Focus Area 19: Nutrition and Overweight Progress Review Edward J. Sondik National Center for Health...
-
Upload
earl-bruce -
Category
Documents
-
view
219 -
download
0
description
Transcript of Focus Area 19: Nutrition and Overweight Progress Review Edward J. Sondik National Center for Health...
Focus Area 19: Nutrition and Overweight
Progress ReviewEdward J. Sondik
National Center for Health Statistics
April 3, 2008
Nutrition and Overweight• Diet is associated with
heart disease stroke some cancers type 2 diabetes overweight and obesity osteoporosis
• Diet-related conditions contribute to reduced quality of life premature death substantial medical costs lost productivity
19-3. Overweight or obesity in children and adolescents
19-5. Fruit consumption19-6. Vegetable consumption19-7. Grain product consumption19-10. Total sodium intake19-11. Total calcium intake
Improving
Getting worse
Little or no progress*
Highlighted Objectives
*Percent of targeted change achieved is between -10% and 10%, or change not statistically significant.
Child and Adolescent Overweight1988-94 2003-06 2010 Target: 5%
Decrease desired
Note: I= 95% confidence interval. Overweight is defined for ages 6-19 years as BMI ≥ gender- and age-specific 95th percentile from the 2000 CDC Growth Charts for the United States. Respondents were asked to select only one race prior to 1999. For 1999 and later years, respondents were asked to select one or more races. For all years, the categories black and white include persons who reported only one racial group and exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC.
Obj. 19-3c
Total White Black Mexican Female Male American
Percent4
0
3
0
2
0
1
0
0
Child and Adolescent Overweight1988-94 2003-06 2010 Target: 5%
Decrease desired
* Statistically unreliable. ** Baseline data are for 1991-94.Note: I= 95% confidence interval. Overweight is defined for ages 6-19 years as BMI ≥ gender- and age-specific 95th percentile from the 2000 CDC Growth Charts for the United States. Higher income is defined as > 130 % poverty threshold, and lower as ≤ 130%. Source: National Health and Nutrition Examination Survey, NCHS, CDC.
Obj. 19-3c
Total Higher Lower With Without Income Disabilities**
Percent
*
4
0
3
0
2
0
1
0
0
1963-67 1971-74 1976-80 1988-1994 2003-06 1966-70 1999-2002
Percent 2010 Target: 5% Decrease
desired
*Data for 1966-70 are for adolescents 12-17 years of age.Note: Overweight is defined as BMI ≥ gender- and age-specific 95th percentile from the 2000 CDC Growth Charts for the United States. Source: National Health Examination Surveys II (ages 6-11) and III (ages 12-17), National Health and Nutrition Examination Surveys I, II, III and National Health and Nutrition Examination Survey, NCHS, CDC.
Obj. 19-3a, b
1963-65 1971-74 1976-80 1988-1994 2003-06 1966-70* 1999-2002
Child and Adolescent Overweight
Male 12-19Male 6-11Female 12-19Female 6-11
4
0
3
0
2
0
1
0
0
2003
2005
Prevalence of Adolescent Overweight
Note: Data are for high school students in grade 9 – 12. Overweight is defined as ≥ 95th percentile for body mass index, by age and sex, on the basis of reference data, based on self-reported weight and height. Source: Youth Risk Behavior Survey, NCCDPHP, CDC.
2010 Target: 15% Decrease
desired1988-94 2003-06Percent
Obj. 19-2
6
0
4
0
2
0
0
White BlackFemale Male
Note: I = 95% confidence interval. Data are for ages 20 years and over, and age adjusted to the 2000 standard population. Obesity is defined as BMI ≥ 30.0. Respondents were asked to select only one race prior to 1999. For 1999 and later years, respondents were asked to select one or more races. For all years, the categories black and white include persons who reported only one racial group and exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC.
Adult Obesity
MexicanAmerican White Black Mexican
American
Trends in Adult Obesity
1960-62 1976-80 1988-94 2003-06 1971-74 1999-2002
Note: Data are for ages 20 years and over, and age adjusted to the 2000 standard population. Obesity is defined as BMI ≥ 30.0. Source: National Health Examination Survey, National Health and Nutrition Examination Surveys I, II, III and National Health and Nutrition Examination Survey, NCHS, CDC. Obj. 19-2
Trends in Adult Obesity
2010 Target: 15 Decrease
desired
Female MaleTotal
Percent6
0
4
0
2
0
0
Percent
Fruits: 2+ servings Vegetables Grains
75
50
25
0
Fruits, Vegetables and Grains Consumption, 2003-04
Objs. 19-5, 19-6 & 19-7
* Statistically unreliable. Note: I = 95% confidence interval. Data are for 2 years and over excluding pregnant or lactating women and breast-fed children, and are age adjusted to the 2000 standard population. One serving has been calculated as two-thirds of a standard serving for all children age 2-3. The categories black and white includes persons who reported only one racial group and exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race.Source: National Health and Nutrition Examination Survey, NCHS, CDC.
Increase desiredTotal White
BlackMexican American
3+ Servings 6+ Servings
Percent
Fruits: 2+ servings Vegetables: 3+ servings Grains: 6+ servings
* **
75
50
25
0
2010 Target
Fruits, Vegetables and Grains Consumption, 2003-04
Objs. 19-5, 19-6 & 19-7
* Statistically unreliable. Note: I = 95% confidence interval. Data are for 2 years and over excluding pregnant or lactating women and breast-fed children, and are age adjusted to the 2000 standard population. One serving has been calculated as two-thirds of a standard serving for all children age 2-3. The categories black and white includes persons who reported only one racial group and exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race.Source: National Health and Nutrition Examination Survey, NCHS, CDC.
