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The Fattest States in America
Wall Street 24X7 ^ | 03/11/2014 | By Thomas C. Frohlich, Alexander E.M. Hess, Vince Calio and Ashley C. Allen

Posted on 03/11/2014 10:58:10 AM PDT by SeekAndFind

Many Americans consider obesity one of the nation’s most important health issues. Many also battle themselves with the problem every day. According to a recent report, 27.1% of all Americans were obese last year, up from 26.2% the year before.

While many in the United States continue to struggle with their weight, the problem is more pronounced in the southeastern part of the country. Six of the 10 states with the highest obesity rates last year were located in that part of the country. Mississippi was the fattest state in America, with 35.4% of its residents considered obese. Based on figures from the Gallup-Healthways Well-Being Index, 24/7 Wall St. reviewed the 10 states with the highest obesity rates.

Poverty is a key predictor that can lead to obesity. All but one of the nation’s 10 most obese states had a higher poverty rate than the U.S. overall, and four of these states were among the top five poverty rates.

In an interview with 24/7 Wall St., Dan Witters, research director for the Gallup-Healthways Well-Being Index, said, “There is no doubt that socioeconomic status is closely related with obesity.” He added, “Demographically, if you want to take a look and try and predict obesity on the ground inside the U.S., you’ll do so more with low income than [other major factors].”

Similarly, lower educational attainment can also lead to higher odds of being obese. The majority of the states with the highest obesity rates were also among the bottom 10 in educational attainment, as measured by the percentage of adults with at least a high school diploma.

Witters also noted the importance of educational attainment. Obesity, he explained, is inversely related to educational achievement. A number of factors explain this relationship, he added, including greater health literacy, better access to health care and cultural norms.

Outside of socioeconomic factors, certain behaviors are more likely to be connected with higher rates of obesity, Witters noted. “We found exercise is the top predictor of obesity, followed closely by smoking and by healthy eating.”

Indeed, seven of the 10 states with the highest obesity rates also had among the 10 highest smoking rates. Similarly, residents in many of these states were among the least likely Americans to eat healthy or to exercise regularly.

High rates of obesity often come with serious health consequences. High cholesterol, hypertension, diabetes and heart disease are all health outcomes that can be tied to obesity, Witters told 24/7 Wall St.

In seven of the 10 states where obesity was most prevalent, residents were among the most likely people in the nation to have had a heart attack. Each of these 10 states was also among the top 10 for the percentage of people diagnosed with diabetes. In West Virginia and Mississippi, 16.6% and 15.9% of survey respondents had been diagnosed as diabetic, second and third most nationally.

Based on figures published by the Gallup-Healthways Well-Being Index, 24/7 Wall St. identified the 10 states with the highest percentage of the population that was classified as obese, measured by their self-reported height and weight. We also reviewed other relevant figures from the study, including data on healthy behavior, access and health outcomes. Additionally, we also considered data from the U.S. Census Bureau’s 2012 American Community Survey on income and poverty. Data from the U.S. Department of Agriculture’s Economic Research Service on food access was also considered. Figures on heart disease deaths and life expectancy at birth, both as of 2010, are from the Kaiser Family Foundation.

These are America’s fattest states.

10. Oklahoma
> Pct. obese: 30.5%
> Pct. with high blood pressure: 34.0% (9th most)
> Pct. exercise regularly: 50.7% (16th least)
> Poverty rate: 17.2% (15th highest)

More than three in 10 Oklahomans were considered obese last year. Poor eating habits may be one factor. Slightly more than half of the state’s residents said they ate adequate portions of fruits and vegetables last year, the worst in the nation. Less than 59% of Oklahomans said they ate healthy on a daily basis in 2013, also among the worst nationally. The state’s high obesity rate may partly explain the prevalence of heart-related ailments in the state. In 2010, there were 235.2 deaths per 100,000 state residents, more than in any state except for Mississippi and Alabama. Also, a greater proportion of Oklahomans reported having previously had a heart attack than residents in any other state last year.

