Obesity trends

Today one in four American adults are obese.

The rate of obesity* has nearly doubled from about 15 percent of the population to more than 26 percent in less than two decades (1990-2010). Unfortunately, due to new survey methodology, the 2011 data released by CDC is not comparable with prior years.

In Colorado, which has the nation’s lowest rate (21%), more than one out of five adults are obese. Hawaii and Massachusetts are the only other states with rates below 23 percent.

The nation’s highest rates of obesity are in the southeast, with Mississippi (35%) topping the charts. Neighboring Alabama and Louisiana also exceed thirty percent.

So why are we getting fat?

There are a variety of factors at play in the rising obesity epidemic. Many sources show a correlation between obesity and commuting. The Federal Reserve and the USDA suggest that increased food consumption, particularly fast food, is the primary driver expanding America's waistlines.

New research, from Pennington Biomedical Research Center at Louisiana State University, digs into another trend - our economy - to understand the obesity epidemic. Using data on occupational patterns since the 1960s, coupled with weight data, and energy expenditure (i.e. calories burned) per day per occupation, they come to a startling conclusion: modern jobs make us fat. Specifically

"In the early 1960's almost half the jobs in private industry in the U.S. required at least moderate intensity physical activity whereas now less than 20% demand this level of energy expenditure. Since 1960 the estimated mean daily energy expenditure due to work related physical activity has dropped by more than 100 calories in both women and men."

Research from the Mayo Clinic, American Cancer Society, and have come to a similar conclusion - sedentary behavior leads to obesity. So the advent of desk jobs that require sitting for long periods of time may be a primary cause of rising rates of obesity.

One conclusion is certain, whatever the cause (or, more likely, causes) of obesity, the cost is too high to be ignored. Obesity can put people at higher risk for health problems including heart disease, diabetes, certain types of cancer (including breast and colon), high blood pressure, stroke, and other problems.

In addition to the health risk, these obesity-related diseases carry a hefty price tag. Healthcare costs for obese Americans were $1,429 higher than for persons of normal weight in 2008, according to research published in the journal Health Affairs. Today obesity-related diseases cost the nation an estimated $190 billion annually.

*According to the CDC, obesity is “defined as a Body Mass Index (BMI) of 30 or greater.BMI is calculated from a person's weight and height and provides a reasonable indicator of body fatness and weight categories that may lead to health problems. Obesity is a major risk factor for cardiovascular disease, certain types of cancer, and type 2 diabetes.”

Crushing obesity

In the early 1990s, half of the U.S. population could proudly state that they were neither overweight nor obese. Today only one third can make that claim. The rate of obesity* has nearly doubled from about 15 percent of the population to more than 26 percent in less than two decades.

But numbers alone seem inadequate to describing the magnitude of the problem. The U.S. Centers for Disease Control and Prevention (CDC) put together a series of maps showing obesity rates from 1985-present.

Obesity's rapid spread across America:
In the maps below the lightest blue represents obesity rates by state of less than 10 percent. The darkest red-orange represents obesity rates of 30 percent or higher. Note the rapid shift over 20 years from no states having reported obesity rates above 15 percent (in 1989) to no states having rates below 15 percent (in 2009).

So why are we getting fat?
There are a variety of factors at play in the rising obesity epidemic. An article in Slate this week, and on my blog last summer, describes the link between obesity and commuting. The Federal Reserve and the USDA suggest that increased food consumption, particularly fast food, is the primary driver expanding America's waistlines.

New research, from Pennington Biomedical Research Center at Louisiana State University, digs into another trend - our economy - to understand the obesity epidemic. Using data on occupational patterns since the 1960s, coupled with weight data, and energy expenditure (i.e. calories burned) per day per occupation, they come to a startling conclusion: modern jobs make us fat. Specifically "In the early 1960's almost half the jobs in private industry in the U.S. required at least moderate intensity physical activity whereas now less than 20% demand this level of energy expenditure. Since 1960 the estimated mean daily energy expenditure due to work related physical activity has dropped by more than 100 calories in both women and men."

Research from the Mayo Clinic, American Cancer Society, and have come to a similar conclusion - sedentary behavior leads to obesity. So the advent of desk jobs that require sitting for long periods of time may be a primary cause of rising rates of obesity.

One conclusion is certain, whatever the cause (or, more likely, causes) of obesity, the cost is too high to be ignored. Obesity increases a person's risk of heart disease, diabetes, high blood pressure, and certain types of cancer, among other ailments (source: CDC). In 2006 the increased rate of obesity resulted in an estimated $40 billion in healthcare costs.


*According to the CDC, obesity is “defined as a Body Mass Index (BMI) of 30 or greater.BMI is calculated from a person's weight and height and provides a reasonable indicator of body fatness and weight categories that may lead to health problems. Obesity is a major risk factor for cardiovascular disease, certain types of cancer, and type 2 diabetes.”

Map images courtesy of the U.S. Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System.

The hefty toll of the obesity epidemic

Obesity rates are going up, up, up.

Today, Colorado has the nation’s lowest rate of adult obesity, at 18.6 percent, followed by Washington DC at 19.7 percent. California ranks 17, tied with Alaska, with an estimated 24.8 percent of adults in the obese category. The nation’s highest rates of obesity are in the southeast, with Louisiana (33%) and Mississippi (34%) topping the charts, according to data released last week by the Centers for Disease Control and Prevention (CDC).

Compare this with data from 1990, and the picture becomes quite alarming. In 1990 ten states had obesity rates below 10 percent. Today none do. In 1990 no states had obesity rates above 15 percent. Today none have rates below 15 percent.

According to the CDC, obesity is “defined as a Body Mass Index (BMI) of 30 or greater.BMI is calculated from a person's weight and height and provides a reasonable indicator of body fatness and weight categories that may lead to health problems. Obesity is a major risk factor for cardiovascular disease, certain types of cancer, and type 2 diabetes.”

These obesity-related diseases carry a hefty price tag. Estimates in 2000 put obesity-related health care costs in California at $7.7 billion dollars, and the national cost at $75 billion. According to more recent projections from United Health Foundation, the American Public Health Association and Partnership for Prevention, if current trends continue costs may reach as high $318 billion in the next eight years. Even if rates stay steady at their current high levels the report finds that “the U.S. could save an estimated $820 per adult in health care costs by 2018 ? a savings of almost $200 billion dollars.”

Perhaps not surprisingly, obesity is strongly correlated with physical activity. States where a high proportion of commuters walk, run, or bike to work have some of the nation’s lowest obesity rates. For example, nationwide about 3.4 percent of commuters walk or bike as their primary mode of commute to work. In Colorado, with the nation’s lowest obesity rate, the walk-or-bike rate is 4.2 percent - 25 percent higher than the national average. In Washington DC with the nation’s second lowest obesity rate, the walk-or-bike rate is 13.7 percent. Conversely, commuters in the three states with the highest levels of obesity (Mississippi, Louisiana, Tennessee) are only about half as likely to walk or bike to work as the national average.

For original publication, please see: http://www.examiner.com/x-43439-San-Diego-Economy-Examiner~y2010m8d10-The-hefty-toll-of-the-obesity-epidemic