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Overweight/Obesityin Colorado high school students
2013
Overweight/Obesity in Colorado children
2012-2014
Obesityin Colorado adults
by region
2014
Overweight/Obesityin Colorado adults
by demographics
2014
Overweight and Obesityin Colorado
Colorado adults, teens and children
MANY OF US ARE NOT DOING AS WELL AS OTHERS
CHILDREN
NEARLY 6 IN 10 ADULTS IN COLORADO ARE OVERWEIGHT OR OBESE
NEARLY 1 IN 5 HIGH SCHOOL STUDENTS IN COLORADO IS OVERWEIGHT OR OBESE
MORE THAN 1 IN 4 CHILDREN IN COLORADO IS OVERWEIGHT OR OBESE
ADULTS
OBESITY PREVENTION
HIGH SCHOOL STUDENTS
41,000 of Colorado high school
students are obese.
15%of Colorado LGB high school
students are obese.
10.5%of Colorado male high school
students are obese.
Overweight/Obesityin Colorado high school
students2013
14.8%of Colorado children (ages
2-14 years) are obese.
229,000children ages 2-14 are either
overweight or obese.
Overweight/Obesityin Colorado children
2012-2014
TRENDS
COMPARISON TO THE REST OF THE COUNTRY
DEMOGRAPHICS AND GEOGRAPHY
Only Hawaii and the District of Columbia had
a lower prevalence (55.4% and 53.8 % respectively).
The U.S. prevalence(50 states and DC)
of overweight and obesity was 64.8%.
Percent of adults who were overweight or obese, 2013.
In 2014, Colorado’s figure was 57.4%.
In 2013—the most recent year comparable data are available—Colorado had one of the lowest prevalences of overweight and obesity (56.4%) among all states and the District of Columbia (DC).
66.1-69.9%
61.9-65.7%
58.0-61.8%
53.8-56.4%
CONTACT: EMAIL: [email protected] WWW.CHD.DPHE.STATE.CO.US/WEIGHT/OBESITY-IN-COLORADO-INFOGRAPHIC.HTML
SOURCES: � COLORADO BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM , CDPHE � VITAL STATISTICS UNIT, CDPHE � HEALTHY KIDS COLORADO SURVEY, CDPHE � COLORADO CHILD HEALTH SURVEY, CDPHE � FINKELSTEIN EA1, TROGDON JG, COHEN JW, DIETZ W. ANNUAL MEDICAL SPENDING ATTRIBUTABLE TO OBESITY: PAYER-AND SERVICE-SPECIFIC ESTIMATES. HEALTH AFF (MILLWOOD). 2009 SEP-OCT;28(5):W822-31. DOI: 10.1377/HLTHAFF.28.5.W822. (NATIONAL HEALTH CARE COSTS) � TROGDON JG, FINKELSTEIN EA, HYLANDS T, DELLEA PS, KAMAL-BAHL. INDIRECT COSTS OF OBESITY: A REVIEW OF THE CURRENT LITERATURE. OBES REV.2008;9(5):489–500. (PRODUCTIVITY COSTS) � THE STATE OF HEALTH: COLORADO’S COMMITMENT TO BECOME THE HEALTHIEST STATE � WWW.COLORADO.GOV/CDPHE/COLORADOS10WINNABLEBATTLES � HEALTHY COLORADO: SHAPING A STATE OF HEALTH, COLORADO’S PLAN FOR IMPROVING PUBLIC HEALTH AND THE ENVIRONMENT, 2015-2019 � WWW.CDC.GOV/OBESITY/ADULT/CAUSES.HTML � WWW.CDC.GOV/OBESITY/HEALTH_EQUITY/ADDRESSINGTHEISSUE.HTML
BODY MASS INDEX
Body Mass Index (BMI) is a formula standardized by the National Institutes of Health, used to describe an individual’s weight in comparison to height. This measurement is an estimate of the amount of body fat an individual carries. For most adults, the higher the BMI, the higher the lifetime risk for chronic disease, disability and early death. For youth and children the same method is used, but in addition, the BMI is compared to age- and sex-specific ranges. Body Mass Index is a screening tool, not a diagnostic tool. Most health professionals use this tool and most of the data presented below use BMI as a measurement of weight classification and health risk.
HEALTH CONSEQUENCES
Overweight and obese people have an increased risk of developing several diseases and conditions, including:
HOW DO WE MEASURE OVERWEIGHT AND OBESITY?