9. Kentucky
> Pct. obese: 30.6%
> Pct. with high blood pressure: 35.0% (7th most)
> Pct. exercise regularly: 50.5% (tied for 14th least)
> Poverty rate: 19.4% (5th highest)

Unhealthy habits contributed to obesity levels among Kentucky residents. More than 30% of Kentuckians smoked cigarettes last year, the highest rate in the nation. Studies show that smoking can both discourage and decrease the effectiveness of physical activity. Poor eating habits also likely contributed to the state’s high obesity rate. Only 58.5% of state residents ate healthy all day, worst in the nation. Like many states with high obesity rates, Kentucky had some of the lowest income and highest poverty rates. The state’s $41,724 median household income was the fifth lowest in the United States, and nearly one in five residents lived below the poverty level last year.

8. Ohio
> Pct. obese: 30.9%
> Pct. with high blood pressure: 31.8% (16th most)
> Pct. exercise regularly: 49.3% (7th least)
> Poverty rate: 16.3% (20th highest)

Ohio residents generally reported having good access to health care services. Last year, 82% had a personal doctor and more than 87% had health insurance, both among the best rates nationwide. While access to physicians typically is a key predictor of obesity rates, according to Gallup’s Dan Witters, Ohio still had one of the highest obesity rates in the country. Like most of the states with high obesity rates, many state residents were unable to engage in age-appropriate activities due to health concerns. Adding to the health problems already caused by the high obesity rate is the state’s high smoking rate. About one-quarter of the population were smokers as of last year, more than all but a handful of states.

7. Tennessee
> Pct. obese: 31.3%
> Pct. with high blood pressure: 36.0% (5th most)
> Pct. exercise regularly: 49.2% (6th least)
> Poverty rate: 17.9% (11th highest)

Given the state’s high obesity rate, it is perhaps not surprising that residents were more likely to suffer from a range of health problems. Last year, 36% of people surveyed reported having high blood pressure, while 29.4% of respondents said they had high cholesterol, both among the highest in the country. Also, nearly 15% of those surveyed suffered from diabetes, and more than 5% of people had previously had a heart attack, both especially high rates. Like several states struggling with obesity, educational attainment rates were poor in Tennessee. Just 85.1% of adults had at least a high school diploma in 2012, among the worst.

6. South Carolina
> Pct. obese: 31.4%
> Pct. with high blood pressure: 33.0% (12th most)
> Pct. exercise regularly: 49.7% (10th least)
> Poverty rate: 18.3% (9th highest)

South Carolina is another example of the close relationship between low income and obesity. More than 31% of state residents were obese, the sixth highest rate in the nation, while 18.3% lived below the poverty line last year, the ninth highest in the nation. Additionally, 21.3% of residents did not have enough money to buy food at all times last year, the highest percentage in the United States. Residents of the states suffered from numerous health problems often associated with being overweight. Some 33% of state residents had high blood pressure, among the worst in the nation, and 27.5% of residents suffered from recurring knee and leg pain, symptoms that can be linked to obesity.

5. Arkansas
> Pct. obese: 32.3%
> Pct. with high blood pressure: 36.8% (4th most)
> Pct. exercise regularly: 52.5% (25th most)
> Poverty rate: 19.8% (4th highest)

Arkansas residents suffered from more health problems linked to obesity than residents of most states last year. Nearly 37% of residents suffered from high blood pressure, and 13.4% of the population were diagnosed with diabetes, both among the highest rates in the nation. At least some of the blame lies in the residents’ unhealthy diets and poor habits. More than two out of every 10 people in the state smoked cigarettes, and only 54.6% of the population ate servings of fruits and vegetables at least four times a week, the sixth worst in the nation. As is the case with many states with high obesity rates, Arkansas residents earned less than the rest of country. The state had a poverty rate of nearly 20%, fourth-worst nationally, in 2012.

4. Louisiana
> Pct. obese: 32.7%
> Pct. with high blood pressure: 35.7% (6th most)
> Pct. exercise regularly: 50.5% (tied for 14th least)
> Poverty rate: 19.9% (3rd highest)

Louisiana has had among the highest obesity rates since 2008. More than 32% of residents were considered obese last year, a higher rate than all but three other states. Like many states with high obesity rates, Louisiana is a relatively poor state. A typical Louisiana household earned $42,944 in 2012, considerably less than the national median income of $51,371 that year. One factor that likely contributed to the state’s high obesity rate is the residents’ limited access to quality food. Nearly 10% of Louisiana residents had poor access to grocery stores and farmers’ markets, the fourth highest among all states. Additionally, 17% of adults in the state did not have a high school diploma, the fourth highest percentage in the country. Studies show that people who lack a complete high school education tend to make less knowledgeable decisions when it comes to health choices.

