Trends in the Distribution of Body Mass Index Among Women of Reproductive Age
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1 Trends in the Distribution of Body Mass Index Among Women of Reproductive Age Andrea Sharma Division of Nutrition, Physical Activity and Obesity National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention The findings and conclusions in this presentation have not been formally disseminated by CDC and should not be construed to represent any agency determination or policy.
2 Presentation Overview Describe distribution and trends in BMI among women of reproductive age in the United States Adult (2-49 y) and adolescents (12-19 y) Definitions of weight status National prevalence and trends By age group By race/ethnicity Summary
3 Data Source National Health and Nutrition Examination Survey (NHANES) US civilian, non-institutionalized population Height and weight measured
4 Classification* of adult underweight, overweight and obesity by BMI Underweight Normal Overweight Obesity Extreme obesity Obesity Class I II III BMI (kg/m 2 ) < *National Heart Lung and Blood Institute (NHLBI), 1998
5 Trends in obesity among U.S. women aged 2-39 years, Obesity Prevalence (%) HP Source: NHES and NHANES: Flegal et al, JAMA 22; Ogden et al, JAMA 26; Ogden et al, NCHS data brief #1, 27. Obesity defined as BMI 3.
6 Change in the distribution of BMI between and 25-6 among U.S. women aged 2-49 years NHANES III NHANES D e n s i t y D e n s i t y BMI BMI Percentile BMI (kg/m 2 ) Percentile BMI (kg/m 2 ) 1th th th th th 24. 5th th th th 35. 9th 38.7
7 Percent (%) Prevalence of underweight, overweight and obesity among U.S. women aged 2-49 y Obesity III (extreme) Obesity II Obesity I Overweight Normal 1 Underweight Source: NHANES, unpublished analysis
8 Trends in obesity among U.S. women of reproductive age by age group, Obesity Prevalence (%) y 3-39 y 2-29 y Source: NHANES: unpublished analysis Obesity defined as BMI 3.
9 7 6 Prevalence of overweight and obesity among U.S. women aged 2-49 years by age group, Percent (%) Obese Overweight All 2-29 y 3-39 y 4-49 y Source: NHANES: unpublished analysis Overweight defined as BMI= ; Obesity defined as BMI 3.
10 Trends in obesity among U.S. women aged 2-49 years by race/ethnicity, Obesity Prevalence (%) NH black Mexican American NH white Source: NHANES: unpublished analysis Obesity defined as BMI 3. NH=non-Hispanic.
11 9 8 7 Prevalence of overweight and obesity among U.S. women aged 2-49 years by race/ethnicity, Percent (%) Obese Overweight All NH white NH black Mexican American Source: NHANES: unpublished analysis Overweight defined as BMI ; Obesity defined as BMI 3. NH=non-Hispanic.
12 Prevalence of obesity among U.S. women aged 2-49 years by age and race/ethnicity, Percent (%) y 3-39 y y All NH white NH black Mexican American Source: NHANES: unpublished analysis Obesity defined as BMI 3. NH=non-Hispanic.
13 Prevalence of underweight among U.S. women aged 2-49 years by race/ethnicity, Percent (%) All NH white NH black Mexican American Source: NHANES: unpublished analysis Underweight defined as BMI<18.5. NH=non-Hispanic.
14 Classification of adolescent* underweight, overweight and obesity by gender- and age-specific BMI percentile Underweight Normal Overweight Obesity Gender- and age-specific BMI percentile <5 th 5th - <85th 85th - <95th 95 th *Adolescent defined as years. Percentiles based on CDC growth charts. Overweight formerly known as at risk for overweight. Obesity formerly known as overweight.
15 Trends in obesity among U.S. adolescent girls aged years, Obesity Prevalence (%) HP Note: Obesity is defined as BMI gender- and age-specific 95th percentile from the 2 CDC Growth Charts. Source: NHANES: Ogden et al JAMA 22; Ogden et al JAMA 26; Ogden et al JAMA 28.
16 Prevalence of underweight, overweight and obesity among U.S. adolescent girls aged y Obesity Percent (%) Overweight Normal 2 1 Underweight Source: NHANES, unpublished analysis
17 Trends in obesity among U.S. adolescent girls aged years by race/ethnicity, Obesity Prevalence (%) NH black Mexican American NH white Source: NHANES: MMWR 1997; Ogden et al JAMA 26; Ogden et at JAMA 28. Obesity defined as BMI 95th percentile. NH=non-Hispanic.
18 Prevalence of overweight and obesity among U.S. adolescent girls aged years by race/ethnicity, Percent (%) Obese Overweight All NH white NH black Mexican American Source: NHANES: Ogden et al JAMA 28 Overweight defined as BMI 85th-94 th percentile; Obesity defined as BMI 95 th percentile. NH=non-Hispanic.
19 Prevalence of obesity among U.S. adolescent girls aged years by race/ethnicity, Percent (%) >=97th Percentile 95th to <97th Percentile All NH white NH black Mexican American Source: NHANES: Ogden et al JAMA 28 Obesity defined as BMI 95 th percentile. NH=non-Hispanic.
20 Prevalence of underweight among U.S. adolescent girls aged years by race/ethnicity, Percent (%) All NH white NH black Mexican American Source: NHANES: Unpublished data. Underweight defined as BMI<5 th percentile. NH=non-Hispanic.
21 Summary Underweight relatively stable Since 198, obesity doubled among women, tripled among adolescent girls Obesity may be reaching a plateau Obesity higher among older populations Racial disparities among women and adolescent girls
22 Acknowledgements Cathleen Gillespie, Division of Nutrition, Physical Activity and Obesity
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