Missoula Measures - Overweight & Obesity
- Related data
- Risk factors and chronic disease associated with overweight
- Obesity trend map - CDC
- Related websites
Why this topic?
Obesity is the 2nd leading cause of preventable death in the US. It is also responsible for an increased risk of nearly 30 medical conditions, as well as reduced mobility. In addition, the social stigma associated with obesity can hamper employment opportunities and community interaction, leading to isolation and depression.
Overweight is defined as having a body mass index (weight [kg] / height [m2]) at or above the 85th percentile for age and sex based on the reference population of the CDC 2000 growth charts. Obesity is a body mass index at or above the 95th percentile.
About BMI for adults - CDC
How are we doing?
Obesity levels have reached a crisis point in the US. The bad news: obesity rates are much higher than 15 years ago. The good news: rates have plateaued, especially for children. However, it is projected that Montana will see chronic diseases in higher number, costing an additional $19,000 in medical expenses for each obese person over their lifetimes. (Trust for America’s Health and Robert Wood Johnson Foundation 2014. The State of Obesity: Better Policies for a Healthier America.)
As of 2013, Montana has the seventh lowest adult obesity rate in the nation. The highest rate is 31.5%, in Mississippi and West Virginia, and the lowest is 21.3% in Colorado. Montana's adult obesity rate is 24.6%, up from 19.1% in 2004 and from 8.4% in 1990. (Trust for America’s Health and Robert Wood Johnson Foundation 2014. The State of Obesity: Better Policies for a Healthier America.)
Healthy People 2020 Target
- Increase the percent of adults who are at a healthy body weight
from 30.8% to 33.9%
- Reduce the percent of adolescents and children who are obese from 16.2% to 14.6%
The US Dept of Health and
Human Services sponsors the
a science-based, 10-year national plan for improving the health of all Americans.
Obese children are more likely to be obese adults: 80% of children
overweight at age 15 were obese at age 25.
Predicting obesity in young adulthood from childhood and parental
obesity. N England Journal of Medicine 1997; 37(13):869–873.
Montana high school students
- 56% reported 60 minutes of moderate physical activity 3 or more hours, 5 or more days per week
- 21% reported 3 or more hours of TV watching daily
- 28% reported 3 or more hours of screen time (computer, games) daily
CDC, YRBS 2013
BARRIERS to a maintaining a health body weight:
- Unrealistic body image
- Family tradition/heritage
- Lack of physical activity
- Poor nutrition
- Lack of family/friend support
- Lack of knowledge
- Unhealthy lifetime habits
- Reluctance to try new foods
- Overexposure to junk food at check-out lanes in grocery stores, gas stations, hardware stores, etc.
RISK FACTORS associated with overweight and obesity:
- poor diet
- lack of physical activity
- family history
CHRONIC DISEASES and health challenges associated with obesity:
- back pain
- birth defects in their children
- cardiovascular disease
- cervical cancer
- complications during pregnancy and childbirth
- complications following surgery
- increased rate of dental gum disease
- high blood pressure
- joint disorders
- kidney stones
- leg injuries
- liver disease
- respiratory problems
- sleeping disorders
- slow healing
- urinary incontinence in women
See the above map in motion - 1985 to the present.
Health consequences of overweight and obesity - World Health Organization
Health issues for overweight teens - Kids Count
Physical Activity - Missoula
Overweight & Obesity Concerns - Missoula
State Obesity Trends - CDC, 1990 - 2008
Robert Wood Johnson Foundation report - Obesity Rates Rise
SOURCE: Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999--2004. JAMA 2006;295:1549--55.