b'GREATER MONADNOCK COMMUNITY HEALTH IMPROVEMENT PLAN 2015-2018 PRIORITY AREA 4:OBESITY40% Obesity among Adults (2005-2013)26.6%30% 26.7% 26.5%Over recent decades, the number of obese individuals in this country has increased at an epidemic level.In 1990, obese adults made up less20%than 15% of the population in most states.By 2012, 43 states had obesity rates of 25% or higher, including New Hampshire. 23 10% Obesity is a complex health issue defined as abnormal or excessive fat0%accumulation that may impair health.It is measured by body mass2005 2006 2007 2008 2009 2010 2011* 2012* 2013*index (BMI), which is calculated from an individuals height and weight.Individuals with a BMI between 19.5 and 24.9 are considered at normalNew Hampshireweight.A BMI between 25 and 29.9 is considered overweight, and aCheshire CountyBMI at or over 30 is considered obese.Greater Mondanock Public Health RegionIn 2012, 25.4% of Cheshire Countys adult population was considered obese.Only 37.9% of the Countys population was at a healthy weight.Although this rate exceeds the state and national averages of 36.4% and 33.4% respectively, the majority of youth in the Region are eitherHealth Consequences of Beingobese or overweight. 24Overweight or Obese * : Health Impacts of ObesityHypertension High total cholesterol \x01Obesity is a major contributor to some of the leading causes of death in the Region, including heart disease, some types of cancer,Type 2 diabetes and diabetes.According to the Office of the Surgeon General, itCoronary heart disease may be attributable to approximately 300,000 deaths in the UnitedStroke States per year. Gallbladder disease \x01Research has shown that overweight and obesity are associatedArthritis withincreasedriskforseveralchronicdiseasesandconditions includingcoronaryheartdisease,type2diabetes,highbloodSleep apnea & respiratory problems pressure, stroke, liver and gallbladder disease, sleep apnea, andSome cancers *This is not an exhaustive list. 23The Centers for Disease Control and Prevention, 2012 24Youth Risk Behavioral Surveillance Survey, 201240'