You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT JAMA
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 288 No. 14, October 9, 2002 TABLE OF CONTENTS
  JAMA
  •  Online Features
  Original Contribution
 This Article
 •Full text
 •PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Citing articles on Web of Science (2712)
 •Contact me when this article is cited
 Related Content
 •Related articles
 •Similar articles in JAMA
 Topic Collections
 •Obesity
 •Alert me on articles by topic
 Social Bookmarking
  Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit Add to Technorati Add to Twitter What's this?

Prevalence and Trends in Obesity Among US Adults, 1999-2000

Katherine M. Flegal, PhD; Margaret D. Carroll, MS; Cynthia L. Ogden, PhD; Clifford L. Johnson, MSPH

JAMA. 2002;288:1723-1727.

Context  The prevalence of obesity and overweight increased in the United States between 1978 and 1991. More recent reports have suggested continued increases but are based on self-reported data.

Objective  To examine trends and prevalences of overweight (body mass index [BMI] >=25) and obesity (BMI >=30), using measured height and weight data.

Design, Setting, and Participants  Survey of 4115 adult men and women conducted in 1999 and 2000 as part of the National Health and Nutrition Examination Survey (NHANES), a nationally representative sample of the US population.

Main Outcome Measure  Age-adjusted prevalence of overweight, obesity, and extreme obesity compared with prior surveys, and sex-, age-, and race/ethnicity–specific estimates.

Results  The age-adjusted prevalence of obesity was 30.5% in 1999-2000 compared with 22.9% in NHANES III (1988-1994; P<.001). The prevalence of overweight also increased during this period from 55.9% to 64.5% (P<.001). Extreme obesity (BMI >=40) also increased significantly in the population, from 2.9% to 4.7% (P = .002). Although not all changes were statistically significant, increases occurred for both men and women in all age groups and for non-Hispanic whites, non-Hispanic blacks, and Mexican Americans. Racial/ethnic groups did not differ significantly in the prevalence of obesity or overweight for men. Among women, obesity and overweight prevalences were highest among non-Hispanic black women. More than half of non-Hispanic black women aged 40 years or older were obese and more than 80% were overweight.

Conclusions  The increases in the prevalences of obesity and overweight previously observed continued in 1999-2000. The potential health benefits from reduction in overweight and obesity are of considerable public health importance.


Author Affiliations: National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Md.



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter     What's this?

RELATED ARTICLES

Prevalence and Trends in Overweight Among US Children and Adolescents, 1999-2000
Cynthia L. Ogden, Katherine M. Flegal, Margaret D. Carroll, and Clifford L. Johnson
JAMA. 2002;288(14):1728-1732.
ABSTRACT | FULL TEXT  

Trends and Correlates of Class 3 Obesity in the United States From 1990 Through 2000
David S. Freedman, Laura Kettel Khan, Mary K. Serdula, Deborah A. Galuska, and William H. Dietz
JAMA. 2002;288(14):1758-1761.
ABSTRACT | FULL TEXT  

Obesity Research: A Call for Papers
Phil B. Fontanarosa
JAMA. 2002;288(14):1772-1773.
EXTRACT | FULL TEXT  


THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Perinatal risk factors for childhood obesity and metabolic dysregulation
Catalano et al.
Am. J. Clin. Nutr. 2009;90:1303-1313.
ABSTRACT | FULL TEXT  

Fetuin-A and Change in Body Composition in Older Persons
Ix et al.
J. Clin. Endocrinol. Metab. 2009;94:4492-4498.
ABSTRACT | FULL TEXT  

Phosphatidyl Inositol 3-Kinase Signaling in Hypothalamic Proopiomelanocortin Neurons Contributes to the Regulation of Glucose Homeostasis
Hill et al.
Endocrinology 2009;150:4874-4882.
ABSTRACT | FULL TEXT  

Obesity in the Transition to Adulthood: Predictions Across Race/Ethnicity, Immigrant Generation, and Sex
Harris et al.
Arch Pediatr Adolesc Med 2009;163:1022-1028.
ABSTRACT | FULL TEXT  

Prospective Study of Urban Form and Physical Activity in the Black Women's Health Study
Coogan et al.
Am J Epidemiol 2009;170:1105-1117.
ABSTRACT | FULL TEXT  

Periadventitial Adipose Tissue Plays a Critical Role in Vascular Remodeling
Takaoka et al.
Circ. Res. 2009;105:906-911.
ABSTRACT | FULL TEXT  

