Population Percent C.I. All Hennepin County adults aged 18 and older 20.4% ± 1.4

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1 Overview ` Why Is This Indicator Important? Obesity and overweight are associated with increased risk of premature death and many chronic health conditions and diseases. Over the past 3 years, the obesity rate among US adults had increased dramatically. How Are We Doing? In 21, one in five (2%) Hennepin County adults were obese and another one-third (33%) were overweight. The obesity rate among county adults has experienced a 43% increase, from 14% in 1998 to 2% in 21. Obesity disproportionately affects many population groups, including, but is not limited to, older adults, seniors, residents with low income, low education, US-born Blacks, Hispanics or Latinos, older residents with disability, residents experiencing frequent mental distress or are female LGBTs. Data Source: SHAPE 21 Adult Survey, Hennepin County. Population C.I. All Hennepin County adults aged 18 and older 2.4% ± 1.4 Age (years) % ± % ± % ± % ± and older 24.4% ± 2.7 Gender Male 2.7% ± 2.6 Female 2.% ± 1.5 Household income <2% federal poverty level 26.4% ± 3.4 2% federal poverty level 19.1% ± 1.6 Geographic region Minneapolis 18.7% ± 1.9 Northwest suburbs 23.9% ± 3.3 West suburbs 18.4% ± 3.9 South suburbs 19.8% ± 3.1 Denotes the difference in rates between this group and All Hennepin County adults is statistically significant at p<.5.

2 Technical Notes Definition of indicator: Classifications for weight status by body mass index (BMI) according to national guidelines are: underweight (BMI<18.5), normal weight (BMI=18.5 to 24.9), overweight (BMI=25. to 29.9) and obese (BMI 3.). BMI is calculated from self-report weight and height using standard formula: BMI=(weight in kilograms) (height in meters) 2. Definitions for other variables and factors used in this report can be found at Data source: The primary data source for this report is SHAPE 21 Adults Survey. Data from previous SHAPE surveys, including SHAPE 1998 Survey, SHAPE 22 Survey and SHAPE 26 Adult Surveys are used to monitor this indicator over time. Data from SHAPE 26 is used to report therate by race and ethnicity as SHAPE 21 does not have enough sample to do so. Data sources used for the chart How does Hennepin County Compare includes Minnesota 21 Metro Adult Health Survey that covers six metro counties of Minnesota (Anoka, Carver, Dakota, Ramsey, Scott and Washington), Minnesota 21 Behavioral Risk Factor Surveillance Survey (BRFSS) and the median value from all 21 BRFSS participating states. Importance of this indicator: Obesity and overweight are associated with increased risk of premature death and many chronic conditions and diseases. The overall medical cost related to obesity for US adults in 28 alone was estimated to be as high as $147 billion. However, over the past 3 years, the obesity rate among US adults has increased dramatically and has reached an epidemic proportion. In 21, at least half (53%) of Hennepin County adults were either overweight or obese. The obesity rate is 2%, representing a 43% increase from what was a decade ago (14% in 1998). In other words, an equivalent of 71, obese adults were added between 1998 and 21. However, there is no significant change in obesity rates between 26 and 21. The obesity rate for county adults is significantly lower that the rate among the adults in the nation (28%), but far exceeds the Healthy People 22 Objective of 15%. Health disparities: Many of Hennepin County adult populations carry a disproportionate share of obesity burden. This includes, but is not limited to, the older adults, seniors, adults with low income, low education. Wide variation in obesity rates across county geographic area is also observed with north Minneapolis having this the highest rate (3%). The county adults who are affected by obesity the most are US-born Blanks, Hispanics or Latinos, older adults with a disability and adults having experienced recent frequent mental distress. Obesity rate among those who are Lesbians, Gays, Bisexuals or Transgenders (LGBTs) and the rate among those who are not are the same. However, gender specific analysis show that rate among females who are LGBTs is significantly higher than the rate among females who are not LGBTs (46% vs. 2%, p<.5). Notes on the charts and tables: An asterisk () indicates the difference in rates of the indicator between the particular subgroup and all Hennepin County adults is statistically significant. A set of double asterisks () indicates the difference in rates of the indicator across subgroups within the same factor or variable is statically significant. A set of three asterisks () indicates the difference in rates of the indicator between the Hennepin County and the nation is statistically significant. The level of statistical significance was determined at p<.5.

3 Adults weight status Adults being obese Time trend % Obese 5 4 Normal weight 45.7% 53.2% % 17.2% 19.1% 2.4% % Overweight Underweight 1.2% SHAPE , Number of adults being obese Time trend , 5 Adults being obese in 21 How does Hennepin County compare? 163, 16, 147, 71, 4 Healthy People 22 objective Number of adults 12, 8, 111, % 25.1% 25.4% 27.6% 1 15% 4, Hennepin County Other metro counties Minnesota U.S.

4 Adults being obese by race and ethnicity Adults being obese by education % % % 31.4% 25.5% % 19.6% 19.1% % 1 8.5% 1 White US-born Black African-born Black Southeast Asian Hispanic/Latino All adults Less than high school High school Some college College or higher SHAPE 21 SHAPE 26 5 Adults being obese by lesbian, gay, bisexual or transgender (LGBT) status and gender 5 Adults being obese by frequent mental distress and disability status 46.4% Being a LGBT 16.3% Not being a LGBT 27.5% 21.6% 2.4% 2.4% 19.6% % 19.2% 21.2% 1 Yes No Yes No Total Male Female SHAPE 21 Frequent mental distress (among all adults) Disability (among adults aged 55 & older) SHAPE 21

5 Indicator: Adults Currently Smoking Indicator: Adults Being Obese Adults being obese by geographic areas Minneapolis N Near-North, Camden E Northeast. University, Longfellow City of St. Anthony C Central, Phillips, Powderhorn S Calhoun-Isles, Southwest, Nokomis Suburban Hennepin NW1 Northwest Inner Ring Suburbs W1 West Inner Ring Suburbs S1 South Inner Ring Suburbs NW2 Northwest Outer Ring Suburbs W2 West Outer Ring Suburbs S2 South Outer Ring Suburbs SHAPE 21