Americans Fatter in 37 States
Millions of Americans are watching our countrymen compete in the Olympics. But fewer and fewer of us bear any resemblance to those lean, fit figures.
The latest annual state-by-state obesity rankings don't paint a pretty picture:
- Number of states in which adult obesity rates went up: 37
- Number of states in which adult obesity rates went down: 0
- Number of states in which adult obesity rates went up for the third year in a row: 19
- Percentage of population that is obese in Colorado, this year's least obese state: 18.4
- Percentage of population that was obese in the four most obese states in 1991: 15% to 20%
- Number of states in which at least 1 in 4 adults is obese: 28
- Number of states in which at least 1 in 5 adults was obese in 1991: 0
These are just a few of the shocking numbers in the fifth annual "F as in Fat" report from the nonprofit Trust for America's Health, with funding from the Robert Wood Johnson Foundation. Senior author of the report is Jeffrey Levi, PhD, executive director of Trust for America's Health and associate professor of health policy at George Washington University School of Public Health.
The report's state-by-state rankings find Mississippi, West Virginia, and Alabama to be the most obese states. Colorado, Hawaii, and Connecticut are the least obese states -- yet Colorado's obesity rate continues to climb toward 20% of adults, a level already surpassed by Hawaii and Connecticut.
"The crisis is getting worse," Levi said at a news conference. "The 2008 report shows some states and communities have taken positive steps, but overall we are not treating the obesity epidemic with the seriousness it deserves."
The most shocking figure in last year's report was that more than 30% of Mississippi adults were obese. This year, Mississippi's problem is even worse -- and now Alabama and West Virginia have adult obesity rates over 30%.
Obesity in the U.S. is less like a rising tide than like a hurricane surge, suggests James Marks, MD, MPH, senior vice president and director of the health group at the Robert Wood Johnson Foundation.
"This is the fifth annual report, and with each and every year we see more evidence the obesity epidemic is gaining speed and destructive force," Marks said at the news conference.
Levi and Marks stress that a change in direction will take serious efforts from federal, state, and local governments; from corporations and small businesses; from communities; and from individuals. But they say none of this can come together without leadership from the top.
Without increased federal funding, Marks says, state and local programs will be hard pressed to continue effective programs.
"The resources devoted to improving the health of our families and our children remain too few and too ineffective," Marks said. "The federal government continues to cut its own effective programs. At the federal level, the only obesity number going down is the number of dollars being spent to end the epidemic."
State-by-State Adult Obesity Rankings
Here's a list of states and their three-year average of adult obesity from 2005 to 2007:
Alabama: Rank, 3 -- 30.1% of adults obese
Alaska: Rank, 14 -- 27.3% of adults obese
Arizona: Rank, 38 -- 23.3% of adults obese
Arkansas: Rank, 8 -- 28.1% of adults obese
California: Rank, 41 -- 23.1% of adults obese
Colorado: Rank, 51 -- 18.4% of adults obese
Connecticut: Rank, 49 -- 20.8% of adults obese
Delaware: Rank, 21 -- 25.9% of adults obese
D.C.: Rank, 43 -- 22.1% of adults obese
Florida: Rank, 38 -- 23.3% of adults obese
Georgia: Rank, 11 (tied with Indiana) -- 27.5% of adults obese
Hawaii: Rank, 50 -- 20.7% of adults obese
Idaho: Rank, 31 -- 24.6% of adults obese
Illinois: Rank, 26 -- 25.3% of adults obese
Indiana: Rank, 11 (tied with Georgia) -- 27.5% of adults obese
Iowa: Rank, 19 -- 26.3% of adults obese
Kansas: Rank, 23 -- 25.8% of adults obese
Kentucky: Rank, 7 -- 28.4% of adults obese
Louisiana: Rank, 4 -- 29.5% of adults obese
Maine: Rank, 34 -- 23.7% of adults obese
Maryland: Rank, 27 -- 25.2% of adults obese
