DIET = DIE T RESCRAMBLE LETTERS – what can you get?

DIET = DIE T• RESCRAMBLE LETTERS – what can you

get?

EDIT – your choices• 80/20 Rule

• EAT Things that don’t come in a box or bag– Less box More Earth

• REAL FOOD grows and dies– Doesn’t make health claims

APPS• FOODUCATE (Free)

• Allow yourself to be a beginner – no one is perfect right away

• I don’t have time!• Life was easier when Apple and

Blackberries were just fruits

McDonalds Quarter Pounder• 4 years on a pantry shelf – no mold

Definitions:Definitions:• Obesity: Body Mass Index (BMI) of 30 or Obesity: Body Mass Index (BMI) of 30 or

higher.higher.

• Body Mass Index (BMI): A measure of an Body Mass Index (BMI): A measure of an adult’s weight in relation to his or her height, adult’s weight in relation to his or her height, specifically the adult’s weight in kilograms specifically the adult’s weight in kilograms divided by the square of his or her height in divided by the square of his or her height in meters.meters.

Obesity Obesity TrendsTrends Among U.S. Adults Among U.S. Adults Between 1985 and 2010Between 1985 and 2010

Obesity Obesity TrendsTrends Among U.S. Adults Among U.S. Adults Between 1985 and 2010Between 1985 and 2010

Source of the data:• The data shown in these maps were collected

through CDC’s Behavioral Risk Factor Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect data through a series of telephone interviews with U.S. adults. Height and weight data are self-reported.

• Prevalence estimates generated for the maps may vary slightly from those generated for the states by BRFSS (http://aps.nccd.cdc.gov/brfss) as slightly different analytic methods are used.

• In 1990, among states participating in the Behavioral Risk Factor Surveillance System, 10 states had a prevalence of obesity less than 10% and no state had prevalence equal to or greater than 15%.

• By 2000, no state had a prevalence of obesity less than 10%, 23 states had a prevalence between 20–24%, and no state had prevalence equal to or greater than 25%.

• In 2010, no state had a prevalence of obesity less than 20%. Thirty-six states had a prevalence equal to or greater than 25%; 12 of these states (Alabama, Arkansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Oklahoma, South Carolina, Tennessee, Texas, and West Virginia) had a prevalence equal to or greater than 30%.

Citations• Mokdad AH, et al. The spread of the obesity epidemic in

the United States, 1991–1998. JAMA 1999;282:16:1519–22.• Mokdad AH, et al. The continuing epidemics of obesity and

diabetes in the United States. JAMA 2001;286:10:1519–22.• Mokdad AH, et al. Prevalence of obesity, diabetes, and

obesity-related health risk factors, 2001. JAMA 2003;289:1:76–9.

• CDC. State-specific prevalence of obesity among adults — United States, 2005. MMWR 2006;55(36):985–8.

• CDC. State-specific prevalence of obesity among adults — United States, 2007. MMWR 2008;57(28):765–8.

• CDC. Vital signs: State-specific prevalence of obesity among adults — United States, 2009. MMWR 2010;59:1–5.

Source: Behavioral Risk Factor Surveillance System, CDC.

2000

Obesity Trends* Among U.S. AdultsBRFSS, 1990, 2000, 2010

(*BMI 30, or about 30 lbs. overweight for 5’4” person)

2010

1990

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%


Obesity Trends* Among U.S. AdultsBRFSS, 1985

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

No Data <10% 10%–14%




No Data <10% 10%–14%




No Data <10% 10%–14%




No Data <10% 10%–14%




No Data <10% 10%–14%




No Data <10% 10%–14%




No Data <10% 10%–14% 15%–19%




No Data <10% 10%–14% 15%–19%




No Data <10% 10%–14% 15%–19%




No Data <10% 10%–14% 15%–19%




No Data <10% 10%–14% 15%–19%




No Data <10% 10%–14% 15%–19%




No Data <10% 10%–14% 15%–19% ≥20%




No Data <10% 10%–14% 15%–19% ≥20%




No Data <10% 10%–14% 15%–19% ≥20%




No Data <10% 10%–14% 15%–19% ≥20%




No Data <10% 10%–14% 15%–19% 20%–24% ≥25%




No Data <10% 10%–14% 15%–19% 20%–24% ≥25%




No Data <10% 10%–14% 15%–19% 20%–24% ≥25%




No Data <10% 10%–14% 15%–19% 20%–24% ≥25%




No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%




No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%




No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%




No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%




No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%




No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%


15%–<20% 20%–<25% 25%–<30% 30%–<35% ≥35%

Prevalence* of Self-Reported Obesity Among U.S. Adults by State and Territory, BRFSS, 2013

*Prevalence estimates reflect BRFSS methodological changes started in 2011. These estimates should not be compared to prevalence estimates before 2011.

