See Missouri's Projected Obesity Rank

F as in Fat Report released Tuesday: Where do you think Missouri will rank in adult obesity rates by 2030?

A new, health-related annual report, F As In Fat, released Tuesday contains a study conducted by the National Heart Forum for Trust for America's Health (TFAH) and the Robert Wood Johnson Foundation (RWJF). It shows alarming trends, including for Missouri residents.

See related article:  F as in Fat: Adult Obesity in Missouri Could Reach 61.9% by 2030, Predicts New Study

Researchers calculated projections using a model published in The Lancet in 2011 and data from the Behavioral Risk Factor Surveillance System, which is an annual phone survey conducted by the CDC and state health departments. The data were adjusted for self-reporting bias.

Adults are considered obese if their Body Mass Index (BMI) is 30 or higher.

The District of Columbia (D.C.) is included in the rankings because the CDC provides funds to D.C. to conduct a survey in an equivalent way to the states.

Note: 1 = Highest rate of adult obesity; 51 = lowest rate of adult obesity. 

1. Mississippi (66.7%)

2. Oklahoma (66.4%)

3. Delaware (64.7%)

4. Tennessee (63.4%)

5. South Carolina (62.9%)

6. Alabama (62.6%)

7. Tie—Kansas (62.1%); and Louisiana (62.1%)

9. Missouri (61.9%)

10. Arkansas (60.6%)

11. South Dakota (60.4%)

12. West Virginia (60.2%)

13. Kentucky (60.1%)

14. Ohio (59.8%)

15. Michigan (59.4%)

16. Tie—Arizona (58.8%); and Maryland (58.8%)

18. Florida (58.6%)

19. North Carolina (58.0%)

20. New Hampshire (57.7%)

21. Texas (57.2%)

22. North Dakota (57.1%)

23. Nebraska (56.9%)

24. Pennsylvania (56.7%)

25. Wyoming (56.6%)

26. Wisconsin (56.3%)

27. Indiana (56.0%)

28. Washington (55.5%)

29. Maine (55.2%)

30. Minnesota (54.7%)

31. Iowa (54.4%)

32. New Mexico (54.2%)

33. Rhode Island (53.8%)

34. Illinois (53.7%)

35. Tie—Georgia (53.6%); and Montana (53.6%)

37. Idaho (53.0%)

38. Hawaii (51.8%)

39. New York (50.9%)

40. Virginia (49.7%)

41. Nevada (49.6%)

42. Oregon (48.8%)

43. Massachusetts (48.7%)

44. New Jersey (48.6%)

45. Vermont (47.7%)

46. California (46.6%)

47. Connecticut (46.5%)

48. Utah (46.4%)

49. Alaska (45.6%)

50. Colorado (44.8%)

51. District of Columbia (32.6%).

The full methodology is available in the F as in Fat report.

