46
1 Bronx Community Health Dashboard: Nutrition, Physical Activity and Obesity Last Updated: 1/16/2018 See last slide for more information about this project.
1
Bronx Community Health Dashboard: Nutrition, Physical Activity and Obesity Last Updated: 1/16/2018 See last slide for more information about this project.
2
More than one-third of children in the USA are overweight or obese
37.0 35.9
30.9 29.0
26.6 26.1
24.0 21.4
17.6 14.9 14.4
010203040
45.0 35.0
32.4 28.1
22.7 28.9
22.0 22.9 22.6
13.1 16.2
0 10 20 30 40 50
Japan France
Germany OECD
Australia Canada
United Kingdom
Mexico Italy
United States Greece
2
6
10 11
14
23
3
9 9
12 13
22 21
24
31
4
10
13 15
17
24 25 26
30
36
0
5
10
15
20
25
30
35
40
Japan Italy France Germany OECD Canada Australia UnitedKingdom
Mexico UnitedStates
Obe
sity
pre
vale
nce
(%)
1990 2000 2010
Data source: OECD Health Data, 2012. International Association for the Study of Obesity (2011). Children defined as those aged 5-17 years of age.
Adult obesity is highest in USA
compared to other OECD
countries
Girls Boys
3
Youth (Grades 9-12) Nutrition
4
The Bronx has the highest percent of youth that report not consuming any fruit or vegetables in the past 7 days
8.3
11.0
0
2
4
6
8
10
12
2007 2009 2011 2013 2015
Perc
ent o
f You
th C
onsu
min
g N
o Fr
uit o
r Veg
etab
les
in
Past
7 D
ays
Bronx Brooklyn Manhattan Queens Staten Island
Data source: New York City Youth Risk Behavior Survey, 2007-2015 (Grades 9-12). Data captured biennially and not available before 2007.
5
Male Bronx youth have a higher percent reporting no consumption of fruit or vegetables in the last 7 days
7.7
10.5
9.1
11.2
0
2
4
6
8
10
12
14
2007 2009 2011 2013 2015
Perc
ent o
f You
th C
onsu
min
g N
o Fr
uit o
r Veg
etab
les
Female Male
Data source: New York City Youth Risk Behavior Survey, 2007-2015 (Grades 9-12). Data captured biennially and not available before 2007.
6
Bronx males, 18 years and older, and Hispanic youth are most likely to report not consuming any fruit or vegetables in the past 7 days
10.5 11.2 11.7
10.1 9.9 9.8
22.9
9.1
13.1
0.5 0
5
10
15
20
25
Female Male <14 15 16 17 18+ Non-Hispanic
White
Non-Hispanic
Black
Hispanic Asian
Perc
ent Y
outh
Con
sum
ing
no F
ruit
or V
eget
able
s
Data unstable
Data source: New York City Youth Risk Behavior Survey, 2015 (Grades 9-12). Age group data is not age-adjusted.
7
The Bronx has the lowest percent of youth reporting consuming 4 or more servings of fruit and/or vegetables in the past 7 days
9.9
11.2
0
2
4
6
8
10
12
14
16
18
20
2007 2009 2011 2013 2015
Perc
ent o
f You
th C
onsu
min
g 4
or m
ore
Serv
ings
of
Frui
t or V
eget
able
s in
Pas
t 7 D
ays
Bronx Brooklyn Manhattan Queens Staten Island
Data source: New York City Youth Risk Behavior Survey, 2007-2015 (Grades 9-12). Analysis by Montefiore OCPH. Data captured biennially and not available before 2007.
8
Male Bronx youth have a higher percent reporting consumption of 4 or more servings of fruit or vegetables in the last 7 days
9.7 8.9
10.1
13.6
0
2
4
6
8
10
12
14
16
18
20
2007 2009 2011 2013 2015Perc
ent o
f You
th C
onsu
min
g 4
or m
ore
Serv
ings
of F
ruit
or V
eget
able
s Female Male
Data source: New York City Youth Risk Behavior Survey, 2007-2015. Data captured biennially and not available before 2007.
9
Bronx males, 14 years and younger, and non-Hispanic white youth are most likely to report consuming 4 or more servings of fruit and/or vegetables in the past 7 days
8.9
13.6
11.8 11.5 10.7 11.2
8.8
21.9
8.8
10.8
16.5
0
5
10
15
20
25
Female Male <14 15 16 17 18+ Non-Hispanic
White
Non-Hispanic
Black
Hispanic Asian
Perc
ent o
f You
th C
onsu
min
g 4
or m
ore
Serv
ings
of F
ruit
and/
or V
eget
able
s
Data source: New York City Youth Risk Behavior Survey, 2015. Age group data is not age-adjusted.
