The Facts - Eat Smart, Move More NC

North Carolina Fact Sheets and Reports
Collection of key fact Sheets and reports about North Carolina adults and youth

State fact sheets about physical activity, nutrition and obesity among North Carolina adults and youth.

Overweight and Obesity in North Carolina: 2020 Update: This is an eight-page report that shares a sampling of key data points on weight status, healthy behaviors, healthy places, and healthy practices in North Carolina. This fact sheet was created by the Eat Smart, Move More NC Data Review Team and released in December 2019.

Healthy Eating and Physical Activity Fact Sheet, 2019: This is a two-page fact sheet about the importance of healthy eating and physical activity in the prevention and control of chronic diseases in North Carolina. This fact sheet was created by North Carolina Division of Public Health's Community and Clinical Connections for Prevention and Health Branch.

Overweight and Obesity Among Adults Fact Sheet, 2019: This is a two-page fact sheet about overweight and obesity among adults in North Carolina that was created by North Carolina Division of Public Health's Community and Clinical Connections for Prevention and Health Branch.

Overweight and Obesity Among Children and Adolescents Fact Sheet, 2020: This is a two-page fact sheet about overweight and obesity among children and adolescents in North Carolina that was created by North Carolina Division of Public Health's Community and Clinical Connections for Prevention and Health Branch.

Other state reports and fact sheets

Diabetes Fact Sheet 2020: This is a two-page fact sheet about type 2 diabetes in North Carolina that was created by North Carolina Division of Public Health's Community and Clinical Connections for Prevention and Health Branch. The roles of overweight/obesity, physical activity and healthy eating are addressed in this fact sheet.
Prediabetes Fact Sheet 2019: This is a two-page fact sheet about prediabetes in North Carolina that was created by North Carolina Division of Public Health's Community and Clinical Connections for Prevention and Health Branch. The roles of overweight/obesity, physical activity and healthy eating are addressed in this fact sheet.
High Blood Pressure Fact Sheet, 2020: This is a two-page fact sheet about high blood pressure in North Carolina that was created by North Carolina Division of Public Health's Community and Clinical Connections for Prevention and Health Branch. The roles of overweight/obesity, physical activity and healthy eating are addressed in this fact sheet.
Stroke Fact Sheet, 2019: This is a two-page fact sheet about stroke in North Carolina that was created by North Carolina Division of Public Health's Community and Clinical Connections for Prevention and Health Branch. The roles of overweight/obesity, physical activity and healthy eating are addressed in this fact sheet.
Heart and Blood Vessel Disease Fact Sheet, 2019: This is a two-page fact sheet about heart and blood vessel disease in North Carolina that was created by North Carolina Division of Public Health's Community and Clinical Connections for Prevention and Health Branch. The roles of overweight/obesity, physical activity and healthy eating are addressed in this fact sheet.

Student Health and School Health Policies

North Carolina Healthy Schools Data Sources: This webpage created by the Department of Public Instruction and the State Board of Education contains School Health Profiles as well as Healthy Active Children Policy Report Summaries.
The Obesity Epidemic and North Carolina Students: Fact sheet from the Centers for Disease Control and Prevention (CDC) based on the 2017 Youth Risk Behavior Survey.
National Nutrition Services Fact Sheet: Fact sheet provided by the Centers for Disease Control and Prevention (CDC) and based on the 2016 School Health Policies and Programs Study (SHPPS).
National Physical Education Fact Sheet: Fact sheet provided by the Centers for Disease Control and Prevention (CDC) and based on the 2014 School Health Policies and Programs Study (SHPPS).

National Fact Sheets and Reports
To summarize state and national data

National Reports and Fact Sheets That Contain State Level Data.

