Obesity Trends:

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Obesity Trends: 1985-2014 Compiled by the Centers for Disease Control and Prevention Retrieved from http://www.cdc.gov/obesity/data/prevalencemaps.html Organized into two groupings due to methodological modifications: 1985-2010 and 2011-2014

Obesity Trends Among U.S. Adults Between 1985 and 2010 Definitions: Obesity: Body Mass Index (BMI) of 30 or higher. Body Mass Index (BMI): A measure of an adult s weight in relation to his or her height, specifically the adult s weight in kilograms divided by the square of his or her height in meters.

Obesity Trends Among U.S. Adults Between 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 obesityrelated 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.

BRFSS, 1990, 2000, 2010 (*BMI 30, or about 30 lbs. overweight for 5 4 person) 1990 2000 2010 No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

BRFSS, 1985 No Data <10% 10% 14%

BRFSS, 1986 No Data <10% 10% 14%

BRFSS, 1987 No Data <10% 10% 14%

BRFSS, 1988 No Data <10% 10% 14%

BRFSS, 1989 No Data <10% 10% 14%

BRFSS, 1990 No Data <10% 10% 14%

BRFSS, 1991 No Data <10% 10% 14% 15% 19%

BRFSS, 1992 No Data <10% 10% 14% 15% 19%

BRFSS, 1993 No Data <10% 10% 14% 15% 19%

BRFSS, 1994 No Data <10% 10% 14% 15% 19%

BRFSS, 1995 No Data <10% 10% 14% 15% 19%

BRFSS, 1996 No Data <10% 10% 14% 15% 19%

BRFSS, 1997 No Data <10% 10% 14% 15% 19% 20%

BRFSS, 1998 No Data <10% 10% 14% 15% 19% 20%

BRFSS, 1999 No Data <10% 10% 14% 15% 19% 20%

BRFSS, 2000 No Data <10% 10% 14% 15% 19% 20%

BRFSS, 2001 No Data <10% 10% 14% 15% 19% 20% 24% 25%

BRFSS, 2002 No Data <10% 10% 14% 15% 19% 20% 24% 25%

BRFSS, 2003 No Data <10% 10% 14% 15% 19% 20% 24% 25%

BRFSS, 2004 No Data <10% 10% 14% 15% 19% 20% 24% 25%

BRFSS, 2005 No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

BRFSS, 2006 No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

BRFSS, 2007 No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

BRFSS, 2008 No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

BRFSS, 2009 No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

BRFSS, 2010 No Data <10% 10% 14% 15% 19% 20% 24% 25% 29% 30%

Prevalence of Self-Reported Obesity Among U.S. Adults by State and Territory Definitions Obesity: Body Mass Index (BMI) of 30 or higher. Body Mass Index (BMI): A measure of an adult s weight in relation to his or her height, calculated by using the adult s weight in kilograms divided by the square of his or her height in meters.

Prevalence of Self-Reported Obesity Among U.S. Adults by State and Territory Source of the Data The data were collected through the Behavioral Risk Factor Surveillance System (BRFSS), an ongoing, state-based, telephone interview survey conducted by state health departments with assistance from CDC. Height and weight data used in the BMI calculations were self-reported.

Prevalence of Self-Reported Obesity Among U.S. Adults by State and Territory BRFSS Methodological Changes Started in 2011 New sampling frame that included both landline and cell phone households. New weighting methodology used to provide a closer match between the sample and the population.

Prevalence of Self-Reported Obesity Among U.S. Adults by State and Territory Exclusion Criteria Used Beginning with 2011 BRFSS Data Records with the following were excluded: Height: <3 feet or 8 feet Weight: <50 pounds or 650 pounds BMI: <12 kg/m 2 or 100 kg/m 2 Pregnant women

Prevalence of Self-Reported Obesity Among U.S. Adults by State and Territory, BRFSS, 2011 Prevalence estimates reflect BRFSS methodological changes started in 2011. These estimates should not be compared to prevalence estimates before 2011. *Sample size <50 or the relative standard error (dividing the standard error by the prevalence) 30%.