Elizabeth September 18, 2012 at 04:40 PM
The fastest way to impact the obesity rate would be to make those who are overweight pay out of pocket for their health expenses. Until people are held responsible for their personal choices there is no motivation to change. I, for one, don't feel like I should be punished (soda/sugar bans etc) because someone else refuses to make good choices.
Julie Brown Patton (Editor) September 18, 2012 at 04:51 PM
Elizabeth, that's an interesting notion. Have you given thought to who should/would set the prices for health care costs that would be paid directly by consumers of those health care services? Currently, isn't it the providers (hospitals, physicians, clinics) that dictate what costs, or range of rates, will be? Do all health providers offer "direct pay" options for those who are not using third-party payers (insurance companies, HMOs)?
Elizabeth September 18, 2012 at 05:54 PM
The whole point is moot because it is NEVER going to happen. I would make the same argument about smokers, drinkers, drug abusers, etc. We lost our opportunity to prevent this latest epidemic when we decided that insurance ceased to be "worst case scenario" and started to be "every checkup for every little thing". Our society no longer appreciates the cost of personal choice b/c we associate everything based on our co-pay. None more so than smokers and the obese. As to answer your more direct questions....yes, the providers originally set the price for services, but that is now a convoluted price because NOW you aren't paying the cost for YOUR procedure, instead your are paying for the cost of your procedure PLUS a portion of someone else's because they stiffed the hospital for services rendered. Or you are paying a higher premium in order to cover the loss incurred by a negotiated rate with an insurance company....or even the federal government via medicare / medicaid. As far as direct pay....I've been able to pay for doctor's visits directly when I didn't have insurance. *disclaimer* - I've not been to every provider so I cannot claim that ALL providers would accept cash / check. But again, it is a moot point since it will never happen.
RegalT62 September 18, 2012 at 08:10 PM
I agree that obesity is a problem but it might be something out of the control of the individual. Most overweight people don't want to be - thus the billion dollar diet business. I think that we will find that the issue of obesity is more systemic rather than an issue of personal responsibility. Things like food additives, environmental exposure, urban sprawl and the need to drive, the cutting of recess in elementary school all play a role. Interestingly, poverty plays a role as well, processed foods filled with sugar cost less that healthy, whole foods - not to mention the food deserts that exist in some urban areas. It is a complicated, complicated issue that requires more study to find a solution.
Elizabeth September 18, 2012 at 09:50 PM
RegalT62 - There are plenty of people who are overweight simply because they overeat. Others choose chips and a soda over an apple and a glass of water. It is quite possible to eat healthy on a small budget. The average food stamp alottment for a family of 4 is $115 a week. A family willing to put in a little effort would defiantly be able to eat healthy on that amount of money. A family willing to put in a lot of effort can do it for less. Food additives can be avoided by not eating so much processed food. People know this. We've been teaching how to eat healthy in school for decades. As far as food deserts are concerned, while there may be instances where a community only has one grocery, they do not make up the majority of urban areas. It is possible to walk to a grocery store that is not near you. I've done it. It is not fun, but it doesn't make healthy food impossible to come by. Losing weight isn't easy, but it can be done. It happens all the time. In fact there was just a story on Yahoo of a woman losing 50+ lbs eating at Starbucks. The bottom line is this.....the overwhelming majority of obese people in our country are obese as a result of poor personal choices. Period. We would do well to stop enabling them. It doesn't require more study, it requires common sense. We should be pushing personal responsibility, not excuses.
Lisa Hunt September 19, 2012 at 02:50 AM
I am by doctors standards morbidly obese. I have a debilitating disease called Cushing's disease, and it causes extreme weight gain. I don't look sick and everyday I endure the glances that are thrown my way by closed minded people. Please be aware that many people you see that don't look sick also suffer with this awful disease.
Julie Brown Patton (Editor) September 19, 2012 at 03:03 AM
Lisa Hunt, good reminder that there are many health challenges that lead to automatic weight gain; thank you.
K September 19, 2012 at 11:30 AM
