Complete Indicator Profile - Overweight - Adolescents (Grades 9-12) (HA2020 Leading Health Indicator: 5Ai)

Skip directly to searchSkip directly to the site navigationSkip directly to this page's context menuSkip directly to the page's main content
State of Alaska

Complete Indicator Profile of Overweight - Adolescents (Grades 9-12) (HA2020 Leading Health Indicator: 5Ai)

Definition

Overweight is determined by calculating the individual's body mass index (BMI) and comparing it to age and sex standardized growth charts distributed by the Centers for Disease Control and Prevention. Adolescents are considered overweight if their BMI is greater than or equal to the 85th percentile and less than the 95th percentile for BMI.

Numerator

Number of students in grades 9-12 with a body mass index (BMI) at or above the sex- and age-specific 85th percentile and less than the 95th percentile based on the CDC Growth Charts.

Denominator

Number of students in grades 9-12 with complete and valid measurements for height and weight.

Why Is This Important?

Overweight and obesity affect a large proportion of the Alaska population and there has been an increase in the number of obese persons over the last decade. Many diseases and adverse health outcomes are associated with overweight and obesity, including high blood pressure, type 2 diabetes, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea, respiratory problems, and some types of cancer. In addition to genetic factors, an unhealthy diet and a lack of physical activity are both key contributors to rising obesity rates. It has been projected that, due to obesity, today's children may be the first generation to have a shorter life expectancy than their parents.

Other Objectives

The HA 2020 objective for overweight of 12% for both genders was not met.

Healthy Alaskans 2020 Target: 12.0%

What Is Being Done?

In collaboration with partners statewide, the Obesity Prevention and Control Program (the Program) provides professional development opportunities and technical assistance to school teachers and staff on evidence-based obesity prevention strategies appropriate for the school environment.

The program supports quality school-based physical education. With the Department of Education, the program recently helped develop Alaska Physical Education Standards which were adopted by the State Board of Education in July 2010. The program co-hosts the "Moving into Action: Combating Childhood Obesity" training for school nurse, health and PE teachers. The program co-hosted the PE Standards and Assessment training for PE teachers. Program staff encourages active transportation by helping coordinate Bike to Work Day and by fulfilling committee positions on the Anchorage.

The program facilitates a food policy council. The goal of the food policy council is to increase fruit and vegetable access, availability and consumption of fruits and vegetables.

The program also provides important surveillance data and publishes reports on the behaviors and risk factors that contribute to obesity to help community coalitions and partners identify and track health problems, and evaluate the effectiveness of obesity prevention efforts.

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaskan subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. Below are the strategies identified for enhancing adolescent support systems.

Strategy 1:
Implement a comprehensive social marketing campaign promoting nutrition and physical activity. Choose campaign topics strategically; examples include limiting sugary drinks and the importance of family meals.

Evidence Base:
Citing The Community Guide and other reviews, the CDC recommends community-wide campaigns as effective in increasing physical activity, a contributing factor to maintaining a healthy weight.

Sources:
Centers for Disease Control and Prevention. Increasing physical activity: A report on recommendations of the Task Force on Community Preventive Services. MMWR. 2001; 50 (RR-18): 1-16.
The Community Guide: http://www.thecommunityguide.org/pa/index.html
Kahn EB, Ramsey LT, Brownson RC, et al. The effectiveness of interventions to increase physical activity: a systematic review. Am J Prev Med. 2002; 22(4s): 73-107.

Strategy 2:
Increase the number of breastfeeding-friendly maternity facilities.

Evidence Base:
A systematic review from the Agency for Healthcare Research and Quality (AHRQ) concluded that infants who are not breastfed are more likely than breastfed infants to experience a number of poor health outcomes, including obesity (Ip et al., 2007). A Cochrane review of studies found that one effective approach for increasing breastfeeding initiation and duration rates is through support for institutional changes in maternity care practices (Fairbank et al., 2000). Specifically, the Baby-Friendly Hospital Initiative has been demonstrated to lead to improved breastfeeding rates (Philipp et al., 2001).