Breastfeeding Report Card, 2018: This report produced by the Centers for Disease Control and Prevention shows the breastfeeding rates among infants born in 2015 and percentage of live births occurring at baby-friendly facilities for all 50 states, the District of Columbia, Guam, Puerto Rico and the US Virgin Islands. The report also compares Healthy People 2020 objectives to current rates and provides a call to action for how to use state-level data.
State Indicator Report on Fruits and Vegetables, 2018: This report produced by the Centers for Disease Control and Prevention shows the status of 10 indicators of fruit and vegetable access and production for all 50 states and the District of Columbia. The report also highlights state successes and provides strategies for improvement.
The State of Obesity 2019: Better Policies for a Healthier America: This annual report produced by Trust for America's Health and the Robert Wood Johnson Foundation. The report includes annual rates and rankings of adult obesity and obesity rate trends by ethnicity, region, age, gender, education and income.
Early Care and Education State Indicator Report 2016: This 16-page report released in 2016 provides information about state efforts to address childhood obesity in the ECE setting. Click here for a summary of the report
Adults Need More Physical Activity Fact Sheet, 2016: This fact sheet and infographic produced by the Centers for Disease Control and Prevention provides information on physical activity levels in adults 50 years and older and what can be done to support physical activity.
The Spectrum of Opportunities Framework for State-Level Obesity Prevention Efforts Targeting the Early Care and Education Setting, 2018: This 2-page document released by the Centers for Disease Control and Prevention in 2018 outlines a ‘Spectrum of Opportunities’ by which states and communities can support ECE facilities in their jurisdictions to achieve recommended standards and best practices for obesity prevention.
Achieving a State of Healthy Weight Report, 2018: This 48-page report released by the National Resource Center for Health and Safety in Child Care and Early Education in 2018 is an assessment of new and revised child care regulations. These regulations are rated on 47 healthy weight practices drawn from Preventing Childhood Obesity in Early Care and Education Programs, 2nd Edition.

Geographic Data
Resources that provide data specific to states, counties and smaller geographic units and, in some instances maps of those data. Many of these resources can be searched using criteria related to health, demographics, and social determinants of health.

County Health Rankings & Roadmaps: This project from the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute provides county-level data for a variety of factors related to health and quality of life.
500 Cities: In collaboration with the Centers for Disease Control and Prevention, Robert Wood Johnson Foundation and Centers for Disease Control and Prevention Foundation, the 500 cities project site provides city level estimates related to chronic disease risk factors, health outcomes and clinical preventive service use in the largest 500 cities in the united states. Fourteen NC cities (Asheville, Cary, Charlotte, Concord, Durham, Fayetteville, Gastonia, Greensboro, Greenville, High point, Jacksonville, Raleigh, Wilmington and Winston-Salem) are included in this site.
Interactive County Map: This interactive map created by the North Carolina Institute of Medicine aggregates key health data for North Carolina’s one hundred counties. The map can be filtered to show a statewide comparison for four health topics: uninsured adults, poverty, infant mortality, and heart disease. To see comprehensive health data profiles for each county, select the county from the map or click on the county’s name in the list below. Each county profile includes state, regional, and county-level data on a variety of topics, including demographics, access to care, health status, and determinants of health.
Livestories: An easy-to-use tool that generates a report full of county-specific obesity rate using several data sources via County Health Rankings and the Kaiser Family Foundation. The site provides adult obesity rate by state, county, race/ethnicity and year; additionally, provide data on access to physical activity and healthy food by county.
NC OneMap: A searchable database of rich, geographic data specific to NC. The data are developed and managed by state, local and federal agencies, and coordinated by the OneMap program.
Nutrition, Physical Activity, and Obesity: Data, Trends and Maps: This interactive database created by the Centers for Disease Control and Prevention provides information about the health status and behaviors of Americans, state-by-state, via clickable maps, charts and tables. Topics include obesity, breastfeeding, physical activity, and other health behaviors and related environmental and policy data. Users can examine data for adults, teens and children by demographics like sex and race/ethnicity.
Obesity Prevalence Maps and Interactive Databases: Centers for Disease Control and Prevention’s obesity maps offer state and territory level estimates of the U.S. adult obesity prevalence. The interactive database systems can be used to find state level nutrition, physical activity, and obesity, data, trends and legislation information.
Opportunity Zone Eligibility Tool: This tool created by the Opportunity360 team helps states and others interested in opportunity zone eligibility to determine which census tracts in their state or region are eligible and how eligible tracts relate to other federal programs and designations. Users can filter tracts using the Opportunity360 Outcome Indices to see how people living in these tracts are faring across the five outcome dimensions (housing, education, mobility, economic security and health).
A user-friendly tool for generating maps from a wide variety of data on demographics, real estate, health, jobs and more in communities across the US. The data come from disparate sources but standardized to allow analysis across indicators and trends overtime.

Data on Adults
Links to surveillance data for adults in North Carolina and nationwide.

Behavioral Risk Factor Surveillance System (BRFSS)

The BRFSS is a random telephone survey of adults. Interviews are conducted monthly and data are analyzed annually. Topic areas include physical activity, healthy eating, body weight, and many others. Nationally, BRFSS is coordinated by the Centers for Disease Control and Prevention.

