August 20, 2008 11:00 AM

Americans Fatter in 37 States

(WebMD)  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
    ©2005-2008 WebMD, LLC. All rights reserved
  • © 2008 WebMD, LLC.. All Rights Reserved.
    Add a Comment See all 29 Comments
    by tootall10142 August 23, 2008 2:23 PM EDT
    I counted 57 obese woman walking into a k.f.c the other day and thier kids were way over weight.These people are killing thier kids.There are so many child abuse laws on the books but not one that makes it a jailable offense to feed your kids to death.Parents that do this may in fore sight love thier kids but they are actually loving them to a life of pain bad health and bad mental health from the ridicule they get from other kids.until they gey home and mommy says go wash up for dinner and get in the car we are to have pizza tonight will that cheer you up?Social security may be in bind righy now but the up coming generation will pay in all thier working life and then die from heart disease in thier 30s or even for dome in thier twenties. So rest easy all you healthy eaters youre retirement is being proped up by a generation that will collect it.When they become obese and cant walk or wipe thier asss without help.they are closer to the graveyrad and will leave a slot on the welfare roll for the off spring of the next child killer.
    Reply to this comment
    by libsluv2spit August 22, 2008 2:12 AM EDT
    and they are worried of rising price of food..SPOILED!!
    Reply to this comment
    by sly_64 August 21, 2008 4:00 PM EDT
    These people are definatley not busy. But then again, I don''t eat much regardless. The food portions they serve everywhere are way out of hand. I can''t finsh a footlong sub. And I''m a 43 yr old man, 162lbs
    Reply to this comment
    by rotiprata-2009 August 21, 2008 3:36 PM EDT
    i happen to be obese, but i''m working on it.

    i have to agree with skinnyminny2. it''s easy to buy healthy, inexpensive ingredients. they''re just not things that all people want to eat. most dried legumes are very inexpensive, and a lot of vegetables are as well. my local supermarket has a lot of greens right now for 69 cents a pound. i stocked up on collards, turnip, and mustard greens. many times, ethnic grocery stores have inexpensive, healthy items too. we have a mexican grocery store chain that invariably has chicken legs or thighs for less than a dollar a pound.

    i work 50 hours a week and do all the cooking for my household. i find that especially in summer, it''s easy to grill a little extra, and have meals for a few days. also, a slow cooker is great for bean dishes, many of which can be made very low fat, but tasty, and inexpensively.

    a pack a lunch most days that i work, but most of my coworkers (fat or otherwise) go out to eat, and eat ***. they spend 6-12 dollars on lunch every day, and my cost ends up being less than $4, including energy costs.

    if only i can stay motivated to keep being active, i might have a chance with this weight too.
    Reply to this comment
    by wl7bzh August 21, 2008 3:18 PM EDT
    Posted by toldyouso12 at 06:17 AM : Aug 21, 2008
    -------------------------------------------------
    Posted by kc9cvr at 07:06 PM : Aug 20, 2008
    ------------------------------------------------


    Both of your arguments that the cheapest food is the least healthy is bogus.

    Beans, lentils, corn and other non-processed foods are much cheaper than the processed junk foods.

    The issue is one of cultural diversity and what each ethnic group considers an acceptable diet.
    Reply to this comment
    by avigil2 August 21, 2008 3:08 PM EDT
    While I acknowledge that some obese people can''t exercise regularly due to serious health issues, most Americans are just lazy. Get off from your couch and hit the gym, park, bike lanes, whatever. Just quit getting so frickn'' fat. It''s embarrassing.
    Reply to this comment
    by skinnyminny2 August 21, 2008 2:15 PM EDT
    Eating healthy is not expensive. One can get dry lentils or beans very cheaply, and even frozen vegetables can be found on sale for decent prices. Taking one night a week to plan and prepare cuts down on preparation time. I really don''t care who is fat and who isn''t, I don''t know those people so why should I care? It only bgs me when they complain about being fat and then do nothng about it.
    Reply to this comment
    by skinnyminny2 August 21, 2008 2:15 PM EDT
    Eating healthy is not expensive. One can get dry lentils or beans very cheaply, and even frozen vegetables can be found on sale for decent prices. Taking one night a week to plan and prepare cuts down on preparation time. I really don''t care who is fat and who isn''t, I don''t know those people so why should I care? It only bgs me when they complain about being fat and then do nothng about it.
    Reply to this comment
    by ddaryl1 August 21, 2008 1:41 PM EDT
    the fact is eating healthy is expensive. Fruits and vegetables and good lean meats can eat up a budget. Especially for lower income people.

    Also so many people work 50 - 60 hours a week, and eating helathy usually requires preperation. I know after I put in a 50 hours week and then come home and work around the house some I don''t want to be bothered prepping a good wholesome healthy meal.

    This issue go much further then just personal choice, it is being driven by capitalism/inflation,wage stagnation, and of course personal choice

    If people are making more money and working less or have a spouse / loved one who doesn''t have ot work full time too, then we would see people being better able to plan better meals, and eating better IMO.

    Our society has alot to do with this, and someday those who deny this and just say dumb things like "these people are choising to be fat so let them" might actually be able to concieve how it all has causee and effect...



    Reply to this comment
    by skinnyminny2 August 21, 2008 1:14 PM EDT
    Why do they insist on reporting this? People are choosing to be fat, so let them! They buy, chew and swallow. Only they decide what goes in their mouths. I choose to eat whole natural foods, run a lot and be skinny. Everyone has this power and ability, they only need to choose to use it. And don''t tell me people are ''too uneducated'' to know fried or sugary stff is bad for ''em.
    Reply to this comment
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