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Jim Krieger, MD, MPH "I"CANN Leadership Forum for a Healthier Generation September 12, 2013

The Big Picture: Obesity in South King County & Beyond. Jim Krieger, MD, MPH "I"CANN Leadership Forum for a Healthier Generation September 12, 2013. Today’s Presentation. Obesity Overview of the data National South King County What is driving the obesity epidemic?

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Jim Krieger, MD, MPH "I"CANN Leadership Forum for a Healthier Generation September 12, 2013

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  1. The Big Picture: Obesity in South King County & Beyond Jim Krieger, MD, MPH "I"CANN Leadership Forum for a Healthier Generation September 12, 2013

  2. Today’s Presentation Obesity • Overview of the data • National • South King County • What is driving the obesity epidemic? • What can we do about it?

  3. Overview of the National Data

  4. Obesity Trends* Among U.S. AdultsBRFSS, 1985 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  5. Obesity Trends* Among U.S. AdultsBRFSS, 1986 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  6. Obesity Trends* Among U.S. AdultsBRFSS, 1987 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  7. Obesity Trends* Among U.S. AdultsBRFSS, 1988 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  8. Obesity Trends* Among U.S. AdultsBRFSS, 1989 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  9. Obesity Trends* Among U.S. AdultsBRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  10. Obesity Trends* Among U.S. AdultsBRFSS, 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  11. Obesity Trends* Among U.S. AdultsBRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  12. Obesity Trends* Among U.S. AdultsBRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  13. Obesity Trends* Among U.S. AdultsBRFSS, 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  14. Obesity Trends* Among U.S. AdultsBRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  15. Obesity Trends* Among U.S. AdultsBRFSS, 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  16. Obesity Trends* Among U.S. AdultsBRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  17. Obesity Trends* Among U.S. AdultsBRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  18. Obesity Trends* Among U.S. AdultsBRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  19. Obesity Trends* Among U.S. AdultsBRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  20. Obesity Trends* Among U.S. AdultsBRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  21. Obesity Trends* Among U.S. AdultsBRFSS, 2002 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  22. Obesity Trends* Among U.S. AdultsBRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  23. Obesity Trends* Among U.S. AdultsBRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  24. Obesity Trends* Among U.S. AdultsBRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  25. Obesity Trends* Among U.S. AdultsBRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  26. Obesity Trends* Among U.S. AdultsBRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  27. Obesity Trends* Among U.S. AdultsBRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  28. Obesity Trends* Among U.S. AdultsBRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  29. Obesity Trends* Among U.S. AdultsBRFSS, 2010 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  30. Obesity Trend since the 1960’s

  31. Obesity projections- adults

  32. Childhood Obesity trends

  33. Obesity in early childhood: what do we know? • The very young: age 0-2 • 1 in 10 children are overweight • The young: age 2-5 • 1 in 5 are overweight/obese • Rate has doubled over the past 30 years • The rate of overweight increases most rapidly in elementary school-age kids • The “child will grow out of it with time” is a myth. • If overweight during preschool, 5 times higher risk of being overweight at age 12

  34. Consequences of Obesity

  35. Health Consequences of Obesity

  36. Medical Costs of Obesity • 27% of increase in health spending between 1987-2001 due to obesity3 • More recent estimates:2 • Obese people cost $2826 MORE per person per year in medical costs relative to normal weight people • Obesity now accounts for 16.5% of national spending on medical care 1 Finkelstein et al., Health Affairs: 2009 2 Crawley and Myerhofer. Natl Bur Ec Res. Working Paper 16467, 2010 3 Thorpe, et al. Heatlh Affairs W4:480, 2004

  37. Impact on business Impact on Business • For a firm with 1000 employees, obesity costs $285,000 per year (30% absenteeism, 70% medical costs4) • Obese workers have 1-5 more sick days per year1, 3 • 10% of corporate health care costs attributable to obesity2 1 Neovius. Obes Rev 10:17-27, 2009, Tsai Ann Epidemiol. 18:8-14, 2008 2 http://www.npr.org/2011/10/27/141760591/workplaces-feel-the-impact-of-obesity 3 Hammond. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 2010 4 Finkelstein & Brown. NC Medical Journal. 67:310-312, 2006

  38. A Look at South King County

  39. South County Adult Obesity Rate – Health Reporting Areas

  40. Adult Obesity Rate by City – South County

  41. How does South King County compare to the rest of the County?

  42. Obesity Disparities in South King County

  43. Youth Obesity Rate in King County – 2012

  44. How does South King County compare to the rest of the County?

  45. Youth Obesity in South County – 2012

  46. Early Childhood Obesity Rate – King County (Low Income Children)

  47. Looking to the future

  48. Comparing Diabetes in King County

  49. What is causing the epidemic? Not enough calories OUT Too many calories IN ENERGY GAP – 30-175 CALORIES A DAY

  50. Calories in: How much food is that? 240 180 150

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