Mississippi Fattest in Fat Nation

Aug 29, 05:10 AM

Current Headlines: By Emily Wagster Pettus

JACKSON, Miss. -- Experts say Mississippians need to skip the gravy, say no to the fried pickles and start taking brisk walks to fight an epidemic of obesity.

According to a new study, this Deep South state is the fattest in the nation. The Trust for America's Health, a research group that focuses on disease prevention, says Mississippi is the first state where more than 30 percent of adults are considered obese.

Aside from making Mississippi the butt of late-night talk show jokes, the obesity epidemic has serious implications for public policy.

If current trends hold, the state could face enormous increases in the already significant costs of treating diabetes, heart disease and other ailments caused by the extra poundage.

"We've got a long way to go. We love fried chicken and fried anything and all the grease and fatback we can get in Mississippi," said Democratic state Rep. Steve Holland, chairman of the Public Health Committee.

Colorado continued its reign as the leanest state in the nation with an obesity rate projected at 17.6 percent.

This year's report, for the first time, looked at rates of overweight children ages 10 to 17. The District of Columbia had the highest percentage -- 22.8 percent. Utah had the lowest -- 8.5 percent.

Health officials say the latest state rankings provide evidence that the nation has a public health crisis on its hands.

Unfortunately, we're treating it like a mere inconvenience instead of the emergency that it is," said Dr. James Marks, senior vice president at the Robert Wood Johnson Foundation, a philanthropy devoted to improving health care.

Officials at the Trust for America's Health want the government to play a larger role in preventing obesity. People who are overweight are at an increased risk for diabetes, heart problems and other chronic diseases that contribute to greater health care costs.

"It's one of those issues where everyone believes this is an epidemic, but it's not getting the level of political and policymaker attention that it ought to," said Jeffrey Levi, the organization's executive director. "As every candidate for president talks about health care reform and controlling health care cost costs, if we don't home in on this issue, none of their proposals are going to be affordable."

Poverty and obesity often go hand in hand, doctors say, because poor families stretch their budgets by buying cheaper, processed foods that have higher fat content and lower nutritional value.

Former Arkansas Gov. Mike Huckabee -- a self-described "recovering foodaholic" who lost 110 pounds several years ago -- explained during a Southern Governors' Association meeting in Biloxi last weekend that there are historical reasons poor people often fry their foods: It's an inexpensive way to increase the calories and feed a family.

Mississippi is one of the poorest states in the nation, and the Delta is the poorest region of Mississippi.

Dr. Marshall Bouldin, director of the diabetes and metabolism center at the University of Mississippi Medical Center, told the Southern governors that if the Delta counties were excluded, "Mississippi would wind up being about 30th in diabetes problems in the United States."

Mississippi's public schools already are taking steps to prevent obesity.

A new state law enacted this year requires schools to provide at least 150 minutes of physical activity instruction and 45 minutes of health education instruction each week for students in kindergarten through 8th grade. Until now, gym class had been optional.

Holland, who helps set the state Medicaid budget, said he worries about the taxpayers' cost of treating obesity. "If we don't change our ways," he said, "we're going to be in the funeral parlors ... because we're going to be all fat and dead."

Generally, anyone with a body mass index greater than 30 is considered obese. The index is a ratio that takes into account height and weight. The overweight range is 25 to 29.9. Normal is 18.5 to 24.9. People with a large amount of lean muscle mass, such as athletes, can show a large body mass index without having an unhealthy level of fat.

A lack of exercise is a huge factor in obesity rates. The Centers for Disease Control and Prevention found last year that more than 22 percent of Americans did not engage in any physical activity in the past month.

The percentage is greater than 30 percent in four states: Mississippi, Louisiana, Kentucky and Tennessee.

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How we look

Here is tri-state breakdown of obesity rates and rankings.

State Obesity Rate Ranking

Ky. 27.5 7

Ind. 26.8 9

Ohio 26.0 15

Source: Trust for America's Health

Originally published by Associated Press.

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