The document outlines changes in obesity trends among U.S. adults from 1985 to 2009, utilizing data from the CDC's Behavioral Risk Factor Surveillance System. It reports that in 1990, no states had an obesity prevalence of 15% or more, but by 2009, only one state had a prevalence below 20%, and 33 states had rates at or above 25%. The increasing trend indicates a significant rise in obesity rates over the years.

1. Obesity Trends Among U.S. Adults between 1985 and 2009Definitions:

2. Obesity: Body Mass Index (BMI) of 30 or higher.

3. Body Mass Index (BMI): A measure of an adult’s weight in relation to his or her height, specifically the adult’s weight in kilograms divided by the square of his or her height in meters.Obesity Trends Among U.S. Adults between 1985 and 2009Source of the data:The data shown in these maps were collected through CDC’s Behavioral Risk Factor Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect data through a series of telephone interviews with U.S. adults.Prevalence estimates generated for the maps may vary slightly from those generated for the states by BRFSS (http://aps.nccd.cdc.gov/brfss) as slightly different analytic methods are used.

4. In 1990, among states participating in the Behavioral Risk Factor Surveillance System, ten states had a prevalence of obesity less than 10% and no states had prevalence equal to or greater than 15%. By 1999, no state had prevalence less than 10%, eighteen states had a prevalence of obesity between 20-24%, and no state had prevalence equal to or greater than 25%.In 2009, only one state (Colorado) and the District of Columbia had a prevalence of obesity less than 20%. Thirty-three states had a prevalence equal to or greater than 25%; nine of these states (Alabama, Arkansas, Kentucky, Louisiana, Mississippi, Missouri, Oklahoma, Tennessee, and West Virginia) had a prevalence of obesity equal to or greater than 30%.

5. CitationsBRFSS, Behavioral Risk Factor Surveillance System http: //www.cdc.gov/brfss/

6. Mokdad AH, et al. The spread of the obesity epidemic in the United States, 1991—1998 JAMA 1999; 282:16:1519–22.

7. Mokdad AH, et al. The continuing epidemics of obesity and diabetes in the United States. JAMA. 2001; 286:10:1519–22.

8. Mokdad AH, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 2003: 289:1: 76–9

9. Vital Signs: State-Specific Obesity Prevalence Among Adults —United States, 2009 MMWR 2010;59(30). Obesity Trends* Among U.S. AdultsBRFSS,1990, 1999, 2009(*BMI 30, or about 30 lbs. overweight for 5’4” person)199919902009No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

10. Obesity Trends* Among U.S. AdultsBRFSS, 1985(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14%

11. Obesity Trends* Among U.S. AdultsBRFSS, 1986(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14%

12. Obesity Trends* Among U.S. AdultsBRFSS, 1987(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14%

13. Obesity Trends* Among U.S. AdultsBRFSS, 1988(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14%

14. Obesity Trends* Among U.S. AdultsBRFSS, 1989(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14%

15. Obesity Trends* Among U.S. AdultsBRFSS, 1990(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14%

16. Obesity Trends* Among U.S. AdultsBRFSS, 1991(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19%

17. Obesity Trends* Among U.S. AdultsBRFSS, 1992(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19%

18. Obesity Trends* Among U.S. AdultsBRFSS, 1993(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19%

19. Obesity Trends* Among U.S. AdultsBRFSS, 1994(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19%

20. Obesity Trends* Among U.S. AdultsBRFSS, 1995(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19%

21. Obesity Trends* Among U.S. AdultsBRFSS, 1996(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19%

22. Obesity Trends* Among U.S. AdultsBRFSS, 1997(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19% ≥20%

23. Obesity Trends* Among U.S. AdultsBRFSS, 1998(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19% ≥20%

24. Obesity Trends* Among U.S. AdultsBRFSS, 1999(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19% ≥20%

25. Obesity Trends* Among U.S. AdultsBRFSS, 2000(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19% ≥20%

26. Obesity Trends* Among U.S. AdultsBRFSS, 2001(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

27. Obesity Trends* Among U.S. AdultsBRFSS, 2002(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

28. Obesity Trends* Among U.S. AdultsBRFSS, 2003(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

29. Obesity Trends* Among U.S. AdultsBRFSS, 2004(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

30. Obesity Trends* Among U.S. AdultsBRFSS, 2005(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%