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Key findings from the last three years of County Health Rankings and other national reports. Project updates, commentaries, events and news about health across the nation from the County Health Rankings & Roadmaps team. The environments where we live, learn, work, and play affect our access to healthy food and opportunities for physical activity which, along with genetic factors and personal choices, shape our health and our risk of being overweight and obese.
More than two-thirds of all American adults and approximately 32% of children and adolescents are overweight or obese.
Unhealthy food intake and insufficient exercise have economic impacts for individuals and communities.
Increasing opportunities for exercise and access to healthy foods in neighborhoods, schools, and workplaces can help children and adults eat healthy meals and reach recommended daily physical activity levels.

Adult obesity, defined as the percentage of the adult population that has a body mass index greater than or equal to 30. Food environment index, an index of equally weighted factors that contribute to a healthy food environment, including limited access to healthy foods and food insecurity. Physical inactivity, defined as the percentage of the adult population that during the past month did not participate in any leisure-time physical activity or exercise such as running, calisthenics, golf, gardening, or walking for exercise. Access to exercise opportunities, defined as the percentage of the population who live reasonably close to locations for physical activity, including parks or recreational facilities. The data for adult obesity and physical inactivity come from the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) in the Centers for Disease Control and Prevention. Yet, half of adults and nearly 72% of high school students in the US do not meet the CDC’s recommended physical activity levels, and American adults walk less than adults in any other industrialized country.
Current estimates for obesity-related health care costs in the US range from $147 billion to nearly $210 billion annually, and productivity losses due to job absenteeism cost an additional $4 billion each year [1].
The NCCDPHP develops modeled estimates of county-level obesity rates and physical inactivity percentages using data from the Behavioral Risk Factor Surveillance System (BRFSS). Excessive calorie consumption, however, can lead to overweight and obesity, especially when paired with too little physical activity.

As of 2013, 29 million Americans lived in a food desert, without access to affordable, healthy food. The food environment index is compiled using data from the USDA Food Environment Atlas and Map the Meal Gap from Feeding America. Inadequate physical activity itself also contributes to increased risk of a number of conditions including coronary heart disease, diabetes, and some cancers [1]. Those with lower education levels, already at-risk for poor health outcomes, frequently live in food deserts [1]. The data for access to exercise opportunities come from OneSource Global Business Browser, Delorme map data, ESRI, and US Census Tigerline Files and are combined in ArcGIS to create the measure.

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