COMPLEX SYSTEMS OF INFLUENCE
At a basic level, these conditions are a result of too much energy intake (calories) compared to energy use. There is usually not one factor that affects a person’s weight, but many. Even though some risk factors for overweight and obesity are non-modifiable―such as an individual’s genetics―there are many environmental and behavioral risk factors that can be modified by individuals, friends and families, communities, and societies to reduce the risk of becoming overweight or obese.
WHAT CAUSES OVERWEIGHT AND OBESITY?
WHY DO WE MONITOR OVERWEIGHT AND OBESITY?
Calculation of adult Body Mass Index
weight (in pounds) ÷ height (in inches)2 x 703 = BMI example: 140 lbs ÷ 66 inches2 (4,356) = .032
.032 x 703 = 22.57
BMI… lower than 18.5 ......underweight
18.5-24.9..............healthy weight
25-29.9 ................overweight
30 or higher ..........obese
BMI Calculators
� High blood pressure� Type 2 diabetes� Cardiovascular disease� Gallbladder disease� Osteoarthritis� Stroke
� Depression� Anxiety� Sleep apnea� Several cancers, including
breast, endometrial, liver, kidney and colon.
PHYSICAL AND SOCIAL ENVIRONMENT: where individual health-related choices are made
INDIVIDUAL BEHAVIORS, KNOWLEDGE, BELIEFS, ETC. THAT AFFECT HEALTH.
GREATER POPULATION IMPACT
INDIVIDUAL INTERACTIONS AND SOCIAL NETWORKS.
INSTITUTIONS AND ORGANIZATIONS.
POLITICAL, CULTURAL, GEOGRAPHIC, COMMUNITIES, ETC.
STRUCTURES, POLICIES, AND SYSTEMS THAT AFFECT THE BUILT ENVIRONMENT.
Relationships
Institutions
Comm
unity
Society
Ind
iv id u a l
ECONOMIC COSTS
The economic costs of overweight and obesity are a significant burden on our health care system and economic output.
� The annual national obesity-related medical costs have been estimated to be $147 billion.
� Estimates of national productivity costs of obesity-related absenteeism range from
$3.38 billion ($79 per obese individual) to$6.38 billion ($132 per obese individual).
� Medical expenditures attributable to obesity in Colorado are estimated to exceed $1.6 billion each year.
WELD
MOFFAT
MESA
BACA
YUMA
PARK
LAS ANIMAS
ROUTT
GUNNISON
LINCOLN
GARFIELD
LARIMER
PUEBLO
BENT
SAGUACHE
KIOWA
LOGAN
GRAND
RIO BLANCO
EL PASO
EAGLE
ELBERT
MONTROSE
WASHINGTON
DELTA
LA PLATA
OTERO
KIT CARSON
JACKSON
ADAMS
CHEYENNE
PROWERS
MONTEZUMA
FREMONT
PITKIN
MORGAN
HUERFANO
CONEJOSCOSTILLA
ARCHULETA
HINSDALE
DOLORES
CHAFFEE
SAN MIGUEL
MINERAL
CUSTER
DOUGLAS
SUMMIT
CROWLEY
OURAY
PHILLIPS
BOULDER
TELLER
ALAMOSARIO GRANDE
LAKE
SEDGWICK
ARAPAHOE
JEFFERSON
SAN JUAN
CLEARCREEK
GILPIN
DENVER
BROOMFIELD
Region 6
Region 1
Region 10
Region 5
Region 8
Region 12
Region 9
Region 18
Region 13
Region 19Region 17
Region 2
Region 7
Region 14Region 15
Region 4
Region
3
16
Region 11
21 20
13.74-17.23% 17.24-19.85% 19.86-24.57% 24.58-26.52% 26.53-35.46%
ColoradoRegion 1
Region 2
Region 3
Region 4
Region 5
Region 6
Region 7
Region 8
Region 9
Region 10
Region 11
Region 12
Region 13
Region 14
Region 15
Region 16
Region 17
Region 18
Region 19
Region 20
Region 21
21.329.3
19.1
16.4
25.2
26.5
35.5
29.5
31.5
16.3
17.3
19.9
18.9
24.6
26.3
22.4
14.0
13.7
25.1
22.3
17.2
20.6
%
you, your family member, friend, neighbor, colleague...
family, friendship, work relationship, health care provider...
child care, school, work place, health care, corporations, media...
economic status, cultural norms, race/ethnicity group, neighborhood ...
parks and rec, housing, public transportation, infrastructure...
