By

Ryan Jaslow /

CBS News/ December 11, 2012, 9:57 AM

America's Health Rankings show worrisome rates of chronic disease, inactivity

A new report shows it's not only what you put into your body that affects your health -- it's where you live.

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Top 25 healthiest states in America 2012

United Health Foundation unveiled its 22nd annual America's Health Rankings on Tuesday that provided a national look at health problems -- and progress -- in all 50 states.

Researchers pulled data from agencies which included the Centers for Disease Control and Prevention, Census Bureau and American Medical Association to come up with the annual list. This year's health rankings found that Americans are living longer, but according to Dr. Reed Tuckson, chief of medical affairs for United Health Group, many are living sicker.

"What worries us in particular about this year's report is that some key risk factors that are driving up preventable chronic illness are getting worse," Dr. Tuckson told CBSNews.com.

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3 steps to a healthier you

Some states fared better than others in the annual report. Vermont topped America's Health Rankings for the sixth year in a row while last year's least healthy state, Louisiana, was joined in a last place tie with Mississippi.

Tuckson said one of the trends from this year's report that concerns him most is the high rate of Americans who live a sedentary lifestyle outside of work. The report found more than 26 percent of the country is physically inactive. That's one in four U.S. adults.

Last July, a study in The Lancet equated the international death toll from physical inactivity to that caused by smoking cigarettes. The researchers found that sedentary individuals are significantly more likely to have heart disease, diabetes and breast and colon cancers because they don't walk as little as 30 minutes per day, five days a week.

Tuckson also noted increases in chronic diseases like hypertension, which now affects 30 percent of Americans, and also large amounts of diabetes, a disease that one in 11 Americans is diagnosed with. Smoking rates are still too high, Tuckson adds

A growing problem in the U.S. highlighted in the report is children living in poverty. Today, more than 21 percent of U.S. children under 18 live in poverty -- an increase of 35 percent over the last decade -- which puts them at a disadvantage for access to healthier foods, physical activity and health care, said Tuckson.

Nationwide, obesity continues to be an epidemic affecting about 27.8 percent of the country, or more than 66 million adults.

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Fattest states in U.S. by 2030

Even the least obese state in the country, Colorado, had an obesity rate above 20 percent. Besides adding to belt sizes, obesity causes preventable diseases that rack up $66 billion per year in health care costs, and cost the economy between $390 billion and $580 billion lost productivity each year, according to the report.

Some of the biggest gaps in America's health can be seen by comparing the five highest ranked states to the five lowest ranked. For example, while smoking rates in the five healthiest states -- Vermont, Hawaii, New Hampshire, Massachusetts and Minnesota -- ranged from 16.8 percent to 19.4 percent of adult residents, smoking rates were between 23.1 percent and 28.6 percent in the five least healthy states of Mississippi, Louisiana, Arkansas, West Virginia and Carolina.

Likewise, 27.2 percent to 36.0 percent of the population in the five lowest ranked states lead sedentary lives, compared to between 21.0 percent and 23.5 percent of the population in the five healthiest states.

The economy may be a factor in these health gaps, the report found. The top five states reported a higher median household income of $51,862 to $65,880, while the five lowest ranked states ranged from $37,881 to $43,939. Rates of childhood poverty were also significantly higher in the five lowest ranked states compared to the five-highest rated states.

But not all is bleak.

The report found decreases in death rates from heart disease and cancer, including a 30 percent drop in heart disease deaths since 1990, which Tuckson says shows our country's medical care is effective. He also sees hope for improving physical activity in youth, citing an uptick in after-school physical activity and structured play time. That's not only important for the children, he said, but it gets adults involved and may make them more likely to change their own health behavior.

Exercise and eating healthy, he said, could be fun and make the family feel great.

"The most common misconception people have about living healthy is it's hard," said Tuckson.

Click here for a complete look at America's Health Rankings 2012.

© 2012 CBS Interactive Inc. All Rights Reserved.
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    Ryan Jaslow is CBSNews.com's health editor.

12 Comments Add a Comment
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XOXOXOXOXOXOXOX says:
The fact is the most common cause of death in the world is life. The way you live it can greatly effect how long it lasts. If for any reason your life does not take you as far as you wanted it to then it was ment to be that way. I have a 92 year old mother in law that has never worked a day in her life, never cooked a meal or washed a dish. Because of disabilties she was born with she has always been dependent on others. Next door to her is a star Football Player who had a stroke that left him 80% Paralized making him dependent on others how ever long he lives. Be glad for what you have and make the best of how long you last.
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Jazzerus says:
Dr Tuckson has a conflict . One of UnitedHealth group's largest clients is coca cola. Coca cola creates sugary soft drinks that add to our nation's obesity epidemic. To keep Coke as a client, Tuckson deletes mentions of sugary drinks and the risk of obesity from consumer education articles meant for health insurance customers. If he would manipulate studies and science, think of where lines are blurred elsewhere.
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johnlockesghost says:
Lead us not into temptation, but that's exactly what food advertising is all about.
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tqmbill says:
There were several comparisons of the top 5 to bottom 5.

I wonder what the % Black comparison is?
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inverse137 says:
@Treaeam, BMI is only a single tool. It is a quick reference chart at best. I work out A LOT. I am healthy. My BMI is higher because I have muscle and low fat. I'm not attacking...just pointing out that BMI isn't the only reference point. It is just one tool of many.
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Research-suppressedtech says:
Seems like the soft k ill is working
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gshult845 says:
I think the first place that people need to start changing their habits is at work. I sit for more than 45 hours a week at my workplace alone, and my small remote office does not make it possible to hold "walking meetings" or take a walking lunch break. And while all of these recent reports linking prolonged sitting to one chronic disease or another are informative (& scary)--they rarely suggest practical ways to shake the sedentary lifestyle.

Determined to find a way to incorporate more movement into my day, I installed a stretch micro-break software onto my computer that has made a world of a difference in my daily routine. After just 2 minutes of light stretching/exercising every hour by following along with a video pop up (www.themovementonline.net), I feel energized and have noticed my chronic neck pain is almost non-existent. Maybe one day my boss will splurge on a walking desk...but until then, I will absolutely be following along with my stretch break reminder software, because every little bit of movement helps!
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jgwollaston says:
Left out "being overweigh LEADS to disease"
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jgwollaston says:
Who is "you"? Are you one of these conspiracy guys?

The purpose of being concerned about obesity, is that being overweight to disease -- preventable disease. These doctors and epidemiologists and politicians and others are trying to help people stay healthy.

And where did you get the "8 lbs overweight" figure = "obesity". Did you make it up?
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Theoverwatch24 says:
Well heck, if you keep lowering the bar as to what "obesity" is (its now somewhere around 8 lbs overweight) then everyone will be considered "Obese" and you can enact your long sought goal of food control. lol what a joke.
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TreeAM replies:
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Obesity is based on BMI. A BMI >30 is obese. Nobody who is 8 lbs over ideal body weight would qualify as obese
inverse137 replies:
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@Theover....

I'm curious...did you even read the article or do you just look at the pretty pictures? Do you really think this is just some big conspiracy to control you?

I hate to break this to your little self centered world view, but no one really cares that much about you. I really don't care what you shove in your fat little face.

What I do care about is how your irresponsible actions impact me. You being a fat slob is a drain on health care. You have more sick days than I do impacting where I work.

Getting the picture yet?
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