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Arizona Nutrition Status Report, 2008. Report Focus Areas. Fruit and Vegetable Consumption Food Security Healthy Weight Calcium Consumption Physical Activity Folic Acid Breastfeeding Anemia. Fruit and Vegetable Consumption:. - PowerPoint PPT Presentation
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Arizona Nutrition Status Report, 2008
Report Focus Areas
• Fruit and Vegetable Consumption• Food Security• Healthy Weight• Calcium Consumption• Physical Activity• Folic Acid• Breastfeeding• Anemia
Fruit and Vegetable Consumption:
Increase the proportion of persons age two years and older who consume at least two
daily servings of fruit and at least three servings of vegetables, with at least one-third being dark green or deep yellow vegetables.
Percentage of High School Students Who Consumed 5+ Servings of Fruits and Vegetables Per Day, YRBS 2003-2007
17.1%20.9%
15.2%
21.7%22.0% 20.1%
0%
5%
10%
15%
20%
25%
2003 2005 2007
Arizona
US
Percentage of Arizona Adults Eating '5-A-Day' by Poverty Level, BRFSS 2001-2007
19.0%16.8%
21.5%
24.7% 24.0%
27.1%
25.4%23.6%
22.4% 23.3%24.4%
27.3%
25.1%
23.3%
0%
5%
10%
15%
20%
25%
30%
35%
40%
2001 2002 2003 2004 2005 2006 2007
<130% FPL
Not in Poverty (>130% FPL)
2001: <130% FPL n=349 >130%=2,371 2007: <130% FPL n=608 >130% FPL n=3,413
Percentage of Arizona Adults Eating '5-A-Day' By Race/Ethnicity, BRFSS 2001-2007
24.4%21.9%
25.2%
28.8%
21.6%
0%
5%
10%
15%
20%
25%
30%
35%
White AfricanAmerican
Asian AmericanIndian
Hispanic
Percentage of Food Budget Expended on Fruits and Vegetables in Phoenix and the US, 1996-2006
9.9% 9.8% 9.9%10.1%
9.8%
10.3%
9.7%
8.5% 8.5%
9.1%
9.5% 9.5%
10.3%
9.4%
10.0%
9.7%
9.3%
10.4%10.1%
9.8%
8.0%
8.5%
9.0%
9.5%
10.0%
10.5%
11.0%
1996-1997
1997-1998
1998-1999
1999-2000
2000-2001
2001-2002
2002-2003
2003-2004
2004-2005
2005-2006
US
Phoenix
Food Security:
Increase food security among Arizona households, and in doing
so, reduce hunger.
Food Security
• The USDA reports that for 2004 to 2006:– 11.3% of Arizona households were food insecure
without experiencing hunger – 3.9% were food insecure and experienced hunger
• Arizona’s emergency food network served approximately:– 77,500 people served in any given week– Total of 479,000 unduplicated people in 2005.
Food Security Indicators by County, Arizona
Number of People Receiving Food
Stamps(2008)*
Number of People <130% FPL
(2000)**
Number of Emergency Food Assistance
Agencies(2006-2007)***
Number of Pounds of Food Distributed by Food Banks (2006-
2007)***
Apache 20,281 33,657 15 1,183,870
Cochise 18,035 27,279 27 4,558,400
Coconino 18,045 28,375 36 5,319,156
Gila 9,367 12,684 12 642,302
Graham 4,784 9,665 4 491,311
Greenlee 488 1,226 2 294,876
La Paz 3,233 5,459 5 140,219
Maricopa 371,907 504,194 583 48,261,144
Mohave 28,757 31,874 26 1,232,271
Navajo 29,458 36,266 45 2,668,401
Pima 118,060 169,838 231 12,659,493
Pinal 38,982 37,935 55 4,076,216
Santa Cruz 8,978 13,257 111 2,717,452
Yavapai 18,274 30,079 50 2,143,207
Yuma 32,669 43,749 47 5,138,992
Arizona 721,318 985,537 1,252 134,191,295
Healthy Weight:
Increase the proportion of children, adolescents and adults
who are at a healthy weight.
