The State of Obesity Better Policies for a Healthier America Jack Rayburn, MPH Senior Government Relations Manager Human Services and Public Safety Policy Committee September.
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Transcript The State of Obesity Better Policies for a Healthier America Jack Rayburn, MPH Senior Government Relations Manager Human Services and Public Safety Policy Committee September.
The State of Obesity
Better Policies for a Healthier America
Jack Rayburn, MPH
Senior Government Relations Manager
Human Services and Public Safety Policy Committee
September 19, 2014
@jjrayburn
#StateOfObesity
Overview
Adult rates remain high overall, including increases
in six states
Significant disparities persist
We’ve seen some progress, particularly with
children; however it is uneven and fragile
Future progress will require we examine what is
working and bring these efforts to scale nationwide.
Adult Obesity (2013)
Adult Obesity Trends in 2013
Rates increased in six states
Adult obesity (BMI > 30) now exceeds 35% in two
states
Alaska, Delaware, Idaho, New Jersey, Tennessee,
Wyoming
In 1990, only one state exceeded 20%
More than 6% of adults are now severely obese
Classified as a BMI of 40 or more
Roughly 100 pounds over ideal body weight
This rate has quadruped in the past 30 years.
Obesity Threatens Our Youth
Childhood obesity rates have tripled since 1980
However, national rates have roughly stabilized over the past
10 years
Disparities Persist in 2013
Report contains a special focus this year on racial
and ethnic disparities in the epidemic.
Disparities Persist in 2013
In fact, the state of the epidemic in 2013 is partially
driven by growing disparities:
Disparities Persist in 2013
Slightly different disparities among children
Racial and Ethnic Disparities
Rates for adult women vary widely among different
racial and ethnic groups.
Socioeconomic Disparities
33% of adults who earn less than $15,000 per year
were obese, versus 25.4% of those who earned at
least $50,000 a year.
Systems and Environments Contribute
Physical Inactivity
State physical activity/inactivity rankings seem to
track well with their obesity ranking.
Differences Among Age Groups
Why are we still concerned?
Despite signs of stabilizing, rates are
dangerously high
Obesity increases the risk for dozens of health
comorbidities
Including type 2 diabetes, various types of cancer,
cardiovascular disease, arthritis, etc.
Baby Boomers coming on to Medicare will
further exacerbate our long-term fiscal
outlook
Co-Morbidities
Type-2 diabetes rates have doubled in the past
20 years
One-in-three adults will have diabetes by 2050.
Yet why are we still concerned? (cont’d)
Obesity carries national security risks. It has
negative implications for education,
agricultural, transportation sector.
Public health and prevention funding remains
inadequate.
CDC funding has seesawed but has experienced a
net cut ($6.85 billion for FY2014 vs. $7.31
billion in FY2005).
33 states and DC have cut their public health
budgets from FY11-12 to FY12-13
Yet why are we still concerned? (cont’d)
Bringing Initial Steps to Scale
Obesity prevention should be
considered a major priority for
reducing related health care
spending and overall health care
costs
Community-based,
comprehensive approaches (like
CDC chronic disease prevention
programs) seem to work best.
ROI is critical.
Bringing Initial Steps to Scale
Addressing primary risk factors
Broad, sustainable funding of evidence-based
interventions, environmental, and systems changes
Poor Nutrition
Inadequate Physical Activity
Investments in Partnerships to Improve Community Health—will not
reach all Americans
Expanded diabetes and heart disease funding
Connecting all Americans to preventive services and
a variety of treatments
Areas of Focus
Physical Activity Before, During, and After School
School Foods and Beverages
Healthy Affordable Foods
Food and Beverage Marketing
Farm Bill and Nutrition Policy
Prevention Inside and Outside the Doctor’s Office
Early Care and Education
Transportation Policy
Menu Labeling
For Further Information
The full text of The State of
Obesity and many other interactive
features are available at:
http://www.StateofObesity.org
Please contact Jack Rayburn,
Senior Government Relations
Manager, [email protected] if you
have any further questions