3. Delaware
> Pct. obese: 34.3%
> Pct. with high blood pressure: 33.9% (10th most)
> Pct. exercise regularly: 46.5% (the least)
> Poverty rate: 12.0% (12th lowest)

Delaware’s population was the worst in the country at getting enough exercise, with just 46.5% reporting having exercised three times a week. This low level of physical activity may contribute to the state’s weight problem. Residents also did not eat particularly well, with less than 55% saying they ate enough fruits and vegetables at least four days a week last year, among the worst nationally. Unlike many other states with high obesity rates, Delaware residents were wealthier than most Americans in 2012. A typical Delaware household earned $58,415, among the most nationwide. The state, however, also boasts some of the highest health care costs in the country, which may explain residents’ poor health.

2. West Virginia
> Pct. obese: 34.4%
> Pct. with high blood pressure: 41.1% (the most)
> Pct. exercise regularly: 47.1% (2nd least)
> Poverty rate: 17.8% (13th highest)

West Virginia led the nation in several obesity-related health issues. As many as 41% of respondents reported having high blood pressure and 34% reported high cholesterol levels, the highest in the nation. West Virginians were also more likely to report chronic pain — whether in the neck, back, knee or leg — than residents of any other state last year. And 23% of residents cited other conditions causing recurring pain, also the most in the country. Like many of the most obese states, West Virginians were among the nation’s poorest residents, with a median household income of just $40,196 in 2012, third lowest nationally. Low incomes and prevalent obesity may partly explain why West Virginians rated their lives poorly in Gallup’s Life Evaluation Index — nearly half of all respondents said they were struggling last year, the most nationwide.

1. Mississippi
> Pct. obese: 35.4%
> Pct. with high blood pressure: 40.6% (2nd most)
> Pct. exercise regularly: 50.1% (11th least)
> Poverty rate: 24.2% (the highest)

Mississippi has been among America’s most obese states since Gallup started collecting data in 2008. The high obesity rate has had clear adverse effects on the health of the state’s residents. Chronic health issues often associated with obesity, such as high blood pressure, high cholesterol and headaches, were all common among state residents. Also, as is often the case with obese populations, Mississippi residents were more likely to suffer from diabetes. More than 16% of residents reported they had been diagnosed with diabetes as of last year, the second-highest rate nationally. Residents also had the lowest life expectancy in the nation, at just 75 years. Poor educational attainment, which may lead to poor health choices, also leads to relatively lower incomes. Just 82.3% of adults had a high school diploma in 2012, among the worst rates in the nation. And nearly one-quarter of Mississippi residents lived below the poverty line in 2012, worse than in every other state.


TOPICS: Business/Economy; Food; Health/Medicine; Society
KEYWORDS: diet; fat; obesity; redstates; top10
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To: Monterrosa-24

Southern cooking is wonderful, and unapologetically rich, and the tea is sweet. Also, it’s too hot outside, and it’s air-conditioned inside.

There, do I get some grant money for figuring that out?


41 posted on 03/11/2014 12:37:20 PM PDT by married21 ( As for me and my house, we will serve the Lord.)
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To: ckilmer

Hey, I notice that New York is #35 in “well-being”. Thank goodness they stopped drinking Big Gulps. It’s really paying off.


42 posted on 03/11/2014 12:41:12 PM PDT by married21 ( As for me and my house, we will serve the Lord.)
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To: SeekAndFind

Yeah, I know. There must be a difference in the water, or something to do with the latitude, or maybe the effects of global warming on select groups of impoverished people. African malnutrition can’t possibly be because of their peaceful, democratic governments, their work ethics, or high ideals regarding human life, dignity, rights, not to mention principles of prosperity, coupled with high regard for the well being of posterity. With all they have going for them, just think how fat and happy they would be on our food stamp program.


