Obesity Continues to Rise in Most States

Key points
- Massive public efforts to curb the U.S. obesity epidemic are falling tragically short, with populations in most states becoming more obese with each passing year, according to a new report that underscores the failure of initiatives aimed at promoting exercise and good nutrition.
- The new numbers suggest the continuation of a steady trend toward obesity that has been seen over the past several decades.
- Not all obesity-related news in the past year has been quite so bleak.
- Worse, in 24 states the uptick continued a trend seen from the previous year.
Massive public efforts to curb the U.S. obesity epidemic are falling tragically short, with populations in most states becoming more obese with each passing year, according to a new report that underscores the failure of initiatives aimed at promoting exercise and good nutrition.
The discouraging trends, reported in the fifth annual "F as in Fat: How Obesity Policies Are Failing in America, 2008" report from the Trust for America's Health (TFAH) and the Robert Wood Johnson Foundation (RWJF), reveal that obesity rates rose in 37 states in the past year, while no state registered a decrease in obesity.
Worse, in 24 states the uptick continued a trend seen from the previous year. Obesity rates rose for a third consecutive year in a total of 19 states.
"Our analysis found that on the state and community levels, overall we are not treating the obesity epidemic with the urgent response it deserves," said Jeff Levi, executive director of TFAH, during a Tuesday morning press conference.
As in years past, states in the South were found to have particularly high obesity levels. The region accounted for nine of the top 10 most obese states.
Mississippi holds the dubious honor as the most obese state, with 31.7 percent of adults qualifying as obese. Colorado is the slimmest state, with only 18.4 percent of the adult population classified as obese - but even this figure is the result of two years of steadily increasing obesity rates.
According to the report, Colorado remains the only state in which the adult obesity rate is less than 20 percent.
"In 1991, no state had an obesity rate of more than 20 percent," said Dr. James Marks, senior vice president of the Robert Wood Johnson Foundation, during the press conference. He added that the new figures are cause for "urgency and outright alarm."
"It's shocking, the rate of this increase… Our nation is in a public health epidemic that continues undiminished," he said.
The findings suggest that Americans are further than ever from achieving the health goals set forth by Healthy People 2010 - an effort that aims to reduce the prevalence of overweight and obesity among adults to less than 15 percent and among children to less than 5 percent by the year 2010.
In fact, the report's authors estimate that if the the percentage of adults who are either overweight or obese continues to climb at the current rate, 75 percent of Americans will be overweight or obese by 2015.
"With each and every year, we see more and more evidence that the obesity epidemic continues to gain speed and force," Marks said.
The new report comes just two weeks after a study by Dr. Youfa Wang of the Johns Hopkins Bloomberg School of Public Health in Baltimore suggested that if current overweight and obesity trends continue, 86 percent of Americans could be overweight or obese by the year 2030 - and by 2048, virtually all Americans will be overweight or obese.
Written and revised by
Gerald Hurowitz, M.D.
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