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Health Risk Factors<br />

Overweight and Obesity Among Adults<br />

Figure 11. Overweight and obesity among adults aged 20 and over, by<br />

sex: United States, 1988–1994 through 2009–2012<br />

Percent<br />

100<br />

80<br />

60<br />

40<br />

20<br />

Men<br />

Grade 1 obesity<br />

Grade 3 obesity<br />

Grade 2 obesity<br />

Overweight but not obese<br />

Women<br />

Grade 3 obesity<br />

Grade 2 obesity<br />

Grade 1 obesity<br />

Overweight but not obese<br />

0<br />

1988– 1999– 2003– 2009– 1988–<br />

1999– 2003– 2009–<br />

1994 2002 2006 2012 1994<br />

2002 2006 2012<br />

Excel and PowerPoint: http://www.cdc.gov/nchs/hus/contents2014.htm#fig11<br />

Prevention<br />

Influenza and Pneumococcal Vaccination<br />

Between 1988–1994 and 2009–2012, the<br />

prevalence of men and women with Grades 1, 2,<br />

and 3 obesity increased while the prevalence of<br />

men and women aged 20 and over who were<br />

overweight but not obese was stable.<br />

Reducing the prevalence of obesity is a public<br />

health priority because obesity is correlated<br />

with excess morbidity and mortality (14–16). In<br />

particular, Grade 2 or higher obesity (a body<br />

mass index [BMI] of 35 or higher) significantly<br />

increases the risk of death (17). Between<br />

1988–1994 and 2009–2012, the percentage of<br />

adults aged 20 and over with Grade 1 obesity<br />

(BMI greater than or equal to 30 but less than<br />

35), Grade 2 obesity (BMI greater than or equal<br />

to 35 but less than 40), and Grade 3 obesity (BMI<br />

of 40 or higher) increased among both men and<br />

women. During this period, the percentage of<br />

men and women aged 20 and over who were<br />

overweight but not obese (BMI greater than or<br />

equal to 25 but less than 30) was stable. In<br />

2009–2012, 4.4% of men and 8.2% of women<br />

aged 20 and over had Grade 3 obesity.<br />

SOURCE: CDC/NCHS, Health, United States, 2014, Table 64.<br />

Data from the National Health and Nutrition Examination<br />

Survey (NHANES).<br />

During 2003–2013, influenza vaccination in the<br />

past 12 months increased among adults under<br />

age 75, while remaining stable among those aged<br />

75 and over. The percentage of adults aged 65 and<br />

over who had ever received a pneumococcal<br />

vaccination increased during this period.<br />

Vaccination against influenza and invasive<br />

pneumococcal disease is an important public<br />

health strategy (18). During 2003–2013, influenza<br />

vaccination in the past 12 months for<br />

noninstitutionalized adults increased among<br />

those aged 18–49 and 50–74 but was stable<br />

among those aged 75 and over. Decreases in<br />

influenza vaccination coverage in 2005 were<br />

related in part to a vaccine shortage (19).<br />

During 2003–2013, the percentage of noninstitutionalized<br />

adults who had ever received<br />

pneumococcal vaccination was stable among<br />

high-risk persons aged 18–64, and increased<br />

among those aged 65–74 and 75 and over.<br />

NOTE: The pneumococcal high-risk group includes persons<br />

who reported diabetes; cancer; heart, lung, liver, or kidney<br />

disease; or cigarette smoking.<br />

SOURCE: CDC/NCHS, Health, United States, 2014, Tables 74 and<br />

75. Data from the National Health Interview Survey (NHIS).<br />

Figure 12. Influenza and pneumococcal vaccination among noninstitutionalized<br />

adults aged 18 and over, by type of vaccination and age: United States, <br />

2003–2013<br />

Percent<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

Influenza vaccination in<br />

past 12 months<br />

75 years and over<br />

65–74 years<br />

50–64 years<br />

18–49 years<br />

Pneumococcal vaccination<br />

ever<br />

75 years and over<br />

65–74 years<br />

18–64 years,<br />

high-risk category<br />

2003 2013 2003 2013<br />

Excel and PowerPoint: http://www.cdc.gov/nchs/hus/contents2014.htm#fig12<br />

Health, United States, 2014 Chartbook 15

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