There are a laundry list of medical issues that can cause weight gain. Diseases can do it, a lot of drugs have weight gain as a side effect, etc. Couple that with someone who is unable to exercise because they have bone on bone degenerative joint disease in both knees, or they have Class III congestive heart failure, or they have untreated depression, then you have the makings of obesity that can be very, very hard to control. That said, I understand the points raised above, and a good number of obese people are obese because of poor food choices and complete lack of exercise. Otherwise healthy people with no co-morbid medical conditions, physical limitations, or social/financial challenges should not have a BMI of 35.
Elizabeth September 19, 2012 at 11:54 AM
Lisa - I realize there are people like you who cannot control their weight through no fault of their own (i.e. illness), but you represent only about 1% of the obese population. The majority CAN control it, but our society has made it too easy for them to make excuses or do nothing about it. http://www.tjclarkinc.com/d_genetic_obesity.htm
Bonnie Krueger September 19, 2012 at 12:29 PM
So if I am understanding this article correctly that even the healthiest state will have 1/3 of their population considered obese? That is very alarming and a sad state of affairs for our country that is over-indulged. I wonder how many medical conditions that contribute to their obesity was actually caused by not taking care of their bodies in the first place (as opposed to disease related)? I am sure some of this is the vicious cycle of neglect that turns into life-long injuries or limitations. Very sad
Chuck Hamblin September 19, 2012 at 04:31 PM
Another reason to pick on fat people. I am fat according to my BMI which is totally unrealistic to start with. I am an avid runner (marathons and ultra-marathons). I have never asked anyone else to pay for my medical expenses. I also think the main reason people are obese these days is because of all the highly processed food that is subsidized by our government, making it cheap to manufacture and purchase. If we only purchased whole foods, the obesity problem would decrease! Now, stop picking on the fat people!
RegalT62 September 19, 2012 at 05:50 PM
Elizabeth, I understand your comments. I just think that it is more complicated than calories in and calories out. The truth is that the research is ongoing. Why do some people gain weight eating 1400 calories a day no matter what and others stay very thin eating 2400? The role hormones play in our food and in our weight. The genetics of diabetes type 2 regardless of weight. I did google living on food stamps for a week and just took the first two here. Interesting observations about the experience - one from a professional chef who acknowledges "forget about organic anything" and one from a congressman who gets sick of peanut butter. Interesting reads:http://foodstampchallenge.typepad.com/, http://www.huffingtonpost.com/2012/05/15/mario-batali-food-stamp-challenge_n_1517572.html
Scott Simon September 19, 2012 at 06:13 PM
Well the answer to your question is simple. Obamacare will be setting the price beginning in 2014.
Scott Simon September 19, 2012 at 06:15 PM
Wish you had photos of yourself. I've never seen a fat person run a marathon or ultra-marathon.
Chuck Hamblin September 19, 2012 at 07:02 PM
I am only fat because my BMI says so. I actually weigh 165 but my BMI says I should weigh 144. I run 40 miles a week and I do boot camp workouts 3 days per week, but I am still overweight according to the government. I just think this epicimic is a bit exaggerated by the unrealistic BMI standard.
Scott Simon September 19, 2012 at 07:33 PM
Well Chuck, consider yourself a good example why most polls, studies, surveys today are really a bunch of you-know-what. Most of them have a pre-determined agenda. The government tells you you're fat. Tell the government and this study it's full of unwanted fat - messages that have little relevance, crebility or impact. The "Here's What's Important To You 'Cause We Say So" makes me laugh. I ignore most of their message. So do millions of others.
Stephanie Stemmler September 20, 2012 at 01:38 AM
A lot of times, the problem is access to fresh vegetables and fruit and healthy foods like that. In some impoverished neighborhoods, there are no grocery stores within a decent distance, yet there are fast food places and higher priced small stores with limited shelf items. There are some community efforts that encourage the establishment of community gardens but in these cases, it's not the case that they should just eat healthier--it's that it is much harder than you think to find those healthy alternatives. I do believe our society is a more sedentary society, though, with many preferring to watch tv or go on the computer rather than do physical activity. Healthy eating, portion control (a big problem), and moderate exercise go a long way to keeping weight/bmi under control. I do agree with Chuck that BMI is not an accurate measurement of true obesity, but it's a benchmark to start what obviously is now a lively discussion here and nationwide!
K September 20, 2012 at 02:21 AM
BMI standards are not unreaslistic, however, what everyone needs to understand and remember about BMI calculators is that they only take weight into account, not the kind of weight. Muscle weighs more than fat. If you just look at a BMI calculator, a great majority of professional athletes would be considered obese. It sounds as if your "excess" weight may be mostly muscle.
Carrie E. September 20, 2012 at 03:19 AM
