Obesity Trends Among U.S.

Adults Between 1985 and 2010

Definitions: Obesity: Body Mass Index (BMI) of 30 or higher. Body Mass Index (BMI): A measure of an adults weight in relation to his or her height, specifically the adults weight in kilograms divided by the square of his or her height in meters.

Source of the data: The data shown in these maps were collected through CDCs Behavioral Risk Factor Surveillance System (BRFSS). Each year, state health departments use standard procedures to collect data through a series of telephone interviews with U.S. adults. Height and weight data are self-reported. Prevalence estimates generated for the maps may vary slightly from those generated for the states by BRFSS (http://aps.nccd.cdc.gov/brfss) as slightly different analytic methods are used.

Obesity Trends Among U.S. Adults

In 1990, among states participating in the Behavioral Risk Factor Surveillance System, 10 states had a prevalence of obesity less than 10% and no states had prevalence equal to or greater than 15%. By 2000, no state had a prevalence of obesity less than 10%, 23 states had a prevalence between 2024%, and no state had prevalence equal to or greater than 25%. In 2010, no state had a prevalence of obesity less than 20%. Thirty-six states had a prevalence equal to or greater than 25%; 12 of these states (Alabama, Arkansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Oklahoma, South Carolina, Tennessee, Texas, and West Virginia) had a prevalence equal to or greater than 30%.

Citations
Mokdad AH, et al. The spread of the obesity epidemic in the United States, 19911998. JAMA 1999;282:16:151922. Mokdad AH, et al. The continuing epidemics of obesity and diabetes in the United States. JAMA 2001;286:10:151922. Mokdad AH, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 2003;289:1:76 9.

CDC. State-specific prevalence of obesity among adults United States, 2005. MMWR 2006;55(36):9858.
CDC. State-specific prevalence of obesity among adults United States, 2007. MMWR 2008;57(28):7658. CDC. Vital signs: State-specific prevalence of obesity among adults United States, 2009. MMWR 2010;59:15.

Obesity Trends* Among U.S. Adults; BRFSS, 1985

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or equal to No Data Less than 10% 10%-14% 15%-19% 20% Alabama Arizona Georgia Alaska Arkansas Colorado Delaware Hawaii Iowa Kansas Louisiana Maine Maryland Massachusetts Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico Oklahoma Oregon Pennsylvania South Dakota Texas Vermont Virginia Washington Wyoming Source: BRFSS, CDC. California Connecticut Florida Idaho Illinois Minnesota Montana New York North Carolina Rhode Island Tennessee Utah Indiana Kentucky North Dakota Ohio South Carolina West Virginia Wisconsin

Obesity Trends* Among U.S. Adults; BRFSS, 1986

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or equal No Data Less than 10% 10%-14% 15%-19% to 20% Alaska Alabama Indiana Arkansas Connecticut Colorado Delaware Hawaii Iowa Kansas Louisiana Maine Maryland Michigan Mississippi Missouri Nebraska Nevada New Jersey New Mexico Oklahoma Oregon Pennsylvania South Dakota Texas Source: BRFSS, CDC. Arizona California Florida Georgia Hawaii Idaho Illinois Massachusetts Minnesota Missouri Montana New Mexico New York Ohio Rhode Island Utah Kentucky North Carolina North Dakota South Carolina West Virginia Wisconsin

New Hampshire Tennessee

Obesity Trends* Among U.S. Adults; BRFSS, 1987

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or equal No Data Less than 10% 10%-14% 15%-19% to 20% Alaska Arizona Alabama Arkansas Colorado Connecticut Delaware Iowa Kansas Louisiana Michigan Mississippi Nevada New Jersey Oklahoma Oregon Pennsylvania Vermont Virginia Wyoming Source: BRFSS, CDC. California Florida Hawaii Idaho Massachusetts Minnesota Montana Nebraska New Hampshire New Mexico New York Rhode Island South Carolina Utah Washington Georgia Illinois Indiana Kentucky Maine Maryland Missouri North Carolina North Dakota Ohio South Dakota Tennessee Texas West Virginia Wisconsin

Obesity Trends* Among U.S. Adults; BRFSS, 1988

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or equal No Data Less than 10% 10%-14% 15%-19% to 20% Alaska Connecticut Alabama Arkansas Colorado Delaware Kansas Louisiana Mississippi Nevada New Jersey Oregon Pennsylvania Vermont Virginia Wyoming Georgia Hawaii Idaho Minnesota Montana Nebraska New Hampshire New Mexico New York North Dakota Oklahoma Rhode Island Tennessee Texas Utah Washington Arizona California Florida Illinois Indiana Iowa Kentucky Maine Maryland Massachusetts Michigan Missouri North Carolina Ohio South Carolina South Dakota West Virginia Wisconsin Source: BRFSS, CDC.