Massachusetts: Rank, 48 -- 20.9% of adults obese
Michigan: Rank, 10 -- 27.7% of adults obese
Minnesota: Rank, 30 -- 24.8% of adults obese
Mississippi: Rank, 1 -- 31.7% of adults obese
Missouri: Rank, 13 -- 27.4% of adults obese
Montana: Rank, 45 -- 21.7% of adults obese
Nebraska: Rank, 18 -- 26.5% of adults obese
Nevada: Rank, 35 -- 23.6% of adults obese
New Hampshire: Rank, 35 -- 23.6% of adults obese
New Jersey: Rank, 42 -- 22.9% of adults obese
New Mexico: Rank, 38 -- 23.3% of adults obese
New York: Rank, 37 -- 23.5% of adults obese
North Carolina: Rank, 16 -- 27.1% of adults obese
North Dakota: Rank, 21 -- 25.9% of adults obese
Ohio: Rank, 17 -- 26.9% of adults obese
Oklahoma: Rank, 8 -- 28.1% of adults obese
Oregon: Rank, 29 -- 25.0% of adults obese
Pennsylvania: Rank, 24 -- 25.7% of adults obese
Rhode Island: Rank, 46 -- 21.4% of adults obese
South Carolina: Rank, 5 -- 29.2% of adults obese
South Dakota: Rank, 20 -- 26.1% of adults obese
Tennessee: Rank, 6 -- 29.0% of adults obese
Texas: Rank, 15 -- 27.2% of adults obese
Utah: Rank, 44 -- 21.8% of adults obese
Vermont: Rank, 47 -- 21.1% of adults obese
Virginia: Rank, 27 -- 25.2% of adults obese
Washington: Rank, 32 -- 24.5% of adults obese
West Virginia: Rank, 2 -- 30.6% of adults obese
Wisconsin: Rank, 25 -- 25.5% of adults obese
Wyoming: Rank, 33 -- 24.0% of adults obese
State-by-State Child Obesity Rankings
Here is an alphabetical list of states with rankings for child obesity (ages 10-17) in 2003-2004:
Alabama: Rank, 11 -- 16.7% of children obese
Alaska: Rank, 44 -- 11.1% of children obese
Arizona: Rank, 38 -- 12.2% of children obese
Arkansas: Rank, 12 -- 16.4% of children obese
California: Rank, 32 -- 13.2% of children obese
Colorado: Rank, 49 -- 9.9% of children obese
Connecticut: Rank, 37 -- 12.3% of children obese
Delaware: Rank, 19 --14.8 % of children obese
D.C.: Rank, 1 -- 22.8% of children obese
Florida: Rank, 21 -- 14.4% of children obese
Georgia: Rank, 12 -- 16.4% of children obese
Hawaii: Rank, 29 (tied with Maryland and Pennsylvania) -- 13.3% of children obese
Idaho: Rank, 47 (tied with Minnesota) -- 10.1% of children obese
Illinois: Rank, 14 -- 15.8% of children obese
Indiana: Rank, 15 -- 15.6% of children obese
Iowa: Rank, 35 -- 12.5% of children obese
Kansas: Rank, 24 -- 14.0% of children obese
Kentucky: Rank, 3 -- 20.6% of children obese
Louisiana: Rank, 9 -- 17.2% of children obese
Maine: Rank, 34 -- 12.7% of children bese
Maryland: Rank, 29 (tied with Hawaii and Pennsylvania) -- 13.3% of children obese
Massachusetts: Rank, 27 -- 13.6% of children obese
Michigan: Rank, 20 -- 14.5% of children obese
Minnesota: Rank, 47(tied with Idaho) -- 10.1% of children obese
Mississippi: Rank, 8 -- 17.8% of children obese
Missouri: Rank, 15 -- 15.6% of children obese
Montana: Rank, 44 -- 11.1% of children obese
Nebraska: Rank, 41 -- 11.9% of children obese
Nevada: Rank, 36 -- 12.4% of children obese
New Hampshire: Rank, 33 -- 12.9% of children obese
New Jersey: Rank, 26 -- 13.7% of children obese
New Mexico: Rank, 10 -- 16.8% of children obese
New York: Rank, 18 -- 15.3% of children obese
North Carolina: Rank, 5 -- 19.3% of children obese
North Dakota: Rank, 39 -- 12.1% of children obese
Ohio: Rank, 22 -- 14.2% of children obese
Oklahoma: Rank, 17 -- 15.4% of children obese
Oregon: Rank, 23 -- 14.1% of children obese
Pennsylvania: Rank, 29 (tied with Hawaii and Maryland) -- 13.3% of children obese
Rhode Island: Rank, 41 -- 11.9% of children obese
South Carolina: Rank, 7 -- 18.9% of children obese
South Dakota: Rank, 39 -- 12.1% of children obese
Tennessee: Rank, 4 -- 20.0% of children obese
Texas: Rank, 6 -- 19.1% of children obese
Utah: Rank, 51 -- 8.5% of children obese
Vermont: Rank, 43 -- 11.3% of children obese
Virginia: Rank, 25 -- 13.8% of children obese
Washington: Rank, 46 -- 10.8% of children obese
West Virginia: Rank, 2 -- 20.9% of children obese
Wisconsin: Rank, 28 -- 13.5% of children obese
Wyoming: Rank, 50 -- 8.7% of children obese
By Daniel DeNoon
Reviewed by Louise Chang
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