10
The Bronx has the highest percent of youth reporting consumption of 1 or more sugary drinks in the past 7 days
62.1
44.3
0
10
20
30
40
50
60
70
2007 2009 2011 2013 2015
Perc
ent o
f You
th C
onsu
min
g 1
or m
ore
Suga
ry D
rinks
in th
e Pa
st 7
Day
s
Bronx Brooklyn Manhattan Queens Staten Island
Data source: New York City Youth Risk Behavior Survey, 2007-2015. Data from 2007-2011 not comparable to data from 2013 and later years.
Sugary drinks include soda, sweetened sports drinks, fruit punch, fruit-
flavored drinks, (and chocolate/flavored milk in 2007, 2009, and 2011 only) and (beginning in
2013) energy drinks and sugar-sweetened teas.
11
Male Bronx youth have a higher percent reporting consumption of 1 or more servings of sugary drinks in the last 7 days
59.3
41.9
65
46.6
0
10
20
30
40
50
60
70
2007 2009 2011 2013 2015
Perc
ent o
f You
th C
onsu
min
g 1
or m
ore
Suga
ry D
rinks
in
past
7 D
ays
Female Male
Data source: New York City Youth Risk Behavior Survey, 2007-2015. Data captured biennially and not available before 2007.
Sugary drinks include soda, sweetened sports drinks, fruit punch, fruit-
flavored drinks, (and chocolate/flavored milk in 2007, 2009, and 2011 only) and (beginning in
2013) energy drinks and sugar-sweetened teas.
12
Bronx males, 14 years and younger, and non-Hispanic black youth are most likely to report consuming 1 or more sugary drinks in the past 7 days
41.9
46.6 46.9
42.8 43.5 45.7
39.3
30.9
49.1
44.2
28.5
0
10
20
30
40
50
60
Female Male <14 15 16 17 18+ Non-Hispanic
White
Non-Hispanic
Black
Hispanic Asian
Perc
ent o
f You
th C
onsu
min
g 1
or m
ore
Suga
ry D
rink
in
past
7 D
ays
Data source: New York City Youth Risk Behavior Survey, 2015.
13
The Bronx has the highest percentage of youth consuming one or more sodas in the last 7 days
19.5
33.3
0
5
10
15
20
25
30
35
2005 2007 2009 2011 2013 2015
Perc
ent o
f You
th C
onsu
min
g 1
or m
ore
soda
s in
the
last
7 d
ays
Bronx Brooklyn Manhattan Queens Staten Island
Data source: New York City Youth Risk Behavior Survey, 2005-2015 (Grades 9-12). Data captured biennially.
Did students drink a can, bottle, or glass of
soda one or more times per day during the past seven days?
14
Male Bronx youth have a higher percent reporting consumption of 1 or more sodas in the last 7 days
32.2
18.9
34.3
20.4
0
5
10
15
20
25
30
35
40
2005 2007 2009 2011 2013 2015
Perc
ent o
f You
th C
onsu
min
g 1
or m
ore
Soda
s in
the
Last
7 D
ays
Female Male
Data source: New York City Youth Risk Behavior Survey, 2005-2015.
Did students drink a can, bottle, or glass of
soda one or more times per day during the past seven days?
15
Bronx males, 18 years and older, and non-Hispanic black youth are most likely to report consuming 1 or more sodas in the past 7 days
18.9 20.4
17.3
21
18.3
20.3
24.9
19.6 20.6
0
11.4
0
5
10
15
20
25
30
Female Male <14 15 16 17 18+ Hispanic Non-Hispanic
Black
Non-Hispanic
White
Asian
Perc
ent o
f You
th C
onsu
min
g ≥1
Sod
as in
the
Last
7 D
ays
Data unstable
Data source: New York City Youth Risk Behavior Survey, 2015.
16
Adult Nutrition: Fruits/vegetables & sugar-sweetened beverages
17
The Bronx has the lowest percentage of adults that report eating 5 or more servings of fruit and/or vegetables in a day
Data source: Community Health Survey, 2002-2016. Data not collected and available in 2003 and 2005-2007.
How many total servings of fruit and/or vegetables did you eat yesterday?
A serving equals one medium apple, a handful of broccoli, or a cup of carrots.
