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Health Reports & Data

Nutrition and Weight Status

Goal

Promote health and reduce chronic disease risk through the consumption of healthful diets and achievement and maintenance of healthy body weights.

Overview

The Nutrition and Weight Status objectives for Healthy People 2020 reflect strong science supporting the health benefits of eating a healthful diet and maintaining a healthy body weight. The objectives also emphasize that efforts to change diet and weight should address individual behaviors, as well as the policies and environments that support these behaviors in settings such as schools, worksites, health care organizations, and communities.

The goal of promoting healthful diets and healthy weight encompasses increasing household food security and eliminating hunger.

Americans with a healthful diet:

  • Consume a variety of nutrient-dense foods within and across the food groups, especially whole grains, fruits, vegetables, low-fat or fat-free milk or milk products, and lean meats and other protein sources.
  • Limit the intake of saturated and trans fats, cholesterol, added sugars, sodium (salt), and alcohol.
  • Limit caloric intake to meet caloric needs.1

All Americans should avoid unhealthy weight gain, and those whose weight is too high may also need to lose weight.

Why is Nutrition and Weight Status Important?

Diet and body weight are related to health status. Good nutrition is important to the growth and development of children.  A healthful diet also helps Americans reduce their risks for many health conditions, including:

•    Overweight and obesity
•    Malnutrition
•    Iron-deficiency anemia
•    Heart disease
•    High blood pressure
•    Dyslipidemia (poor lipid profiles)
•    Type 2 diabetes
•    Osteoporosis
•    Oral disease
•    Constipation
•    Diverticular disease
•    Some cancers

Individuals who are at a healthy weight are less likely to:

  • Develop chronic disease risk factors, such as high blood pressure and dyslipidemia.
  • Develop chronic diseases, such as type 2 diabetes, heart disease, osteoarthritis, and some cancers.
  • Experience complications during pregnancy.
  • Die at an earlier age.2, 3, 4, 5

Additional Resources

HP2020’s National Objectives for Nutrition and Weight Status
HHDW Reports on Nutrition

HHDW Reports on Weight Control

References

  1. US Department of Health and Human Services and US Department of Agriculture (USDA). Dietary guidelines for Americans, 2005. 6th ed. Washington: US Government Printing Office, 2005 Jan.
  2. National Institutes of Health (NIH); National Heart, Lung, and Blood Institute and National Institute of Diabetes and Digestive and Kidney Diseases. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: The evidence report. Bethesda, MD: NIH; 1998.
  3. World Health Organization (WHO). Obesity: Preventing and managing the global epidemic. Geneva: WHO; 1999.
  4. Dietz WH. Health consequences of obesity in youth: Childhood predictors of adult disease. Pediatrics. 1998;101:518-24.
  5. Must A, Strauss RS. Risks and consequences of childhood and adolescent obesity. Int J Obes. 1999;23:S2-S11.
ID
OBJECTIVES AND SUB-OBJECTIVES
State Indicator Definition:
Percentage of persons aged 18 years and older who reported a body mass index (BMI) equal to or greater than 18.5 and less than 25.0. The national indicator is defined differently persons aged 20 years and older, and is based on clinical measurements of weight and height.

State Baseline:
41.6% (2011)

Most Recent State Value:
40.8% (2015)

HP2020 Target
National: 33.9%

National Data Source:
National Health and Nutrition Examination Survey

State Data Source:
Hawaii Behavioral Risk Factor Surveillance System

Data Reports:
HHDW Report
HHM Report

State Indicator Definition:
Percentage of persons aged 18 years and older who reported a body mass index (BMI) equal to or greater than 30.0. The national indicator is defined differently as persons aged 20 years and older and is based on clinical measurements of weight and height.

State Baseline:
21.9% (2011)

Most Recent State Value:
22.7% (2015)

HP2020 Target
National: 30.5%

National Data Source:
National Health and Nutrition Examination Survey

State Data Source:
Hawaii Behavioral Risk Factor Surveillance System

Data Reports:
HHDW Report
HHM Report

NWS-10
Reduce the proportion of children and adolescents who are considered obese
State Indicator Definition:
Percentage of children aged 10-13 years who are obese (i.e. >= 95th percentile for body mass index, by age and sex, based on reference data). The national indicator is defined differently as it includes children aged 6-11 years and is based on clinical measurements rather than self-report.