Sources:
Ip S, Chung M, Raman G, et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess. 2007; (153): 1-186.
Fairbank L, O'Meara S, Renfrew MJ, Woolridge M, Sowden AJ, Lister Sharp D. A systematic review to evaluate the effectiveness of interventions to promote the initiation of breastfeeding. Health Technol Assess. 2000; 4(25):1-171.
Philipp BL, Merewood A, Miller LW, et al. Baby-friendly hospital initiative improves breastfeeding initiation rates in a US hospital setting. Pediatrics. 2001; 108(3):677-681.

Strategy 3:
Adopt and implement new school physical activity and nutrition policies, also known as "wellness policies".

Evidence Base:
Many of the evidence-based strategies to address childhood obesity (such as promoting quality PE and health education, and establishing a Safe Routes to School program) depend on the support of schools, communities, and parents to implement. Therefore a strategy recommended by the CDC, US DHHS and the IOM is to support the adoption and implementation of school physical activity and nutrition policies (also known as "wellness policies") by school districts.

Sources:
CDC School Health Guidelines:
http://www.cdc.gov/healthyyouth/npao/strategies.htm
Institute of Medicine. Progress in preventing childhood obesity: How do we measure up? Koplan JP, Liverman CT, Kraak VI, Wisham, SL editors. Washington: National Academies Press; 2007.
US Department of Health and Human Services. The Surgeon General's Vision for a Healthy and Fit Nation. Rockville, MD: US Department of Health and Human Services, Office of the Surgeon General, January 2010.
USDA Healthy, Hunger-Free Kids Act of 2010 SEC. 204 Local School Wellness Policy Implementation: http://www.gpo.gov/fdsys/pkg/PLAW-111publ296/pdf/PLAW-111publ296.pdf

Available Services

Additional information on current efforts to prevent overweight in Alaska: http://www.hss.state.ak.us/dph/chronic/obesity/.



Related Indicators

Related Relevant Population Characteristics Indicator Profiles:


Related Health Care System Factors Indicator Profiles:


Related Risk Factors Indicator Profiles:


Related Health Status Outcomes Indicator Profiles:




Graphical Data Views

Percentage of adolescents (students in grades 9-12 in traditional high schools) who were overweight, all Alaskans, Alaska Natives, and U.S., 2001-2019

::chart - missing::

Alaska Comparisons Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 25
All Alaskans 2001 **
All Alaskans 2003 14.4% 12.4% 16.7%
All Alaskans 2005 **
All Alaskans 2007 16.2% 13.7% 19.0%
All Alaskans 2009 14.4% 12.4% 16.7%
All Alaskans 2011 14.4% 12.4% 16.6%
All Alaskans 2013 13.7% 11.4% 16.5%
Alaska Natives 2001 **
Alaska Natives 2003 13.0% 9.3% 18.0%
Alaska Natives 2005 **
Alaska Natives 2007 21.3% 15.6% 28.5%
Alaska Natives 2009 16.7% 12.4% 22.2%
Alaska Natives 2011 17.2% 13.0% 22.3%
Alaska Natives 2013 13.6% 9.1% 19.9%
U.S. 2001 13.6% 12.7% 14.5%
U.S. 2003 14.6% 14.0% 15.4%
U.S. 2005 15.6% 14.6% 16.6%
U.S. 2007 15.6% 14.6% 16.6%
U.S. 2009 15.6% 14.6% 16.7%
U.S. 2011 15.2% 14.4% 16.2%
U.S. 2013 16.6% 15.4% 17.8%
Healthy Alaskans Goal 2013 12.0%
Healthy Alaskans Goal 2015 12.0%
Healthy Alaskans Goal 2017 12.0%
Healthy Alaskans Goal 2019 12.0%

Data Notes

Healthy Alaskans 2020 Target: 12.0%

Weighted Alaska data for this indicator were obtained in 2003, 2007, 2009, 2011, and 2013. No Alaska YRBS survey was conducted in 2001 and in 2005, the overall response rate did not make the 60% level to ensure that data would be representative of the Alaska high school student body.   Traditional high schools are public high schools that are distinct from correspondence schools, alternative high schools, which serve students at risk of not graduating, and students enrolled in high school in correctional facilities. Healthy Alaskans 2020 goals were established using results from traditional high school students.