43 posted on 03/11/2014 12:41:44 PM PDT by pallis
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To: expat2
I wouldn’t call Ohio, West Virginia, or Delaware ‘southeast states’.

Technically, both West Virginia and Delaware are "southeast states."

But then again, the District of Columbia is also technically in the "southeast."

44 posted on 03/11/2014 12:53:07 PM PDT by Zionist Conspirator (The Left: speaking power to truth since Shevirat HaKelim.)
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To: SeekAndFind
Surely the big news here is that even in these states something like half the population claims to exercise regularly.

If that even comes close to the truth, we're a very different country from what we were a few decades back.

45 posted on 03/11/2014 1:01:48 PM PDT by x
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To: x

And I believe studies show in the ‘60s, cerca to then, we were a much leaner nation. So, maybe one difference of many would be processed foods.

I also see a bit of what is called Appalachia on here. Not sure what the significance of that would be. I have seen some of the so-called “backwaters” but on the other hand, every state has their rural areas.


46 posted on 03/11/2014 1:09:59 PM PDT by BeadCounter (morning glory and evening grace)
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To: RIghtwardHo
Agree with basically everything you say. It is more expensive to eat well, but we did create that system - it wasn't always that way prior to the advent of mass produced processed foods where calories became cheaper, and deadlier.

While I see some political spin in a handful of the comments, this isn’t a political issue.

Mostly not, but I think moving away from paper food stamps that could only be used at grocery stores to SNAP cards that can be used anywhere, and for just about anything certainly didn't help. I wonder if left and right both supported that. I can't help but think that the loss of the element of shame in whipping out your booklet of foodstamps (I remember as a young Safeway cashier) wasn't healthy for the recipients in a certain way.
47 posted on 03/11/2014 1:10:57 PM PDT by andyk (I have sworn...eternal hostility against every form of tyranny over the mind of man.)
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To: SeekAndFind
CDC sez =>

Non-Hispanic black women had the greatest prevalence (39.2%), followed by non-Hispanic black men (31.6%), Hispanic women (29.4%), Hispanic men (27.8%), non-Hispanic white men (25.4%), and non-Hispanic white women (21.8%) (Table 1).

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5827a2.htm

48 posted on 03/11/2014 1:18:43 PM PDT by Ken H (What happens on the internet, stays on the internet.)
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To: SeekAndFind

Had a friend who moved to Ohio...Sometime later he called and said he felt like he was on the cast of HeHaw, except everyone was fat....He attributed it to cold nasty winters where everyone just grazes for 5 months at a time...After about 5 years he moved back.


49 posted on 03/11/2014 1:23:21 PM PDT by dragnet2 (Diversion and evasion are tools of deceit)
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To: Sherman Logan; RIghtwardHo

RIghtwardHo was onto something, though he didn’t get it quite right.

The problem is carbs. Carbs are cheap and filling even when you buy at a high-end store, and if you’re buying snacks at a convenience store more than 90 percent of what’s on the shelf is some form of starch.

WIC buys a lot of breakfast cereal and bread. If you buy soda with your food stamps, you can get more of that for your buck than you can milk or juice.

And even if you go with your recommended beans and rice, Mr. Logan, you’re still looking at a blood-sugar-spiking blast of starchy goodness hitting the bloodstream.

If you want to avoid carbs, you eat more fat and protein. More dairy, more eggs, more meat, and more vegetables. The green leafy vegetables are cheap enough, but not enough so to balance out the budgetary effects of the meat, eggs, and dairy.


50 posted on 03/11/2014 1:40:17 PM PDT by Oberon (John 12:5-6)
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To: Pollster1

Colorado’s going flip. Can’t stay skinny and get the munchies. Give them 5 years, they’ll be on the top10 fat list.


51 posted on 03/11/2014 1:57:39 PM PDT by KosmicKitty (WARNING: Hormonally crazed woman ahead!!)
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To: BeadCounter
Oh I love read beans and rice!! With a little ham thrown in. I don't even mind it if I find the bay leaf in my bowl! Has to mean good luck if you find the bay leaf!

And Etouffee and a softshell crab Poboy from Deanies on Lake Ave. And Froglegs and even a little Gator.