Obesity Trends* Among U.S. Adults; BRFSS, 1989

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or No Data Less than 10% 10%-14% 15%-19% equal to 20% Alaska Alabama Illinois Arkansas Colorado Delaware Kansas Louisiana Mississippi Nevada New Jersey Vermont Wyoming Arizona California Connecticut Florida Georgia Hawaii Idaho Maine Maryland Massachusetts Montana New Hampshire New Mexico New York Rhode Island South Dakota Utah Indiana Iowa Kentucky Michigan Minnesota Missouri Nebraska North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania South Carolina Tennessee Texas Virginia Washington West Virginia Wisconsin Source: BRFSS, CDC.

Obesity Trends* Among U.S. Adults; BRFSS, 1990

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or No Data Less than 10% 10%-14% 15%-19% equal to 20% Alaska California Alabama Arkansas Kansas New Jersey Nevada Wyoming Colorado Massachusetts Minnesota Montana New Mexico New York Utah Virginia Washington Arizona Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kentucky Louisiana Maine Maryland Michigan Mississippi Missouri Nebraska New Hampshire North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Vermont Wisconsin West Virginia Source: BRFSS, CDC.

Obesity Trends* Among U.S. Adults; BRFSS, 1991

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or equal No Data Less than 10% 10%-14% 15%-19% to 20% Kansas Colorado Alabama Louisiana Nevada Wyoming Georgia Massachusetts Montana New Jersey New Mexico Rhode Island Utah Washington Alaska Arizona Arkansas California Connecticut Delaware Florida Hawaii Illinois Indiana Iowa Idaho Kentucky Maryland Maine Missouri Minnesota Nebraska New Hampshire New York North Carolina North Dakota Oklahoma Ohio Oregon Pennsylvania South Carolina South Dakota Tennessee Texas Vermont Virginia Wisconsin Source: Mokdad AH, et al. JAMA 1999;282:16. Michigan Mississippi West Virginia

Obesity Trends* Among U.S. Adults; BRFSS, 1992

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or equal No Data Less than 10% 10%-14% 15%-19% to 20% Arkansas Arizona Alabama Kentucky Wyoming Colorado Alaska Louisiana Hawaii California Michigan New Jersey Connecticut Mississippi Washington Delaware West Virginia Florida Wisconsin Georgia Idaho Illinois Indiana Iowa Kansas Montana Maine Maryland Massachusetts Minnesota Missouri Nebraska Nevada New Hampshire New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Source: BRFSS, CDC.

Obesity Trends* Among U.S. Adults; BRFSS, 1993

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or equal No Data Less than 10% 10%-14% 15%-19% to 20% Wyoming Massachusetts Alabama Arkansas New Jersey Alaska Indiana Arizona Kentucky California Louisiana Colorado Michigan Connecticut Mississippi Delaware North Carolina Florida Pennsylvania Georgia South Carolina Hawaii Tennessee Idaho West Virginia Illinois Wisconsin Iowa Kansas Maryland Maine Minnesota Missouri Montana Nebraska Nevada New Hampshire New Mexico New York North Dakota Oklahoma Ohio Oregon Rhode Island South Dakota Texas Utah Vermont Virginia Washington Source: Mokdad AH, et al. JAMA 1999;282:16.

Obesity Trends* Among U.S. Adults; BRFSS, 1994

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Less than Greater than or equal No Data 10%-14% 15%-19% 10% to 20% Rhode Island Alaska Alabama Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Iowa Kansas Maine Massachusetts Maryland Minnesota Montana Nebraska Nevada New Jersey New Hampshire New York New Mexico North Dakota Oklahoma Oregon South Dakota Tennessee Utah Vermont Virginia Washington Wyoming Source: BRFSS, CDC. Arkansas Illinois Indiana Kentucky Louisiana Michigan Mississippi Missouri North Carolina Ohio Pennsylvania South Carolina Texas West Virginia Wisconsin

Obesity Trends* Among U.S. Adults; BRFSS, 1995

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or equal No Data Less than 10% 10%-14% 15%-19% to 20% Arizona Alabama California Colorado Connecticut Georgia Hawaii Idaho Maine Massachusetts Montana Nevada New Jersey New Mexico New York Oklahoma Oregon Rhode Island South Dakota Utah Vermont Washington Wyoming Alaska Arkansas Delaware Florida Illinois Indiana Iowa Kansas Kentucky Louisiana Michigan Minnesota Mississippi Missouri North Carolina North Dakota Nebraska Ohio Pennsylvania South Carolina Tennessee Texas West Virginia Virginia Wisconsin Source: Mokdad AH, et al. JAMA 1999;282:16.

