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<INDICATOR name="OvrwtObe">
	<NAME>OvrwtObe</NAME>
	<DESCRIPTION>weight control, body mass index, BMI, weight loss, physical activity, exercise, diet, nutrition, fruits and vegetables, 5 a Day</DESCRIPTION>
	<DEFAULT_INDICATOR_VIEW_NAME>OvrwtObe.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
	<TITLE>Overweight or obese</TITLE>
	<DEFINITION>Overweight is defined as having a body mass index (BMI) that is between 25.0 to &lt;30. Obesity is defined as a BMI of 30 or more. 

BMI is calculated by dividing weight in kilograms by the square of height in meters.^1^[[br]]
[[br]]
----
1. CDC [https://www.cdc.gov/nccdphp/dnpao/data-trends-maps/help/npao_dtm/definitions.html Defining Adult Overweight and Obesity]</DEFINITION>
	<NUMERATOR>The number of respondents age 18 years and older who have a body mass index (BMI) greater than or equal to 25.0 kg/m^2^ calculated from self-reported weight and height.</NUMERATOR>
	<DENOMINATOR>The number of respondents age 18 years and older for whom BMI can be calculated from their self-reported weight and height (excludes unknowns or refusals for weight and height).</DENOMINATOR>
	<DATA_NOTE>Overweight is defined as having a body mass index (BMI) that is between 25.0 to &lt;30. Obesity is defined as a BMI of 30 or more. 

BMI is calculated by dividing weight in kilograms by the square of height in meters.^1^

1. CDC [https://www.cdc.gov/nccdphp/dnpao/data-trends-maps/help/npao_dtm/definitions.html]</DATA_NOTE>
	<DATA_ISSUES>To reduce bias and more accurately represent population data, the BRFSS has changed survey methodology. In 2010, it began conducting surveys by cellular phone in addition to landline phones. It also adopted "iterative proportional fitting" (raking) as its weighting method. More details about these changes can be found at: [https://ibis.utah.gov/ibisph-view/pdf/opha/resource/brfss/RakingImpact2011.pdf].

Most of the rates shown are age-adjusted. Age-adjusting allows the prevalence of a disease or condition in different populations to be compared as though both populations had the same age distribution.</DATA_ISSUES>
	<DATA_SOURCE_DATE>10/18/2024</DATA_SOURCE_DATE>
	<WHY_IMPORTANT>Obesity is a costly and serious chronic condition.^1^ Adults who have obesity are at an increased risk of other health conditions and diseases, such as high blood pressure and cholesterol, coronary heart disease, type 2 diabetes, breathing problems, stroke, gallbladder disease, and osteoarthritis. The economic impacts of obesity include an estimated $173 billion in annual medical care costs.^2^

While there is no single solution to addressing obesity, state and local organizations, communities, and individuals can create environments that support healthy lifestyles. This includes supporting Family Healthy Weight Programs, healthy eating and active living in community settings, and implementing early care and education policies.^3^

To learn more about how the Healthy Environments Active Living (HEAL) Program is supporting these strategies, visit [https://heal.utah.gov/ heal.utah.gov][[br]]
[[br]]
----
1. CDC [https://www.cdc.gov/obesity/index.html/ Overweight and Obesity][[br]]
2. CDC [https://www.cdc.gov/obesity/basics/consequences.html/ Consequences of Obesity][[br]]
3. CDC [https://www.cdc.gov/obesity/php/about/obesity-strategies-what-can-be-done.html Obesity Strategies: What Can Be Done]</WHY_IMPORTANT>
	<OTHER_OBJECTIVE_DESCRIPTION>The U.S. Healthy People 2030 objective is Nutrition and Weight 
Status 03 (NWS-03): Reduce the proportion of adults with obesity.

The U.S. target has been set for 36.0 percent of adults aged 20 or over.

