WASHINGTON — Mississippi's still king of cellulite, but an ominous tide is rolling toward the Medicare doctors in neighboring Alabama: obese baby boomers.
It's time for the nation's annual obesity rankings and, outside of fairly lean Colorado, there's little good news. In 31 states, more than one in four adults are obese, says a new report from the Trust for America's Health and the Robert Wood Johnson Foundation.
And obesity rates among adults rose in 23 states over the past year, and no state experienced a significant decline.
"The obesity epidemic clearly goes beyond being an individual problem," said Jeff Levi, executive director of the Trust, a nonprofit public health group.
It's a national crisis that "calls for a national strategy to combat obesity," added Robert Wood Johnson vice president Dr. James Marks. "The crest of the wave of obesity is still to crash."
While the nation has long been bracing for a surge in Medicare as the boomers start turning 65, the new report makes clear that fat, not just age, will fuel much of those bills. In every state, the rate of obesity is higher among 55- to 64-year-olds — the oldest boomers — than among today's 65-and-beyond.
The report provides one of the first in-depth looks at obese boomers, and its implications are sobering. This first wave of aging boomers will mean a jump of obese Medicare patients that ranges from 5.2 percent in New York to a high of 16.3 percent in Alabama, the report concluded. In Alabama, nearly 39 percent of the oldest boomers are obese.
Health economists once made the harsh financial calculation that the obese would save money by dying sooner. But more recent research instead suggests that better treatments are keeping them alive nearly as long — but they're much sicker for longer, requiring such costly interventions as knee replacements and diabetes care and dialysis. Medicare spends anywhere from $1,400 to $6,000 more annually on health care for an obese senior than for the non-obese, Levi said.
"There isn't a magic bullet. We don't have a pill for it," said Levi. "It's not going to be solved in the doctor's office but in the community, where we change norms."
His group is pushing for health reform legislation to include community-level programs that help people make healthier choices — like building sidewalks so people can walk their neighborhoods instead of drive, and providing healthier school lunches to help fight the childhood obesity that turns into adult obesity. The pending House and Senate bills address obesity in different ways; one provision would particularly target baby boomers.
Many states have begun programs to try to tackle obesity, and there are hints of improvements, Marks said.
"We're still getting fatter, but maybe a little more slowly than before," he said: Last year's report found obesity rates rising in 37 states compared with 23 this time around.
He's encouraged that 19 states have implemented nutritional standards for school meals that are stricter than the federal government's; in 2004, just four states did. Some are requiring nutritional information for restaurant food, he added.
States "recognize the solutions will lie outside traditional medical care," Marks said.
The Centers for Disease Control and Prevention has long said that nearly a third of Americans are obese. The Trust report uses somewhat more conservative CDC surveys for a closer state-by-state look. Among the findings:
_Mississippi had the highest rate of adult obesity, 32.5 percent, for the fifth year in a row.
_Three additional states now have adult obesity rates above 30 percent, including Alabama, 31.2 percent; West Virginia, 31.1 percent; and Tennessee, 30.2 percent.
_In 1991, no state had more than a 20 percent obesity rate. Today, the only state that doesn't is Colorado, at 18.9 percent.
_The South is the fattest region. The Northeast and West are slightly slimmer than the rest of the country.
_Mississippi also had the highest rate of overweight and obese children, at 44.4 percent in total. It's followed by Arkansas, 37.5 percent; and Georgia, 37.3 percent.
_Following Alabama, Michigan ranks No. 2 with fat boomers; 36 percent of its 55- to 64-year-olds are obese. Colorado has the lowest rate, 21.8 percent.
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On the Net:
Trust for America's Health: http://healthyamericans.org/
Robert Wood Johnson Foundation: http://www.rwjf.org/
Is anyone looking at the root cause of this obesity? For one, the cheapest food for these people in these economically depressed areas of the country are starches, macaroni, ramon noodles and MacDonalds all of which is loaded full of perservatives and chemicals. These food companies are now targeting the poor to unload their crap. I live in northern California and have noticed the difference between the poor and the weathy and the quality of food they have access to. Con Agra, ADM and Cargill are the largest private corporations in the country, yet they produce the majority of the low grade food these poor people eat. We need to reverse the 40 year trend of factory farming in this country and start to enforce the anti-trust laws that have driven out the small farmer globally. We need small organic food producers that provide us with high quality pesticide free food.