State Baseline:
13.2% (2011-2012)

HP2020 Target:
National: 15.7%

National Data Source:
National Health and Nutrition Examination Survey

State Data Source:
National Survey of Children’s Health, via Data Resource Center for Child & Adolescent Health

Data Reports:
HHM Report

State Indicator Definition:
Percentage of students in grades 9-12 who are obese (i.e. >= 95th percentile for body mass index, by age and sex, based on reference data). The national indicator is defined differently as it includes adolescents aged 12 to 19 years and is based on clinical measures rather than self-report.

State Baseline:
13.2% (2011)

Most Recent State Value:
12.9% (2015)

HP2020 Target:
National: 16.1%

National Data Source:
National Health and Nutrition Examination Survey

State Data Source:
Hawaii Youth Risk Behavior Survey

Data Reports:
Hawaii-IBIS
HHM Report

State Indicator Definition:
Percentage of children and adolescents aged 10-17 years who are obese (i.e. >= 95th percentile for body mass index, by age and sex, based on reference data). The national indicator is defined differently as it includes persons aged 2 to 19 years and is based on clinical measures rather than self-report.

State Baseline:
11.5% (2011-2012)

HP2020 Target:
National: 14.5%

National Data Source:
National Health and Nutrition Examination Survey

State Data Source:
National Survey of Children’s Health, via Data Resource Center for Child & Adolescent Health

Data Reports:
HHM Report

State Indicator Definition:
Percentage of households with children that had very low food security at any time during the previous year. The national indicator is defined in exactly the same way.

State Baseline:
1.1% (2010)

Most Recent State Value:
0.5% (2013)

HP2020 Target
National: 0.2%

National Data Source:
Current Population Survey

State Data Source:
Current Population Survey

Data Reports:
HHM Report

State Indicator Definition:
Percentage of households that had food insecurity at any time during the previous year. The national indicator is defined in exactly the same way.

State Baseline:
16.6% (2010)

Most Recent State Value:
16.7% (2013)

HP2020 Target
National: 6.0%

National Data Source:
Current Population Survey

State Data Source:
Current Population Survey

Data Reports:
HHM Report

State Indicator Definition:
Percentage of high school youth and adults aged 18 years and older who reported eating fruit 3 or more times per day. Youth data for the state is reported for public school students in grades 9-12. Data on fruit consumption among younger children is not available for the state of Hawaii. The national indicator is defined differently as the number of cup equivalents of fruit per 1,000 calories among persons aged 2 years and older.

State Baseline:
Youth, 16.7% (2011)
Adult, 7.4% (2011)

Most Recent State Value:
Youth, 14.5% (2015)
Adult, 7.3% (2015)

HP2020 Target
National: 0.93 cup equivalents of fruit per 1,000 calories

National Data Source:
National Health and Nutrition Examination Survey

State Data Source:
Hawaii Youth Risk Behavior Survey (Youth)
Hawaii Behavioral Risk Factor Surveillance System (Adult)

Data Reports:
Hawaii-IBIS – Youth
Hawaii-IBIS – Adult

NWS-15
Increase the variety and contribution of vegetables to the diets of the population aged 2 years and older
State Indicator Definition:
Percentage of high school youth and adults aged 18 and older who reported eating vegetables 3 or more times per day. Youth data for the state is reported public school students in grades 9-12. Data on vegetable consumption among younger children is not available for the tate of Hawaii. The national indicator is defined differently as the number of cup equivalents of vegetables per 1,000 calories among persons aged 2 years and older.

State Baseline:
Youth, 18.1% (2013)
Adult, 19.3% (2011)

Most Recent State Value:
Youth, 16.5% (2015)
Adult, 21.2% (2015)

HP2020 Target
National: 1.16 cup equivalents of vegetables per 1,000 calories

National Data Source:
National Health and Nutrition Examination Survey

State Data Source:
Hawaii Youth Risk Behavior Survey (Youth)
Hawaii Behavioral Risk Factor Surveillance System (Adult)

Data Reports:
Hawaii-IBIS – Youth
Hawaii-IBIS – Adult