P1246990924SwBrb

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Obesity Trends Among U.S. Adults1985
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Obesity Trends Among U.S. Adults1986
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Obesity Trends Among U.S. Adults1987
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Obesity Trends Among U.S. Adults1988
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Obesity Trends Among U.S. Adults1989
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Obesity Trends Among U.S. Adults1990
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Obesity Trends Among U.S. Adults1991
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Obesity Trends Among U.S. Adults1992
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Obesity Trends Among U.S. Adults1993
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Obesity Trends Among U.S. Adults1994
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Obesity Trends Among U.S. Adults1995
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Obesity Trends Among U.S. Adults1996
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Obesity Trends Among U.S. Adults1997
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Obesity Trends Among U.S. Adults1998
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Obesity Trends Among U.S. Adults1999
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Obesity Trends Among U.S. Adults2000
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Obesity Trends Among U.S. Adults2001
No Data 1519 2024 25
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Obesity Trends Among U.S. Adults2002
(BMI ?30, or 30 lbs overweight for 54 person)
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Obesity Trends Among U.S. Adults2003
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Obesity Trends Among U.S. Adults2004
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Obesity Trends Among U.S. Adults2004
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Obesity Trends Among U.S. Adults2005
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Obesity Trends Among U.S. Adults2006
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Percent of adults who are overweight or obese
67
2/3 of adults are overweight or obese
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Percent of adults who are overweight or obese
81
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Excess Body Weight and Reduction of Lifespan
-3.1
-3.3
-5.8
-7.1
Ann Intern Med. 200313824-32
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Diabetes Among Adults in the U.S.,BRFSS 1990
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Diabetes Among Adults in the U.S.,BRFSS 1992
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Diabetes Among Adults in the U.S.,BRFSS 1994
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Diabetes Among Adults in the U.S.,BRFSS 1996
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Diabetes Among Adults in the U.S.,BRFSS 1997
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Diabetes Among Adults in the U.S.,BRFSS 1998
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Diabetes Among Adults in the U.S.,BRFSS 1999
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Diabetes Among Adults in the U.S.,BRFSS 2000
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Diabetes Among Adults in the U.S.,BRFSS 2001
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Diabetes and Reduction in Lifespan
-14.3 yrs
-11.6 yrs
JAMA 20032901884-1890
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Life Expectancy in the U.S.
2-5 year decline in life expectancy
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Lifespan in Utah vs US
MMWR 199746444-51
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What about Utah residents?

• Low rates of cancer and heart disease compared to
  other states
• Live a little longer
• 7-9 smoke compared to 21 (US)
• Have more body fat now than at any other time in
  recorded history

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What about Utah residents?

• Low rates of cancer and heart disease compared to
  other states
• Live a little longer
• 7-9 smoke compared to 21 (US)
• Have more body fat now than at any other time in
  recorded history

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Percent of Adults Obese U.S. vs Utah
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What about Utah Mormons?

• Less physically active than non LDS
• Weight 10.5 lbs more than non LDS
• Weigh significantly more than members of other
  religions in Utah
• Eat fewer fruits and vegetables
• Similar to the rest of the nation on all other
  health risk and diseases

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Moral Decay
Time
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Moral Decay
Time
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Tobacco Use
Time
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Alcohol Use
Time
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What About Diet?
Time
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The problem with you Mormons is that you had the
correct health code all along but you dont
follow it. Youve become secularized.
Dr. Hans DiehlLifestyle Medicine Institute
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Lifetime Risk of Diabetes for Children Born in
2000
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Venkat Narayan, JAMA 20032901884
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Percent of Chronic Diseases That Are Caused by
Poor Lifestyle
91
82
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Sources Stampfer, 2000 Platz, 2000 Hu, 2001
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How did we get this way?
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5-a-day 1 million
Food Marketing 25 Billion
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Texas Double Whopper
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• Student programs in Granite District are
  supported by a 10-year 2.5 million Pepsi
  contract.
• The Mafia

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Lung cancer and vegetable intake
Relative risk
Vegetable intake grams/day
Am Inst for Cancer Research, 1997
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Stomach cancer and vegetable intake
Relative risk
Vegetable intake grams/day
Am Inst for Cancer Research, 1997
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Stomach cancer and fruit intake
Relative risk
Fruit intake grams/day
Am Inst for Cancer Research, 1997
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Unpaired Electrons
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• DNA in each cell gets a hit by a free radical
  every 10 seconds
• Each cell gets 10,000 hits/day

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Where do free radicals come from?

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

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Cigarette Smoke

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

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

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

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

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Western Diet Pattern
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Prudent Diet Pattern
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Western vs Prudent

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

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Difference in Years of Life Between High and Low
Health Risk
Frazier, Arch Intern Med. 20011611645
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Low vs High Health Risks and Life Expectancy
(cumulative)
Age
Frazier et al,Arch Intern Med. 20011611645
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Life Span in 7th Day Adventists
?
?
Fraser et al. Arch Intern Med, 20011611645-1652
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Life Span in 10,000 California Mormons
?
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Mormon High Priests and Wives, Enstrom, UCLA, 1989
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What Can I Expect if I Reduce My Health Risks?
10 to 20 years of extended, high-quality living
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Why Should I Care?
Morbidity
Lifespan in years
76
0
critical illness
Ann Intern Med, 2003139455-459
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Morbidity
Lifespan in years
0
?
76
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critical illness
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End of Life Benefits
Morbidity
Lifespan in years
10-20 Years
Morbidity
Lifespan in years
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End of Life Benefits
Morbidity
Lifespan in years
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End of Life Benefits
Morbidity
Lifespan in years
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End of Life Benefits
Morbidity
Lifespan in years
102
End of Life Benefits
Morbidity
Lifespan in years
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