Focusing osteoarthritis management on modifiable risk factors and future therapeutic prospects
Hunter
Therapeutic Advances in Musculoskeletal Diseases 2009;1:35-47.
ABSTRACT  

Secretos de la Buena Vida: processes of dietary change via a tailored nutrition communication intervention for Latinas
Baquero et al.
Health Educ Res 2009;24:855-866.
ABSTRACT | FULL TEXT  

Health Inequalities in Correctional Institutions: Implications for Health Inequalities in the Community
Agozino and Volpe
J Correct Health Care 2009;15:251-267.
ABSTRACT  

Adiponectin Deficiency Increases Allergic Airway Inflammation and Pulmonary Vascular Remodeling
Medoff et al.
Am. J. Respir. Cell Mol. Bio. 2009;41:397-406.
ABSTRACT | FULL TEXT  

Differential Trends in Weight-Related Health Behaviors Among American Young Adults by Gender, Race/Ethnicity, and Socioeconomic Status: 1984-2006
Clarke et al.
AJPH 2009;99:1893-1901.
ABSTRACT | FULL TEXT  

Whole-Grain Intake and Cereal Fiber Are Associated with Lower Abdominal Adiposity in Older Adults
McKeown et al.
J. Nutr. 2009;139:1950-1955.
ABSTRACT | FULL TEXT  

Association of chronic kidney disease with the spectrum of ankle brachial index the CHS (Cardiovascular Health Study).
Ix et al.
J Am Coll Cardiol 2009;54:1176-1184.
ABSTRACT | FULL TEXT  

Lifestyle Interventions in the Prevention and Treatment of Cancer
Brown et al.
AMERICAN JOURNAL OF LIFESTYLE MEDICINE 2009;3:337-348.
ABSTRACT  

Trends in 10-Year Predicted Risk of Cardiovascular Disease in the United States, 1976 to 2004
Lopez-Jimenez et al.
Circ Cardiovasc Qual Outcomes 2009;2:443-450.
ABSTRACT | FULL TEXT  

Ultrasound molecular imaging of atherosclerosis
Kaufmann
Cardiovasc Res 2009;83:617-625.
ABSTRACT | FULL TEXT  

Greater Adipose Tissue Infiltration in Skeletal Muscle among Older Men of African Ancestry
Miljkovic et al.
J. Clin. Endocrinol. Metab. 2009;94:2735-2742.
ABSTRACT | FULL TEXT  

Health Behavior Risk Factors Across Age as Predictors of Cardiovascular Disease Diagnosis
Cardi et al.
J Aging Health 2009;21:759-775.
ABSTRACT  

Primary and Secondary Prevention of Cardiovascular Diseases: A Practical Evidence-Based Approach
O'Keefe et al.
Mayo Clin Proc. 2009;84:741-757.
ABSTRACT | FULL TEXT  

The New Arthritic Patient and Nonarthroplasty Treatment Options
Kelly et al.
JBJS 2009;91:40-42.
ABSTRACT | FULL TEXT  

Coronary heart disease mortality among young adults in Scotland in relation to social inequalities: time trend study
O'Flaherty et al.
BMJ 2009;339:b2613-b2613.
ABSTRACT | FULL TEXT  

Early histological changes in the kidney of people with morbid obesity
Goumenos et al.
Nephrol Dial Transplant 2009;0:gfp329v1-gfp329.
ABSTRACT | FULL TEXT  

NIH funding trajectories and their correlations with US health dynamics from 1950 to 2004
Manton et al.
Proc. Natl. Acad. Sci. USA 2009;106:10981-10986.
ABSTRACT | FULL TEXT  

Skim milk compared with a fruit drink acutely reduces appetite and energy intake in overweight men and women
Dove et al.
Am. J. Clin. Nutr. 2009;90:70-75.
ABSTRACT | FULL TEXT  

The Association Between Perceived Discrimination and Obesity in a Population-Based Multiracial and Multiethnic Adult Sample
Hunte and Williams
AJPH 2009;99:1285-1292.
ABSTRACT | FULL TEXT  

Factors associated with BMI change over five years in a Swedish adult population. Results from the Scania Public Health Cohort Study
Eek and Ostergren
Scand J Public Health 2009;37:532-544.
ABSTRACT  

Fast-Food Consumption, Diet Quality, and Neighborhood Exposure to Fast Food: The Multi-Ethnic Study of Atherosclerosis
Moore et al.
Am J Epidemiol 2009;170:29-36.
ABSTRACT | FULL TEXT  

