Obesity Rates & Trends Overview

After decades of increasing, the national childhood obesity rate has leveled off and the rise in obesity among adults is beginning to slow. This is progress, but rates are alarmingly higher than they were a generation ago as demonstrated by this report, which looks at data over the past 25 years.

Obesity remains one of the biggest threats to the health of our children and our country, putting millions of Americans at increased risk for a range of chronic diseases and contributing to more than $147 billion to $210 billion dollars in preventable healthcare spending.1

Some of the most concerning trends include:

Children and Youth

Nationally, childhood obesity rates have remained stable for the past decade — at around 17 percent [ages 2 to 19, National Health and Nutrition Examination Survey (NHANES), 2011-2014 data].2 Rates are declining among 2- to 5-year-olds, stable among 6- to 11-year-olds, and increasing among 12- to 19-year-olds.


See 2015 Adult Obesity Rates

Reversing the epidemic — and ensuring that all children have the opportunity to grow up at a healthy weight — will require intensifying our investments in the most effective programs and policies.

Evidence about what's working to help curb the epidemic is growing and some key lessons have emerged.

First, prevention should be a top priority, especially among young children and pregnant women. It is easier and more effective to prevent unhealthy weight gain than it is to reverse it later. Strategies that focus on helping every child maintain a healthy weight are critical. By giving children a healthy start, they will be on a much better trajectory for lifelong health as they age.

Second, making healthy choices an easier part of people's daily lives is essential. While personal responsibility is an important consideration in obesity prevention, the choices families and youth make are impacted by where they live, learn, work and play. In many neighborhoods, healthy foods are scarce and more expensive, while cheap processed foods are widely available and heavily marketed. Finding safe, accessible places to be physically active can be a challenge for many.

Third, it is essential to target more intense efforts in areas where there are the greatest challenges. Obesity rates are highest among racial and ethnic minorities, people who live in low- income communities and those living in the South. These populations are more likely to have limited access to healthy options and progress in addressing the inequities has been limited.

Experts have identified a range of policies and programs that can help make healthy eating and physical activity part of the daily routine, including improving school nutrition, complete streets initiatives, access to open space, incentives for healthy food purchases, food labeling and limits on advertising to children.

Many of the most successful approaches for preventing obesity focus on matching the specific needs and leveraging the existing resources within a local community. These place-based approaches ensure that people who live in the community are invested in making a difference in their own cities and towns. For example, a place-based approach may involve creating local partnership networks that involve leaders from the public health, healthcare, education, philanthropic, social service, transportation and housing sectors. Those partners work together to determine key priorities for that community; identify local assets, resources and potential funding sources; and evaluate the most effective strategies for achieving the shared goal.

A growing number of mechanisms support place-based approaches. This strategy brings together partners from healthcare, public health and boards of health, social services, community groups, local governments and private businesses to focus on shared interests and goals and combine resources to achieve a stronger collective impact. For instance, healthy food nancing initiatives help increase the availability of accessible, affordable foods in many communities. Nonprofit hospitals have a new focus on conducting regular community health needs assessments and are considering providing community benefit funds aimed at improving residents' health. New healthcare models, such as Accountable Health Organizations (AHOs), Patient-Centered Medical Homes (PCMH) and prevention initiatives focused on improving the health of Medicaid populations are also engaging communities and investing resources into obesity and other prevention programs.

Research also shows a strong return on investment for community-based prevention programs. CDC, The New York Academy of Medicine (NYAM) and other experts have identified a range of programs that have proved effective in reducing obesity and obesity-related disease levels by 5 percent or — in some cases — more.23,24,25 The analysis showed that investment of $10 per person per year in proven community- based programs to increase physical activity, improve nutrition and prevent smoking and other tobacco use could save the country more than $16 billion annually within five years — a return of $5.60 for every $1.26

Yet the current investment in prevention programs represents a small fraction of this level and there is a significant challenge in bringing these efforts to scale across the country. For instance, the federal budget only includes $50 million annually to promote nutrition, physical activity and obesity prevention programs at CDC, which are distributed through small targeted grants across the country. CDC's total chronic disease prevention funding is only $1.17 billion a year, which is less than one-quarter of CDC's overall budget and equals around 5 percent of the budget for the National Institutes of Health (NIH).27 In addition, many federal, state and local prevention initiatives either narrowly address a particular concern or shift to a new focus or approach after a short time period.

This report is an urgent call to action.

There are more effective ways to use available federal, state and local public health funds to prevent obesity and improve health. New strategies are needed to secure other funding sources and engage diverse partners in support of the most promising approaches for helping all Americans eat healthier and be more active. Success will require individuals, families, schools, communities, businesses, government and every other sector of American society to play a role in building an inclusive Culture of Health, in which every person has an equal opportunity to live the healthiest life they can.


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2 Ogden CL, et al., No. 219, 2015.

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5 Ogden CL, Carroll MD, Lawman HG, et al. Trends in obesity prevalence among children and adolescents in the United States, 1988-1994 through 2013-2014. JAMA, 315(21): 2292-2299, 2016.

6 Kann L, McManus T, Harris WA, et al., Youth Risk Behaviors Surveillance — United States, 2015. MMWR, 65(SS6): 1-174, 2016.

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8 Ogden CL, Carroll MD, Lawman HG, et al. Trends in obesity prevalence among children and adolescents in the United States, 1988-1994 through 2013-2014. JAMA, 315(21): 2292-2299, 2016.

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18 Trust for America's Health and Robert Wood Johnson Foundation. F as in Fat: How Obesity Threatens America's Future — 2011. Washington, D.C.: Trust for America's Health, 2011. (accessed July 2012). Based on data using the previous BRFSS methodology in use from 2008-2010.

19 Mission: Readiness. Still Too Fat to Fight. Washington, D.C.: Mission: Readiness, 2012 (accessed June 2015).

20 Mission: Readiness. Retreat is Not An Option for Kansas. Healthier School Meals Protect Our Children and Our Country. Washington, D.C.: Mission: Readiness, 2014 (accessed May 2016).

21 Ogden CL, Carroll MD, Lawman HG, et al. Trends in obesity prevalence among children and adolescents in the United States, 1988-1994 through 2013-2014. JAMA, 315(21): 2292-2299, 2016.

22 Tables of Summary Health Statistics: National Health Survey, 2014. Table A-15. In CDC, National Centers for Health Statistics, 2016 (accessed July 2016).

23 The New York Academy of Medicine. A Compendium of Proven Community-Based Prevention Programs. New York, NY: The New York Academy of Medicine, 2013 (accessed April 2016).

24 What is the Community Guide? In The Guide to Community Preventive Services, 2016 (accessed May 2015).

25 Center for Training and Research Translation. Who We Are. In Center TRT, 2013 (accessed June 2015).

26 Trust for America's Health. Prevention for a Healthier America: Investments in Disease Prevention Yield Signi cant Savings, Strong Communities. Washington, DC: Trust for America's Health, 2009.

27 About the Center. Budget. In Centers for Disease Control and Prevention, 2015 (accessed April 2016).