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F ocus Area 19: Nutrition and Overweight Progress Review

This progress review highlights the impact of nutrition and overweight on the health of Americans, including the association with chronic diseases and the cost to society. It also addresses objectives related to weight status, growth, iron deficiency, and anemia. Additionally, it focuses on promoting healthy food consumption, nutrition counseling, and improving food security.

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F ocus Area 19: Nutrition and Overweight Progress Review

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  1. Focus Area 19:Nutrition and OverweightProgress Review January 21, 2004

  2. Impact of Nutrition and Overweight on the Health of Americans • Dietary factors are associated with 4 of the 10 leading causes of death (CHD, some types of cancer, stroke, and type 2 diabetes) • These diet-related conditions are estimated to cost society over $200 billion annually in medical expenses and lost productivity • Dietary factors are associated with osteoporosis, which affects over 25 million persons in the U.S.

  3. Improving Getting worse Little or no change Cannot assess (limited data) Nutrition and Overweight Objectives Weight Status and Growth Iron Deficiency and Anemia Healthy weight in adults Obesity in adults Overweight or obesity in children and adolescents Growth retardation in children Iron deficiency in young children and in females of childbearing age Anemia in low-income pregnant females Iron deficiency in pregnant females (dev.) Schools, Worksites, and Nutrition Counseling Food and Nutrient Consumption Fruit intake Vegetable intake Grain product intake Saturated fat intake Total fat intake Sodium intake Calcium intake Meals and snacks at school (dev.) Worksite promotion of nutrition education and weight management Nutrition counseling for medical conditions Food Security Food security

  4. Highlighted Objectives 19-1. Healthy weight in adults 19-2. Obesity in adults 19-3. Overweight or obesity in children and adolescents 19-5. Fruit consumption 19-6. Vegetable consumption 19-7. Grain consumption

  5. Adults at a Healthy Weight 1988-94 to 1999-2000 2010 Target 1999-2000 Total White Black Mexican American Female Male 0 10 20 30 40 50 60 Percent Note: Data are for ages 20 years and over, age adjusted to the 2000 standard population. Healthy weight is defined as 18.5<BMI<25.0. Black and white exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC. Obj. 19-1

  6. Trends in Adult Obesity Percent Percent Females Total Males 1960-62 1971-74 1976-80 1988-94 1999-2000 Note: Data are for ages 20 years and over, age adjusted to the 2000 standard population. Obesity is defined as BMI >= 30.0. Source: National Health Examination Survey, National Health and Nutrition Examination Surveys I, II, III and 1999-2000, NCHS, CDC. . Obj. 19-2

  7. Adult Obesity: 1988-94 to 1999-2000 2010 Target 1988-94 Total White Female Male Black Female Male Mexican American Female Male 0 10 20 30 40 50 Percent Note: Data are for ages 20 years and over, age adjusted to the 2000 standard population. Obesity is defined as BMI >= 30.0. Black and white exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC. Obj. 19-2

  8. Adult Obesity: 1988-94 to 1999-2000 2010 Target 1988-94 20-39 years 40-64 years 65+ years With disabilities Without disabilities With self-reported diabetes Without self-reported diabetes 0 10 20 30 40 50 60 70 Percent Note: Data are for ages 20 years and over, age adjusted to the 2000 standard population. Obesity is defined as BMI >= 30.0. Source: National Health and Nutrition Examination Survey, NCHS, CDC. Obj. 19-2

  9. Changes in Prevalence of Adult Obesity >= 25% 20-24% 15-19% 10-14% <10% No data Note: Data are for ages 18 years and over, based on self-reported weight and height via telephone interview. Obesity is defined as BMI >= 30.0. Source: Behavioral Risk Factor Surveillance System, NCCDPHP, CDC. Obj. 19-2

  10. Distribution of Body Mass Index Among Men 60-79 Years Percent Source: National Health and Nutrition Examination Surveys, NCHS, CDC.

  11. Distribution of Body Mass Index Among Women 60-79 Years Percent Source: National Health and Nutrition Examination Surveys, NCHS, CDC.

  12. Trends in Child and Adolescent Overweight Percent Percent Males 12-19 Males 6-11 Females 12-19 Females 6-11 1963-67 1971-74 1976-80 1988-94 1999-2000 1966-70 Note: Overweight is defined as BMI >= gender- and weight-specific 95th percentile from the 2000 CDC Growth Charts for the United States. Source: National Health Examination Surveys II (ages 6-11) and III (ages 12-17), National Health and Nutrition Examination Surveys I, II, III and 1999-2000, NCHS, CDC. Obj. 19-2

  13. Child and Adolescent Overweight by Race: 1988-94 to 1999-2000 2010 Target 1988-94 Total White Black Mexican American Female Male 0 10 20 30 Percent Note: Overweight is defined for ages 6-19 years as BMI >= gender- and weight-specific 95th percentile from the 2000 CDC Growth Charts for the United States Black and white exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC. Obj. 19-3c

  14. Fruits and Vegetables: Average Number of Daily Servings by Race: 1999-2000 White Black Mexican American Average number of servings Total Minimum Recommended Vegetables Fruits Note: Data are age-adjusted to the 2000 standard population for ages 2 years and over. Black and white exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC. Objs. 19-5 19-6

  15. Fruit Consumption by State, 2002 D.C. N Proportion with 2+ fruit servings a day (14) (17) (20) 25.0% + 20.0 -24.9% <19.9% Note: Data are for ages 18 years and over. Source: Behavioral Risk Factor Surveillance System, NCCDPHP, CDC. Obj. 19-5

  16. Fried potatoes Fried potatoes 22% Other 46% Tomatoes potatoes 11% 13% Tomatoes Legumes Other Dark green/ 9% 8% potatoes orange 10% Legumes Dark 11% 6% All others All others green/ 22% 35% orange 8% Proportion of Vegetable Servings 1999-2000 Children 2-19 years Adults 20 years and over Target = At least 1/3 dark green/orange Note: Data are age adjusted to the 2000 standard population for adults 20 years and over. Source: National Health and Nutrition Examination Survey, NCHS, CDC. Obj. 19-6

  17. Proportion of Grain Servings 1999-2000 Children 2-19 years Adults 20 years and over Target = 1/2 whole grain Note: Data are age adjusted to the 2000 standard population for adults 20 years and over. Source: National Health and Nutrition Examination Survey, NCHS, CDC. Obj. 19-7

  18. Progress review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm

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