Obesity rates still rising in many states

An annual obesity report by two public health groups looked for the first time at state-by-state statistics over the last two decades. The state that has the lowest obesity rate now - Colorado, with 19.8 percent of adults considered obese - would have had the highest rate in 1995.

"When you look at it year by year, the changes are incremental," says Jeffrey Levi, executive director of the Trust for America's Health, which writes the annual report with the Robert Wood Johnson Foundation. "When you look at it by a generation you see how we got into this problem."

The study, based on 2010 data, says a dozen states top 30 percent obesity, most of them in the South. Mississippi topped the list for the seventh year in a row, with Alabama, West Virginia, Tennessee and Louisiana close behind. Just five years ago, in 2006, Mississippi was the only state above 30 percent.

No state decreased its level of obesity, which is defined as a body mass index of 30 or more. The body mass index is a measurement based on weight and height.

There was a bit of good news in the report: Sixteen states reported increases in their obesity rates, down from 28 states that reported increases last year. Levi says those increases have been gradually slowing, most likely due to greater public awareness of health issues and government attempts to give schools and shoppers better access to healthier foods.

"We're leveling off to some degree at an unacceptably high level," Levi said.

First lady Michelle Obama has tackled the issue with her "Let's Move" campaign, pushing for healthier school lunches, more access to fruits and vegetables and more physical activity. Republicans in Congress have pushed back somewhat against some of those programs, however, saying a rewrite of school lunch rules is too costly and questioning an Obama administration effort to curb junk food marketing aimed at children.

As in previous years, the study showed that racial and ethnic minorities, along with those who have less education and make less money, have the highest obesity rates. Adult obesity rates for African-Americans topped 40 percent in 15 states, while whites topped 30 percent in only four states. About a third of adults who did not graduate from high school are obese; about a fifth of those who graduated from college are considered obese.

Dr. Mary Currier, Mississippi's state health officer, says her state has struggled to drop its No. 1 status and it has been challenging because much of the state is poor and rural.

"We live in an area of the country where eating is one of the things we do, and we eat a lot of fried foods," she said. "Trying to change that culture is pretty difficult."

She says the state has had some success by making school lunches healthier, taking high-calorie foods and drinks out of school vending machines and trying to find more low-cost exercise facilities for residents of rural areas.

"It is frustrating, but we've had some progress," Currier said. "We just have to continue to work at this. It's not something that's going to change overnight."

Percentage of obese adults in all 50 states

Mississippi 34.4
Alabama 32.3
West Virginia 32.2
Tennessee 31.9
Louisiana 31.6
Kentucky 31.5
Oklahoma 31.4
South Carolina 30.9
Arkansas 30.6
Michigan 30.5
Missouri 30.3
Texas 30.1
Ohio 29.6
North Carolina 29.4
Indiana 29.1
Kansas 29.0
Georgia 28.7
South Dakota 28.7
Pennsylvania 28.5
Iowa 28.1
Delaware 28.0
North Dakota 28.0
Illinois 27.7
Nebraska 27.6
Wisconsin 27.4
Maryland 27.1
Maine 26.5
Washington 26.4
Florida 26.1
Alaska 25.9
Virginia 25.9
Idaho 25.7
New Hampshire 25.6
New Mexico 25.6
Arizona 25.4
Oregon 25.4
Wyoming 25.4
Minnesota 25.3
Nevada 25.0
California 24.8
New York 24.7
Rhode Island 24.3
New Jersey 24.1
Montana 23.8
Vermont 23.5
Utah 23.4
Hawaii 23.1
Massachusetts 22.3
Connecticut 21.8
District of Columbia 21.7
Colorado 19.8

More information: Calculate your body mass index: http://www.nhlbisupport.com/bmi

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