New Hampshire Maryland

Obesity Trends* Among U.S. Adults; BRFSS, 1996

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or equal No Data Less than 10% 10%-14% 15%-19% to 20% Arizona Alabama California Colorado Connecticut Georgia Hawaii Kansas Massachusetts Montana Minnesota New Mexico New Jersey New Hampshire New York Rhode Island South Dakota Utah Vermont Washington Wyoming Alaska Arkansas Delaware Florida Idaho Illinois Indiana Iowa Kentucky Louisiana Maine Maryland Michigan Mississippi Missouri Nebraska Nevada North Carolina North Dakota Oklahoma Ohio Oregon Pennsylvania South Carolina Texas Tennessee Virginia West Virginia Wisconsin Source: BRFSS, CDC.

Obesity Trends* Among U.S. Adults; BRFSS, 1997

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or equal No Data Less than 10% 10%-14% 15%-19% to 20% Arizona Alabama Indiana Colorado Connecticut Georgia Kansas Massachusetts Montana Nevada New Hampshire New Mexico Oklahoma Rhode Island Utah Washington Wyoming Alaska Arkansas California Delaware Florida Hawaii Idaho Illinois Iowa Louisiana Maine Maryland Michigan Minnesota Missouri Nebraska New Jersey New York North Carolina North Dakota Ohio Oregon Pennsylvania South Carolina South Dakota Tennessee Texas Vermont Virginia West Virginia Wisconsin Source: BRFSS, CDC. Kentucky Mississippi

Obesity Trends* Among U.S. Adults; BRFSS, 1998

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or equal No Data Less than 10% 10%-14% 15%-19% to 20% Arizona Arkansas Alabama Colorado Connecticut Massachusetts Montana Nevada New Hampshire New Mexico Vermont Wyoming California Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Maine Maryland Minnesota Missouri Nebraska New Jersey New York North Carolina North Dakota Oklahoma Ohio Oregon Pennsylvania Rhode Island South Dakota Tennessee Texas Utah Virginia Washington Wisconsin Source: Mokdad AH, et al. JAMA 1999;282:16. Alaska Louisiana Michigan Mississippi South Carolina West Virginia

Obesity Trends* Among U.S. Adults; BRFSS, 1999

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than or No Data Less than 10% 10%-14% 15%-19% equal to 20% Arizona Alaska Alabama Colorado Connecticut Massachusetts Montana California Delaware Florida Hawaii Indiana Kansas Maine Maryland Minnesota New Jersey New Mexico New York Nevada Ohio Oregon Pennsylvania Rhode Island South Dakota Utah Vermont Virginia Washington Wisconsin Wyoming Source: BRFSS, CDC. Arkansas Georgia Illinois Iowa Kentucky Louisiana Michigan Mississippi Missouri Nebraska North Carolina North Dakota Oklahoma South Carolina Tennessee Texas West Virginia

New Hampshire Idaho

Obesity Trends* Among U.S. Adults; BRFSS, 2000

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) No Greater than or Less than 10% 10%-14% 15%-19% Data equal to 20% Colorado Arizona Alabama California Connecticut Delaware Florida Hawaii Idaho Maine Maryland Massachusetts Minnesota Montana Nevada New Hampshire New Jersey New Mexico New York North Dakota Oklahoma Rhode Island South Dakota Utah Vermont Virginia Washington Wisconsin Wyoming Source: Mokdad A H, et al. JAMA 2001;286:10 Alaska Arkansas Georgia Illinois Indiana Iowa Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska North Carolina Ohio Oregon Pennsylvania South Carolina Tennessee Texas West Virginia

Obesity Trends* Among U.S. Adults; BRFSS, 2001

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) No Data Less than 10% 10%-14% 15%-19% 20%-24% Greater than 25% Colorado Arizona Connecticut Florida Hawaii Maine Maryland Massachusetts Minnesota Montana Nevada Alabama Alaska Arkansas California Delaware District of Columbia Georgia Idaho Illinois Indiana Mississippi

New Hampshire Iowa New Jersey New Mexico New York North Dakota Rhode Island Utah Vermont Washington Wyoming Kansas Kentucky Louisiana Michigan Missouri Nebraska North Carolina Ohio Oklahoma Oregon Pennsylvania South Carolina South Dakota Tennessee Texas Virginia West Virginia Wisconsin Source: Mokdad A H, et al. JAMA 2001;286:10

Obesity Trends* Among U.S. Adults; BRFSS, 2002

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) No Data Less than 10% 10%-14% 15%-19% 20%-24% Greater than 25% Arizona California Colorado Connecticut Florida Hawaii Idaho Maryland Montana New Hampshire New Jersey New Mexico Oregon Rhode Island Utah Vermont Wyoming Alaska Arkansas Delaware Georgia Illinois Indiana Iowa Kansas Louisiana Maine Maine Michigan Minnesota Missouri Nevada New York North Carolina North Dakota Ohio Oklahoma Pennsylvania South Carolina South Dakota Tennessee Texas Virginia Washington Wisconsin Source: BRFSS, CDC. Alabama Mississippi West Virginia

