BRFSS Brief Number 0904, Overweight and Obesity New York State Adults 2008

The Behavioral Risk Factor Surveillance System (BRFSS) is an annual statewide telephone survey of adults developed by the Centers for Disease Control and Prevention and administered by the New York State Department of Health. The BRFSS is designed to provide information on behaviors, risk factors, and utilization of preventive services related to the leading causes of chronic and infectious diseases, disability, injury, and death among the noninstitutionalized, civilian population aged 18 years and older.

Introduction

More than one-third of the adults in the United States are estimated to be obese and an additional one-third overweight.1,2

Obesity is associated with a multitude of adverse health outcomes, including elevated cholesterol, high blood pressure, type 2 diabetes, heart disease, stroke, arthritis and some cancers. Moreover, childhood obesity is associated with the onset of cardiovascular disease in adulthood.

Promoting healthy weight through lifelong physical activity and healthy eating practices is a major goal in the effort to prevent and reduce the burden of chronic disease and a focus of the New York State Department of Health Prevention Agenda Toward the Healthiest State.3 Efforts to maintain healthy weight should start early in childhood and continue throughout adulthood.

BRFSS Questions

  1. About how much do you weigh without shoes?
  2. About how tall are you without shoes?

Weight and height responses were used to determine body mass index (BMI), calculated as weight in kilograms divided by the square of height in meters. Respondents were classified as overweight if their BMI was equal to or greater than 25.0, but less than 30.0. They were classified as obese if their BMI was 30.0 or greater.

Age-adjusted overweight* among New York State adults, by BRFSS survey year

Year % Overweight Lower 95% CI Upper 95% CI
1998 35.1 32.8 37.4
1999 36.4 34.3 38.6
2000 39.1 37.1 41.1
2001 35.6 33.8 37.4
2002 36.7 35.0 38.4
2003 35.3 33.8 36.9
2004 35.5 34.0 37.0
2005 37.6 36.1 39.1
2006 35.3 33.6 37.0
2007 36.2 34.5 37.9
2008 35.2 33.7 36.8
  • * Overweight, 25.0 ≤ BMI < 30.0

Note: Percentages are age-adjusted to 2000 US census population.

Age-adjusted obesity** among New York State adults, by BRFSS survey year

Year % Obese Lower 95% CI Upper 95% CI
1998 16.3 14.7 18.0
1999 17.4 15.8 19.2
2000 17.8 16.3 19.4
2001 20.3 18.8 21.9
2002 20.6 19.2 22.1
2003 20.8 19.5 22.2
2004 22.0 20.7 23.2
2005 22.1 20.9 23.3
2006 22.9 21.5 24.4
2007 25.4 24.0 26.9
2008 25.1 23.7 26.5
Healthy People 2010§ 15.0 n/a n/a
  • ** Obese, BMI ≥ 30.0.
  • § Healthy People 2010 objective 19-2: Reduce the proportion of adults who are obese to 15%.

Note: Percentages are age-adjusted to 2000 US census population.