Body Mass Index and Risk, Age of Onset, and Survival in Patients With Pancreatic Cancer
Li et al.
JAMA 2009;301:2553-2562.
ABSTRACT | FULL TEXT  

Overweight, Obesity, and Pancreatic Cancer: Beyond Risk Alone
McWilliams and Petersen
JAMA 2009;301:2592-2593.
FULL TEXT  

Fetuses of Obese Mothers Develop Insulin Resistance in Utero
Catalano et al.
Diabetes Care 2009;32:1076-1080.
ABSTRACT | FULL TEXT  

Obesity Linked to Smaller Cerebral Volume: What Should We Make of This?
Bremner
Psychosom. Med. 2009;71:483-484.
FULL TEXT  

A Survey of Obstetric Perianesthesia Care Unit Standards
Wilkins et al.
Anesth. Analg. 2009;108:1869-1875.
ABSTRACT | FULL TEXT  

Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss.
Lavie et al.
J Am Coll Cardiol 2009;53:1925-1932.
ABSTRACT | FULL TEXT  

Exploring Resources for Physical Activity in Hispanic Women, Using Photo Elicitation
Fleury et al.
Qual Health Res 2009;19:677-686.
ABSTRACT  

Prenatal Stress or High-Fat Diet Increases Susceptibility to Diet-Induced Obesity in Rat Offspring
Tamashiro et al.
Diabetes 2009;58:1116-1125.
ABSTRACT | FULL TEXT  

Adherence and Success in Long-Term Weight Loss Diets: The Dietary Intervention Randomized Controlled Trial (DIRECT)
Greenberg et al.
J. Am. Coll. Nutr. 2009;28:159-168.
ABSTRACT | FULL TEXT  

Impact of Change in Sweetened Caloric Beverage Consumption on Energy Intake Among Children and Adolescents
Wang et al.
Arch Pediatr Adolesc Med 2009;163:336-343.
ABSTRACT | FULL TEXT  

Social disparities in BMI trajectories across adulthood by gender, race/ethnicity and lifetime socio-economic position: 1986-2004
Clarke et al.
Int J Epidemiol 2009;38:499-509.
ABSTRACT | FULL TEXT  

Urinary Potassium Is a Clinically Useful Test to Detect a Poor Quality Diet
Mente et al.
J. Nutr. 2009;139:743-749.
ABSTRACT | FULL TEXT  

A Randomized Controlled Trial of Nurse-led Care for Symptomatic Moderate-Severe Obstructive Sleep Apnea
Antic et al.
Am. J. Respir. Crit. Care Med. 2009;179:501-508.
ABSTRACT | FULL TEXT  

Comparison of Resting Energy Expenditure Prediction Methods With Measured Resting Energy Expenditure in Obese, Hospitalized Adults
Anderegg et al.
JPEN J Parenter Enteral Nutr 2009;33:168-175.
ABSTRACT | FULL TEXT  

Hypothalamic alterations in fetuses of high fat diet-fed obese female rats
Gupta et al.
J Endocrinol 2009;200:293-300.
ABSTRACT | FULL TEXT  

Early Childhood Poverty and Adult Body Mass Index
Ziol-Guest et al.
AJPH 2009;99:527-532.
ABSTRACT | FULL TEXT  

From observation to experimentation: leptin action in the mediobasal hypothalamus
Williams et al.
Am. J. Clin. Nutr. 2009;89:985S-990S.
ABSTRACT | FULL TEXT  

Developmental Programming: Excess Weight Gain Amplifies the Effects of Prenatal Testosterone Excess On Reproductive Cyclicity--Implication for Polycystic Ovary Syndrome
Steckler et al.
Endocrinology 2009;150:1456-1465.
ABSTRACT | FULL TEXT  

Patterns of Abdominal Fat Distribution: The Framingham Heart Study
Pou et al.
Diabetes Care 2009;32:481-485.
ABSTRACT | FULL TEXT  

Contemporary Trends in Dyslipidemia in the Framingham Heart Study
Ingelsson et al.
Arch Intern Med 2009;169:279-286.
ABSTRACT | FULL TEXT  

Current pharmacotherapeutic concepts for the treatment of obesity in adults
Idelevich et al.
Ther Adv Cardiovasc Dis 2009;3:75-90.
ABSTRACT  