16.9
77.3
5.7
None1 to 4≥5 5.6 5.7
0
2
4
6
8
10
12
14
16
18
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Perc
ent o
f Adu
lts E
atin
g 5
or M
ore
Serv
ings
of
Frui
t and
/or V
eget
able
s Ye
ster
day
Bronx Brooklyn Manhattan Queens Staten Island
Distribution of Fruit & Vegetable Consumption in the Bronx (2016)
18
Individuals of higher socioeconomic status are more likely to consume ≥5 servings of fruits and vegetables
Data source: Community Health Survey, 2016.
7.6
6.0
4.0
6.8
3.7
5.6
12.5
3.1 2.6
10.5 10.8
12.6
2.1
6.1 6.8
9.1
0
2
4
6
8
10
12
14
Perc
ent o
f Adu
lts C
onsu
min
g 5
or m
ore
Frui
t and
/or
Vege
tabl
e Se
rvin
gs
19
37.6
31.4
31.0 None<1≥1
Sugar-sweetened beverage consumption has declined throughout New York City, but remains highest in the Bronx
Respondents were asked how many 12 oz. sugar-sweetened beverages (sodas,
iced tea, sports drinks, etc.) they drink
per day on average
Data source: Community Health Survey, 2007-2016. Data not collected or available before 2007.
46.1
31.0
0
10
20
30
40
50
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Perc
ent o
f Adu
lts D
rinki
ng 1
or M
ore
Suga
ry
Bev
erag
es P
er D
ay o
n Av
erag
e
Bronx Brooklyn Manhattan Queens Staten Island
Distribution of Sugar-Sweetened Beverage Consumption in the
Bronx (2016)
20
Bronx males are more likely to drink one or more sugary beverages per day, but consumption has declined among both sexes
Data source: Community Health Survey, 2007-2016. Data not collected or available before 2007.
0
10
20
30
40
50
60
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Perc
ent o
f Adu
lts D
rinki
ng 1
or M
ore
Suga
ry
Bev
erag
es P
er D
ay o
n Av
erag
e
Male Female
21
Younger adults, non-Hispanic black adults and those with less education are more likely to consume sugar-sweetened beverages
44.3
36.3
20.9
26.0
21.9
36.4
29.1 29.8
33.5 36.8
25.9
20.2
32.2
36.7
32.6
20.0
0
5
10
15
20
25
30
35
40
45
50
Perc
ent o
f Adu
lts C
onsu
min
g Le
ss T
han
1 Su
gary
B
ever
age
Per D
ay o
n Av
erag
e
Data source: Community Health Survey, 2016. Age group data is not age-adjusted.
22
Youth (Grades 9-12) Exercise
23
The Bronx has the third highest percent of youth reporting being physically active for 60 minutes throughout the last week
0
5
10
15
20
25
30
2007 2009 2011 2013 2015
Perc
ent o
f You
th P
hysi
cally
Act
ive
for 6
0 M
inut
es p
er d
ay
on 7
of l
ast 7
day
s
Bronx Brooklyn Manhattan Queens Staten Island
Data source: New York City Youth Risk Behavior Survey, 2007-2015 (Grades 9-12). Data captured biennially and not available before 2007.
Were students physically active for a total of at
least 60 minutes per day on 7 of past 7 days?
24
A greater percent of Bronx male youth report being physically active for 60 minutes each day in the last 7 days
14.1 13.1
24.9
28.9
0
5
10
15
20
25
30
35
2007 2009 2011 2013 2015
Perc
ent o
f You
th P
hysi
cally
Act
ive
for 6
0 M
inut
es
thro
ugho
ut th
e La
st W
eek
Female Male
Data source: New York City Youth Risk Behavior Survey, 2007-2015 (Grades 9-12). Data captured biennially and not available before 2007.
Were students physically active for a total of at
least 60 minutes per day on 7 of past 7 days?
25
Bronx males, aged16, and non-Hispanic black youth are most likely to have exercised for 60 minutes each day of the last week
13.1
28.9
19.7 22.3 23.2
19.8
15.4
23.7 25
20.6
5.6
0
5
10
15
20
25
30
35
Female Male <14 15 16 17 18+ Non-Hispanic
White
Non-Hispanic
Black
Hispanic Asian
Perc
ent o
f You
th P
hysi
cally
Act
ive
for 6
0 M
inut
es
each
day
of l
ast w
eek
Data source: New York City Youth Risk Behavior Survey, 2015 (Grades 9-12). Age group data is not age-adjusted.