Overweight and obesitya among New York State adults: 2008 BRFSS

Population Characteristics Neither overweight nor obese Overweightb Obesec
%d 95% CId % 95% CI % 95% CI
New York State (NYS) [n=7,538] 39.7 (38.2-41.3) 35.2 (33.7-36.7) 25.1 (23.8-26.5)
Sex
Male 33.0 (30.5-35.5) 41.6 (39.1-44.1) 25.4 (23.3-27.7)
Female 46.2 (44.2-48.2) 29.0 (27.3-30.8) 24.8 (23.1-26.5)
Age (years)
18-24 58.1 (51.3-64.6) 23.6 (18.4-29.7) 18.3* (13.7-24.1)
25-34 41.7 (37.3-46.3) 33.1 (28.9-37.7) 25.2 (21.3-29.5)
35-44 37.0 (33.8-40.3) 36.9 (33.6-40.4) 26.2 (23.2-29.3)
45-54 36.1 (33.2-39.0) 35.8 (33.0-38.8) 28.1 (25.5-30.9)
55-64 29.5 (26.5-32.5) 40.0 (36.7-43.4) 30.6 (27.5-33.9)
65+ 38.9 (36.5-41.4) 39.5 (37.0-42.0) 21.6 (19.6-23.8)
Race/ethnicity
White non-Hispanic 39.3 (37.7-41.0) 36.1 (34.5-37.7) 24.6 (23.2-26.1)
Black non-Hispanic 34.0 (29.5-38.8) 35.9 (31.4-40.7) 30.1 (26.0-34.5)
Hispanic 42.4 (36.9-48.0) 29.6 (24.9-34.7) 28.1 (23.3-33.5)
Other non-Hispanic 48.4 (42.0-54.8) 35.2 (29.2-41.6) 16.5 (12.6-21.2)
Income
<$15,000 38.9 (33.3-44.9) 32.1 (27.0-37.8) 29.0 (24.4-34.0)
$15,000-$24,999 37.1 (32.6-41.8) 33.1 (29.1-37.4) 29.8 (25.5-34.5)
$25,000-$34,999 38.6 (33.5-43.9) 36.3 (31.5-41.3) 25.2 (21.2-29.6)
$35,000-$49,999 35.4 (31.2-39.9) 36.9 (32.7-41.3) 27.7 (23.8-31.8)
$50,000-$74,999 35.3 (31.3-39.5) 36.4 (32.5-40.4) 28.4 (24.8-32.2)
$75,000 and greater 41.4 (38.8-44.0) 37.9 (35.3-40.5) 20.8 (18.7-23.0)
Missinge 49.1 (44.0-54.1) 28.6 (24.5-33.2) 22.3 (18.4-26.8)
Educational attainment
Less than high school (HS) 34.6 (28.7-41.0) 34.6 (29.1-40.5) 30.8 (25.6-36.7)
High school or GED 36.9 (33.7-40.1) 35.4 (32.5-38.4) 27.8 (25.0-30.7)
Some post-HS 37.7 (34.7-40.9) 34.2 (31.3-37.2) 28.1 (25.4-30.9)
College graduate 44.3 (42.0-46.7) 35.8 (33.5-38.1) 19.9 (18.1-21.9)
Disabilityf
Yes 28.9 (26.3-31.6) 34.5 (31.7-37.4) 36.6 (33.8-39.5)
No 42.7 (40.8-44.5) 35.3 (33.6-37.1) 22.0 (20.5-23.6)
Region
New York City (NYC) 43.0 (40.0-46.1) 33.8 (31.0-36.7) 23.2 (20.7-26.0)
NYS exclusive of NYC 38.1 (36.3-39.9) 35.9 (34.1-37.6) 26.0 (24.5-27.6)
  • Based on categories of body mass index (BMI), calculated as weight in kilograms divided by the square of height in meters.
  • Overweight, 25.0≤BMI<30.0
  • Obese, BMI≥30.0
  • % = weighted percentage; CI = confidence interval.
  • "Missing" category included because more than 10% of the sample did not report income.
  • All respondents who report activity limitations due to physical, mental, or emotional problems OR have health problems that require the use of special equipment.

* This estimate is based on fewer than 50 observations. It is less reliable than estimates in the table based on more than 50 observations and should be interpreted with caution.

References

  1. Ogden CL, Carroll MD, McDowell MA, Flegal KM. Obesity among adults in the United States – no change since 2003-2004. NCHS data brief no 1. Hyattsville, MD: National Center for Health Statistics.
  2. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006 Apr 5; 295 (13): 1549-1555.
  3. New York State Department of Health Prevention Agenda Toward the Healthiest State

Copies may be obtained by contacting:

  • BRFSS Coordinator
    New York State Department of Health
    Bureau of Chronic Disease Epidemiology and Surveillance
    Empire State Plaza, Rm. 565, Corning Tower
    Albany, NY 12237-0679
  • Or by phone or electronic mail: