America’s Five Fattest (and Getting Fatter) States

By: wowOwow (View Profile)

The obesity epidemic in America has gotten worse in the last year, despite the many public service campaigns promoting physical activity and warning about the health risks posed by being overweight, according to a new study.

According to an annual report released this week by nonprofit Trust for America’s Health and the Robert Wood Johnson Foundation, over the past year adult obesity rates increased in thirty-seven states, while there were no decreases in any states.

The survey, “F as in Fat: How Obesity Policies Are Failing in America, 2008,” showed that there’s a growing obesity epidemic in the U.S. They found that today more than 20 percent of adults are obese in every state except Colorado, where the number is 18.4 percent. More than 25 percent of adults are obese in twenty-eight states, up from nineteen states last year. In 1991, no state had an obesity rate above 20 percent.

The five fattest states and their obesity rates are:

  • Mississippi (31.7 percent)
  • West Virginia (30.6 percent)
  • Alabama (30.1 percent)
  • Louisiana (29.5 percent)
  • South Carolina (29.2 percent)

The five slimmest states and their obesity rates are:

  • Colorado (18.4 percent)
  • Hawaii (20.7 percent)
  • Connecticut (20.8 percent)
  • Massachusetts (20.9 percent)
  • Vermont (21.1 percent)

Perhaps as a consequence of America’s widening waistlines, another disturbing trend emerged: an increase was found in the percentage of adults with Type-2 diabetes, a weight-related disease. The survey found higher incidence of diabetes in twenty-six states. Diabetes has been linked to a variety of health problems including coronary heart disease, stroke, cancer, and pregnancy complications, according to the U.S. National Institutes of Health.

The two foundations also reviewed state and federal policies aimed at reducing obesity in children and adults. They found that while all fifty states have some sort of law addressing the issue of obesity on the books, only thirteen states back up these regulations with enforcement policies.

For example, Georgia and Vermont were the only two states with specific guidelines for treating obese adults in their Medicaid programs. The report also notes that twenty states do not cover nutritional assessments for obese adults under Medicaid. In Nebraska and South Carolina, the Medicaid programs specifically state that obesity is not a disease and treatment cannot be covered.

15 readers liked this story.
bookmarks
Comments
posted: 10.15.2008
Mona Redman
I applaud Paula for taking the issue a step further and investigating the correlation between obesity and welfare programs. It must be added that the break down of the family unit also contributes to this epidemic. When I ask my students in hight school, how many times they have a family dinner where there is a home cooked meal and all members are present around the table at the same time, the answer for most is only 1-2 nights. Students fend for themselves and of course they take the fast and easy route. Parental role modeling and parental supervision play an important part in the answer to nutritional issues.
posted: 10.15.2008
Janice Toepfer
California does not recognize obesity as a disease either, but it does consider the ramifications such as heart disease, diabetes, joint disorder, and the mental health problems that arise. It is not an E-ticket, but anything that can be reversed with a change in lifestyle is not approved. This includes substance abuse as well. I agree that the taxpayers should not be responsible for a person's lifestyle choices when that get ill or cannot work. SSI pays out enormous sums to drug users, ex-prisoners and obese individuals. Houstonobserver sites one of the main problems in food. Teaching children to love an apple over an oreo is a challenge. I see a huge conversation here.....
posted: 10.15.2008
Leah Sweeney
A huge part of the problem is the obsessive American quest for convenience. Think about the last time you went into a multilevel building. What's the first thing you see? An elevator. You actually have to search to find stairs. Most Americans walk LESS THAN A MILE a day. People who take their children to my son's elementary school (the vast majority of whom live within a mile's radius) would rather idle in their cars for 20 minutes than walk or ride a bike to pick their kids up. Paired with a restaurant industry which deems it acceptable to serve 2000 calorie appetizers (why does such a thing even need to EXIST?) it is a recipe for disaster. We have too much choice in our society and not enough sense to make the right ones. A 500lb human being is a phenomenon which should be completely unheard of, and as a nurse, I can tell you plenty of them exist. I think every one in America should be assigned a personal trainer- it would cost less than our current "solution".
posted: 10.10.2008
Paula Steadman
Why should tax paying citizens be forced to pay the price for people who over-eat? I don't think any states should be held accountable for it's citizens inability to PUT DOWN THEIR FORKS. Do a little more digging on your next blog and put in the fact that most of the fatter states, are also states with higher rates of FOOD STAMP RECIEPIANTS. If i was GIVEN a way to purchase food for my family, for FREE!!!!, i think i could make BETTER choices for my family. Fat IS inherited, children learn very early what tastes better than fresh vegetables, their parents teach them. I say get off the stamps, get a job, then maybe you can WORK OFF that Big Mac. But I forgot, its not discussed in your piece the employment or unemployment of all these FAT PEOPLE. Maybe someone should do a study on that!!!! Teach children to eat GOOD for them food, and also the proper PORTION SIZE for their age and activity level. Food is fuel for the body. You dont fill your cars tank then let it sit in the driveway!!!!
posted: 10.09.2008
houstonobserver
One of the factors that many studies have implicated is the high use of HFCS (High Fructose Corn Syrup) in almost all of the processed food for sale. Noteably, those that are least wealthy, are the ones that tend to buy processed foods as they are "cheaper". The corn and food lobby may also have something to do with this, as corn production is subsidised. HFCS does not trigger the "fullness" mechanism of the body, which regulates you from massively overeating, unlike sucrose, or cane sugar. There's a tax on sugar too. For a more technical explanation, go here: http://www.ajcn.org/cgi/content/full/79/4/537 The skew towards these states may be due also to the genetic propensity for people of Hispanic or African descent to be more efficient at the conversion of unused sugars to fats. http://obesity1.tempdomainname.com/subs/fastfacts/Obesi...
It feels good to write.

Your stories, musings, and advice are welcome here. We know you've got something to share, so jump in—maybe get a little famous. And don't worry—you can save a draft!

most liked
Loader_buff
Other topics you might appreciate
Play Style Neighborhood & World Parenting