New York State Community Health Indicator Reports - About Obesity and Related Indicators

Indicator/Contact for information Data Source Definition
All Students (elementary-Pre-K, K, 2nd & 4th grades, middle-7th grade and high school-10th grade)a
Percentage overweight but not obese (85th- <95th percentile)
Contact: School BMI
Student Weight Status Category Reporting System (SWSCR)a The percentage of all students attending public schools with a body mass index (BMI) at or above the 85th percentile and less than the 95th percentile.
Percentage obese (95th percentile or higher)
Contact: School BMI
Student Weight Status Category Reporting System (SWSCR)a The percentage of all students attending public schools with a body mass index (BMI) at or above the 95th percentile.
Percentage overweight or obese (85th percentile or higher)
Contact: School BMI
Student Weight Status Category Reporting System (SWSCR)a The percentage of all students attending public schools with a body mass index (BMI) at or above the 85th percentile.
Elementary students (Pre-K, K, 2nd & 4th grades)
Percentage overweight but not obese (85th- <95th percentile)
Contact: School BMI
Student Weight Status Category Reporting System (SWSCR)a The percentage of elementary school students attending public schools with a body mass index (BMI) at or above the 85th percentile and less than the 95th percentile.
Percentage obese (95th percentile or higher)
Contact: School BMI
Student Weight Status Category Reporting System (SWSCR)a The percentage of elementary school students attending public schools with a body mass index (BMI) at or above the 95th percentile.
Percentage overweight or obese (85th percentile or higher)
Contact: School BMI
Student Weight Status Category Reporting System (SWSCR)a The percentage of elementary school students attending public schools with a body mass index (BMI) at or above the 85th percentile.
Middle and high school students
Percentage overweight but not obese (85th- <95th percentile)
Contact: School BMI
Student Weight Status Category Reporting System (SWSCR)a The percentage of middle and high school students attending public schools with a body mass index (BMI) at or above the 85th percentile and less than the 95th percentile.
Percentage obese (95th percentile or higher)
Contact: School BMI
Student Weight Status Category Reporting System (SWSCR)a The percentage of middle and high school students attending public schools with a body mass index (BMI) at or above the 95th percentile.
Percentage overweight or obese (85th percentile or higher)
Contact: School BMI
Student Weight Status Category Reporting System (SWSCR)a The percentage of middle and high school students attending public schools with a body mass index (BMI) at or above the 85th percentile.
General Population Indicators
Percentage of pregnant women enrolled in WIC program who were pre-pregnancy Overweight but not obese (BMI 25 < 30)

Contact: Lynn Edmunds at (518) 402-7109
NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program b Percentage of pregnant women in the WIC program with a pre-pregnancy body mass index (BMI) between 25.0 and less than 30. BMI is defined as weight in kilograms divided by height in meters squared w/h2.
Percentage pregnant women enrolled in WIC program who were pre-pregnancy obese (BMI 30 or higher)

Contact: Lynn Edmunds at (518) 402-7109
NYS Pregnancy Nutrition Surveillance System (PNSS) - WIC Program b Percentage of pregnant women in the WIC program with a pre-pregnancy body mass index (BMI) greater than or equal to 30. BMI is defined as weight in kilograms divided by height in meters squared w/h2.
Percentage of children ages 2-4 enrolled in WIC program who were obese (BMI 30 or higher)

Contact: Lynn Edmunds at (518) 402-7109
NYS Pediatric Nutrition Surveillance System (PedNSS) - WIC Program c Children ages 2-4 participating in the WIC program who's weight was at or above the 95th percentile based on BMI-for-age.
Percentage of children ages 2-4 enrolled in WIC who viewed TV ≤ 2 hours per day

Contact: Lynn Edmunds at (518) 402-7109
NYS Pediatric Nutrition Surveillance System (PedNSS) - WIC Program c The percentage of children ages 2-4 enrolled in WIC who watched TV for two hours or less per day.
Percentage of infants enrolled in WIC who were breastfeeding at 6 months

