WASHINGTON -- Adult obesity rates increased in 28 states in the past year, and declined only in the District of Columbia (D.C.), according to F as in Fat: How Obesity Threatens America's Future 2010, a report from the Trust for America's Health (TFAH) and the Robert Wood Johnson Foundation (RWJF). More than two-thirds of states (38) have adult obesity rates above 25 percent. In 1991, no state had an obesity rate above 20 percent. The report highlights troubling racial, ethnic, regional and income disparities in the nation's obesity epidemic. For instance, adult obesity rates for Blacks and Latinos were higher than for Whites in at least 40 states and the District of Columbia; 10 out of the 11 states with the highest rates of obesity were in the South – with Mississippi weighing in with highest rates for all adults (33.8 percent) for the sixth year in a row; and 35.3 percent of adults earning less than $15,000 per year were obese compared with 24.5 percent of adults earning $50,000 or more per year. "Obesity is one of the biggest public health challenges the country has ever faced, and troubling disparities exist based on race, ethnicity, region, and income," said Jeffrey Levi, PhD, executive director of TFAH. "This report shows that the country has taken bold steps to address the obesity crisis in recent years, but the nation's response has yet to fully match the magnitude of the problem. Millions of Americans still face barriers – like the high cost of healthy foods and lack of access to safe places to be physically active – that make healthy choices challenging." The report also includes obesity rates among youths ages 10-17, and the results of a new poll on childhood obesity conducted by Greenberg Quinlan Rosner Research and American Viewpoint. The poll shows that 80 percent of Americans recognize that childhood obesity is a significant and growing challenge for the country, and 50 percent of Americans believe childhood obesity is such an important issue that we need to invest more to prevent it immediately. The survey also found that 84 percent of parents believe their children are at a healthy weight, but research shows nearly one-third of children and teens are obese or overweight. Obesity rates among youths ages 10-17 from the 2007 National Survey of Children's Health (NSCH) also were included in the 2009 F as in Fat report. Data collection for the next NSCH will begin in 2011. Currently, more than 12 million children and adolescents are considered obese. "Obesity rates among the current generation of young people are unacceptably high and a very serious problem," said Risa Lavizzo-Mourey, M.D., M.B.A., RWJF president and CEO. "To reverse this national epidemic, we have to make every community a healthy community. Americans are increasingly ready and willing to make that investment." Additional key findings include: The report found that the federal government and many states are undertaking a wide range of policy initiatives to address the obesity crisis. Some key findings include that: At the federal level: And at the state level: To enhance the prevention of obesity and related diseases, TFAH and RWJF provide a list of recommended actions in the report. Some key policy recommendations include: The full report with state rankings in all categories is available on TFAH's Web site at www.healthyamericans.org and RWJF's Web site at www.rwjf.org. The report was supported by a grant from RWJF. STATE-BY-STATE ADULT OBESITY RANKINGS Note: 1 = Highest rate of adult obesity, 51 = lowest rate of adult obesity. Rankings are based on combining three years of data (2007-2009) from the U.S. Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System to "stabilize" data for comparison purposes. This methodology, recommended by the CDC, compensates for any potential anomalies or usual changes due to the specific sample in any given year in any given state. States with statistically significant (p<0.05) increases for one year are noted with an asterisk (*), states with statistically significant increases for two years in a row are noted with two asterisks (**), states with statistically significant increases for three years in a row are noted with three asterisks (***). Additional information about methodologies and confidence intervals is available in the report. Individuals with a body mass index (BMI) (a calculation based on weight and height ratios) of 30 or higher are considered obese. 