends Among U.S. Adults1987
4
Obesity Trends Among U.S. Adults1988
5
Obesity Trends Among U.S. Adults1989
6
Obesity Trends Among U.S. Adults1990
7
Obesity Trends Among U.S. Adults1991
8
Obesity Trends Among U.S. Adults1992
9
Obesity Trends Among U.S. Adults1993
10
Obesity Trends Among U.S. Adults1994
11
Obesity Trends Among U.S. Adults1995
12
Obesity Trends Among U.S. Adults1996
13
Obesity Trends Among U.S. Adults1997
14
Obesity Trends Among U.S. Adults1998
15
Obesity Trends Among U.S. Adults1999
16
Obesity Trends Among U.S. Adults2000
17
Obesity Trends Among U.S. Adults2001
No Data lt10 1014
1519 2024 25
18
Obesity Trends Among U.S. Adults2002
(BMI ?30, or 30 lbs overweight for 54 person)
No Data lt10 1014
1519 2024 25
19
Obesity Trends Among U.S. Adults2003
No Data lt10 1014
1519 2024 25
20
Obesity Trends Among U.S. Adults2004
No Data lt10 1014
1519 2024 25
21
Obesity Trends Among U.S. Adults2004
No Data lt10 1014
1519 2024 25
22
Obesity Trends Among U.S. Adults2005
No Data lt10 1014
1519 2024 2529
30
23
Obesity Trends Among U.S. Adults2006
No Data lt10 1014
1519 2024 2529
30
24
Percent of adults who are overweight or obese
67
2/3 of adults are overweight or obese
25
Percent of adults who are overweight or obese
81
26
Excess Body Weight and Reduction of Lifespan
-3.1
-3.3
-5.8
-7.1
Ann Intern Med. 200313824-32
27
(No Transcript)
28
Diabetes Among Adults in the U.S.,BRFSS 1990
29
Diabetes Among Adults in the U.S.,BRFSS 1992
30
Diabetes Among Adults in the U.S.,BRFSS 1994
31
Diabetes Among Adults in the U.S.,BRFSS 1996
32
Diabetes Among Adults in the U.S.,BRFSS 1997
33
Diabetes Among Adults in the U.S.,BRFSS 1998
34
Diabetes Among Adults in the U.S.,BRFSS 1999
35
Diabetes Among Adults in the U.S.,BRFSS 2000
36
Diabetes Among Adults in the U.S.,BRFSS 2001
37
Diabetes and Reduction in Lifespan
-14.3 yrs
-11.6 yrs
JAMA 20032901884-1890
38
Lifetime Risk of Diabetes for Children Born in
2000
49
Venkat Narayan, JAMA 20032901884
39
Percent of Chronic Diseases That Are Caused by
Poor Lifestyle
91
82
71
70
Sources Stampfer, 2000 Platz, 2000 Hu, 2001
40
How did we get this way?
41
(No Transcript)
42
5-a-day 1 million
Food Marketing 25 Billion
43
(No Transcript)
44
(No Transcript)
45
Texas Double Whopper
46
(No Transcript)
47
The Bottom Line
Unhealthy behaviors
Health risks
Chronic disease
Health care costs
48
Lung cancer and vegetable intake
Relative risk
Vegetable intake grams/day
Am Inst for Cancer Research, 1997
49
Stomach cancer and vegetable intake
Relative risk
Vegetable intake grams/day
Am Inst for Cancer Research, 1997
50
Stomach cancer and fruit intake
Relative risk
Fruit intake grams/day
Am Inst for Cancer Research, 1997
51
(No Transcript)
52
(No Transcript)
53
(No Transcript)
54
(No Transcript)
55
(No Transcript)
56
Unpaired Electrons
57
(No Transcript)
58

• DNA in each cell gets a hit by a free radical
  every 10 seconds
• Each cell gets 10,000 hits/day

59

• Each cell gets 10,000 hits/day

60
80 of All Cancers Occur After Age 55
61
Where do free radicals come from?

• Most are produced by our own bodies
• UV light
• burned food
• toxic chemicals
• Industrial
• automobile pollution
• unknown sources

62
Cigarette Smoke

• One puff of smoke contains
• 100,000,000,000,000,000
• free radical species
• Tobacco is responsible for 31 of all cancers

63
If you are a smoker
-14.5 yrs
-13.2 yrs
MMWR 199746444-51
64
How do we protect our selves?
65
Phytochemicals

• Carotenoids
• Beta-carotene
• Lycopene
• Lutein
• Zeaxanthin
• Organosulfurs
• Flavinoids

• Phytosterols
• Alkaloids
• Tannins
• Saponins
• 100,000 more we have yet to identify

66
Western Diet Pattern
67
Prudent Diet Pattern
68
Western vs Prudent

• A Western diet has significantly higher risk of
• Type II diabetes
• Cancer
• Cardiovascular disease
• Premature death
• Alzheimers disease
• Erectile dysfunction

69
Culture of Health

• Awareness/education
• Motivation
• Tools, strategies
• Policy and environment

70
Individual
71
(No Transcript)
72
(No Transcript)
73
(No Transcript)
74
(No Transcript)
75
16 oz
32 oz
44 oz
52 oz
64 oz
76
(No Transcript)
77
(No Transcript)
78
Individual
Family
79
(No Transcript)
80
(No Transcript)
81
(No Transcript)
82
Individual
Family
Worksite
83
(No Transcript)
84
(No Transcript)
85
(No Transcript)
86
(No Transcript)
87
Individual
Family
Worksite
Community
88
(No Transcript)
89
Somewhere in Florida
90
(No Transcript)
91
Nation/ world
Individual
Family
Worksite
Community
92
Percent of adults who are overweight or obese by
country
US 74
Russia 50
Percent
India 16
WHO, 2007
93
(No Transcript)
94
(No Transcript)
95
Western Diet Pattern
96
Prudent Diet Pattern
97
(No Transcript)
98
(No Transcript)
99
Difference in Years of Life Between High and Low
Health Risk
Frazier, Arch Intern Med. 20011611645
100
Low vs High Health Risks and Life Expectancy
(cumulative)
Age
Frazier et al,Arch Intern Med. 20011611645
101
Real and Possible Changes in Life Span (7th Day
Adventists)
?
?
Fraser et al. Arch Intern Med, 20011611645-1652
102
Real and Possible Changes in Life Span (Mormon
High Priests and Wives)
?
?
Mormon High Priests and Wives, Enstrom, UCLA, 1989
103
What Can I Expect if I Reduce My Health Risks?
10 to 20 years of extended, high-quality living
104
Why Should I Care?
Morbidity
Lifespan in years
76
0
critical illness
Ann Intern Med, 2003139455-459
105
Morbidity
Lifespan in years
0
?
76
86
critical illness
106
End of Life Benefits
Morbidity
Lifespan in years
10-20 Years
Morbidity
Lifespan in years
107
End of Life Benefits
Morbidity
Lifespan in years
108
End of Life Benefits
Morbidity
Lifespan in years
109
End of Life Benefits
Morbidity
Lifespan in years
110
End of Life Benefits
Morbidity
Lifespan in years
111
(No Transcript)