North Carolina Pregnancy Risk Assessment Monitoring System (PRAMS)

Through PRAMS, data is collected from new mothers via mail and telephone on maternal attitudes and experiences prior to, during, and immediately after pregnancy to reduce infant mortality and low birth weight in North Carolina.

North Carolina PRAMS—coordinated by the NC State Center for Health and Statistics

Data on Children and Youth
Charts, maps, and links to surveillance data for children and youth in North Carolina and nationwide.

Child Health Assessment and Monitoring Program (CHAMP)

CHAMP is coordinated by the North Carolina State Center for Health Statistics and measures the health characteristics of children and youth (ages 0-17) in North Carolina, including body weight, nutrition, and physical activity. The CHAMP telephone survey asks adults to report on a child in their household.

Youth Risk Behavior Surveillance System (YRBSS)

YRBSS is a school-based survey that monitors priority health-risk behaviors and the prevalence of obesity and asthma among middle and high school students.

National YRBSS - coordinated by Centers for Disease Control and Prevention
North Carolina YRBSS - coordinated by the North Carolina Department of Public Instruction

WIC Participant and Program Characteristics (WIC PC), 2016

In collaboration with USDA, CDC used data from the Special Supplemental Nutrition Program for Women, Infants, and Children Participant and Program Characteristics (WIC PC) to update state-specific trends of obesity among children aged 2-4 from 2010-2016.

North Carolina Pediatric Nutrition and Epidemiology Surveillance System (NC-PedNESS)

Effective 2014, NC-NPASS (North Carolina Nutrition and Physical Activity Surveillance System) has been retitled to NC-PedNESS to better reflect the contents of the data for children collected from WIC and Child Health Clinics. As in the legacy surveillance system the data still consists of children ages 2 through 4 which are reflective of the population at or below 185% of the federal poverty level.

The children ages 2 through 4 included in the NC-PedNESS data are from the Special Supplemental Nutrition Program for Women, Infants, and Children – better known as the WIC Program and Child Health Clinics. Children are not eligi-ble to participate in WIC once they reach 5 years of age. In the future, the NC-PedNESS Data will also contain data on children 5 years and older from Child Health Clinics and some School-Based Health Centers whose BMI-Status for Age would be provided in separate tables.

The National Survey of Children's Health (NSCH)

NSCH examines the physical and emotional health of children aged 0-17 years and is designed to create national and state-level estimates. It is funded and directed by the Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau. Sampling occurs in a staged approach whereby households are randomly sampled and invited by mail to assess eligibility and willingness to participate.

North Carolina Nutrition and Physical Activity Surveillance System (NC-NPASS)

NC-NPASS is maintained by the Nutrition Services Branch of the North Carolina Division of Public Health. NC-NPASS provides data for children seen in Public Health sponsored Women, Infants and Children (WIC) and child health clinics, as well as some school-based health centers.

2012 NC-NPASS Data: Obesity in Children Ages 2 to 4 *

* NC-NPASS data for children ages 2 through 4 are reflective of the population at 185% of the federal poverty level. The majority of the children ages 2 through 4 included in the 2012 NC-NPASS data are from the Special Supplemental Nutrition Program for Women, Infants, and Children - better known as the WIC Program. Children are not eligible to participate in WIC once they become 5 years old. 2012 Data on children 5 years and older will be posted at a later date once all the data from child health clinics are processed.

2011 NC-NPASS Data: Obesity in Children Ages 2 to 4 *

* NC-NPASS data for children ages 2 to 4 are reflective of the population at 185% of the federal poverty level. All children ages 2 to 4 included in the 2011 NC-NPASS data are from the Special Supplemental Nutrition Program for Women, Infants, and Children - better known as the WIC Program. Since children are not eligible to participate in WIC once they become 5 years old and lacking other health department data sources for children 5-years of age and older, 2011 NC-NPASS data will not include county-specific rates for children ages 5 and older.

2010 NC-NPASS Data: Obesity in Children Ages 2 to 4 *

* NC-NPASS data for children ages 2 to 4 are reflective of the population at 185% of the federal poverty level. Approximately 85 to 95% of the children included in the NC-NPASS sample for ages 2 to 4 are WIC participants. Since children are not eligible to participate in WIC once they become 5 years old, the sample size for NC-NPASS data received from the child health clinics was not adequate to calculate county-specific rates for children age 5 and older.