See [https://health.gov/healthypeople/objectives-and-data/browse-objectives/overweight-and-obesity/reduce-proportion-adults-obesity-nws-03/ Healthy People 2030].</OTHER_OBJECTIVE_DESCRIPTION>
	<HOW_DOING>In 2023, 65.8% of adults (age-adjusted) had a BMI of 25 or greater. There has been a steady increase in those with an overweight classification or obesity in Utah, with a 3.1% percentage point increase from 2018 (63.4%) to 2022. Higher rates of having an overweight classification or obesity are found in Juab (86.8%) and Tooele (72.3%) counties. Summit (50.7%) and Wasatch (50.9%) counties have the lowest rates of adults with an overweight classification or obesity (2023 age-adjusted rates).</HOW_DOING>
	<STATE_VS_US>In 2022, 33.3% of adults had obesity and 34.1% had an overweight classification nationally.^1^

66.5% of adults (age-adjusted) had a BMI of 25 or greater in Utah, with 34.6% having an overweight classification and 32% having obesity.[[br]]
[[br]]
----
1. CDC [https://nccd.cdc.gov/dnpao_dtm/rdPage.aspx?rdReport=DNPAO_DTM.ExploreByLocation&amp;rdRequestForwarding=Form/ National Obesity/Weight Status]</STATE_VS_US>
	<WHAT_DOING>The Utah Department of Health and Human Services Healthy Environments Active Living (HEAL) Program plays a key role in improving the health of residents in the state of Utah. The program was formed in July 2013 (as Healthy Living through Environment, Policy, and Improved Clinical Care: EPICC), through a new funding opportunity from the Centers of Disease Control and Prevention (CDC) that allowed for the merging of three previously existing programs: the Heart Disease and Stroke Prevention Program, the Diabetes Prevention and Control Program, and the Physical Activity, Nutrition and Obesity Program, as well as the addition of a school health program. HEAL was recently restructured as part of a strategic planning process and the new program model focuses on staff and partners working together to address the social determinants of health while advancing health equity and increasing policy, systems and environmental changes. 

HEAL works:

In schools:[[br]]
HEAL encourages schools to adopt the Comprehensive School Physical Activity Program. This framework encourages students to be physically active for 60 minutes a day through school, home, and community activities. HEAL also tracks height and weight trends in elementary school students. 
 
In worksites:[[br]]
HEAL offers training on developing worksite wellness programs called Work@Health. HEAL partners with local health departments to encourage worksites to complete the CDC Scorecard and participate in yearly health risk assessments for their employees. HEAL provides toolkits and other resources for employers interested in implementing wellness programs [https://heal.utah.gov/worksite-wellness].

In communities:[[br]]
HEAL receives federal funding to partner with worksites and community-based organizations to increase access to fresh fruits and vegetables in worksite and community settings. HEAL also partners with LHDs to work with cities and/or counties within their jurisdictions to create a built environment that encourages physical activity.

In healthcare:[[br]]
HEAL works with health care systems to establish community clinical linkages to support individuals at risk for or diagnosed with diabetes or hypertension to engage in lifestyle change programs such as chronic disease self-management and diabetes prevention programs.

In childcare:[[br]]
HEAL works with state and local partners through the Childcare Obesity Prevention workgroup to implement policy and systems changes in early care and education across agencies statewide. Ten local health departments statewide have implemented the TOP Star program, which aims to improve the nutrition, physical activity, and breastfeeding policies and environments and achieve best practices in childcare centers and homes.[[br]]</WHAT_DOING>
	<OTHER_PROGRAM_INFORMATION>Overarching Goals:

Healthy People: Increase access to resources that empower all people in Utah to reach their full health potential.

Healthy Communities: Increase the capacity of communities to support and promote healthy living for all individuals.