Contact: Lynn Edmunds at (518) 402-7109
NYS Pediatric Nutrition Surveillance System (PedNSS) - WIC Program c Percentage of infants enrolled in WIC who were breastfed at 6 months. Only infants who turned 6 months of age during the reporting period by/on the date of their WIC visit were included in the Breastfed At Least 6 Months analysis.
Percentage of adults who were overweight or obese

Contact: BRFSS Coordinator at (518) 473-0673
NYS Expanded Behavioral Risk Factor Surveillance System d The percentage of respondents ages 18 years or older with body mass index (BMI) equal to or greater than 25. BMI is defined as weight in kilograms divided by height in meters squared w/h2.
Percentage of adults who were obese

Contact: BRFSS Coordinator at (518) 473-0673
NYS Expanded Behavioral Risk Factor Surveillance System - Expanded (BRFSS) d The percentage of respondents ages 18 years or older with body mass index (BMI) of 30 or greater. BMI is defined as weight in kilograms divided by height in meters squared w/h2.
Percent Adults without leisure time physical activity in last 30 days

Contact: BRFSS Coordinator at (518) 473-0673
NYS Expanded Behavioral Risk Factor Surveillance System - Expanded (BRFSS) d The percentage of respondents ages 18 years or older who reported they did not participated in some type of physical activity during their leisure time at least one in the last 30 days.
Percentage of adults with leisure time physical activity in last 30 days

Contact: BRFSS Coordinator at (518) 473-0673
NYS Expanded Behavioral Risk Factor Surveillance System - Expanded (BRFSS) c The percent of respondents who report they participated in some type of physical activity during their leisure time at least one in the last 30 days.
Percentage adults eating 5+ servings of fruit and/or vegetables per day

Contact: BRFSS Coordinator at (518) 473-0673
NYS Expanded Behavioral Risk Factor Surveillance System - Expanded (BRFSS) d The percentage of respondents ages 18 years or older who reported they ate at least five or more servings of fruits and vegetables in the past day.
Age-adjusted percentage of adults diagnosed with diabetes (prevalence)

Contact: BRFSS Coordinator at (518) 473-0673
NYS Expanded Behavioral Risk Factor Surveillance System - Expanded (BRFSS) d The percentage of adults who reported they were told by a health professional that they have diabetes.
Percentage of adults with diagnosis of heart attack, stroke, or angina

Contact: BRFSS Coordinator at (518) 473-0673
NYS Expanded Behavioral Risk Factor Surveillance System - Expanded (BRFSS) d The percentage of respondents who reported they had been told by a health professional they had ever had a heart attack, stroke or angina in their lifetime.
Cardiovascular disease mortality rate, age-adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Vital Records e
NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths due to cardiovascular disease per 100,000 population. The ICD-10 codes used for cardiovascular disease are: I00-I99. **
Cerebrovascular disease (stroke) mortality rate, age-adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Vital Records e
NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths due to cerebrovascular disease per 100,000 population. The ICD-10 codes used for cerebrovascular disease are: I60-I69. **
Diabetes mortality rate per 100,000 population, age-adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Vital Records e
NYSDOH Bureau of Biometrics and Health Statistics
The number of deaths due to diabetes per 100,000 population. The ICD-10 codes used for diabetes are: E10-E14. **
Cardiovascular disease hospitalization rate, age-adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Statewide Planning and Research Cooperative System - SPARCS f
NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations due to cardiovascular disease per 10,000 population. The ICD-9 codes used for cardiovascular disease are: 390-459. **
Cerebrovascular disease (stroke) hospitalization rate, age-adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Statewide Planning and Research Cooperative System - SPARCS f
NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations due to cerebrovascular disease per 10,000 population. The ICD-9 codes used for cerebrovascular disease are: 430-438. **
Diabetes hospitalization rate per 10,000 (primary diagnosis), age-adjusted

Contact: Bureau of Biometrics and Health Statistics, at (518) 474-3189
Statewide Planning and Research Cooperative System - SPARCS f
NYSDOH Bureau of Biometrics and Health Statistics
The number of hospitalizations due to diabetes per 10,000 population. The ICD 9 code used for diabetes is: 250. Only hospitalizations with diabetes as the primary diagnosis are included. **