26
Adult Exercise
27
The Bronx has the lowest percentage of adults that report exercising in the previous 30 days amongst all NYC boroughs
Data source: Community Health Survey, 2002-2016. Data not collected or available for 2006 or 2007.
During the past 30 days, other than your regular
job, did you participate in any physical activities or
exercises such as running, calisthenics,
golf, gardening, or walking for exercise?
67.5 66.9
0
10
20
30
40
50
60
70
80
90
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Perc
ent o
f Adu
lts E
xerc
isin
g in
the
Past
30
Day
s
Bronx Brooklyn Manhattan Queens Staten Island
28
More Bronx males report exercising in the past 30 days than Bronx females
Data source: Community Health Survey, 2002-2016. Data not collected or available for 2006 or 2007.
72.4
70.1
0
10
20
30
40
50
60
70
80
90
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Perc
ent o
f Adu
lts E
xerc
isin
g in
the
Past
30
Day
s
Male Female
29
Racial/ethnic disparities in physical activity have persisted
Data source: Community Health Survey, 2002-2016. Data not collected or available for 2006 or 2007. Non-Hispanic White 2011 and 2012 data points are unstable.
73.8 78.2
68.8
62.4 64 66.4
0
10
20
30
40
50
60
70
80
90
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Perc
ent o
f Adu
lts E
xerc
isin
g in
the
Past
30
Day
s
Non-Hispanic white Non-Hispanic black Hispanic
30
Bronx adults 18-24, non-Hispanic white, in lowest poverty, and with college degrees are most likely to have exercised in the past 30 days
78.8
67.7 60.8
66.6
78.2
62.4 66.4 64.4 62.7
71.5 74.7 75.0
63.6 65.6 64.1
74.0
0
10
20
30
40
50
60
70
80
90
Perc
ent o
f Adu
lts E
xerc
isin
g in
the
Past
30
Day
s
Data source: Community Health Survey, 2016. Age group data is not age-adjusted.
31
Youth (Grades 9-12) Overweight and Obesity A note on defining overweight and obesity among youth As opposed to constant BMI cutoffs like those used for adults (e.g., BMI ≥30 = obese), child overweight and obesity is based on growth charts that depend on a child’s age and sex using historical growth charts.
Childhood overweight is defined as having a BMI ≥85th percentile but <95th percentile. Childhood obesity is defined as those with a BMI ≥95th percentile. Similar to adults, obesity refers to the highest risk state and overweight refers to an elevated risk state, but not as high-risk as obesity.
32
The Bronx has the highest percent of obese youth compared to all NYC boroughs
15.3 16.6
15.1
12.2 11.9 10.8 10.5
12.5
0
2
4
6
8
10
12
14
16
18
2003 2005 2007 2009 2011 2013 2015
Perc
ent o
f You
th O
bese
Bronx Brooklyn Manhattan Queens Staten IslandObese is >=95th
percentile for BMI, by age and
sex
Data source: New York City Youth Risk Behavior Survey, 2003-2015 (Grades 9-12). Data captured biennially and not available before 2003.
33
Bronx Males are more likely to be obese than Bronx females
10.5
14.3
20.3
18.6
0
5
10
15
20
25
2003 2005 2007 2009 2011 2013 2015
Perc
ent o
f You
th O
bese
Female Male
Data source: New York City Youth Risk Behavior Survey, 2003-2015 (Grades 9-12). Data captured biennially and not available before 2003.
34
Bronx males, 16 year olds, and Hispanic youth are the most likely to be obese
14.3
18.6 17.1 16.7 17.3
14.7
16.9
13.4
20.5
6.2
15.7
0
5
10
15
20
25
Perc
ent o
f You
th O
bese
Data unstable
Data source: New York City Youth Risk Behavior Survey, 2015 (Grades 9-12). Data captured biennially and not available before 2007.
35
The Bronx has the second highest percent of overweight youth compared to all NYC boroughs
16.3 16.3
0
5
10
15
20
25
2003 2005 2007 2009 2011 2013 2015
Perc
ent o
f You
th O
verw
eigh
t
Bronx Brooklyn Manhattan Queens Staten Island
Overweight is >=85th
percentile to <95th percentile for BMI, by age
and sex
Data source: New York City Youth Risk Behavior Survey, 2003-2015 (Grades 9-12). Data captured biennially and not available before 2003.