CA

MT

ID

NVUT

AZ NM

WY

WA

OR

CO

NE

ND

SD

TX

OK

KS

IA

MN

AR

MO

LA

MI

IN

KY

IL OH

TN

MS AL

WI

PA

WV

SC

VA

NC

GA

FL

NY

VTME

HI

AK

NHMARICTNJDEMDDC

PRGUAM



Source: Behavioral Risk Factor Surveillance System, CDC.*Prevalence estimates reflect BRFSS methodological changes started in 2011. These estimates should not be compared to prevalence estimates before 2011.

State Prevalence Confidence Interval

Alabama 32.4 (30.8, 34.1)Alaska 28.4 (26.5, 30.4)Arizona 26.8 (24.3, 29.4)Arkansas 34.6 (32.7, 36.6)California 24.1 (23.0, 25.3)Colorado 21.3 (20.4, 22.2)Connecticut 25.0 (23.5, 26.4)Delaware 31.1 (29.3, 32.8)District of Columbia 22.9 (21.0, 24.8)Florida 26.4 (25.3, 27.4)Georgia 30.3 (28.9, 31.8)Guam 27.0 (24.4, 29.8)Hawaii 21.8 (20.4, 23.2)Idaho 29.6 (27.8, 31.4)Illinois 29.4 (27.7, 31.2)Indiana 31.8 (30.6, 33.1)Iowa 31.3 (29.9, 32.7)Kansas 30.0 (29.2, 30.7)Kentucky 33.2 (31.8, 34.6)Louisiana 33.1 (31.1, 35.2)Maine 28.9 (27.5, 30.2)Maryland 28.3 (27.0, 29.5)Massachusetts 23.6 (22.5, 24.8)Michigan 31.5 (30.4, 32.6)Minnesota 25.5 (24.1, 26.8)Mississippi 35.1 (33.5, 36.8)

State Prevalence Confidence IntervalMissouri 30.4 (28.8, 32.1)Montana 24.6 (23.4, 25.8)Nebraska 29.6 (28.4, 30.7)Nevada 26.2 (24.0, 28.6)New Hampshire 26.7 (25.3, 28.3)New Jersey 26.3 (25.1, 27.5)New Mexico 26.4 (25.1, 27.7)New York 25.4 (24.2, 26.6)North Carolina 29.4 (28.1, 30.7)North Dakota 31.0 (29.5, 32.5)Ohio 30.4 (29.2, 31.6)Oklahoma 32.5 (31.2, 33.9)Oregon 26.5 (24.9, 28.1)Pennsylvania 30.0 (28.9, 31.2)Puerto Rico 27.9 (26.4, 29.5)Rhode Island 27.3 (25.8, 28.8)South Carolina 31.7 (30.5, 33.1)South Dakota 29.9 (28.0, 31.8)Tennessee 33.7 (31.9, 35.5)Texas 30.9 (29.5, 32.3)Utah 24.1 (23.2, 25.1)Vermont 24.7 (23.4, 26.1)Virginia 27.2 (25.9, 28.5)Washington 27.2 (26.0, 28.3)West Virginia 35.1 (33.6, 36.6)Wisconsin 29.8 (28.0, 31.6)Wyoming 27.8 (26.2, 29.5)



Summary No state had a prevalence of obesity less than 20%. 7 states and the District of Columbia had a prevalence of

obesity between 20% and <25%. 23 states had a prevalence of obesity between 25% and <30%. 18 states had a prevalence of obesity between 30% and <35%. 2 states (Mississippi and West Virginia) had a prevalence of

obesity of 35% or greater. The prevalence of obesity was 27.0% in Guam and 27.9% in

Puerto Rico.+

http://www.cdc.gov/obesity/data/prevalence-maps.html*Prevalence estimates reflect BRFSS methodological changes started in 2011. These estimates should not be compared to prevalence estimates before 2011.+ Guam and Puerto Rico were the only US territories with obesity data available on the 2013 BRFSS.

http://www.cdc.gov/obesity/data/prevalence-maps.html

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DIET = DIE T RESCRAMBLE LETTERS – what can you get?