To be honest, I only had a Gator dog. Funniest thing, the lady preparing it wouldn't touch it. And my wife wouldn't kiss me after. We did a little swamp tour in Slidel.

Lots of fun memories.

And Vicksburg Miss. A different year, though.

52 posted on 03/11/2014 1:57:50 PM PDT by dhs12345
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To: KosmicKitty

Not certain why Colorado is low fat. Maybe the tons of bike trails and no unbearable humidity which is common in most of the country. Means a lot more outdoor activities?

It can be rather dry here but that can be a plus.


53 posted on 03/11/2014 2:03:24 PM PDT by dhs12345
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To: madison10
Theory is that it is cheaper/free to get processed high fat, high salt, high unhealthy foods than it is to buy fresh vegetables, fruits and dairy products.

I believe it is a matter or preference, convenience and perhaps availability, rather than a matter of price.

A lb. of chips, e.g. is $8+. A lb. of carrots, apples, or broccoli, a couple of bucks.

Compare the cost per lb. of tator tots or frozen fries to fresh potatoes. Breaded fish or breaded pre-cooked chicken to fresh. Pudding cups to Jello pudding mix that you add milk to.

Add on top of that, cookies, ice cream, coffee cakes, etc. that cost a lot per lb. and are not healthy.

You could make a case that lb. for lb., processed foods have more calories than fresh food does (a lb. of pretzels vs. a lb. of carrots, e.g.), but I have not found that eating healthy is more expensive. Unless you only eat free range and organic stuff.

54 posted on 03/11/2014 2:18:23 PM PDT by randita
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To: Oberon

What constitutes a healthy diet is, to put it mildly, a debated subject.

I tend to generally agree with you, but note that a lot of people consider a low-fat vegetarian diet based on brown rice and legumes to be much healthier than the diet you describe.

Certainly that’s what most of the world lived on till fairly recently.

Anyway, the original point was about getting enough to eat, not about having the most enjoyable or maximally healthy diet.

Looked it up. For $75 you can get 50 lbs. of rice and 50 lbs. of pinto beans. That’ll provide a person with 2500 calories a day for 66 days, with complete protein at a cost of $1.13/day. Or you could easily add some other cheap stuff to the diet base and extend it to 100 days.

My point, which appears to have gotten lost in the discussion, is that it is unlikely food has ever been cheaper in history. You can have a diet that will keep you in reasonable health and able to keep working hard for little more than a dollar per day. Certainly less than $2.


55 posted on 03/11/2014 3:00:32 PM PDT by Sherman Logan
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To: nascarnation

You are quite correct about cold weather burning calories just to keep warm. Not so much when your exposure to the cold is mostly a dash from the house to the car.

Used to go winter camping in CO, with temps as low as -35F, for up to a week. Burned calories like crazy. Planned for 5000 calories per day. Carried a stick of butter per person per day just for the extra calories (1250). Put the butter in everything and drank Sherpa tea (tea with sugar and butter).


56 posted on 03/11/2014 3:09:55 PM PDT by Sherman Logan
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To: dangus

McDonald’s double cheeseburger: 99 cents
459 calories, 34 carbs, 26 grams fat, 26 grams protein

McDonald’s grilled chicken sandwich: 4.99
419 calories, 51 carbs, 10 grams fat, 32 grams protein

With the exception of the fat grams, there’s not a lot to choose between them, and the chicken sandwich has quite a few more carbs.


57 posted on 03/11/2014 3:15:46 PM PDT by Sherman Logan
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To: Sherman Logan

The point isn’t that the double cheeseburger has so many more calories; it’s that it’s cheap and low-quality.


58 posted on 03/13/2014 10:32:25 AM PDT by dangus
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To: Sherman Logan

The point isn’t that the double cheeseburger has so many more calories; it’s that it’s cheap and low-quality. Oh, and by the way, it has only 350 calories, 50 of which come from the condiment sauce. The fillet, lettuce and tomato total only 100 calories.


59 posted on 03/13/2014 10:35:00 AM PDT by dangus
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To: dangus

Curious, what do you mean by “low-quality” in this context?


60 posted on 03/13/2014 12:37:38 PM PDT by Sherman Logan
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