36
More female youth are overweight than male youth in the Bronx
17.8 18.2
14.7 14.6
0
5
10
15
20
25
2003 2005 2007 2009 2011 2013 2015
Perc
ent o
f You
th O
verw
eigh
t
Female Male
Data source: New York City Youth Risk Behavior Survey, 2003-2015. Data captured biennially and not available before 2003.
37
Females, those 18 and older, and non-Hispanic black youth are the most likely to be overweight
18.2
14.6 15.1 15.5 17.1 16.5
21.7
7.3
18.4
16
11.5
0
5
10
15
20
25
Perc
ent o
f You
th O
verw
eigh
t
Data source: New York City Youth Risk Behavior Survey, 2015. Data captured biennially and not available before 2007.
38
Adult Overweight and Obesity
39
The Bronx has the highest percent of obese adults of all NYC boroughs
Data source: Community Health Survey, 2002-2016. Body Mass Index (BMI) is calculated based on respondents self-reported weight and height.
A BMI of 30 or greater is
classified as obese
23.7
33.6
0
5
10
15
20
25
30
35
40
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Age-
adju
sted
per
cent
(%) o
f adu
lts w
ho a
re o
bese
Bronx Brooklyn Manhattan Queens Staten Island
40
Obesity is more common among women and individuals of lower socioeconomic status
24.3
35.2 37.4
30.5 29.4
37.0 35.4 36.0 36.6
35.0
29.6 32.5
19.4
39.3
29.9
35.3
27.5
0
5
10
15
20
25
30
35
40
Age-
adju
sted
obe
sity
pre
vale
nce
(%)
Data source: Community Health Survey, 2016. Age group data is not age-adjusted.
41
Bronx females are more likely to be obese than Bronx males and obesity has increased in both groups
Data source: Community Health Survey, 2002-2016. Body Mass Index (BMI) is calculated based on respondents self-reported weight and height.
19.5
29.4 26.8
37.0
0
5
10
15
20
25
30
35
40
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Age-
adju
sted
obe
sity
pre
vale
nce
(%)
Male Female
42
Obesity is highest for Bronx adults aged 45-64, but the increase has been particularly dramatic for those 18-24y
Data source: Community Health Survey, 2002-2016. Body Mass Index (BMI) is calculated based on respondents self-reported weight and height.
9.3
24.3 22.6
35.2 30.7
37.4
24.9 30.5
0
5
10
15
20
25
30
35
40
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Age-
adju
sted
obe
sity
pre
vale
nce
(%)
18-24 25-44 45-64 ≥65
43
Trends in adult obesity have increased for all race/ethnicity groups in the Bronx and disparities have remained constant
Data source: Community Health Survey, 2002-2016. Data for non-Hispanic whites living in the Bronx is not presented in years that the estimate is statistically imprecise. Body Mass Index (BMI) is calculated based on respondents self-reported weight and height.
26.4
35.4
24.7
36
14.6
21.6
14.2
19.1
0
5
10
15
20
25
30
35
40
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Age-
adju
sted
obe
sity
pre
vale
nce
(%)
Hispanic NHB NHW NHW, NYC
44
The Bronx has the second highest percent of overweight adults of all NYC boroughs
A BMI between 25.0 and 29.9 is classified
as overweight
Data source: Community Health Survey, 2002-2016. Body Mass Index (BMI) is calculated based on respondents self-reported weight and height.
38.6
36.5
0
5
10
15
20
25
30
35
40
45
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Age-
adju
sted
pre
vale
nce
of o
verw
eigh
t (%
)
Bronx Brooklyn Manhattan Queens Staten Island
* While the prevalence of overweight has decreased modestly, the
prevalence of obesity has increased.
45
Bronx males are more likely to be overweight than females, and the prevalence of overweight has decreased modestly*
45.8
40.4
32.8 33.5
0
10
20
30
40
50
60
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Age-
adju
sted
ove
rwei
ght p
reva
lenc
e (%
)
Male Female
Data source: Community Health Survey, 2002-2016. Body Mass Index (BMI) is calculated based on respondents self-reported weight and height.
* While the prevalence of overweight has decreased modestly, the
prevalence of obesity has increased.
46
About the Community Health Dashboard Project
The goal of the project is to provide Bronx-specific data on risk factors and health outcomes with an emphasis on presenting data on trends, socio-demographic differences (e.g., by age, sex, race/ethnicity, etc.) and sub-county/neighborhood level data
Data will be periodically updated as new data becomes available.
Produced by Montefiore’s Office of Community & Population Health using publicly-available data sources
For more information please contact Colin Rehm, PhD, Manager of Research & Evaluation ([email protected]).
