F as in Fat: How Obesity Policies are Failing in America, 2007
Help! We’ve Been Supersized
- Since 1970, the percentage of U.S. children who are overweight has more than tripled.
- It is now estimated that 1 in 5 children in the US is overweight.
- Rates are higher and increasing faster in minority children.
- Increases in the prevalence of overweight are being seen in younger children, including preschoolers.
- Childhood overweight is regarded as the most common prevalent nutritional disorder of U.S. children and adolescents, and one of the most common problems seen by pediatricians.
- Even normal weight children are at risk and need to take preventive measures, because now over 60% of U.S. adults are overweight.
- Overweight and obesity contribute to poor self esteem, and increase the risk of adult obesity and other chronic diseases, such as heart disease, certain cancers, stroke, diabetes, arthritis, fatty liver, sleep apnea, respiratory problems, insulin resistance, impaired fertility, polycystic ovarian syndrome, hypertension, hyperlipidemia, and hyperuricemia.
- Left unchanged, obesity will surpass smoking as the leading cause of preventable death in America.
- If this trend continues, one in every three children born in the year 2000 will develop diabetes in their lifetime.
- The #1 risk factor for type 2 diabetes is obesity. Other risk factors are being sedentary (not active), being a member of at at-risk ethnic group (e.g. Native American, Hispanic and African American), having family members with type 2 diabetes, and having high blood pressure or high cholesterol.
- Type 2 diabetes and other complications resulting from childhood obesity can be prevented or delayed by adopting lifestyle changes, such as healthy eating, daily physical activity and achieving a healthy weight.
Data from Diabetes Surveillance in New York State
- In New York State an estimated 430,000 people have undiagnosed diabetes (Source: BRFSS and CDC DDT)
- Approximately 13,000 people with diabetes are under 18 years of age. (Source: Search for Diabetes in Youth Study)
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What are the complications associated with diabetes?
- 2,803 new cases of end stage renal disease in 2005 (Source: Chronic Kidney Disease Network of New York)
- 40,193 hospitalizations in 2005 as principal diagnosis (Source: SPARCS)
- 3,037 non-traumatic lower extremity amputations in 2005 (Source: SPARCS)
What are the costs resulting from diabetes?
- Health care costs for people with diabetes are more than 5 times as much as those for people without diabetes $13,000 vs $2,5000. (Source: CDC,DDT)
In 2004, New York State Medicaid program expenditures for the nearly 284,000 fee for service members with diabetes totaled approximately $5.5 billion (Source: NYS Office of Medicaid Management)
- The good news, controlling blood glucose levels can prevent or delays developing diabetes or the complications due to diabetes, thus in turn reducing the financial burden of the disease.
Diabetes Foot Facts
Prevalence of diabetes
Total: 20.8 million people – Seven percent of the U.S. population has diabetes.
Diagnosed: 14.6 million people
Undiagnosed: 6.2 million people
Prevalence of diabetes among people 20 years or older
- Age 20 years or older: 20.6 million. Nine percent of all people in this age group have diabetes.
- Age 60 years or older: 10.3 million. Almost 21 percent of all people in this age group have diabetes.
- Men: 10.9 million. Close to 11 percent of all men aged 20 years or older have diabetes.
- Women: 9.7 million. Nearly nine percent of all women aged 20 years or older have diabetes. The prevalence of diabetes is at least 2 to 4 times higher among non-Hispanic Black and Hispanic/Latino American women than among non-Hispanic white women.
Prevalence of diabetes by race/ethnicity among people 20 years or older
- African-Americans: 3.2 million. Close to 13 percent of all non-Hispanic blacks aged 20 years or older have diabetes. On average, non-Hispanic blacks are 1.8 times more likely to have diabetes than non-Hispanic whites of similar age.
- Hispanic/Latino-Americans: 2.5 million. Nearly ten percent of Hispanic/Latino Americans aged 20 years or older have diabetes. Mexican Americans, the largest Hispanic/Latino subgroup, are 1.7 times as likely to have diabetes as non-Hispanic whites. Residents of Puerto Rico are 1.8 times as likely to have diagnosed diabetes as U.S. non-Hispanic whites.
- Caucasian-americans : 13.1 million. Close to nine percent of all non-Hispanic whites aged 20 years or older have diabetes.
Complications of diabetes
- More than 60 percent of non-traumatic lower-limb amputations in the United States occur among people with diabetes.
- In 2002, nearly 82,000 non-traumatic lower-limb amputations were performed among people with diabetes.
- Non-Hispanic blacks are 2.7 times as likely to suffer from lower-limb amputations as non-Hispanic whites.
Preventing Diabetes Complications
- A podiatrist, a podiatric physician specializing in the treatment of the foot and ankle, plays an integral role in a diabetes management team. Diabetes can affect many parts of the body and can lead to serious complications such as blindness, kidney damage, and lower-limb amputations. Working together, people with diabetes and their health care providers, such as a podiatric physician, can reduce the occurrence of these and other diabetes complications.
Comprehensive foot care programs can reduce amputation rates by 45 percent to 85 percent.
- Research in the United States and abroad has found that lifestyle changes can prevent or delay the onset of type 2 diabetes among high-risk adults.
- Lifestyle interventions included diet and moderate-intensity physical activity, such as walking for 2.5 hours each week.
Information for this fact sheet has been compiled using the latest statistics from the American Diabetes Association and Centers for Disease Control and Prevention.
Disabling Disease to Double by 2050
Data resource page – www.cdc.gov/diabetes
go to Publications and Products to reach the National diabetes fact sheet
NEW DIABETES REPORT DOCUMENTS DEVASTATING EFFECTS IN NEW YORK CITY
Diabetes Hospital Costs Have Doubled In New York City Since 1990
CDC – CDC’s National Leadership Role in Addressing Obesity