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Cited by 2,730Obesity, Physical Activity, DietDiabetes, Cardiovascular Risks, and LipoproteinsObesity and Health Practices

The Continuing Epidemics of Obesity and Diabetes in the United States

Mokdad, Ali H.·2001·JAMA
DOI 10.1001/jama.286.10.1195
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Abstract

CONTEXT: Recent reports show that obesity and diabetes have increased in the United States in the past decade. OBJECTIVE: To estimate the prevalence of obesity, diabetes, and use of weight control strategies among US adults in 2000. DESIGN, SETTING, AND PARTICIPANTS: The Behavioral Risk Factor Surveillance System, a random-digit telephone survey conducted in all states in 2000, with 184 450 adults aged 18 years or older. MAIN OUTCOME MEASURES: Body mass index (BMI), calculated from self-reported weight and height; self-reported diabetes; prevalence of weight loss or maintenance attempts; and weight control strategies used. RESULTS: In 2000, the prevalence of obesity (BMI >/=30 kg/m(2)) was 19.8%, the prevalence of diabetes was 7.3%, and the prevalence of both combined was 2.9%. Mississippi had the highest rates of obesity (24.3%) and of diabetes (8.8%); Colorado had the lowest rate of obesity (13.8%); and Alaska had the lowest rate of diabetes (4.4%). Twenty-seven percent of US adults did not engage in any physical activity, and another 28.2% were not regularly active. Only 24.4% of US adults consumed fruits and vegetables 5 or more times daily. Among obese participants who had had a routine checkup during the past year, 42.8% had been advised by a health care professional to lose weight. Among participants trying to lose or maintain weight, 17.5% were following recommendations to eat fewer calories and increase physical activity to more than 150 min/wk. CONCLUSIONS: The prevalence of obesity and diabetes continues to increase among US adults. Interventions are needed to improve physical activity and diet in communities nationwide.

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  • Over the past three decades, the epidemic of diabetes and obesity has been accompanied by a significant decrease in fat consumption and an increase in carbohydrate consumption.

    “the current epidemic of diabetes and obesity has been, over the past three decades, accompanied by a significant decrease in fat consumption and an increase in carbohydrate consumption”

    From The case for low carbohydrate diets in diabetes management (2005) · cites this paper as [1]

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Authors
Mokdad, A. H.
Affiliations
Centers for Disease Control and Prevention (US)
Corresponding author
Mokdad, Ali H.
ORCID
Mokdad, Ali H.
Venue
JAMA
Publisher
American Medical Association (AMA)
Published
2001-09-12
Volume
286
Issue
10
Pages
1195
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
DOI
10.1001/jama.286.10.1195
OpenAlex
W2090895117
Semantic Scholar
b663155cfc05aebd054edbdd03170e0871baebfe
Cited by
2,730
References
40
Citations by year
2026: 6 · 2025: 11 · 2024: 24 · 2023: 32 · 2022: 18 · 2021: 30 · 2020: 44 · 2019: 46 · 2018: 47 · 2017: 54 · 2016: 82 · 2015: 87 · 2014: 109 · 2013: 114 · 2012: 136
FWCI
242.18
Type
journal article
Language
en
Open access
closed
Locations
  • JAMA (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
Keywords
obesity, diabetes mellitus, obesity prevalence, diabetes prevalence, weight control strategies, body mass index, physical activity, fruit and vegetable intake, weight loss advice, Behavioral Risk Factor Surveillance System, United States adults
MeSH terms
Adult, Aged, Diabetes Mellitus, Diet, Disease Outbreaks, Female, Health Surveys, Humans, Male, Middle Aged, Obesity, Risk Factors, United States, Weight Loss, Health Behavior, Exercise, Prevalence

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