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Men’s Night Out
Size, Diabetes, Heart Disease & Cancer
       Trends and a Call to Action




          Andy Varney, MD
                 SIU
          Internal Medicine
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          1994

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          1995

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          1996

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          1997

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          1998

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          1999

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          2000

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          2001

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          2002

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          2003

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          2004

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          2005

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          2006

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          2007

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          2008

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          2009

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                    Among U.S. Adults
                          2010

     Obesity (BMI≥30 kg/m2)                                        Diabetes




   Missing Data          <14.0%                            Missing data           <4.5%
   14.0%–17.9%           18.0%–21.9%                       4.5%–5.9%              6.0%–7.4%
   22.0%–25.9%           ≥26.0%                            7.5%–8.9%              ≥9.0%



        CDC’s Division of Diabetes Translation. National Diabetes Surveillance System
        available at http://www.cdc.gov/diabetes/statistics
Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes
                   Among U.S. Adults Aged 18 Years or older

Obesity (BMI ≥30 kg/m2)
              1994                                         2000                                       2010




            No Data        <14.0%          14.0-17.9%         18.0-21.9%           22.0-25.9%              >26.0%


Diabetes
              1994                                         2000                                            2010




            No Data         <4.5%           4.5-5.9%            6.0-7.4%            7.5-8.9%               >9.0%

              CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at
                                      http://www.cdc.gov/diabetes/statistics
Obesity and
illness
FIGURE 6 Death Rates* for Cancer and Heart Disease for Ages Younger than 85 and 85 and
                                  Older, 1975 to 2004




From Jemal, A. et al.
CA Cancer J Clin 2008;58:71-96.


Copyright ©2008 American Cancer Society
FIGURE 4 Annual Age-adjusted Cancer Death Rates* Among Males for Selected
                          Cancers, United States, 1930 to 2004




From Jemal, A. et al.
CA Cancer J Clin 2008;58:71-96.


Copyright ©2008 American Cancer Society
FIGURE 3 Annual Age-adjusted Cancer Incidence Rates* for Selected Cancers by
                                 Sex, United States, 1975 to 2004




  From Jemal, A. et al.
  CA Cancer J Clin 2008;58:71-96.

Copyright ©2008 American Cancer Society
FIGURE 1 Ten Leading Cancer Types for the Estimated New Cancer Cases and Deaths, by
                              Sex, United States, 2008




From Jemal, A. et al.
CA Cancer J Clin 2008;58:71-96.


Copyright ©2008 American Cancer Society
Exercise Evidence: Effects on Mortality
                          13, 344 healthy men and women followed for 8 years

                           70
                                                                            Men
Death Rate (per 10,000)




                           60                                               Women
                           50
                           40
                           30
                           20
                           10
                            0
                                   1           2          3            4             5
                                              Fitness Level (Low to High)

                           Low physical fitness is associated with increased mortality
                                                                            Slide Source

 Blain SN et al. JAMA 1989;262:2395–2401.                                   Lipids Online Slide Library
                                                                            www.lipidsonline.org
Tips to Avoid becoming a STATISTIC!

•   Avoid Tobacco
•   Reduce sugar and white flour
•   Change your oil -> EVOO + “Smart Balance”
•   Exercise

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Dr. Andrew Varney, Men's Night Out

  • 1. Men’s Night Out Size, Diabetes, Heart Disease & Cancer Trends and a Call to Action Andy Varney, MD SIU Internal Medicine
  • 2. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 1994 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 3. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 1995 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 4. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 1996 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 5. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 1997 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 6. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 1998 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 7. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 1999 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 8. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 2000 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 9. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 2001 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 10. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 2002 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 11. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 2003 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 12. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 2004 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 13. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 2005 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 14. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 2006 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 15. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 2007 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 16. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 2008 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 17. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 2009 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 18. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults 2010 Obesity (BMI≥30 kg/m2) Diabetes Missing Data <14.0% Missing data <4.5% 14.0%–17.9% 18.0%–21.9% 4.5%–5.9% 6.0%–7.4% 22.0%–25.9% ≥26.0% 7.5%–8.9% ≥9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 19. Age-Adjusted Prevalence of Obesity and Diagnosed Diabetes Among U.S. Adults Aged 18 Years or older Obesity (BMI ≥30 kg/m2) 1994 2000 2010 No Data <14.0% 14.0-17.9% 18.0-21.9% 22.0-25.9% >26.0% Diabetes 1994 2000 2010 No Data <4.5% 4.5-5.9% 6.0-7.4% 7.5-8.9% >9.0% CDC’s Division of Diabetes Translation. National Diabetes Surveillance System available at http://www.cdc.gov/diabetes/statistics
  • 21. FIGURE 6 Death Rates* for Cancer and Heart Disease for Ages Younger than 85 and 85 and Older, 1975 to 2004 From Jemal, A. et al. CA Cancer J Clin 2008;58:71-96. Copyright ©2008 American Cancer Society
  • 22. FIGURE 4 Annual Age-adjusted Cancer Death Rates* Among Males for Selected Cancers, United States, 1930 to 2004 From Jemal, A. et al. CA Cancer J Clin 2008;58:71-96. Copyright ©2008 American Cancer Society
  • 23. FIGURE 3 Annual Age-adjusted Cancer Incidence Rates* for Selected Cancers by Sex, United States, 1975 to 2004 From Jemal, A. et al. CA Cancer J Clin 2008;58:71-96. Copyright ©2008 American Cancer Society
  • 24. FIGURE 1 Ten Leading Cancer Types for the Estimated New Cancer Cases and Deaths, by Sex, United States, 2008 From Jemal, A. et al. CA Cancer J Clin 2008;58:71-96. Copyright ©2008 American Cancer Society
  • 25. Exercise Evidence: Effects on Mortality 13, 344 healthy men and women followed for 8 years 70 Men Death Rate (per 10,000) 60 Women 50 40 30 20 10 0 1 2 3 4 5 Fitness Level (Low to High) Low physical fitness is associated with increased mortality Slide Source Blain SN et al. JAMA 1989;262:2395–2401. Lipids Online Slide Library www.lipidsonline.org
  • 26. Tips to Avoid becoming a STATISTIC! • Avoid Tobacco • Reduce sugar and white flour • Change your oil -> EVOO + “Smart Balance” • Exercise