Obesity Trends Among U.S. Adults BRFSS, 1985

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Obesity Trends Among U.S. AdultsBRFSS, 1985
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Obesity Trends Among U.S. AdultsBRFSS, 1986
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Obesity Trends Among U.S. AdultsBRFSS, 1987
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Obesity Trends Among U.S. AdultsBRFSS, 1988
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Obesity Trends Among U.S. AdultsBRFSS, 1989
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Obesity Trends Among U.S. AdultsBRFSS, 1990
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Obesity Trends Among U.S. AdultsBRFSS, 1991
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Obesity Trends Among U.S. AdultsBRFSS, 1992
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Obesity Trends Among U.S. AdultsBRFSS, 1993
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Obesity Trends Among U.S. AdultsBRFSS, 1994
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Obesity Trends Among U.S. AdultsBRFSS, 1995
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Obesity Trends Among U.S. AdultsBRFSS, 1996
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Obesity Trends Among U.S. AdultsBRFSS, 1997
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Obesity Trends Among U.S. AdultsBRFSS, 1998
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Obesity Trends Among U.S. AdultsBRFSS, 1999
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Obesity Trends Among U.S. AdultsBRFSS, 2000
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Obesity Trends Among U.S. AdultsBRFSS, 2001
No Data lt10 1014
1519 2024 25
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Obesity Trends Among U.S. AdultsBRFSS, 2002
(BMI ?30, or 30 lbs overweight for 54 person)
No Data lt10 1014
1519 2024 25
19
Obesity Trends Among U.S. AdultsBRFSS, 2003
No Data lt10 1014
1519 2024 25
20
Obesity Trends Among U.S. AdultsBRFSS, 2004
No Data lt10 1014
1519 2024 25
21
Obesity Trends Among U.S. AdultsBRFSS, 2004
No Data lt10 1014
1519 2024 25
22
Obesity Trends Among U.S. AdultsBRFSS, 2005
No Data lt10 1014
1519 2024 2529
30
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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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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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Lifetime Risk of Diabetes for Children Born in
2000
49
Venkat Narayan, JAMA 20032901884
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• Can individuals replace unhealthy lifestyle
  behaviors with healthy ones?
• Can healthy behaviors be maintained?
• Do health risks improve with the new behaviors?

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Unhealthy behaviors
Health risks
Chronic disease
Health care costs
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Lifestyle Research Initiative

• 1.4 million
• Randomized lifestyle trial
• 700 people
• 6 week lifestyle intervention program
• Outcomes to include healthy lifestyle knowledge
  and behavior, CVD risk factors, body fat,
  glucose, HbA1C, serum antioxidant capacity, bone
  metabolism and many others

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Data collection..

• Intervention group measured at
• Baseline
• 6 weeks
• 6 months
• 12 months
• 18 months

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• Control group measured at
• Baseline, 6 weeks, and 6 months
• At 6 months control group started the lifestyle
  intervention

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Number of participants
42
Total Steps/week
43
(No Transcript)
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Calories Consumed
45
Meat Servings/day
46
Percent Calories from Fat
47
Grams of Saturated Fat/day
48
Grams of Monounsaturated Fat/day
49
Grams of Polyunsaturated Fat/day
50
Grams of Fiber/day
51
Fast Food Reaches Africa
52
Vegetable Servings/day
53
Fruit Servings/day
54
Grain Servings/day
55
Dairy Servings/day
56
Dietary Cholesterol mg/day
57
Dietary Cholesterol mg/day
58
Healthy behaviors
59
Healthy behaviors
60
Healthy behaviors
Low health risks
61
Weight in pounds
62
Percent Body Fat
63
BMI
64
BMI changes at 6 weeks
65
BMI changes at 6 months
66
Systolic Blood Pressure
67
Systolic Blood Pressure Reductions at 6 weeks
68
Systolic Blood Pressure Reductions at 6 months
69
Diastolic Blood Pressure
70
Diastolic Blood Pressure Reductions at 6 weeks
71
Diastolic Blood Pressure Reductions at 6 months
72
Total Cholesterol mg/dl
73
Total Cholesterol Reductions at 6 weeks
74
Total Cholesterol Reductions at 6 months
75
Reductions in risk

• There is a 2-3 decrease in MI risk for
• Every 1 mmHg decrease in diastolic
• Every 1 decrease in total CHL

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Changes is Diastolic BP and CHL

• Diastolic BP mmHg
• Ideal -3.5
• High -10.4
• Dangerous -14.0

• Total CHL decr.
• Normal -9.2
• Borderline -13.2
• High -17.9

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Reductions in risk with these changes

• Diastolic BP
• Ideal 7-11
• High 21-31
• Dangerous 28-42

• Total CHL
• Normal 18-28
• Borderline 26-40
• High 36-54

64-96 reduction in heart disease risk
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HDL mg/dl
79
HDL Cholesterol Changes at 6 weeks
80
HDL Cholesterol Changes at 6 months
81
LDL mg/dl
82
LDL Cholesterol Reductions at 6 weeks
83
LDL Cholesterol Reductions at 6 months
84
Triglycerides mg/dl
85
Triglyceride Changes at 6 weeks
86
Triglyceride Changes at 6 months
87
Blood Glucose mg/dl
88
Glucose Reductions at 6 weeks
89
Glucose Reductions at 6 months
90
Healthy behaviors
Low health risks
91
?
Healthy behaviors
Low health risks
Less chronic disease
92
Percent of Americans who never eat meat
93
Percent of Americans who never eat meat
6.7
Harris Interactive, 2006
94
Percent of Americans who are vegetarians
95
Percent of Americans who are vegetarians
2.3
Harris Interactive, 2006
96
What about the rest?
97.7
97
(No Transcript)
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The Stop Go Fast Food Nutrition Guide