Prevalence of Self-Reported Obesity Among U.S. Adults by State and Territory, BRFSS, 2012 Prevalence estimates reflect BRFSS methodological changes started in 2011. These estimates should not be compared to prevalence estimates before 2011. *Sample size <50 or the relative standard error (dividing the standard error by the prevalence) 30%.

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. *Sample size <50 or the relative standard error (dividing the standard error by the prevalence) 30%.

Prevalence of Self-Reported Obesity Among U.S. Adults by State and Territory, BRFSS, 2014 Prevalence estimates reflect BRFSS methodological changes started in 2011. These estimates should not be compared to prevalence estimates before 2011. *Sample size <50 or the relative standard error (dividing the standard error by the prevalence) 30%.

Prevalence of Self-Reported Obesity Among U.S. Adults by State and Territory, BRFSS, 2014 State Prevalence 95% Confidence Interval Alabama 33.5 (32.1, 35.0) Alaska 29.7 (27.8, 31.7) Arizona 28.9 (27.7, 30.2) Arkansas 35.9 (33.8, 38.0) California 24.7 (23.5, 25.9) Colorado 21.3 (20.4, 22.2) Connecticut 26.3 (24.9, 27.7) Delaware 30.7 (28.6, 32.8) District of Columbia 21.7 (19.5, 24.0) Florida 26.2 (25.0, 27.5) Georgia 30.5 (28.9, 32.1) Guam 28.0 (25.6, 30.5) Hawaii 22.1 (20.7, 23.5) Idaho 28.9 (27.1, 30.8) Illinois 29.3 (27.6, 31.1) Indiana 32.7 (31.6, 34.0) Iowa 30.9 (29.6, 32.3) Kansas 31.3 (30.3, 32.2) Kentucky 31.6 (30.2, 33.1) Louisiana 34.9 (33.4, 36.4) Maine 28.2 (26.9, 29.5) Maryland 29.6 (28.1, 31.1) Massachusetts 23.3 (22.3, 24.4) Michigan 30.7 (29.4, 32.0) Minnesota 27.6 (26.8, 28.5) Mississippi 35.5 (33.4, 37.6) State Prevalence 95% Confidence Interval Missouri 30.2 (28.6, 31.9) Montana 26.4 (24.9, 27.9) Nebraska 30.2 (29.2, 31.3) Nevada 27.7 (25.4, 30.1) New Hampshire 27.4 (25.8, 29.1) New Jersey 26.9 (25.7, 28.1) New Mexico 28.4 (27.0, 30.0) New York 27.0 (25.6, 28.5) North Carolina 29.7 (28.4, 31.0) North Dakota 32.2 (30.5, 34.0) Ohio 32.6 (31.2, 34.1) Oklahoma 33.0 (31.7, 34.3) Oregon 27.9 (26.3, 29.6) Pennsylvania 30.2 (28.9, 31.4) Puerto Rico 28.3 (26.8, 29.8) Rhode Island 27.0 (25.4, 28.6) South Carolina 32.1 (30.9, 33.3) South Dakota 29.8 (27.9, 31.8) Tennessee 31.2 (29.3, 33.2) Texas 31.9 (30.6, 33.3) Utah 25.7 (24.9, 26.6) Vermont 24.8 (23.5, 26.1) Virginia 28.5 (27.2, 29.7) Washington 27.3 (26.0, 28.5) West Virginia 35.7 (34.2, 37.2) Wisconsin 31.2 (29.6, 32.8) Wyoming 29.5 (27.5, 31.5) Prevalence estimates reflect BRFSS methodological changes started in 2011. These estimates should not be compared to prevalence estimates before 2011..

Prevalence of Self-Reported Obesity Among U.S. Adults by State and Territory, BRFSS, 2014 Summary No state had a prevalence of obesity less than 20%. 5 states and the District of Columbia had a prevalence of obesity between 20% and <25%. 23 states, Puerto Rico, and Guam had a prevalence of obesity between 25% and <30%. 19 states had a prevalence of obesity between 30% and <35%. 3 states (Arkansas, Mississippi and West Virginia) had a prevalence of obesity of 35% or greater. Prevalence estimates reflect BRFSS methodological changes started in 2011. These estimates should not be compared to prevalence estimates before 2011. http://www.cdc.gov/obesity/data/prevalence-maps.html