Racial, Ethnic, and Socioeconomic Differences in the Incidence of Obesity Related to Childbirth
Davis et al.
AJPH 2009;99:294-299.
ABSTRACT | FULL TEXT  

Use of Density-Equalizing Cartograms to Visualize Trends and Disparities in State-Specific Prevalence of Obesity: 1996-2006
Houle et al.
AJPH 2009;99:308-312.
ABSTRACT | FULL TEXT  

Extreme obesity and risk of placental abruption
Salihu et al.
Hum Reprod 2009;24:438-444.
ABSTRACT | FULL TEXT  

Full Accounting of Diabetes and Pre-Diabetes in the U.S. Population in 1988-1994 and 2005-2006
Cowie et al.
Diabetes Care 2009;32:287-294.
ABSTRACT | FULL TEXT  

Heart Disease and Stroke Statistics--2009 Update: A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
WRITING GROUP MEMBERS et al.
Circulation 2009;119:e21-e181.
FULL TEXT  

Sleep, Sleep Disorders, and the Endocrine System
Vorona
ACCP Sleep Med Brd Rev 2009;4:163-184.
FULL TEXT  

Review: Obesity and pregnancy: an obstetrician's view
Mahmood
British Journal of Diabetes & Vascular Disease 2009;9:19-22.
ABSTRACT  

Contributions of a Local Health Examination Survey to the Surveillance of Chronic and Infectious Diseases in New York City
Gwynn et al.
AJPH 2009;99:152-159.
ABSTRACT | FULL TEXT  

Increasing consumption of sugar-sweetened beverages among US adults: 1988-1994 to 1999-2004
Bleich et al.
Am. J. Clin. Nutr. 2009;89:372-381.
ABSTRACT | FULL TEXT  

Determinants of Latina Obesity in the United States: The Role of Selective Acculturation
Yeh et al.
J Transcult Nurs 2009;20:105-115.
ABSTRACT  

Financial Incentive-Based Approaches for Weight Loss: A Randomized Trial
Volpp et al.
JAMA 2008;300:2631-2637.
ABSTRACT | FULL TEXT  

Obesity, Mammography Use and Accuracy, and Advanced Breast Cancer Risk
Kerlikowske et al.
JNCI J Natl Cancer Inst 2008;100:1724-1733.
ABSTRACT | FULL TEXT  

Serum 25-hydroxyvitamin D status of the US population: 1988-1994 compared with 2000-2004
Looker et al.
Am. J. Clin. Nutr. 2008;88:1519-1527.
ABSTRACT | FULL TEXT  

Obesity-induced glomerular hyperfiltration: its involvement in the pathogenesis of tubular sodium reabsorption
Chagnac et al.
Nephrol Dial Transplant 2008;23:3946-3952.
ABSTRACT | FULL TEXT  

HRASLS3 is a PPAR{gamma}-selective target gene that promotes adipocyte differentiation
Hummasti et al.
J. Lipid Res. 2008;49:2535-2544.
ABSTRACT | FULL TEXT  

Pregnancy and Fertility Following Bariatric Surgery: A Systematic Review
Maggard et al.
JAMA 2008;300:2286-2296.
ABSTRACT | FULL TEXT  

Impact of Antidepressant Use on Gastric Bypass Surgery Patients' Weight Loss and Health-Related Quality-of-Life Outcomes
Love et al.
Psychosomatics 2008;49:478-486.
ABSTRACT | FULL TEXT  

The combined relations of adiposity and smoking on mortality
Koster et al.
Am. J. Clin. Nutr. 2008;88:1206-1212.
ABSTRACT | FULL TEXT  

Obesity: Effects on Cardiovascular Disease and its Diagnosis
Mathew et al.
J Am Board Fam Med 2008;21:562-568.
ABSTRACT | FULL TEXT  

Menopausal Hormone Therapy and Breast Cancer Risk in the NIH-AARP Diet and Health Study Cohort
Brinton et al.
Cancer Epidemiol. Biomarkers Prev. 2008;17:3150-3160.
ABSTRACT | FULL TEXT  

Obesity and the lung: 4 {middle dot} Obesity and asthma
Sin and Sutherland
Thorax 2008;63:1018-1023.
ABSTRACT | FULL TEXT  

Epidemiology of Obesity in the Western Hemisphere
Ford and Mokdad
J. Clin. Endocrinol. Metab. 2008;93:s1-s8.
ABSTRACT | FULL TEXT  

