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