At-Risk of Overweight Status of Children (Age 2 - 5) Based on BMI-for-age, PedNSS* 2004 - 2007
13
.6%
14
.7%
15
.1%
16
.2%
16
.1%
16
.4%
15
.8%
16
.4%
0%
5%
10%
15%
20%
2004 2005 2006 2007
Arizona United States*Does not include Navajo or ITCA WIC
Overweight Status of Children (Age 2 - 5) Based on BMI-for-age, PedNSS* 2004 - 2007
12
.4%
12
.8%
13
.5%
14
.8%
14
.7%
14
.8%
14
.4%
14
.9%
0%
5%
10%
15%
20%
2004 2005 2006 2007
Arizona United States*Does not include Navajo or ITCA WIC
Percentage of High School Students Who Were Obese, Arizona and US, YRBS 2003-2007
12.1% 13.1% 13.0%
11.2% 11.9% 11.7%
0%
5%
10%
15%
20%
2003 2005 2007
Arizona
US
Percentage of High School Students Who Were Overweight, Arizona and US, YRBS 2003-2007
13.8% 13.6% 14.2%
14.8% 15.7% 15.8%
0%
5%
10%
15%
20%
2003 2005 2007
Arizona
US
Weight Control Practices of High School Students, Arizona YRBS 2007
28.8
% 45.1
% 61.2
%
38.1
%
31.9
% 55.1
%
25.9
%58.9
%
67.5
%
50.5
%
11.7
%
14.2
%
24.0
%16.0
%
14.7
%
33.7
%
8.5%12
.2%
0%
25%
50%
75%
100%
At Risk forOverweight
Overweight Describedthemselves as
overweight
Trying to loseweight
Exercised to loseweight
Modified dietaryintake to lose
weight.
Total Male Female
Percentage of Arizona Adults by BMI Category and Race/Ethnicity, BRFSS 2001-2007
42.6
%
28.6
%
27.9
%
32.6
% 52.7
%
39.9
%
34.7
%
39.4
%
33.6
%
30.2
%
34.3
%
19.0
%
23.7
% 33.4
%
11.8
%
20.2
%33.0
%23
.1%
0%
10%
20%
30%
40%
50%
60%
White AfricanAmerican
AmericanIndian
Hispanic Asian Total
BMI<25.0 BMI 25.0-29.9 BMI 30+
Percentage of Overweight Adults, Arizona and US, BRFSS 2001-2007
36.6%
34.9% 35.1%
36.7%
36.8% 36.7% 36.5% 36.8%36.6%37.5%
36.6%
36.7%
37.0%37.2%
30%
32%
34%
36%
38%
40%
2001 2002 2003 2004 2005 2006 2007
AZ US
Percentage of Obese Adults, Arizona and US, BRFSS 2001-2007
18.5%19.6% 20.1%
21.2% 21.1%22.9%
25.8%20.9%21.9%
22.9% 23.2%24.4% 25.1%
26.3%
15%
17%
19%
21%
23%
25%
27%
29%
2001 2002 2003 2004 2005 2006 2007
AZ US
Percentage of Arizona Adults Who Were Overweight or Obese by Poverty Level, BRFSS 2001-2007
59.0%
54.4%
56.9%
55.3%
60.1%
55.7%57.0%
54.4%
51.5%
53.8%
56.2%57.5%
55.7%
55.3%
40%
45%
50%
55%
60%
65%
2001 2002 2003 2004 2005 2006 2007
<130% FPL
Not in Poverty (>130% FPL)
Calcium Consumption:
Increase the proportion of persons aged two years and older who meet
dietary recommendations for calcium.
School Environment, 2006
• Students can purchase 1% low fat or fat free milk on school property:– 42% of middle schools – 36% of high schools
• Students can purchase 2% reduced fat or whole milk on school property:– 38% of middle schools– 42% of high schools
Milk Purchased* with WIC Vouchers for Women and Children Age 2 Years and Older in the Arizona WIC Program, 2008
Whole Milk13%
2% Reduced Fat Milk33%
Fat Free/ 1% Low Fat Milk
54%
*3 month average
Milk Taste Tests
• Participants reported that they liked the 1% low fat milk more than any of the other samples.