Equitable Society: Increase opportunities for people who are under-resourced and under-represented in Utah to live healthy and thriving lives.</OTHER_PROGRAM_INFORMATION>
	<SERVICES_AVAILABLE_TO_PUBLIC>Please see the website for the Healthy Environments Active Living (HEAL) program, located under the Utah Department of Health and Human Services:  [https://heal.utah.gov/]</SERVICES_AVAILABLE_TO_PUBLIC>
	<RESOURCES_REFERENCES_LINKS>Healthy Environments Active Living Program, Utah Department of Health and Human Services [[br]]
[https://heal.utah.gov/]

The National Center for Chronic Disease Prevention and Health Promotion provides consumer information at [https://www.cdc.gov/nccdphp/divisions-offices/about-the-division-of-nutrition-physical-activity-and-obesity.html].

National Institutes of Health: Obesity, Nutrition, and Physical Activity [https://www.nhlbi.nih.gov/science/obesity-nutrition-and-physical-activity]

The Surgeon General's Call to Action to Prevent and Decrease Overweight &amp; Obesity: [https://pubmed.ncbi.nlm.nih.gov/20669513/]

More information on the Behavioral Risk Factor Surveillance System may be found on the website of the Centers for Disease Control and Prevention - [https://www.cdc.gov/brfss/index.html].</RESOURCES_REFERENCES_LINKS>
	<ORG_UNIT_NAME>HEAL</ORG_UNIT_NAME>
	<OWNER_USER_ID>karleewalker@utah.gov</OWNER_USER_ID>
	<STATUS_CODE>A</STATUS_CODE>
	<STATUS_DATE>10/22/2024</STATUS_DATE>
	<NOTE>Important facts, HPO, and other details modified by mcurcio@utah.gov 2/29/2024

Detail modified by: bralls@utah.gov, 11/01/2022
Detail modified by: rfronberg@utah.gov, 10/31/2021
Updated 10/26/18 EEspinel

11.1.18 BR Removed this from Data Interpretation Issues:
Respondents tend to overestimate their height and underestimate their weight leading to underestimation of BMI and the prevalence of obesity.