Increase desiredTotal White
BlackMexican American
With 1/3 Dark Green/Orange With 3+ Whole Grain
Obj. 19-6Notes: Excludes pregnant or lactating women and breast-fed children. One serving has been calculated as two-thirds of a standard serving for all children age 2-3.Source: National Health and Nutrition Examination Survey, NCHS, CDC.
Tomatoes 22%
Other vegetables
39%Legumes
6%
Potatoes 23%
11%
Children 2-19 years Adults 20 years and over
Tomatoes 27%
Other vegetables
28%
Legumes 6%
Potatoes 31% Dark green
or orange vegetables
Proportion of Vegetable Servings2003-04
7%
Target33% dark green
or orange vegetables
Children 2-19 years Adults 20 years and over
Target50% whole grain
Proportion of Grain Servings2003-04
Obj. 19-7Notes: Excludes pregnant or lactating women and breast-fed children. One serving has been calculated as two-thirds of a standard serving for all children age 2-3.Source: National Health and Nutrition Examination Survey, NCHS, CDC.
Other grains 93%
Whole grain
7% Other grains 90%
10%
Percent
1988-94 2003-04 2010 Target: 65%
75
50
25
0
Increase desired
Total Usual Sodium Intake
Objs. 19-10
Note: I = 95% confidence interval. Data are for 2 years and over excluding pregnant or lactating women and breast-fed children, and are age adjusted to the 2000 standard population. Total sodium intake is from food, supplements, tap water and salt added at table. Respondents were asked to select only one race prior to 1999. For 1999 and later years, respondents were asked to select one or more races. For all years, the categories black and white include persons who reported only one racial group and exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC.
2,400mg of Sodium or Less
Total White Black
From Food
94.2%
Added at Table
5.2%
From Tap
Water 0.6%
Sources of Sodium Intake Ages 2 and over,
2003-04
From Supplements
0%
MexicanAmerican
Percent 1988-94 2003-04
10
5
0
Increase desired
* Institute of Medicine, National Academies, Food and Nutrition Board, Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate, 2004. ** Statistically unreliable.Note: I = 95% confidence interval. Data are for 2 years and over excluding pregnant or lactating women and breast-fed children, and are age adjusted to the 2000 standard population. Total potassium intake is from food and supplements. Respondents were asked to select only one race prior to 1999. For 1999 and later years, respondents were asked to select one or more races. For all years, the categories black and white include persons who reported only one racial group and exclude persons of Hispanic origin. Persons of Mexican-American origin may be any race. Source: National Health and Nutrition Examination Survey, NCHS, CDC.
From Food
99.4%
Sources of Potassium Intake Ages 2 and over, 2003-04
** **
Total Usual Potassium Intake
From Supplement
s 0.6%
Total White BlackMexicanAmerican
100% of Adequate Intake* or More
7
5
5
0
2
5
0
Percent
* Institute of Medicine, National Academies, Food and Nutrition Board, Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride, 1997.Note: I = 95% confidence interval. Data exclude pregnant or lactating women and breast-fed children. Data for total are for 2 years and over, and age adjusted to the 2000 standard population. Total calcium intake is from food, supplements and antacids. Source: National Health and Nutrition Examination Survey, NCHS, CDC.
Obj. 19-11
Total Female Male
Total Usual Calcium Intake
2-11 12-19 20-39
40-59 60+ Increase
desired2010 Target: 74
100% of Adequate Intake* or More
Females 51 and over Males 51 and over
Obj. 19-11Source: National Health and Nutrition Examination Survey, NCHS, CDC.
From Supplements
From Antacids
Sources of Calcium Intake, 2003-04
From Food 66%
32%
2%
15% From Food 83%
3%
•Weight status objectives for children, adolescents and adults moved away from their targets.
•Fruit, vegetable and grain objectives, total usual sodium intake showed little or no progress.
•Total usual calcium intake moved toward the target.
•The weight status and diets of Americans remain an important public health and economic concern.
Summary
Moved Toward Target19-11. Total calcium
intake19-18. Food security
Target MetNo Objective
Moved Away from Target19-1. Healthy weight in adults 19-2. Obesity in adults 19-3. Overweight or obesity, 6-19
years19-9. Percent calories from total
fat19-12b. Iron deficiency, 3-4 years 19-12c. Iron deficiency, non-
pregnant females 12-49 years
19-13. Anemia in low-income pregnant females in 3rd trimester
19-17. Diet and nutrition counseling
Progress Toward 2010 Targets
Little or No Progress*19-4. Growth
retardation among low-income children
19-5. Fruit consumption
19-6. Vegetable consumption
19-7. Grain product consumption
19-8. Percent calories from saturated fat
19-10. Total sodium intake
19-12a.Iron deficiency, 1–2 years
No Data19-14. Iron deficiency in
pregnant females
Baseline Only19-16. Worksite counseling
Deleted at Midcourse Review19-15. Meals and snacks at
school*Percent of targeted change achieved is between -10% and 10%, or change not statistically significant.
Nancy Crane, FDA Sarah Cusick, NCCDPHP/CDC
Kevin Dodd, NCI/NIHJoseph Goldman, ARS/USDA
Van Hubbard, DNRC/NIHClifford Johnson, NCHS/CDC
Margaret McDowell, NCHS/CDCKathryn McMurry, ODPHP
Alanna Moshfegh, ARS/USDAMark Nord, ERS/USDA
Barbara Schneeman, FDA Bettylou Sherry, NCCDPHP/CDCPamela Starke-Reed, DNRC/NIH
Jean Williams, NCHS/CDC
Data Contributors and Federal Interagency Work Group
Acknowledgements
Progress review data and slides
can be found on the web at:
http://www.cdc.gov/nchs/hphome.htm