Obesity

About Obesity

  • Obesity is a common, costly chronic disease
  • As of 2023, 34.1% of Maryland adults experience obesity
  • More than 2 in 5 U.S. adults have obesity
  • In the United States, some groups are more vulnerable than others, with non-Hispanic Black adults having the highest prevalence (49.9%) followed by Hispanic (45.6%), non-Hispanic White (41.4%), and non-Hispanic Asian (16.1%) adults.
    • In Maryland, non-Hispanic Black adults have the highest prevalence (42.5%) followed by Hispanic adults (35.7%), non-Hispanic American Indian/Alaska Native Adults (1.9%), non-Hispanic White adults (31.1%), and non-Hispanic Asian Adults (14.3%).
  • Many individuals with obesity also have other critical chronic diseases such as diabetes and heart disease.

Risk Factors for Obesity (CDC)

  • Lack of physical activity
  • Unhealthy food choices (including too many processed foods, too many sugar-sweetened beverages, foods with not enough fiber, and not enough fruits and vegetables
  • Not enough or poor quality sleep
  • Too much screen time (TV, computer, video games, cellphone, etc.)
  • Long term stress
  • Some health conditions may lead to excess weight gain, obesity, or insulin resistance.
  • Some medications may cause weight gain by disrupting the brain’s signal for hunger. Some of these medications can include:
    • Psychiatric medications (ex: antipsychotics or antidepressants)
    • Steroids
    • Certain hormonal birth control such as progestins
    • Anti-seizure or mood-stabilizing medications
    • Certain blood pressure and diabetes medications
  • Limited access to healthy and affordable food
  • Limited access to safe areas for physical activity
  • Limited access to childcare and supportive school environments
  • Unsafe housing and transportation

Childhood Obesity

  • 1 in 5 children in the U.S. experience obesity
  • Like adults, children with obesity are also at risk for high blood pressure and type 2 diabetes. Children with obesity are also likely to experience obesity as adults.
  • Fewer than 1 in 4 children receive enough aerobic physical activity.
  • From 2017 to March 2020, the prevalence of obesity in U.S. children and adolescents was 19.7%, or approximately 14.7 million youths between ages 2-19.
  • Some groups are more affected than others:
    • Age – From 2017 to March 2020, obesity prevalence was 12.7% for U.S. Children ages 2-5. 20.7% for those 6-11, and 22.2% for adolescents aged 12-19.
    • Race/Ethnicity – Obesity was highest in Hispanic children (26.2%) and non-Hispanic Black children (24.8%) followed by non-Hispanic white (16.6%) and non-Hispanic Asian (9.0%) children.
    • Sex – For U.S. girls, obesity was highest among non-Hispanic Black girls (30.8%). For U.S. boys, its prevalence was highest among Hispanic boys (29.3%).
    • Family Income – As family income decreased, obesity prevalence increased.
      • 11.5% for U.S. Children w/ family income more than 350% of the Federal Poverty Level (FPL)
      • 21.2% among children with family income 130% to 350% of the FPL
      • 25.8% among children with family income 130% or less of the FPL.

What can you and Your Family do to Manage or Prevent Obesity?

  • Follow MyPlate dietary guidelines
  • Get the recommended amount of physical activity per day
  • Receive an adequate amount of sleep every night
  • Manage stress
  • Talk to your healthcare provider about weight concerns
  • Especially for children, reduce screen time and sugar-sweetened beverage intake. Choose water first.