10.20.22 Bralls moved this note from "all views" to "US/UT view"only.In 2016, Utah BRFSS modified its methodology for age adjustment for increased precision. With this change Utah is consistent with both the U.S. and other states using IBIS. Data has been updated from 2011 onward in all chart views to reflect this change.</NOTE>
	<SORT_ORDER>3</SORT_ORDER>
	<ACTIVE_FLAG>x</ACTIVE_FLAG>
	<MODIFIED_DATE>10/22/2024</MODIFIED_DATE>
	<MODIFIED_DESCRIPTION>Status changed by: kimneerings@utah.gov</MODIFIED_DESCRIPTION>
	<PUBLISHED_DATE>10/22/2024</PUBLISHED_DATE>
	<HEALTHY_PEOPLE_OBJECTIVE>
		<MODIFIED_DATE></MODIFIED_DATE>
	</HEALTHY_PEOPLE_OBJECTIVE>
	<DATA_SOURCES/>
	<RELATIONS>
		<RELATION name="PopChar">
			<NAME>PopChar</NAME>
			<TITLE>Relevant Population Characteristics</TITLE>
			<TEXT>Males generally have higher rates of overweight/obesity than females across every age group. Utah adults who are American Indian/Native American or Native Hawaiian/Pacific Islander tend to have higher rates of overweight/obesity. For a comprehensive view of national data on relevant population characteristics, see 
[https://www.cdc.gov/nchs/data/databriefs/db360-h.pdf].</TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>PhysAct</NAME>
					<TITLE>Physical activity: recommended aerobic activity among adults</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>PhysAct.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>PhysActMusStr</NAME>
					<TITLE>Physical activity: recommended muscle-strengthening among adults</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>PhysActMusStr.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="SystemFactors">
			<NAME>SystemFactors</NAME>
			<TITLE>Health Care System Factors</TITLE>
			<TEXT></TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>CosBarHtlhCar</NAME>
					<TITLE>Cost as a Barrier to Health Care</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>CosBarHtlhCar.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>PriProvUsuPl</NAME>
					<TITLE>Personal Doctor or Health Care Provider</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>PriProvUsuPl.Age_Sex</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="RiskFactors">
			<NAME>RiskFactors</NAME>
			<TITLE>Risk Factors</TITLE>
			<TEXT>Behaviors such as engaging in physical activity and having a healthy diet, can have a significant impact on reducing the risk of being overweight or obese. Addressing social determinants of health can also have a great impact on reducing the risk of obesity and obesity-related disparities.</TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>5aDayFruit</NAME>
					<TITLE>Daily fruit consumption</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>5aDayFruit.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>5aDayVeg</NAME>
					<TITLE>Daily vegetable consumption</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>5aDayVeg.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>PhysAct</NAME>
					<TITLE>Physical activity: recommended aerobic activity among adults</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>PhysAct.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>PhysActMusStr</NAME>
					<TITLE>Physical activity: recommended muscle-strengthening among adults</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>PhysActMusStr.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
		<RELATION name="HealthStatus">
			<NAME>HealthStatus</NAME>
			<TITLE>Health Status Outcomes</TITLE>
			<TEXT>Being overweight or obese can increase the risk of many related health conditions, such as diabetes, high blood pressure, and liver disease.</TEXT>
			<RELATED_INDICATORS>
				<RELATED_INDICATOR>
					<NAME>DiabDth</NAME>
					<TITLE>Deaths due to Diabetes as Underlying Cause</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>DiabDth.UT_US</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>FPHlth</NAME>
					<TITLE>Fair/poor health</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>FPHlth.Ut_USYear</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
				<RELATED_INDICATOR>
					<NAME>HrtDisDth</NAME>
					<TITLE>Ischemic Heart Disease Deaths</TITLE>
					<DEFAULT_INDICATOR_VIEW_NAME>HrtDisDth.Ut_USYear</DEFAULT_INDICATOR_VIEW_NAME>
				</RELATED_INDICATOR>
			</RELATED_INDICATORS>
		</RELATION>
	</RELATIONS>
	<INDICATOR_VIEWS>
		<INDICATOR_VIEW>
			<NAME>OvrwtObe.UT_US</NAME>
			<TITLE>Overweight or obese</TITLE>
			<SUB_TITLE>by year, Utah and U.S.,</SUB_TITLE>
			<PERIOD_TITLE>2002-2023</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>OvrwtObe.AgeSex</NAME>
			<TITLE>Overweight or obese</TITLE>
			<SUB_TITLE>by age and sex, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2023</PERIOD_TITLE>
			<Y_TITLE>Percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>OvrwtObe.Eth</NAME>
			<TITLE>Overweight or obese</TITLE>
			<SUB_TITLE>by ethnicity, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2023</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>OvrwtObe.LHD</NAME>
			<TITLE>Overweight or obese</TITLE>
			<SUB_TITLE>by local health district, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2023</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults aged 18+</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>OvrwtObe.Race</NAME>
			<TITLE>Overweight or obese</TITLE>
			<SUB_TITLE>by race, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2023</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>OvrwtObe.SexYear</NAME>
			<TITLE>Overweight or obese</TITLE>
			<SUB_TITLE>by sex and year, Utah,</SUB_TITLE>
			<PERIOD_TITLE>1989-2023</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>OvrwtObe.Edu</NAME>
			<TITLE>Overweight or obese</TITLE>
			<SUB_TITLE>by education, Utah adults 25+,</SUB_TITLE>
			<PERIOD_TITLE>2023</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults 25+</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>OvrwtObe.Inc</NAME>
			<TITLE>Overweight or obese</TITLE>
			<SUB_TITLE>by income, Utah,</SUB_TITLE>
			<PERIOD_TITLE>2023</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
		<INDICATOR_VIEW>
			<NAME>OvrwtObe.SA</NAME>
			<TITLE>Overweight or obese</TITLE>
			<SUB_TITLE>by Utah Small Area,</SUB_TITLE>
			<PERIOD_TITLE>2021-2023</PERIOD_TITLE>
			<Y_TITLE>Age-adjusted percentage of adults</Y_TITLE>
		</INDICATOR_VIEW>
	</INDICATOR_VIEWS>
</INDICATOR>
