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Among survey responders: Poor diet is often the cause of adults living with one or more chronic disease. In order to start and maintain a • 32%stated that they have been told by a doctor, healthy lifestyle, it is recommended that individuals 1) nurse or healthcare professional that they are obese. focus on variety, amount and nutrition of foods, 2) eat As of 2018, 23%of Orange County and 30% of NC adults the right amount of calories - based on age, sex, height, are obese. The highest obesity rates are seen among weight, and physical activity, 3) choose foods with less NC residents aged 45-64 (42.4%) and among African saturated fat and low sodium and beverages with no Americans (42.7%). added sugars, 4) make half the plate fruits and vegeta- bles, 5) make half the grains whole grains, and 6) vary Figure 10: Obesity Rate by Age, Race and Gender (2018) your protein routine. Orange County is the home to five local Farmers' Markets - Carrboro, Chapel Hill, Southern OBESITY RATE BY AGE(2018) Village, Eno River and Hillsborough Farmers Markets, and a number of farms and Community Supported Ag- riculture (CSA) outlets. 26 44 Among survey responders: • 73%stated that at the store where they typically buy 45-64 food, there is a good selection of fruits and vegeta- bles available. 65+ . , Food Insecurity Food insecurity refers to the uncertainty, lack of, or OBESITY RATE BY RACE(2018) inability to obtain nutritious food in a safe and social- ly acceptable manner. Food insecurity refers to the White percentage of households unable to provide adequate food for one or more household members due to lack Black of resources. Approximately 18,030 residents are food insecure, which gives Orange County a food insecuri- ty rate of 12.7%, compared to NC (16.5%) and the U.S. Latino ' (11.1%)47 Table 9: Food Insecurity in Orange County OBESITY RATE BY GENDER(2018) Number of people who are food insecure 18,030 Men ' Percentage of people who are food inse- 12 7% cure Women •' Children under 18 who are food insecure 4,420 Percentage of children under 18 who are 15.5% Nutrition food insecure Nutrition is about eating a healthy and balanced diet, Individuals over 65 who are living below 914 where energy and nutrients are obtained through food the poverty level and beverage. Understanding these nutrition terms may make it easier to make healthy and necessary food Among survey responders: choices. Foods eaten provide energy (calories) and nutrients such as protein, fat, carbohydrate, vitamins, • 14% shared that in the past month, they had to cut minerals, and water. Eating healthy foods, in the right the size of meals, or skip meals, because there wasn't amounts, gives the body energy to perform daily activ- enough money for food. ities, helps to maintain a healthy body weight, and can lower the risk of chronic diseases45 18 2019 COMMUNITY HEALTH ASSESSMENT