Data Sources

  • Alaska Youth Risk Behavior Surveillance System, Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, School Health and YRBS Program
  • Youth Risk Behavior Surveillance System, National Center for Chronic Disease Prevention and Health Promotion



Percentage of adolescents (students in grades 9-12 in traditional high schools) who were overweight, by sex, all Alaskans, 2011-2020

::chart - missing::

HA: Males vs. Females Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 12
Males 2011 14.1% 11.7% 16.9%
Males 2013 14.7% 12.0% 17.8%
Females 2011 14.7% 11.8% 18.1%
Females 2013 12.7% 9.7% 16.6%
Healthy Alaskans Goal 2013 12.0%
Healthy Alaskans Goal 2014 12.0%
Healthy Alaskans Goal 2015 12.0%
Healthy Alaskans Goal 2016 12.0%
Healthy Alaskans Goal 2017 12.0%
Healthy Alaskans Goal 2018 12.0%
Healthy Alaskans Goal 2019 12.0%
Healthy Alaskans Goal 2020 12.0%

Data Notes

Healthy Alaskans 2020 Target: 12.0%

Weighted Alaska data for this indicator were obtained in 2003, 2007, 2009, 2011, and 2013. No Alaska YRBS survey was conducted in 2001 and in 2005, the overall response rate did not make the 60% level to ensure that data would be representative of the Alaska high school student body.



Percentage of adolescents (students in grades 9-12 in traditional high schools) who were overweight, by age, all Alaskans, 2011-2020

::chart - missing::

HA: Adolescent Age Groups Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 18
14 or Younger 2011 11.6% 7.6% 17.2%
14 or Younger 2013 18.3% 12.4% 26.1%
15 2011 14.2% 10.3% 19.2%
15 2013 14.7% 11.1% 19.2%
16 2011 15.6% 11.5% 20.8%
16 2013 11.4% 8.6% 14.9%
17 2011 14.6% 11.3% 18.7%
17 2013 14.9% 10.7% 20.3%
18 or Older 2011 14.0% 9.7% 19.8%
18 or Older 2013 10.7% 6.3% 17.8%
Healthy Alaskans Goal 2013 12.0%
Healthy Alaskans Goal 2014 12.0%
Healthy Alaskans Goal 2015 12.0%
Healthy Alaskans Goal 2016 12.0%
Healthy Alaskans Goal 2017 12.0%
Healthy Alaskans Goal 2018 12.0%
Healthy Alaskans Goal 2019 12.0%
Healthy Alaskans Goal 2020 12.0%

Data Notes

Healthy Alaskans 2020 Target: 12.0%

Weighted Alaska data for this indicator were obtained in 2003, 2007, 2009, 2011, and 2013. No Alaska YRBS survey was conducted in 2001 and in 2005, the overall response rate did not make the 60% level to ensure that data would be representative of the Alaska high school student body.



Percentage of adolescents (students in grades 9-12 in traditional high schools) who were overweight, by race, all Alaskans, 2011-2020

::chart - missing::

HA: Race: white, AK Native, other Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 14
white 2011 14.5% 12.0% 17.4%
white 2013 13.4% 10.7% 16.7%
Alaska Native 2011 17.2% 13.0% 22.3%
Alaska Native 2013 13.6% 9.2% 19.7%
other 2011 17.5% 13.2% 22.7%
other 2013 14.5% 10.9% 18.9%
Healthy Alaskans Goal 2013 12.0%
Healthy Alaskans Goal 2014 12.0%
Healthy Alaskans Goal 2015 12.0%
Healthy Alaskans Goal 2016 12.0%
Healthy Alaskans Goal 2017 12.0%
Healthy Alaskans Goal 2018 12.0%
Healthy Alaskans Goal 2019 12.0%
Healthy Alaskans Goal 2020 12.0%

Data Notes

Healthy Alaskans 2020 Target: 12.0%

Weighted Alaska data for this indicator were obtained in 2003, 2007, 2009, 2011, and 2013. No Alaska YRBS survey was conducted in 2001 and in 2005, the overall response rate did not make the 60% level to ensure that data would be representative of the Alaska high school student body.