1. Mississippi*** (33.8%); 2. (tie) Alabama (31.6%); and Tennessee*** (31.6%); 4. West Virginia (31.3%); 5. Louisiana* (31.2%); 6. Oklahoma*** (30.6%); 7. Kentucky* (30.5%); 8. Arkansas* (30.1%); 9. South Carolina (29.9%); 10. (tie) Michigan(29.4%); and North Carolina*** (29.4%); 12. Missouri* (29.3%); 13. (tie) Ohio (29.0%); and Texas* (29.0%); 15. South Dakota*** (28.5%); 16. Kansas*** (28.2%); 17. (tie) Georgia (28.1%); Indiana* (28.1%); and Pennsylvania*** (28.1%); 20. Delaware(27.9%); 21. North Dakota** (27.7%); 22. Iowa* (27.6%); 23. Nebraska (27.3%); 24. (tie) Alaska (26.9%); and Wisconsin(26.9%); 26. (tie) Illinois* (26.6%); and Maryland (26.6%); 28. Washington*** (26.3%); 29. (tie) Arizona (25.8%); and Maine** (25.8%); 31. Nevada (25.6%); 32. (tie) Minnesota (25.5%); New Mexico*** (25.5%); and Virginia (25.5%); 35. New Hampshire* (25.4%); 36. (tie) Florida** (25.1%); Idaho (25.1%); and New York (25.1%); 39. (tie) Oregon (25.0%); and Wyoming (25.0%); 41.California* (24.4%); 42. New Jersey (23.9%); 43. Montana*** (23.5%); 44. Utah* (23.2%); 45. Rhode Island* (22.9%); 46.Vermont*** (22.8%); 47. Hawaii** (22.6%); 48. Massachusetts* (21.7%); 49. District of Columbia. (21.5%); 50. Connecticut(21.4%); 51. Colorado (19.1%). STATE-BY-STATE ADULT OBESITY RANKINGS FOR BLACKS Note: 1 = Highest rate of adult obesity, 51 = lowest rate of adult obesity. Rankings are based on combining three years of data (2007-2009) from the U.S. Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System to "stabilize" data for comparison purposes. This methodology, recommended by the CDC, compensates for any potential anomalies or usual changes due to the specific sample in any given year in any given state. 1. Wisconsin (44.0%); 2. Mississippi (42.9%); 3. Kentucky (42.6%); 4. Kansas (41.9%); 5. Alabama (41.7%); 6. (tie) Tennessee(41.1%); and North Carolina (41.1%); 8. Ohio (40.9%); 9. Delaware (40.6%); 10. Arkansas (39.8%); 11. South Carolina (39.4%); 12. Louisiana (38.7%); 13. (tie) Missouri (38.4%); Pennsylvania (38.4%); and Oregon (38.4%); 16. Michigan (38.2%); 17.Wyoming (37.9%); 18. Texas (37.6%); 19. Idaho (37.3%); 20. (tie) West Virginia (37.2%); and Maine (37.2%); 22. (tie) California(37.1%); and Oklahoma (37.1%); 24. Nebraska (37.0%); 25. Georgia (36.5%); 26. New Mexico (36.4%); 27. (tie) Florida (36.3%); and Maryland (36.3%); 29. New Jersey (36.1%); 30. Indiana (35.9%); 31. Alaska (35.7%); 32. Illinois (35.5%); 33. (tie)Connecticut (35.4%); and Virginia (35.4%); 35. Utah (34.5%); 36. District of Columbia (34.4%); 37. Iowa (34.1%); 38. Arizona(32.5%); 39. Washington (32.2%); 40. North Dakota (31.3%); 41. Rhode Island (30.8%); 42. New York (30.6%); 43. Hawaii(30.4%); 44. Vermont (30.1%); 45. Massachusetts (29.0%); 46. Minnesota (28.6%); 47. Colorado (28.1%); 48. South Dakota(27.5%); 49. New Hampshire (27.2%); 50. Montana (26.2%); 51. Nevada (25.8%). STATE-BY-STATE ADULT OBESITY RANKINGS FOR LATINOS Note: 1 = Highest rate of adult obesity, 51 = lowest rate of adult obesity. Rankings are based on combining three years of data (2007-2009) from the U.S. Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System to "stabilize" data for comparison purposes. This methodology, recommended by the CDC, compensates for any potential anomalies or usual changes due to the specific sample in any given year in any given state. 1. Tennessee (39.5%); 2. North Dakota (37.4%); 3. (tie) Missouri (34.0%); and Texas (34.0%); 5. (tie) Michigan (33.4%); andArizona (33.4%); 7. Pennsylvania (33.3%); 8. Alabama (33.2%); 9. Kansas (32.8%); 10. (tie) Ohio (32.5%); and Alaska (32.5%); 12. Louisiana (30.8%); 13. New Mexico (30.7%); 14. Illinois (30.6%); 15. Oklahoma (30.4%); 16. Nebraska (30.3%); 17. (tie)Georgia (30.2%); and California (30.2%); 19. Wyoming (30.0%); 20. Washington (29.9%); 21. Arkansas (29.6%); 22. Iowa(29.4%); 23. Virginia (29.2%); 24. Idaho (29.1%); 25. West Virginia (28.5%); 26. (tie) South Carolina (28.4%); and Nevada(28.4%); 28. New York (28.0%); 29. Kentucky (27.9%); 30. Florida (27.8%); 31. Hawaii (27.7%); 32. Massachusetts (27.1%); 33.Rhode Island (27.0%); 34. (tie) Delaware (26.8%); and Indiana (26.8%); 36. (tie) Minnesota (26.4%); New Hampshire (26.4%); and Connecticut (26.4%); 39. South Dakota (26.2%); 40. North Carolina (25.7%); 41. Mississippi (25.6%); 42. New Jersey(25.4%); 43. Wisconsin (24.9%); 44. Colorado (24.5%); 45. Maryland (24.4%); 46. Oregon (23.7%); 47. Utah (23.6%); 48.Montana (23.2%); 49. Maine (21.0%); 50. Vermont (20.8%); 51. District of Columbia (20.6%). Trust for America's Health is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority. www.healthyamericans.org The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation's largest philanthropy devoted exclusively to improving the health and health care of all Americans, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 35 years the Foundation has brought experience, commitment, and a rigorous, balanced approach to the problems that affect the health and health care of those it serves. Helping Americans lead healthier lives and get the care they need—the Foundation expects to make a difference in our lifetime. For more information, visit www.rwjf.org.