How many people with limited economic means can eat healthy? If you have a family of four, in order to eat heatlhy- fruits and vegetables (organic) there is not one refridgerator that can accomodate 3-4 servings of fresh fruits and vegetables which will perish in a couple of days.
Exercise is another issue. Where is it safe enough in these poor neighborhoods to go exercise? And its too humid/cold to want to exercise in these areas. (Alabama/Michigan) If the Federal government is serious about health then they need to get their preventive incentives to work. Health care spending accounts should cover gym memberships or reduced memberships. They need to cover diet aids (fat blockers) and other weight-reduction methods plus cover anti-smoking medications. Access to more healthy resturant chains would also help.
People eat because they are economically depressed and because they are fat they are depressed which leads to more over-eating of comfort foods (starches/carbos). They need help and the government and the entrepreneurs of this country need to address this problem. EPA needs to come down on Monsanto (pesticides) and other food manufacturing companies to clean up their act .
If you have a backyard plant a garden. It will save you money and provide the exercise you need and is a great stress reliever. We are all crammed in these cities living like a bunch of rats. With technology there is not reasons why we have to live like this when we could re-populate the middle of the country , provide tech/green jobs and have a big enough yard to grow food and have kids a safe place to run around .
For one, the cheapest food for these people in these economically depressed areas of the country are starches, macaroni, ramon noodles and MacDonalds
There is some merit to what you say but no one is forcing anyone to eat that stuff.
When I was a kid, we were very poor, and very much underweight. Our diet was mainly beans and potatoes with some government cheese and peanut butter thrown in. Once a month, we would get a big block of cheese, a can of peanut butter with the oil sitting on top and some powered eggs. A spaghetti dinner was a real treat and the first time I went out for a hamburger was the day I started working in a hamburger joint.
Beans are cheap, about 95 cents a pound and have all the protein a person needs. Raw veggies also cost less than taking a family out to Micky Dees.
It would be cheap to eat this stuff all the time, but, it is worth the effort to pay a bit extra for healthy food.
Teach people how to shop for healthier foods and how to prepare such foods. Once that has been established, then you start on exercise. If you try both at once, people will give up.
I love potatoes, but I don't eat them often because I can't. I have to keep my blood sugar levels in a strict range and potatoes, along with most cereals, even the "healthy" ones make blood sugar spike, which in turn causes an insulin burst, which leads to more hunger.
It is not easy in our society for me to find the foods I can eat while maintaining the proper sugar levels. Vegetables and fruits can be made unhealthy. Putting a piece of fruit on a huge piece of cake doesn't make it healthy. Fruit juice is the worst - the amount of sugar is astounding.
Additionally, it isn't just "sweets" that are causing obesity. It is the portion sizes people think are okay. Go to any restaurant and look at a portion of pasta or rice. Generally, it is 4 to 5 times larger than a portion. With that comes calories, and carbohydrates, and generally, fat.
Bottom line is - moderate your diet. Even if it is high in carbs, if you moderate and eat at the proper times, which includes breakfast, then you will be better off.
love potatoes, but I don't eat them often because I can't. I have to keep my blood sugar levels
I don't eat them anymore for the same reason. I've found that if it is white, don't eat it.
White isn't bad in moderation. But I do prefer wheat pasta.
Jackie, I like the idea of helping to get access to gyms. Yes, people can work out in their homes or go for walks as well - if a person is truly motivated they'll likely find a way - but gym membership is expensive.
The cheapest, easiest, quickest stuff to eat is the worst for you. I think time is a major factor for people these days. They come home from work at the end of the day and don't want to start messing around in the kitchen. It's worth it for their health, I understand, but I can also see how it happens to people. I agree that people need to be taught how to shop for themselves but they also need to learn how to plan ahead and get whatever they can prepared ahead of time to help make healthy meals for themselves with less fuss and time involved.
The one thing I hope doesn't happen is taking away people's right to choose. Not everyone is obese and not everyone is constantly eating healthy. If a person wants a treat then that's their choice. I hope the government doesn't get into the business of regulating foods to the tiniest detail or banning certain foods completely or starting up an expensive bad food tax.
