The Status of our
Waistline
A healthy lifestyle
encompasses many components, such as healthy eating, physical activity, and managed
physical and mental health. One of the most important components for all ages is
healthy eating. Although healthy eating
factors may be common knowledge to most, many still fail to intake foods that
are nutritious, low in fat and sodium, and that help reduce risks of chronic
disease.
The face of the
United States and world has changed drastically over the last 30 years as
related to healthy eating and physical activity. These changes have affected
our waistline, our wallet, and our way of life.
Each day, Americans are faced with choices that will affect their long
term health. Data from the Centers for
Disease Control and Prevention [CDC] and the American Heart Association [AHA]
shows the results of failing to choose and implement healthy lifestyle choices. Of greatest concern to researchers, health
professionals, and community leaders include the following:
- Reports from AHA in 2013 found 154.7 million Americans over the age of twenty were overweight or obese which was defined by a Body Mass Index (BMI) of 25.0 kg/m2 and higher. Of these Americans, 79.9 were men and 74.8 being women (AHA, 2013).
- Over 78 million of these were found to be obese with a BMI of 30.0 kg/m2 and higher. The majority of those were women represented by 41.6 million with the remaining 36.8 being male (AHA, 2013).
- According to the CDC (2014) those Americans in the 40-59 years old range suffer from higher obesity rates (39.5 percent) than those age 20 – 39 (30.3 percent) and 60 or above (35.4 percent).
- This overweight/obesity epidemic has catapulted heart disease, stroke, and diabetes into leading causes of preventable death.
- Those who are considered obese have health care costs that are an estimated $1,429 higher than those who are not (CDC, 2014). Socioeconomic status is a predictor of obesity; higher income women are less likely to be obese than low-income women.
When looking at specific dietary intake patterns, the
President’s Council on Fitness, Sports, and Nutrition [PCFSP] (n.d.) found most
Americans daily consumptions of fats, sugar, and sodium exceeds the recommended
intake levels. In fact, 90 percent of
Americans were consuming a higher level of sodium than recommended; most
consume an average of 3,400 milligrams daily which is far beyond the
recommended 2,300 milligrams (PCFSP, n.d.).
In addition, to fat, sugar, and sodium, the caloric intake has increased
by an average 600 calories per day from 1970 with the majority of those
calories coming from the consumption of fast food. Empty calorie choices such as sodas, fruit
juices, and desserts contribute to 40 percent of the total daily calories for
children 2 to 18 years of age (PCFSP, n.d.).
The increased consumption of unhealthy foods not only
affects our waistlines, but our wallets as well. The American Heart Association [AHA] (2013)
estimates total cost of overweight and obesity at $254 billion annually. These costs are reflected in lost
productivity and direct medical costs.
If this trend continues, these costs could escalate to $861 to $957
billion by the year 2030, accounting for approximately 17 percent of health
expenditures in the United States (AHA, 2013).
What will the future of the U.S. look like in regards to obesity? The National Institute of Diabetes and
Digestive and Kidney Diseases [NIDDKD] (2012) has found the prevalence of
obesity increasing since the 1960’s among adults; however, from 1999 to 2010
the obesity increase has begun to stabilize for adults (NIDDKD, 2012). Furthermore, obesity rates for children and
adolescents has also stabilized at approximately 17 percent; a change from the
fast increasing rates seen in the 1980s and 1990s (NIDDKD, 2012). Although stabilization is a positive
indicator, the goal is still to decrease overweight and obesity rates in the U.S.
Decreasing obesity rates can be achieved through healthy
eating practices and lifestyle behavior changes. NIDDKD (2013) provides suggestions that
healthy eating habits begin by:
- Eating more fruits and vegetables; whole grain breads and cereals; fat-free or low-fat dairy; seafood, lean meats, and eggs; and beans, nuts, and seeds.
- Limiting foods such as sugary drinks, foods high in fats such as butter or others that are solid at room temperature, and refined grains such as chips and crackers.
Furthermore, healthy living can be enhanced through
increased physical activity including both aerobic and weight bearing
exercises. Developing healthy eating
patterns with the goal of decreasing obesity is not an easy task; however,
health educators can play a vital role in implementing programs, increasing
awareness, and wavering community support for changes.
References
American
Heart Association (2013) Statistical fact sheet: 2013 update. Retrieved from http://www.heart.org/idc/groups/heart-public/@wcm/@sop/@smd/documents/downloadable/ucm_319588.pdf
CDC,
(2014, September) Adult obesity
facts. Retrieved from http://www.cdc.gov/obesity/data/adult.html
National
Institute of Diabetes and Digestive and Kidney Diseases (2012). Overweight and obesity statistics. Retrieved from http://win.niddk.nih.gov/statistics/
Hi Julie,
ReplyDeleteDo you think the cuts in school funding around physical fitness have any contribution to the obesity epidemic in children? I remember in my early academic years we had the President's Council on Fitness program. Every year we engaged in some type of activity that was promoted by this campaign. Are there other similar campaigns in the schools for fitness in early academic years?
De'An Roper
De'An,
ReplyDeletePersonally, yes I do think cutting physical education plays a factor on the obesity epidemic. Many schools opt to go with the minimal state requirements of 135 minutes per week for physical education (and include recess in these minutes). Fortunately, two years ago I assisted our local School Health Advisory Council in developing a proposal to go to PE daily for our lower grade campuses. Now, my kids have PE every day and LOVE it! Yes, it has meant coordination on the part of the school but they are beginning to see the long-term health effects these kids will have through creation of physical activity habits. Our schools still do the President's Fitness program, but also incorporate campaigns such as the Fuel Up to Play 60 program which is sponsored by Dairy Max and the NFL.
Julie