Actually, that is a myth. Muscle does not weigh more than fat. One pound is equal to one pound. However, muscle is more dense, so you can have more muscle mass than fat mass within the same space.
Rich Pope September 20, 2012 at 03:23 AM
Lisa, I'm sorry to hear what you have to go through every day.
K September 20, 2012 at 11:14 AM
You are correct Carrie. I did not explain my point as well as you did.
Carrie E. September 20, 2012 at 03:37 PM
I meant no disrespect. I just didn't want people to misunderstand what you were trying to say. I knew what you meant, but others may not. I hope you were not offended.
Lisa Hunt September 20, 2012 at 06:29 PM
Food for thought. If everyone jumped on the healthy lifestyle bandwagon what would the company/employees of processed foods, alcohol breweries, tobacco industry, truck drivers, fitness industry, plus size clothing manufacturers, fast food industry, etc. be replaced by? How many jobs would be lost? Even through moderate consumption behavior..... jobs would still be lost.
Bonnie Krueger September 20, 2012 at 11:38 PM
Lisa, those jobs would be replaced by companies on the 'healthy' bandwagon--more health food stores, gyms, restaurants. The jobs would be there, but the workers could actually be proud of what side of the fence they are on. :)
santa September 24, 2012 at 07:36 AM
Evidence to support the view that some obese people eat little yet gain weight due to a slow metabolism is limited on average obese people have a greater energy expenditure than their thin counterparts due to the energy required to maintain an increased body mass. Thanks. www.hcg1234.com
Julie Schwartz September 24, 2012 at 02:38 PM
Here's another interesting take on the subject. Causes of overweight and obesity are multi-factoral and in and of itself are not causes of chronic diseases. We jump on any quick fix and are willing to blindly take supplements that do nothing but make manufacturers and sales people rich- a $56 billion industry. When people who are overweight or obese choose to do the basics- exercise daily, eat 7-9 fruits/vegetables each day, drink water, eat at home, etc their risk for chronic disease is the same as a "normal" weight individual. Lots of research on "fit and fat" to substantiate this claim. Unfortunately the majority of Americans don't choose healthy and even the majority of "normal" weight people choose unhealthy behaviors and are getting by with their weight, for now. Think about it, the rise in obesity rates are coming from "normal" weight people gaining. So it's really a bigger picture to get ALL Americans choosing the healthy lifestyle. And the food and restaurant industries have been making strides to improve, they do so more under the radar because consumers don't choose "healthy" for the most part! Sad but true. As a society we throw evil looks and accusations at someone who is overweight/obese choosing an unhealthy behavior and look blindly past someone of normal weight doing the same. Be part of the solution to advocate for environments that are conducive to safe activity-the biggest factor in improving health; and better access to healthy inexpensive food.
Chuck Hamblin September 24, 2012 at 02:47 PM
I find it very intrusive that our government even has studies like this. It is not the government's business how I choose to live. I know a lot of people buy into this notion that Obese people are somehow causing medical expenses to go up for the rest of us but I think that is also false. I think there are far worse things that are raising health care costs than fat people. Drug and alcohol addiction are probably bigger culprits because those people tend to be poor and on government assistance. Like I said before, stop picking on the fat people! It is not OK to discriminate against fat people, call them lazy, accuse them of not paying for their own medical costs. You don't know these people! Stop judging!
bernadette November 09, 2012 at 04:58 PM
Elizabeth, you should lose weight in your "mouth", & gain weight in your "brain". Your post attack & show no intellect at all in my opinion. You attack obese ppl & the direct impact on healthcare as if you personally pay out of pockect ( even .00000000001%) of the overall debt toward obese people's healthcare. Leave it up to people like you, it would be suggested that these fat obese people & their obese children simply line up in the Brooklyn Bridge & JUMP!!!... at least then you'll save a few pennies in the healthcare glorious SaVINGS ACCOUNT!!!???... yep, just rid this economy of expensive welfare obese individuals.... it was funny how you linked " food stamps" to the topic of obese people & healthcare. I guess you & others who feel like you do somehow see yourselves as "good-samaritans".... I doubt it very seriously that you would even bother take time feed a homeless if you could, or educate an obese person on the pros of healthy living/eating.....inall, I would preferably have bias people like you go jump from the Brooklyn bridge while the rest of us agree to HELP each other in this SICK world....our economy suffers from a morbidly obese IGNORANCE epidemic!!!... get educated before you start preaching this garbage


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