• As age increased, participants were more likely to report liking the 1% low fat sample.
Willingness to Switch to 1% Low Fat or Fat Free Milk, AzNN Milk Taste Tests 2008
4%10%
18%
66%
2%0%
25%
50%
75%
100%
Already drink1% Low Fat orFat Free Milk
Maybe No Yes Missing
Physical Activity:
Increase the proportion of children who participate in cumulative intermittent
physical activity for 60 minutes per day.
Percentage of Arizona Children (Age 6-17) Who Engage in Physical Activity by Poverty Level and Number of Days, NSCH 2003
20.8
%
26.4
%
24.8
%
28.0
%
11.6
%
29.6
%
29.6
%
29.2
%
7.0%
26.4
% 34.2
%
32.4
%
7.4%
29.4
%
41.7
%
21.5
%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
0 days 1-3 days 4-6 days Every day
0-99%FPL 100-199%FPL 200-399%FPL 400%FPL or more
Screen Time
• 36.3% of children age six to 17 watched television, videos or played video games for two to three hours on an average school day. (37.7% US)
• Almost ten percent (8.3%) of children watched television, videos or played video games four or more hours on an average school day.
Physical Activity:
Increase the proportion of adolescents who engage in either moderate or
vigorous physical activity.
Percentage of Arizona High School Students (Grades 9-12) Who Participated in Physical Activity 60+ Minutes Per Day on 5 or More
Days During the Past 7 Days, YRBS 2005-2007
32.3% 32.0%35.8% 34.7%
0%
10%
20%
30%
40%
50%
2005 2007
Arizona U.S.
• Physical Activity:– 32% of high school students reported being active for
at least 60 minutes on five or more days of the week. – Almost ten percent (9.2%) of high school students
report participating in no physical activity in the past week.
• Screen Time:– 28.2% of high school students reported spending at
least three hours watching television per day– 21.4% of high school students reported spending at
least three hours playing computer or video games.
Physical Activity:
Increase the proportion of adults who engage regularly, preferably daily, in
moderate or vigorous physical activity.
Percentage of Arizona Adults Who Did Not Participate in Any Moderate or Vigorous Physical Activity by Poverty Level,
BRFSS 2003-2007
24.7%
13.4% 14.3%
18.3%
10.5%
7.0%
10.2% 9.3%
12.8%
12.7%
0%
5%
10%
15%
20%
25%
30%
2003 2004 2005 2006 2007
<130% FPL Not in Poverty (>130% FPL)
Percentage of Arizona Adults Who Participated in Sufficient Physical Activity to Meet Moderate Recommendations Only by Poverty Level, BRFSS 2003-2007
22.1%
24.7%25.3%
19.9%
21.2%
19.4%
16.6%18.0%
18.5%
20.4%
15%
17%
19%
21%
23%
25%
27%
2003 2004 2005 2006 2007
<130% FPL Not in Poverty (>130% FPL)
Percentage of Arizona Adults Who Participated in Sufficient Physical Activity to Meet Vigorous Recommendations Only by Poverty Level, BRFSS 2003-2007
9.1%
12.9%
8.3%
11.0%
11.4%
13.2%
14.8%
13.1%
11.4%
8.4%
5%
7%
9%
11%
13%
15%
17%
2003 2004 2005 2006 2007
<130% FPL Not in Poverty (>130% FPL)
Percentage of Arizona Adults Who Participated in Sufficient Physical Activity to Meet Both Vigorous and Moderate Recommendations by Poverty Level, BRFSS 2003-2007
10.4%
13.9%
11.8%
20.0% 19.8%
17.6%19.1%
16.5%
12.0%13.0%
5%
7%
9%
11%
13%
15%
17%
19%
21%
23%
2003 2004 2005 2006 2007
<130% FPL Not in Poverty (>130% FPL)
Folic Acid:
Increase the proportion of pregnancies begun with an
optimum folic acid level.