Overweight and Obesityin Colorado adults
1995-2014
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
0% 60%30%
1995 2014
The prevalence of
obesity has
doubled over the
last 20 years.
Obesity trendin Colorado
adults
10.1%
21.3%
37.7%
of Asian Colorado adultsare either
overweight or obese.
64.2% of American
Indian/Alaska Native Colorado adults are either overweight or
obese.
2,200,000Approximately
2.2 million adultsin Colorado
are eitheroverweight or obese.
Overweight/Obesity in Colorado Adults
2014
14.3
10.5
17.1
10.5
14.3
12.1
10.9
9.1
14.5
15.2
9.1
12.1
15.0
7.1
11.9
7.3
9.6
12.6
9.7
5.2
12.2
11.8
5.9
10.5
10.65.4
0% 10 20 30 40 50
Gay, lesbian, or bisexual
Heterosexual (straight)
Other language
English
Other race
American Indian orAlaska Native
Native Hawaiian orother Pacific Islander
Asian
Black or African American
White Hispanic
White, non- Hispanic
Male
Female
Adults with lower education have a higher prevalence of obesity.
More than 1 in 4 adults with Medicaid are obese.
Adults with household incomes below $50,000 are more likely to be obese.
Gay, lesbian and bisexual adults are less likely to be obese than heterosexual adults.
Men and women have a similar prevalence of obesity (21.9% and 20.7% respectively).
Adults ages 18-24 years have significantly lower obesity prevalence.
American Indian or Alaska Native, Black, and Hispanic adults have a higher prevalence of obesity.
Obese
Overweight
ADULTS
TEENS & CHILDREN
Obese
Overweight
CURRENT COLORADO EFFORTSTackling obesity is one of Colorado's 10 Winnable Battles and an initiative within the Governor’s 2013 State of Health Report. In addition, healthy eating, active living and obesity prevention have been designated as a flagship priority in the plan, Shaping a State of Health (2015-2019). This plan outlines goals and strategies to implement at the state and local levels with numerous partners and stakeholders from across Colorado:
STATEWIDE GOAL: Reverse the upward obesity trend by aligning efforts to develop a culture of health.
STATEWIDE GOAL: Intensify efforts to create conditions to achieve healthy weight across the lifespan.
STATEWIDE GOAL: Increase statewide capacity for coordinated obesity surveillance.
10Colorado’swinnablebattles
ELEVATINGHEALTH
ANDENVIRONMENT
� Breastfeeding
� Built environment
� Colorado Healthy Hospital Compact
� Worksite wellness
0% 20 40 60 80 100
18-24 years
25-44 years
45-64 years
65+ years
0% 20 40 60 80 100
Male
Female
Obese Overweight
0% 20 40 60 80 100
Colorado adults
0% 20 40 60 80 100
Less than high school
High school graduate
Some college or more
0% 20 40 60 80 100
Asian
Other
White
Hispanic
Black
American Indian/Alaska Native
0% 20 40 60 80 100
Gay, lesbian, or bisexual
Heterosexual
0% 20 40 60 80 100
Other insurance type
Uninsured
Medicaid
21.3
21.9
20.7
43.2
28.5
20.6 39.3
25.6 36.5
21.3 36.5
37.7 26.5
30.5 37.9
26.8 38.8
19.9 35.8
19.5 31.1
22.0 36.5
18.9 36.8
19.9 36.1
23.4 35.2
26.3 38.1
26.9 33.4
21.7 36.6
20.5 35.8
8.7 29.0
10.9 23.3
36.1
0% 20 40 60 80 100
$50,000+
$25,000-$49,999
<$25,000 24.7 32.1
24.2 36.2
19.8 38.7
� Early childhood obesity prevention
� Healthy food environments
� Healthy schools
Current Colorado priority initiatives include the following areas:
0 10 20 30 40 50
Colorado
Female
Male
Above 250% FPL
At or below 250% FPL
White, non-Hispanic
Asian
White Hispanic
Other
Black
Other insurance type
Medicaid
Uninsured
14.8
12.317.1
11.618.4
11.219.519.621.5
25.1
12.4
22.5
12.6
12.212.9
11.514.0
11.17.3
16.811.4
14.1
11.516.7
7.820.3
Obese
Overweight
