PHOM Indicator Profile Report of Obesity Among Adults
Why Is This Important?Adults who are obese are at increased risk of morbidity from hypertension, high LDL cholesterol, type 2 diabetes, coronary heart disease, stroke, and osteoarthritis. Together, overweight and obesity make up the second leading cause of preventable death in the United States [U.S. Department of Health and Human Services. Overweight and obesity: a major public health issue. Prevention Report 2001;16].
Obesity in the U.S. and in Utah continue to increase, although rates in Utah may be beginning to level off.
- U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services
- Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
Data NotesObesity is defined as a BMI of 30 or more. BMI is calculated by dividing weight in kilograms by the square of height in meters. In 2016, Utah BRFSS modified its methodology for age adjustment to align with U.S. age adjustment. Data has been updated from 2011 onward in all chart views to reflect this modification. [[br]] [[br]] Age-adjusted to U.S. 2000 standard population. [[br]] U.S. data does not include U.S. territories, but does include Dist. of Columbia.[[br]] [[br]] Beginning in 2011, BRFSS data include both landline and cell phone respondent data along with a new weighting methodology called iterative proportional fitting, or raking. Comparisons between 2011 and prior years should be made with caution. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf].
Risk FactorsLack of physical activity and an unhealthy diet are risk factors for being at a healthy weight. Adults who are obese are at increased risk of morbidity from hypertension, elevated LDL cholesterol, type 2 diabetes, coronary heart disease, stroke, osteoarthritis, sleep apnea, respiratory problems, and endometrial, breast, prostate, and colon cancers.
How Are We Doing?According to a recent report from the Trust for America's Health and the Robert Wood Johnson Foundation, Utah ranks 47th among the 50 states and the District of Columbia.[[br]] [https://www.tfah.org/releases/stateofobesity/?state=utah] Over the past 17 years, the age-adjusted proportion of Utah adults who were obese has increased from 19.5% in 2000 to 26.0% in 2017. While the sampling method changed in 2011, this change was still similarly pronounced in the years immediately prior to 2011. The highest rates of obesity were seen for adults ages 50 to 64. Age-adjusted rates are used to compare rates for race and local health districts to account for the differences in ages. In 2017, Native Hawaiian/Pacific Islander adults and American Indian/Alaskan Native adults had much higher rates than the state, with rates of 45.5% and 34.3%, respectively. An estimated 27.7% of Hispanic/Latino adults were obese, compared to 25.5% of non-Hispanic/Latino adults.
What Is Being Done?The Healthy Living through Environment, Policy, and Improved Clinical Care Program (EPICC) was established through funding from the Centers for Disease Control and Prevention (CDC). EPICC focuses on Environmental Approaches that Promote Health, specifically promoting policies around healthy eating and active living. EPICC works: In Schools:[[br]] 1) Schools are encouraged to adopt the Comprehensive School Physical Activity Program. This framework encourages students to be physically active for 60 minutes a day through school, home and community activities.[[br]] 2) Height and weight trends are being tracked in a sample of elementary students to monitor Utah students.[[br]] 3) Action for Healthy Kids brings partners together to improve nutrition and physical activity environments in Utah's schools by implementing the school-based state plan strategies, working with local school boards to improve or develop policies for nutritious foods in schools. This includes recommendations for healthy vending options. In Worksites:[[br]] 1) The Utah Health Improvement Plan--a public and private partnership--has selected worksites as their priority for the goal of Preventing Obesity and Related Chronic Conditions. A smaller workgroup, UHIP-O, works to create a Culture of Health within businesses in the state of Utah. 2) The Utah Council for Worksite Health Promotion recognizes businesses that offer employee fitness and health promotion programs.[[br]] 3) EPICC partners with local health departments to encourage worksites to complete the CDC Scorecard and participate in yearly health risk assessment for their employees. EPICC provides toolkits and other resources for employers interested in implementing wellness programs through the [http://choosehealth.utah.gov choosehealth.utah.gov] website: [http://choosehealth.utah.gov/worksites/why-worksite-wellness.php] -- In Communities:[[br]] 1) Local health departments (LHDs) receive federal funding to partner with schools, worksites, and other community based organizations to increase access to fresh fruits and vegetables through food service guidelines, farmers markets and retail stores. LHDs also work with cities within their jurisdictions to create a built environment that encourages physical activity. In Healthcare:[[br]] 1) EPICC works with health care systems to establish community clinical linkages to support individuals at risk for or diagnosed with diabetes or hypertension to engage in lifestyle change programs such as chronic disease self-management and diabetes prevention programs. In Childcare:[[br]] 1) Ten local health departments statewide have implemented the TOP Star program, which aims to improve the nutrition, physical activity, and breastfeeding environments and achieve best practice in child care centers and homes.[[br]] 2) EPICC works with state and local partners through the Childcare Obesity Prevention workgroup to implement policy and systems changes in early care and education across agencies statewide.
Healthy People Objective: Reduce the proportion of adults who are obeseU.S. Target: 30.5 percent
State Target: 24.0 percent