Before spending tens of billions to prevent/manage everyone with and without obesity through community "sidewalk" programs, doesn't it make more sense to address the specific groups who are obese? say, African Americans, Hispanics, and rural white women? One way to begin managing specific groups with obesity is addressing the cultural issues involved: the cultural permissive attitudes towards obesity; the deliberate food choices, I mean going out of you way to eat fatty food and lots of it, with real life examples of consequences; parenting classes for all who give birth to reduce the number of obese infants, to reduce the number of obese toddlers, to reduce the number of obese children who become obese adolescents who become obese adults; and finally, and most importantly, address the considerable burden that emotional depression plays in causing the behaviors that lead to overfeeding infants and oneself. The depressed emotion and
"thats for them not me" attitudes lead to obesity and are not the result of obesity.
specific groups who are obese? say, African Americans, Hispanics, and rural white women?
And Rush Limbaugh. Perhaps Karl Rove too.
. The depressed emotion and
"thats for them not me" attitudes lead to obesity and are not the result of obesity.
And your medical degree is from....?
I was wondering about the medical degree also Kim.....
Obesity affects all, not just the groups mentioned.
Just looking at the map without looking into the details.
You notice the more fatter states are the Red States aka states known for voting Republican.
BTW, you can still eat healthier, it called eating less.
Instead of drinking 32 oz or 64 oz of Cola, about about drinking 12 oz of OJ or Apple Juice.
Eating few serving of fruits verus a box of Fruit Loops
If you eat average share of smaller portions cost as must as a big box of unhealth processed food with High Fructose Corn Syrup.
I'd hate to tell you but orange juice and apple juice are just about as bad. Compare the amount of sugar in both. Most, not all, juices are infused with more sugar to make it taste better.
Also, compare lite dressing versus regular and you will find the amount of sugar in the lite is about double. If you stick with regular, just use less.
You want to curb obesity. Simple: turn off the TV, IPOD, Wii, Xbox, Computer, etc. and break out the bat and baseball, basketball, empty can (for kick the can) full ones really make a mess, walk the dog, go for a jog, etc.
Like some of you, our family lived on pasta and potatoes because it was cheap. And I still do (need the carbs). But we also burned all those calaries and then some by lunch time. Of course we didn't have IPODS, video games or computers either.
We as parents are failing our kids by not kicking them out the door at 7am. We sit in front of the TV and eat like pigs and wonder where they get the behavior from. I am just as guilty of this too.
We, as a nation, have gotten comfortable and lazy. I am constantly amazed how few young people are jogging in parks, active in sports, etc. these days. I see more 40+ joggers than under 30 every day.
I am very curious what those who are actually obese think about all this.
If you want to know something about this issue, then I suggest you inform yourselves. I suggest Google or Yahoo and try "obesity, gender, age, and race." See what you you come up with. I am informed and I am qualified. There are no simple answers. And the data, when presented as I have, is not politically "correct" but it is accurate. Unless and until we address issues directly as I have above, then this complex problem will not address the needs of people who are obese, who are making their children obese, and delay focusing limited resources on solutions. For those with an agenda to bad mouth fast food restaurants and their menus such as imposed calorie counts on menus, or wish to berate people who eat red meat, etc., you I say are truly clueless as to the substance of the issues and, when interjecting your biases, you are distracting others from informing themselves with information that is known, and not speculated upon.
First What specifically makes you so informed and qualified?
and Second, we all have inherent bias, including you.
I'm from Abalama and am so skinny it hurts to sit down....so there.....
No one here has read "Food Politics" have they. I grew up on a farm that never made a dime because it giving all the profits made to Monsanto for pesticides to grow cheap food for ADM and Cargill who by the way along with the commodities market which hoses the farmer even more because farmers assume all the risk for the product and DO NOT GET TO SET THE PRICE for their product...what business does not get to set the price of their product? This is totally insane. So my father and brother detoxed their soil, fed and animals and have gone organic NOT NATURAL which is not organic . You have to qualify for a seal and meet strict regulations so consumers get it through your head natural is not organic....The are making money in organics by by-passing the commodities market all together.....I know about food, I have grown it....I know the biochemistry of food... What you don't know is how the genetic makeup of a person will process that food therefore in the future, specific diets will be prescribed based on your genetics....Not every diet will give you the same results in every person...then they need to have obesity chart based on genetic make group. My daughter is 160 lbs 5 foot 9 inches is not fat but has denser bones- she is biracial...so a more in depth studies on how food affects different genetic pools is needed.
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