Data notes:

aStudent Weight Status Category Reporting System (SWSCR)
The system collects weight status category data (underweight, healthy weight, overweight or obese, based on BMI-for-age percentile) at school entry (pre-kindergarten or kindergarten) and in grades 2, 4, 7 and 10 for students attending all public schools outside of the five boroughs of New York City. Percentages are based on data reported to the Student Weight Status Category Reporting System during the 2008-2009 and 2009-2010 school years from school health certificates and appraisals. County-level estimates reflect data from students attending school within schools assigned a particular county-code by the New York State Education Department (NYSED). County assignment is not based on county of residence.
Because of restrictions in reporting due to the Family Educational Rights and Privacy Act (FERPA) there was wide variation in how much of the student population was represented in the data schools submitted during 2008-2010. Therefore the percentage of the student population represented in the county-level estimates varies from county to county.
Estimates reflect the percentage of students with reported weight status information within a specific weight status category. County-level estimates represent the aggregate of raw percentages from each school weighted by school enrollment. Because of restrictions in reporting due to FERPA, parents/guardians ability to request that their child's weight status data be excluded from reporting and other sources of missing data, these estimates do not represent all school aged-children attending school in that county.
bPregnancy Nutrition Surveillance System (PNSS) - WIC Program:
This data system maintained by the Division of Nutrition provides nutrition related information on low-income pregnant women enrolled in the WIC Program. Additional indicators and comparable U.S. statistics.
c Pediatric Nutrition Surveillance System (PedNSS) - WIC Program:
This data system maintained by the Division of Nutrition provides nutrition related information on low-income infants and children enrolled in the WIC Program. For more WIC data on birth weight, short stature, underweight, overweight, anemia, breastfeeding, smoking in household, and TV viewing, go to: NYS PedNSS reports. Comparable U.S. statistics.
d Expanded BRFSS:
A telephone-based survey of adults 18 years of age or older conducted by the New York State Department of Health. The survey is based on the National Behavioral Risk Factor Surveillance System (BRFSS), conducted by the Centers for Disease Control and Prevention and collects information on self-reported health-related behaviors in New York State counties. The most recent survey was conducted between July 2008 and June 2009 and collected data that represented New York City and each of the 57 counties outside of New York City. Indicator data (where available) for the individual counties of Bronx, Kings, New York, Queens and Richmond are from the 2009 New York City Community Health Survey. The New York City Community Health Survey (CHS) is a telephone survey conducted by the New York City Department of Health and Mental Hygiene that is also based on the BRFSS.
e Vital Records:
Information is collected from birth, death and fetal death certificates. Records with missing information for the indicator of interest are excluded when calculating rates and percentages for that indicator. Population based rates use population estimates provided by the U.S. Census Bureau. ICD-10 codes are used for cause of death.
In 2008, New York City Vital Records adopted the National Center for Health Statistics standard birth certificate. This certificate has been used for births occurring in New York State outside of New York City since 2004. According to the New York City Health Department publication, Summary of Vital Statistics 2008 1, the use of the new certificate has resulted in some data quality concerns. A combination of poor data quality and hospital staff adaptation to the new data entry system and worksheets affected data quality. There is a potential for variables such as prenatal care and race/ethnicity to be impacted by a larger than normal number of unknowns and miscoding. Caution should be used when comparing the 2008 data to previous years.
f Statewide Planning and Research Cooperative System-SPARCS:
Information about hospitalizations is collected through the hospital inpatient discharge data system. Each hospitalization receives an ICD-9 code at discharge that indicates the primary reason for the hospitalization. There are also up to 14 other diagnosis codes recorded to further describe the hospitalization. Statistics presented in these tables are based on the primary diagnosis unless otherwise noted. This data system does not include information about events that did not result in a hospitalization, such as cases that were only treated in a hospital emergency room. Numbers and rates are based on the number of hospitalizations that occurred and not the number of individuals who were hospitalized.

** The standard population used for age adjustment was the 2000 U.S. population.