PHOM Indicator Profile Report of Obesity Among Adults
Why Is This Important?Obesity can be costly and serious. Adults who are obese have an increased risk of hypertension, high LDL cholesterol, type 2 diabetes, coronary heart disease, stroke, and osteoarthritis.
Obesity in the U.S. and in Utah continues to increase, although the increase in rates 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 body mass index (BMI) of 30 or more. BMI is calculated by dividing weight in kilograms by the square of height in meters. [[br]]Age-adjusted to U.S. 2000 standard population.[[br]] [[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 FactorsGenetics, family history, some diseases (e.g., polycystic ovary syndrome), and some drugs (e.g., steroids) are risk factors for obesity that are often outside of one's control. But there are things that people can do that can reduce their risk of obesity. Behaviors such as engaging in physical activity and having a healthy diet can have a significant impact on reducing the risk (see Centers for Disease Control and Prevention, Overweight & Obesity: Adult Obesity Causes & Consequences. [https://www.cdc.gov/obesity/adult/causes.html]).
How Are We Doing?Since 2000, the age-adjusted percentage of Utah adults (18+) who were obese increased from 19.5% in 2000 to 29.4% in 2020. Nevertheless, Utah still has a lower obesity rate than most states. According to a recent ''State of Obesity'' report, Utah ranked 13th lowest among the 50 states and the District of Columbia. See https://www.tfah.org/report-details/state-of-obesity-2020
What Is Being Done?The Utah Department of Health?s, Healthy Environments Active Living program plays a key role in improving the health of residents in the state of Utah. The program was formed in July 2013 (as EPICC), through a new funding opportunity from the Centers of Disease Control and Prevention (CDC) that allowed for the merging of three previously existing programs: the Heart Disease and Stroke Prevention Program, the Diabetes Prevention and Control Program, and the Physical Activity, Nutrition and Obesity Program, as well as the addition of a school health program. The Healthy Environments Active Living Program was recently restructured as part of this strategic planning process and the new program model focuses on working together with staff and partners to address the social determinants of health while advancing health equity and increasing policy, systems and environmental changes. HEAL 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 Council for Worksite Health Promotion recognizes businesses that offer employee fitness and health promotion programs.[[br]] 2) HEAL offers a training on developing worksite wellness programs called Work@Health. HEAL also partners with local health departments to encourage worksites to complete the CDC Scorecard and participate in yearly health risk assessment for their employees. HEAL provides toolkits and other resources for employers interested in implementing wellness programs through the [http://heal.health.utah.gov heal.health.utah.gov] website: [https://heal.health.utah.gov/worksite-wellness/] 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 Eat Well Utah, 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) HEAL 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) HEAL 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