5/4/2010 James C. Doria , Division Director WV Bureau for Public - - PDF document

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James C. Doria, Division Director WV Bureau for Public Health‐Health Statistics Center

West Virginia Dietetic Association April 29, 2010

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Nutrition

• Eight out of every 10 adults (80.3%) consume fewer than the

recommended 5 servings of fruits and vegetables each day. West Virginia ranked 10th highest nationally in the prevalence of this risk factor in 2007.

• Men had a significantly higher prevalence of this risk factor than

women.

• Highest prevalence was found among those with less education

and lower income.

Consumption of fewer than five servings of fruits and vegetables daily by year: WVBRFSS, 1990‐2007

80.0 77.3 79.9 81.3 78.6 78.7 81.3 80.0 80.3 50 55 60 65 70 75 80 85 90 95 100 1991 1993 1995 1997 1999 2001 2003 2005 2007

Percentage

NOTE: Data are not available for the years 1991-1993, 1995, 1997, 1999, 2001, 2004, 2006, and 2008.

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5234 4688 1344 1242 1112 801 582 557 456 370

Heart disease Cancer CLRD* Unintentional Injuries Stroke Diabetes Dementia Alzheimer's Kidney Disease Influenza & Pneumonia 1 2 3 4 5 6

*Chronic Lower Respiratory Disease

10 Leading Causes of Death West Virginia Residents, 2007

Most Common Chronic Diseases

Modifiable Risk Factors Cancer Cardiovascular Disease Diabetes Chronic Lower Respiratory Disease

Cigarette Smoking, Secondhand Smoke Smoking: Cancers of the lung, bladder, cervix, colon/rectum, esophagus, kidney, larynx, pancreas. Secondhand smoke: lung Heart disease and stroke Lower extremity amputations Smoking: Chronic bronchitis and emphysema. Secondhand smoke: asthma

Obesity Breast, colon, kidney, gallbladder, prostate, cervical, ovarian, and esophagus Heart disease and stroke Type 2 diabetes Asthma Poor Nutrition Preventive effect for cancer of the mouth, pharynx, esophagus, larynx, lung, stomach, kidney, colon, rectum,

• vary, bladder

Heart disease and stroke Type 2 diabetes

Physical Inactivity Breast, colon, possibly endometrial and prostate Heart disease and stroke Type 2 diabetes Hypertension Heart disease and stroke Type 2 diabetes High Cholesterol Heart disease and stroke Type 2 diabetes Source: Moving Mountains. Colorado Department of Public Health and Environment

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http://www.wvcancerregistry.org/

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NEWS FLASH

2009 BRFSS will report on the prevalence of cancer Preliminary data show that 10.4 % of WV adults have had cancer Physical Inactivity

• More than one‐fourth of state adults (28.2% in 2007 and

31.1% in 2008) participate in no leisure‐time physical activity

• r exercise. A downward trend occurring between 1998 and

2006 was followed by increases in 2007 and 2008.

• The prevalence of physical inactivity was significantly higher

among women than men in both 2007 and 2008.

• Physical inactivity is also more prevalent among groups who

are older, less educated, or from lower income households.

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No leisure‐time physical activity for exercise by year: WVBRFSS, 1984‐2008 No leisure‐time physical activity for exercise by county: WVBRFSS, 2004‐2008

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Obesity and Overweight

• The obese proportion of the adult population was 30.3% in

2007 and 31.9% in 2008, 5th highest nationally in 2007 and 3rd highest nationally in 2008.

• Between 1987 and 2008, a substantial increase in obesity
• ccurred among West Virginia adults. Men and women from

a wide range of age, education, and income categories contributed to this unhealthy trend.

• During 2007 and 2008, approximately two‐thirds of

West Virginia adults were either obese or overweight.

Obesity and overweight by year: WVBRFSS, 1987‐2008

12.2 12.7 13.4 15.0 15.7 16.9 17.7 17.1 18.3 19.9 20.6 23.9 24.6 23.2 25.1 27.6 27.7 27.6 30.6 31.0 30.3 31.9 35.2 33.9 32.632.3 33.7 36.6 36.5 36.6 37.4 36.036.5 33.3 37.4 36.5 37.9 36.1 34.0 36.4 34.8 36.0 37.7 36.9

5 10 15 20 25 30 35 40 45 50 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008

Percentage

Obesity Overweight

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Obesity (body mass index of 30.0 or higher) by county: WVBRFSS, 2004‐2008 Hypertension

• West Virginia ranked 3rd highest nationally in 2007 in the

prevalence of hypertension (high blood pressure). A third of the state’s adults (33.3%) have been diagnosed with high blood pressure.

• The prevalence of high blood pressure increased steeply and

significantly with increasing age, as would be expected.

• Adults with less income and less education had the highest

prevalence of hypertension.

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Prevalence of hypertension awareness by year: WVBRFSS, 1984‐2007 Hypertension awareness by county: WVBRFSS, 2001‐ 2003, 2005, 2007

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Cholesterol

• In 2007, 42.2% of adults had high cholesterol, the

highest in the nation.

• Similar to hypertension, the high cholesterol is more

prevalent among older adults and those with low levels

• f educational attainment and annual household

income. Prevalence of high blood cholesterol among those who have ever had their blood cholesterol checked by year: WVBRFSS, 1993‐2007

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High cholesterol awareness by county: WVBRFSS, 2001‐2003, 2005, 2007 Diabetes

• Over 10% of West Virginia adults have diabetes (10.8% in 2007 and

11.9% in 2008). West Virginia ranked 4th nationally in 2007 and 2nd nationally in 2008.

• The prevalence of diabetes was highest among those aged 65 and
• lder, those with less than a high school education, and those with the

lowest income.

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Diabetes awareness by year: WVBRFSS, 1990‐2008 Diabetes awareness by county: WVBRFSS, 2004‐2008

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Cardiovascular Disease

• West Virginia ranked 2nd in the nation in 2007 and 1st in the nation in 2008

in the prevalence of heart attack among adults. The prevalence of heart attack was 6.0% in 2007 and 7.7% in 2008.

• Men had a significantly higher prevalence of heart attack than women

(7.6% vs. 4.4% in 2007 and 9.5% vs. 6.0% in 2008).

• West Virginia also ranked higher than any other state in both 2007 and

2008 in prevalence of angina or coronary health disease among adults (7.6% in 2007 and 8.1% in 2008).

• For the prevalence of stroke among adults, West Virginia ranked 9th highest

nationally in 2007 and 1st highest in 2008 (3.2% in 2007 and 4.3% in 2008).

• The prevalence of heart attack, angina, and stoke were significantly higher

among those 65 and older, those with less than a high school education, and those with an annual household income of less than $15,000.

Adults diagnosed with heart attack, angina, or stroke by county: WVBRFSS, 2004‐2008

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CONTACT INFORMATION:

JAMES C. DORIA 304‐558‐1781 james.c.doria@wv.gov HEALTH STATISTICS CENTER http://www.wvdhhr.org/bph/hsc/