9 percent of all 12th-grade boys and girls meet the criteria for fitness on all six Fitnessgram tests used in Texas. In addition, border communities appear to be disproportionately affected by the childhood obesity epidemic.

Sanchez concluded his presentation by postulating two possible extremes for the future of Texas. At one extreme, in the absence of positive change, he envisions overweight or obese young adults competing with elderly baby boomers for limited health resources. At the other extreme, he foresees a healthy Texas in which individuals are active and make smart food choices, leading to reduced demand for expensive health resources by young and old alike.


Combs, S. 2007. Counting Costs and Calories: Measuring the Cost of Obesity to Texas Employers. Texas Comptroller of Public Accounts. http://www.window.state.tx.us/specialrpt/obesitycost/96-1245costs calories.pdf (accessed October 5, 2009).

Ogden, C. L., M. D. Carroll, and K. M. Flegal. 2008. High body mass index for age among U.S. children and adolescents, 2003–2006. Journal of the American Medical Association 299(20):2401–2405.

Texas Department of State Health Services. 2006. Texas Obesity Policy Portfolio. http://www.dshs.state.tx.us/cpcpi/pdf/obesityportfolio.pdf (accessed May 28, 2009).

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