Rate (Live and Still Born) of Spina Bifida per 10,000 Live Births, Arizona Birth Defects Monitoring Program, 1994-2004
4.57 4.614.16 4.28
3.32 3.463.03
4.454.81
5.004.49
0
1
2
3
4
5
6
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Folic Acid Supplementation Among Arizona Women Age 18-44, BRFSS 2007
57.8
%
52.7
%
37.9
% 61.1
%
46.7
%
22.4
%
31.1
%
89.9
%
88.1
%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Take multivitamins with folic acid *Take folic acid supplement atleast 1x per day
Know folic acid is to prevent birthdefects
185%+ 130%-185% <130%
Percentage of Arizona Women Age 18-44 Who Report Taking a Multivitamin or Supplement Containing Folic Acid by Poverty Level,
BRFSS 2005-2007
30.0%
49.2%
22.0%
33.7%
55.7%48.1%
0%
10%
20%
30%
40%
50%
60%
2005 2006 2007
<130% FPL Not in Poverty (>130% FPL)
Percentage of Arizona Women Age 18-44 Who Knew That Folic Acid Is Used To Prevent Birth Defects by Poverty Level, BRFSS 2001-2007
22.9%
39.7%
28.2%
43.9%
58.7%
47.8%52.0%
31.1%
36.8%
53.7%
0%
10%
20%
30%
40%
50%
60%
70%
2001 2004 2005 2006 2007
<130% FPL Not in Poverty (>130% FPL)
*Question was not asked in 2002. Data not available by income level for 2003.
Breastfeeding:
Increase the proportion of mothers who breastfeed.
Breastfeeding in Arizona
• Arizona ranked 10th for the highest breastfeeding initiation rates in the country.
Breastfeeding Initiation Arizona PedNSS 2004-2007
59
.5%
60
.4%
61
.1%
60
.1%
56
.1% 58
.5%
60
.1%
59
.8%
53%
54%
55%
56%
57%
58%
59%
60%
61%
62%
2004 2005 2006 2007
AZ US
Breastfed At Least 6 Months, Arizona PedNSS 2004-2007
27.9
%
24.6
%
25.1
%
30.9
%
23.4
%
24.3
%
25.2
%
25.4
%
0%
10%
20%
30%
40%
2004 2005 2006 2007
AZ USBreastfed At Least 12 Months, Arizona PedNSS 2004-2007
11.7
%
11.7
% 20.4
%
17.6
%
17.7
%
18.1
%
17.5
%
0%
5%
10%
15%
20%
25%
2004 2005 2006 2007
AZ US
Anemia:
Reduce iron deficiency anemia among infants, young children and
females of childbearing age.
Number of Births to Women with Anemia per 1,000 Live Births by Race/Ethnicity, Arizona 2006
16.5
15.9
155.0
74.9
14.7
0 50 100 150 200
White
Hispanic
Native American
African American
Asian
Number of Births to Women with Anemia per 1,000 Live Births by Payer,
Arizona 2006
19.1
74.4
17.8
10.4
43.0
0 20 40 60 80
Medicaid (AHCCCS)
Indian Health Service
Private Insurance
Self Pay
Unknown
Percent of Low Hemoglobin Among Arizona and National WIC* Children**, PedNSS 2004-2007
16.0% 15.5%16.5% 16.4%
13.5% 13.6% 14.0%15.0%
0%
5%
10%
15%
20%
2004 2005 2006 2007
Arizona National
Anemia in the Arizona WIC Population
• 27.8% of pregnant women were at risk for anemia during their third trimester
• 21.7% of postpartum women were at risk for anemia – Younger mothers tend to have higher rates
both during and after pregnancy. – Pregnant and postpartum Black, non-Hispanic
mothers have the highest risk for anemia both in Arizona and nationally
To access the full report go to:
http://www.eatwellbewell.org/partners/partner-resources/data-and-statistics
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