Obesity in the United States

From WikiMD's medical encyclopedia

Obesity in the United States is a major health issue resulting in numerous diseases, specifically increased risk of certain types of cancer, coronary artery disease, type 2 diabetes, stroke, as well as significant increases in early mortality and economic costs.

Obesity collage

Obesity and overweight status - USA

Obesity and overweight status are growing health concerns in the United States. The ramifications of these conditions span across various health, social, and economic dimensions. This article provides insights and statistics on the prevalence and implications of overweight and obesity within the U.S.

Adult Obesity in the United States

As of the data collected between 2009-2010, approximately 35.9% of adults aged 20 years and over are classified as obese, according to the Centers for Disease Control. When combining both overweight and obesity categories, this percentage rises to a staggering 69.2% of all adults.

Childhood Obesity in the USA

Childhood obesity has also seen alarming rates. Based on the CDC's 2009-2010 data:

Obesity map
  • 18.4% of adolescents aged 12-19 years are obese.
  • 18% of children aged 6-11 years are obese.
  • 12.1% of young children aged 2-5 years are classified as obese.

The Rise of Obesity: Factors and Implications

Historical dietary guidance, such as the failed food pyramid, has been implicated in the steady rise of obesity rates over the past decades. Presently, up to 70% of the U.S. population is affected by an overweight status or obesity. This has had profound implications both for individuals and society at large, with vast economic and health-related costs.

The Blame Game: Why Victimizing Doesn't Help

It's a common societal reflex to judge or blame individuals for their obese state. However, in many instances, underlying conditions such as insulin resistance play a significant role in weight gain. Assigning blame often overlooks these complex factors.

Rethinking Our Dietary Approach

Shifting focus from individual blame to understanding the complexities of obesity is crucial. A key factor is insulin resistance, impacting up to 71% of the population, with 35% experiencing metabolic syndrome.

Navigating Misinformation

The overwhelming presence of over 20,000 books and mixed messages on obesity medicine calls for guidance from experts like Dr Prab R. Tumpati, MD, who can provide clarity on the science and practice of this field.

The Downfall of the Food Guide Pyramid

The outdated and ineffective food guide pyramid, promoting a low-fat but high-glycemic diet, significantly contributed to increased insulin resistance and, consequently, weight gain.

Insulin resistance and weight gain

Insulin resistance is a physiological condition where the body's cells become less responsive to the hormone insulin. As insulin not only controls the blood sugar, it also controls the weight! Reducing the overall carbohydrate load and insulin levels is a key underlying concept in many low carbohydrate diets such as the ketogenic diet.

The Blame Game in Obesity

Understanding metabolic starvation

Weight gain isn't typically intentional. It often stems from the paradox of metabolic starvation in the obese, driven by insulin resistance and resulting in heightened insulin levels. This leads to persistent hunger, cravings, and further weight gain. Stop blaming the victim for obesity!

Obesity Statistics by State in the United States

A breakdown of obesity rates by state and the District of Columbia provides a more detailed view of the epidemic based on the BRFSS data:

Location Year Topic Question Data value Sample size Age Education Gender Income Race Category Stratification
North Dakota Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 59.2 62 2 or more races Race/Ethnicity 2 or more races
New Jersey Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 51.4 157 Other Race/Ethnicity Other
Wyoming Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 51.4 54 2 or more races Race/Ethnicity 2 or more races
Maine Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 50.3 57 Other Race/Ethnicity Other
Arkansas Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 48.8 58 American Indian/Alaska Native Race/Ethnicity American Indian/Alaska Native
South Dakota Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 48.7 109 2 or more races Race/Ethnicity 2 or more races
Hawaii Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 48.1 85 Non-Hispanic Black Race/Ethnicity Non-Hispanic Black
Missouri Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 47.5 106 American Indian/Alaska Native Race/Ethnicity American Indian/Alaska Native
Nevada Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 45.8 75 Asian Race/Ethnicity Asian
Maine Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 45.1 94 American Indian/Alaska Native Race/Ethnicity American Indian/Alaska Native
Virgin Islands Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 44.1 286 55 Age (years) 55 - 64
Nevada Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 43.8 867 College graduate Education College graduate
Idaho Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 43.7 101 2 or more races Race/Ethnicity 2 or more races
Rhode Island Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 43.7 1610 65 Age (years) 65 or older
California Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 43.4 892 45 Age (years) 45 - 54
Colorado Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 43.3 79 Other Race/Ethnicity Other
California Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 43.2 3169 Male Gender Male
Idaho Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 42.6 65 American Indian/Alaska Native Race/Ethnicity American Indian/Alaska Native
Tennessee Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 42.5 1341 65 Age (years) 65 or older
Michigan Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 42.4 59 American Indian/Alaska Native Race/Ethnicity American Indian/Alaska Native
New Jersey Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 42.4 3427 Male Gender Male
New Jersey Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 42.3 1892 65 Age (years) 65 or older
California Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 42.2 312 Non-Hispanic Black Race/Ethnicity Non-Hispanic Black
Montana Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 42.2 145 2 or more races Race/Ethnicity 2 or more races
Ohio Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 42.2 66 Other Race/Ethnicity Other
Tennessee Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 42.1 785 55 Age (years) 55 - 64
Colorado Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 42 78 American Indian/Alaska Native Race/Ethnicity American Indian/Alaska Native
Connecticut Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.8 3587 Male Gender Male
New Hampshire Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.8 76 2 or more races Race/Ethnicity 2 or more races
New Jersey Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.8 1145 45 Age (years) 45 - 54
Nevada Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.7 431 55 Age (years) 55 - 64
Massachusetts Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.6 100 2 or more races Race/Ethnicity 2 or more races
Rhode Island Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.6 2324 Male Gender Male
Virginia Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.5 52 Other Race/Ethnicity Other
Arizona Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.4 4755 Male Gender Male
Nevada Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.4 287 $75,000 or greater Income $75,000 or greater
Wyoming Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.4 735 55 Age (years) 55 - 64
Illinois Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.3 853 65 Age (years) 65 or older
Nevada Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.3 918 65 Age (years) 65 or older
Puerto Rico Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.2 98 $75,000 or greater Income $75,000 or greater
Wyoming Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.2 1795 Male Gender Male
New Hampshire Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41.1 2815 65 Age (years) 65 or older
California Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41 758 Less than high school Education Less than high school
Nebraska Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41 729 Hispanic Race/Ethnicity Hispanic
Puerto Rico Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 41 1085 65 Age (years) 65 or older
Connecticut Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.9 1255 45 Age (years) 45 - 54
Hawaii Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.8 3443 Male Gender Male
Indiana Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.8 117 Other Race/Ethnicity Other
Puerto Rico Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.8 341 $35,000 - $49,999 Income $35,000 - $49,999
Tennessee Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.8 2065 Male Gender Male
Colorado Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.6 4960 Male Gender Male
Delaware Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.6 1125 65 Age (years) 65 or older
Idaho Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.6 3028 Male Gender Male
Montana Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.6 3046 Male Gender Male
Virgin Islands Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.6 399 65 Age (years) 65 or older
Arizona Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.5 1450 45 Age (years) 45 - 54
Guam Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.5 153 2 or more races Race/Ethnicity 2 or more races
New Hampshire Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.5 2612 Male Gender Male
Oregon Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.5 1415 65 Age (years) 65 or older
Puerto Rico Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.5 225 $50,000 - $74,999 Income $50,000 - $74,999
New York Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.4 658 2 or more races Race/Ethnicity 2 or more races
North Carolina Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.4 136 American Indian/Alaska Native Race/Ethnicity American Indian/Alaska Native
Wisconsin Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.4 63 Asian Race/Ethnicity Asian
Colorado Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.3 2567 65 Age (years) 65 or older
Massachusetts Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.3 680 $75,000 or greater Income $75,000 or greater
Minnesota Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.2 7303 Male Gender Male
Puerto Rico Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.2 1550 Male Gender Male
Tennessee Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.2 1455 Data not reported Income Data not reported
Arizona Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.1 147 Asian Race/Ethnicity Asian
Maryland Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.1 74 American Indian/Alaska Native Race/Ethnicity American Indian/Alaska Native
New York Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.1 16157 Male Gender Male
Virgin Islands Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40.1 398 Data not reported Income Data not reported
Delaware Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40 1506 Male Gender Male
Guam Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40 184 $25,000 - $34,999 Income $25,000 - $34,999
Illinois Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40 307 $35,000 - $49,999 Income $35,000 - $49,999
Wisconsin Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40 2680 Male Gender Male
Wyoming Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 40 519 $75,000 or greater Income $75,000 or greater
Arizona Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.9 1434 $50,000 - $74,999 Income $50,000 - $74,999
Rhode Island Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.9 2410 College graduate Education College graduate
Colorado Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.8 1543 55 Age (years) 55 - 64
New Jersey Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.8 1363 Hispanic Race/Ethnicity Hispanic
Oregon Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.8 491 $25,000 - $34,999 Income $25,000 - $34,999
South Carolina Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.8 4133 Male Gender Male
Alaska Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.7 82 Non-Hispanic Black Race/Ethnicity Non-Hispanic Black
Kansas Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.7 7848 Male Gender Male
Kentucky Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.7 1531 College graduate Education College graduate
Nebraska Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.7 6474 Male Gender Male
New Jersey Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.7 1230 55 Age (years) 55 - 64
Puerto Rico Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.7 435 $25,000 - $34,999 Income $25,000 - $34,999
California Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.6 1930 Hispanic Race/Ethnicity Hispanic
Hawaii Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.6 1321 55 Age (years) 55 - 64
Louisiana Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.6 453 $75,000 or greater Income $75,000 or greater
South Carolina Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.6 925 $75,000 or greater Income $75,000 or greater
Maryland Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.5 826 Hispanic Race/Ethnicity Hispanic
Tennessee Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.5 449 $15,000 - $24,999 Income $15,000 - $24,999
Virgin Islands Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.5 192 $35,000 - $49,999 Income $35,000 - $49,999
Wyoming Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.5 468 $25,000 - $34,999 Income $25,000 - $34,999
Alabama Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.4 1641 65 Age (years) 65 or older
Kansas Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.4 5489 65 Age (years) 65 or older
Mississippi Obesity / Weight Status Percent of adults aged 18 years and older who have an overweight classification 39.4 1541 65 Age (years) 65 or older

More...

See Also

Metabolic syndrome


WikiMD's Obesity Rates (US)

Obesity is a prevalent, severe, and expensive chronic condition affecting both adults and children. Check the Obesity rates in the United States by country

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Proven Treatment Options for Obesity

Addressing the obesity epidemic requires a multifaceted approach, from lifestyle changes to medical interventions. Continued research and public health initiatives are essential in reversing these trends and ensuring a healthier future for all U.S. residents.

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Contributors: Prab R. Tumpati, MD