Trends in Hypertension Prevalence, Awareness, Treatment, and Control Rates in United States Adults Between 1988-1994 and 1999-2004
Cutler et al.
Hypertension 2008;52:818-827.
ABSTRACT | FULL TEXT  

Obesity-Related Hypertension?: Weighing the Evidence
Kotchen
Hypertension 2008;52:801-802.
FULL TEXT  

Trends in Survival Over the Past Two Decades Among White and Black Patients With Newly Diagnosed Stage IV Breast Cancer
Dawood et al.
JCO 2008;26:4891-4898.
ABSTRACT | FULL TEXT  

Design considerations and rationale of a multi-center trial to sustain weight loss: the weight loss maintenance trial
Brantley et al.
Clin Trials 2008;5:546-556.
ABSTRACT  

Serum leptin concentrations and markers of immune function in overweight or obese postmenopausal women
Meyers et al.
J Endocrinol 2008;199:51-60.
ABSTRACT | FULL TEXT  

Catheter-directed Gastric Artery Chemical Embolization Suppresses Systemic Ghrelin Levels in Porcine Model
Arepally et al.
Radiology 2008;249:127-133.
ABSTRACT | FULL TEXT  

Obesity as a risk factor for the progression of paroxysmal to permanent atrial fibrillation: a longitudinal cohort study of 21 years
Tsang et al.
Eur Heart J 2008;29:2227-2233.
ABSTRACT | FULL TEXT  

Health Promotion for People With Disabilities: Implications for Empowering the Person and Promoting Disability-Friendly Environments
Rimmer and Rowland
AMERICAN JOURNAL OF LIFESTYLE MEDICINE 2008;2:409-420.
ABSTRACT  

Review: Stroke prevention: modifying risk factors
Romero et al.
Ther Adv Cardiovasc Dis 2008;2:287-303.
ABSTRACT  

Age-Related Differences in Arterial Compliance Are Independent of Body Mass Index
Fjeldstad et al.
ANGIOLOGY 2008;59:454-458.
ABSTRACT  

Adopting New Orphans into the Family of Metabolic Regulators
Hummasti and Tontonoz
Mol. Endocrinol. 2008;22:1743-1753.
ABSTRACT | FULL TEXT  

Influence of Aging and Menopause on Lipids and Lipoproteins in Women
Kolovou and Bilianou
ANGIOLOGY 2008;59:54S-57S.
ABSTRACT  

Population-Based Prevention of Obesity: The Need for Comprehensive Promotion of Healthful Eating, Physical Activity, and Energy Balance: A Scientific Statement From American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for Prevention (Formerly the Expert Panel on Population and Prevention Science)
Kumanyika et al.
Circulation 2008;118:428-464.
ABSTRACT | FULL TEXT  

Fetuin-A and Incident Diabetes Mellitus in Older Persons
Ix et al.
JAMA 2008;300:182-188.
ABSTRACT | FULL TEXT  

Appetite-Related Gut Peptides in Obesity and Binge Eating Disorder
Geliebter et al.
AMERICAN JOURNAL OF LIFESTYLE MEDICINE 2008;2:305-314.
ABSTRACT  

Current Trends in Weight Management: What Advice Do We Give to Patients?
Boucher et al.
Clin. Diabetes 2008;26:115-120.
ABSTRACT | FULL TEXT  

Orthopaedic Surgeon Workforce and Volume Assessment for Total Hip and Knee Replacement in the United States: Preparing for an Epidemic
Iorio et al.
JBJS 2008;90:1598-1605.
FULL TEXT  

Ocular Vascular Thrombotic Events: Central Retinal Vein and Central Retinal Artery Occlusions
Glueck et al.
CLIN APPL THROMB HEMOST 2008;14:286-294.
ABSTRACT  

Why Young Adults Hold the Key to Assessing the Obesity Epidemic in Children
Lee
Arch Pediatr Adolesc Med 2008;162:682-687.
ABSTRACT | FULL TEXT  

Physical Activity Prevents Augmented Body Fat Accretion in Moderately Iron-Deficient Rats
McClung et al.
J. Nutr. 2008;138:1293-1297.
ABSTRACT | FULL TEXT  

Trends in Diabetes, High Cholesterol, and Hypertension in Chronic Kidney Disease Among U.S. Adults: 1988-1994 to 1999-2004
Fox and Muntner
Diabetes Care 2008;31:1337-1342.
ABSTRACT | FULL TEXT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 2002 American Medical Association. All Rights Reserved.