The obesity epidemic in America has gotten worse in the last year, despite the many public service campaigns promoting physical activity and warning about the health risks posed by being overweight, according to a new study.



According to an annual report released this week by nonprofit Trust for America’s Health and the Robert Wood Johnson Foundation, over the past year adult obesity rates increased in thirty-seven states, while there were no decreases in any states.

The survey, “F as in Fat: How Obesity Policies Are Failing in America, 2008,” showed that there’s a growing obesity epidemic in the U.S. They found that today more than 20 percent of adults are obese in every state except Colorado, where the number is 18.4 percent. More than 25 percent of adults are obese in twenty-eight states, up from nineteen states last year. In 1991, no state had an obesity rate above 20 percent.



The five fattest states and their obesity rates are:

• Mississippi (31.7 percent)
• West Virginia (30.6 percent)
• Alabama (30.1 percent)
• Louisiana (29.5 percent)
• South Carolina (29.2 percent)

The five slimmest states and their obesity rates are:

• Colorado (18.4 percent)
• Hawaii (20.7 percent)
• Connecticut (20.8 percent)
• Massachusetts (20.9 percent)
• Vermont (21.1 percent)

Perhaps as a consequence of America’s widening waistlines, another disturbing trend emerged: an increase was found in the percentage of adults with Type-2 diabetes, a weight-related disease. The survey found higher incidence of diabetes in twenty-six states. Diabetes has been linked to a variety of health problems including coronary heart disease, stroke, cancer, and pregnancy complications, according to the U.S. National Institutes of Health.



The two foundations also reviewed state and federal policies aimed at reducing obesity in children and adults. They found that while all fifty states have some sort of law addressing the issue of obesity on the books, only thirteen states back up these regulations with enforcement policies.



For example, Georgia and Vermont were the only two states with specific guidelines for treating obese adults in their Medicaid programs. The report also notes that twenty states do not cover nutritional assessments for obese adults under Medicaid. In Nebraska and South Carolina, the Medicaid programs specifically state that obesity is not a disease and treatment cannot be covered.