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Older Americans Leading in the War Against Obesity

Overweight Rising for children, teens, men and steady for women

April 5, 2006 - A new study published today in the Journal of the American Medical Society headlined news that overweight and obesity continues to climb for children and men, while it holds steady for women, but in the same time comparison - 1999 to 2004 - older Americans (60 and over) appear to be leading the way in the fight against fat.

In the adults studied, age 20 and older, 32.2% were found to be obese in 2003-2004. Among those 60 and older, however, only 31% were found to be obese.

 

Older Americans Winning Fight Against Fat

 
   
 

Both men and women age 60 and over were less overweight and obese in 2004 than in 2002 study.

 
   
 

Women age 60 and over made a dramatic improvement in the percent considered extremely obese. It looks like their male contemporaries picked up the excess.

 

What is dramatic and encouraging for older citizens is the change from 1999. Then, 30.5 of all adults were found to be obese and now the percentage has jumped to 32.2. Seniors, on the other hand, have reduced the percentage determined to be obese from 33.5% to 31%.

Baby Boomers aged 40 to 59, however, jumped in obesity in 2004 to 36.8%, from just 33.5% in 1999.

Obesity continues to be a leading public health concern in the United States. Between 1980 and 2002, obesity prevalence doubled in adults aged 20 years or older and overweight prevalence tripled in children and adolescents aged 6 to 19 years, according to background information in the article.

Cynthia L. Ogden, Ph.D., of the Centers for Disease Control and Prevention, Hyattsville, Md., and colleagues examined data on national measurements of weight and height in 2003-2004 and compared these data with estimates from 1999-2000 and 2001-2002 to determine if the overweight trend is continuing.

The data consisted of weight and height measurements from 3,958 children and adolescents aged 2 to 19 years and 4,431 adults aged 20 years or older obtained in 2003-2004 as part of the National Health and Nutrition Examination Survey (NHANES), a nationally representative sample of the U.S. population.

Overweight among children and adolescents was defined as at or above the 95th percentile of the sex-specific body mass index (BMI) for age growth charts based on data collected between 1963 and 1994.

Body mass index is calculated as weight in kilograms divided by the square of height in meters. Obesity among adults was defined as a BMI of 30 or higher; extreme obesity was defined as a BMI of 40 or higher.

 

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The researchers found that 17.1 percent of children and adolescents aged 2 to 19 years were overweight and 32.2 percent of adults aged 20 years or older were obese in 2003-2004.

The prevalence of extreme obesity among adults was 4.8 percent. There was a significant increase in the prevalence of overweight in female children and adolescents from 13.8 percent in 1999-2000 to 16 percent in 2003-2004.

There was also an increase in the prevalence of overweight in male children and adolescents from 14.0 percent to 18.2 percent.

Among men, the prevalence of obesity increased significantly between 1999-2000 (27.5 percent) and 2003-2004 (31.1 percent). Among women, no significant increase in obesity was observed between 1999-2000 (33.4 percent) and 2003-2004 (33.2 percent). The prevalence of extreme obesity in 2003-2004 was 2.8 percent in men and 6.9 percent in women.

Prevalence of Overweight, Obesity or Extreme Obesity
  All Adults 20-39 40-59 60+ 60+ Men 60+ Women
Overweight or obesity
1999-2000 64.5 57.6 68.0 70.8 74.1 68.1
2001-2002 65.7 57.2 71.1 71.5 74.4 69.2
2003-2004 66.3 57.1 73.1 71.0 73.7 68.9
Obesity
1999-2000 30.5 26.0 33.5 33.5 31.8 35.0
2001-2002 30.6 26.1 33.9 33.1 30.2 35.2
2003-2004 32.2 28.5 36.8 31.0 30.4 31.5
Extreme obesity
1999-2000 4.7 4.5 5.8 3.4 1.8 4.7
2001-2002 5.1 4.8 5.8 4.7 1.8 6.8
2003-2004 4.8 5.4 5.4 3.0 2.5 3.3

In 2003-2004, significant differences in obesity prevalence remained by race/ethnicity. Approximately 30 percent of non-Hispanic white adults were obese as were 45 percent of non-Hispanic black adults and 36.8 percent of Mexican Americans. Among adults aged 20 to 39 years, 28.5 percent were obese while 36.8 percent of adults aged 40 to 59 years and 31.0 percent of those aged 60 years or older were obese in 2003-2004.

“There is little indication that the prevalence is decreasing in any subgroup of the population. These prevalence estimates, based on a 6-year period (1999-2004), suggest that the increases in body weight may be leveling off in women,” the authors write.

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