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The Continuing Epidemics of Obesity and Diabetes in the United States
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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“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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Metadata
- 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
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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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