State‐level prevalence of chronic conditions co‐occurring with obesity among US adults
Authors' conclusion
Among US adults with obesity, the age-standardised prevalence of CCs varies significantly across population subgroups and states. Awareness of these differences can help clinicians, public health officials, and decision-makers address chronic disease prevention and obesity management for populations at higher risk.
Study context
- Population
- US adults with obesity (BMI ≥30 kg/m²), 2021–2022 Behavioural Risk Factor Surveillance System, states and territories
- Outcome
- Age-standardised prevalence of nine chronic conditions co-occurring with obesity
Methodological detailsstate-representative, age-standardised, self-reported weight and height, t-tests for subgroup comparisons
- State-representative
- Age-standardised
- Self-reported weight and height
- T-tests for subgroup comparisons
Main finding
As reported in the abstract
- Hypertension
- 42.2%
- High cholesterol
- 37.4%
- Arthritis
- 30.2%
- Depression
- 26.4%
- Diabetes
- 16.7%
- Asthma
- 13.4%
- Heart disease/stroke
- 9.2%
- Cancer
- 6.9%
- Kidney disease
- 3.9%
Observational data: associations, not effects.
Further findings
Prevalence by age
- Prevalence generally increased with age except depression and asthma, lower among those ≥65 vs 18-44
- P < 0.001
Prevalence by household income
- Inverse relationship between CC prevalence and household income
Prevalence by sociodemographic factors and obesity class
- Significant differences across sex, race/ethnicity, education, employment status, healthcare access and obesity class
Hypertension prevalence across states and territories
- Most prevalent CC in every state/territory; lowest Virgin Islands
- 31.8%
- Highest Alabama
- 51.6%
High cholesterol prevalence across states and territories
- Lowest Virgin Islands
- 28.1%
- Highest Guam
- 44.9%
Other chronic conditions (CCs) across states and territories
- Significant variation by state and territory
Original publication
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