Percentage of adolescents (students in grades 9-12 in traditional high schools) who were overweight, by Hispanic, all Alaskans, 2011-2020

::chart - missing::

HA: Ethnicity - Hispanic/Latino Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 12
Hispanic/Latino 2011 20.2% 14.4% 27.7%
Hispanic/Latino 2013 12.9% 7.9% 20.5%
Not Hispanic/Latino 2011 13.9% 11.8% 16.3%
Not Hispanic/Latino 2013 13.8% 11.5% 16.4%
Healthy Alaskans Goal 2013 12.0%
Healthy Alaskans Goal 2014 12.0%
Healthy Alaskans Goal 2015 12.0%
Healthy Alaskans Goal 2016 12.0%
Healthy Alaskans Goal 2017 12.0%
Healthy Alaskans Goal 2018 12.0%
Healthy Alaskans Goal 2019 12.0%
Healthy Alaskans Goal 2020 12.0%

Data Notes

Healthy Alaskans 2020 Target: 12.0%

Weighted Alaska data for this indicator were obtained in 2003, 2007, 2009, 2011, and 2013. No Alaska YRBS survey was conducted in 2001 and in 2005, the overall response rate did not make the 60% level to ensure that data would be representative of the Alaska high school student body.



Percentage of adolescents (students in grades 9-12 in traditional high schools) who were overweight, by grade level, all Alaskans, 2011-2020

::chart - missing::

HA: Grade Level Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 16
9th 2011 14.7% 11.2% 18.9%
9th 2013 14.1% 10.2% 19.2%
10th 2011 14.7% 11.1% 19.2%
10th 2013 14.5% 10.9% 19.0%
11th 2011 14.7% 11.2% 19.1%
11th 2013 13.0% 9.4% 17.7%
12th 2011 12.9% 9.6% 17.1%
12th 2013 13.6% 9.6% 18.8%
Healthy Alaskans Goal 2013 12.0%
Healthy Alaskans Goal 2014 12.0%
Healthy Alaskans Goal 2015 12.0%
Healthy Alaskans Goal 2016 12.0%
Healthy Alaskans Goal 2017 12.0%
Healthy Alaskans Goal 2018 12.0%
Healthy Alaskans Goal 2019 12.0%
Healthy Alaskans Goal 2020 12.0%

Data Notes

Healthy Alaskans 2020 Target: 12.0%

Weighted Alaska data for this indicator were obtained in 2003, 2007, 2009, 2011, and 2013. No Alaska YRBS survey was conducted in 2001 and in 2005, the overall response rate did not make the 60% level to ensure that data would be representative of the Alaska high school student body.



Percentage of adolescents (students in grades 9-12 in traditional high schools) who were overweight, by academic performance, all Alaskans, 2011-2020

::chart - missing::

HA: Academic Performance Year Percentage of adolescents Lower Limit Upper Limit
Record Count: 12
mostly As and Bs 2011 12.7% 10.6% 15.2%
mostly As and Bs 2013 13.4% 10.9% 16.3%
not mostly As and Bs 2011 17.9% 14.5% 21.8%
not mostly As and Bs 2013 14.7% 11.0% 19.2%
Healthy Alaskans Goal 2013 12.0%
Healthy Alaskans Goal 2014 12.0%
Healthy Alaskans Goal 2015 12.0%
Healthy Alaskans Goal 2016 12.0%
Healthy Alaskans Goal 2017 12.0%
Healthy Alaskans Goal 2018 12.0%
Healthy Alaskans Goal 2019 12.0%
Healthy Alaskans Goal 2020 12.0%

Data Notes

Healthy Alaskans 2020 Target: 12.0%

Weighted Alaska data for this indicator were obtained in 2003, 2007, 2009, 2011, and 2013. No Alaska YRBS survey was conducted in 2001 and in 2005, the overall response rate did not make the 60% level to ensure that data would be representative of the Alaska high school student body.


References and Community Resources

Additional information on current efforts to prevent overweight and obesity in Alaska is available at: http://www.hss.state.ak.us/dph/chronic/obesity/.

More Resources and Links

Alaska and national goals may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 01/05/2015, Published on 01/15/2015
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Sat, 28 February 2015 23:22:25 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov".

Content updated: Thu, 15 Jan 2015 11:05:30 AKST