Massachusetts Kentucky

Obesity Trends* Among U.S. Adults; BRFSS, 2003

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) No Data Less than 10% 10%-14% 15%-19% 20%-24% Greater than 25% Arizona Colorado Connecticut Florida Hawaii Maine Montana New Hampshire New Jersey New Mexico Rhode Island Utah Vermont Wyoming Alaska Arkansas California Delaware Georgia Idaho Iowa Kansas Kentucky Louisiana Maryland Michigan Minnesota Missouri Nebraska Nevada New York North Carolina North Dakota Ohio Oklahoma Pennsylvania Oregon South Carolina South Dakota Tennessee Texas Virginia Washington Wisconsin Source: BRFSS, CDC. Alabama Indiana Mississippi West Virginia

Massachusetts Illinois

Obesity Trends* Among U.S. Adults; BRFSS, 2004

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Greater than No Less than 10%-14% 15%-19% 20%-24% or equal to Data 10% 25% Colorado Alaska Alabama Hawaii Connecticut Montana Rhode Island Utah Vermont Arizona Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Maine Maryland Minnesota Missouri Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania South Carolina South Dakota Virginia Washington Wisconsin Wyoming Source: BRFSS, CDC. Arkansas Kentucky Louisiana Michigan Mississippi Tennessee Texas West Virginia Massachusetts California

Obesity Trends* Among U.S. Adults; BRFSS, 2005

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Less than No Data 10% 10%-14% 15%-19% Colorado Connecticut Hawaii Vermont 20%-24% Arizona California Delaware Florida Idaho Illinois Iowa Kansas Maine Maryland Massachusetts Minnesota Montana Nevada New Hampshire New Jersey New Mexico New York North Dakota Ohio Oregon Pennsylvania Rhode Island South Dakota Utah Virginia Washington Wisconsin Wyoming Source: MMWR 2006; 55 (36): 985-988. 25%-29% Alabama Alaska Arkansas Georgia Indiana Kentucky Michigan Missouri Nebraska North Carolina Oklahoma South Carolina Tennessee Texas Greater than or equal to 30% Louisiana Mississippi West Virginia

Obesity Trends* Among U.S. Adults; BRFSS, 2006

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) No Data Less than 10%-14% 10% 15%-19% Colorado Connecticut Hawaii Massachusetts 20%-24% Arizona California Florida Idaho Illinois Maine Maryland Minnesota Montana Nevada New Hampshire New Jersey New Mexico New York North Dakota Oregon Pennsylvania Rhode Island South Dakota Utah Vermont Virginia Washington Washington D.C. Wyoming Source: BRFSS, CDC. 25%-29% Alabama Alaska Arkansas Delaware Georgia Indiana Iowa Kansas Kentucky Louisiana Michigan Missouri Nebraska North Carolina Ohio Oklahoma South Carolina Tennessee Texas Wisconsin Greater than or equal to 30% Mississippi West Virginia

Obesity Trends* Among U.S. Adults; BRFSS, 2007

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Less than No Data 10%-14% 10% 15%-19% Colorado 20%-24% California Connecticut Florida Hawaii Idaho Illinois Maine Massachusetts Montana Nevada New Jersey New Mexico Rhode Island Utah Vermont Virginia Wisconsin Wyoming 25%-29% Alaska Arizona Arkansas Delaware Georgia Indiana Iowa Kansas Kentucky Louisiana Michigan Minnesota Missouri Nebraska New York North Carolina North Dakota Oklahoma Oregon Pennsylvania South Carolina South Dakota Texas Washington West Virginia Source: MMWR 2008; 57 (28): 765-768. Greater than or equal to 30% Alabama Mississippi Tennessee

New Hampshire Maryland

Washington D.C. Ohio

Obesity Trends* Among U.S. Adults; BRFSS, 2008

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Less than No Data 10%-14% 10% 15%-19% Colorado 20%-24% Arizona California Connecticut Florida Hawaii Idaho Massachusetts Minnesota Montana New Jersey New York Oregon Rhode Island Utah Vermont Wyoming 25%-29% Alaska Arkansas Delaware Georgia Illinois Indiana Iowa Kansas Kentucky Maine Maryland Michigan Missouri Nebraska Nevada North Carolina North Dakota Ohio Pennsylvania South Dakota Texas Virginia Washington Wisconsin Source: BRFSS, CDC. Greater than or equal to 30% Alabama Mississippi Oklahoma South Carolina Tennessee West Virginia

New Hampshire Louisiana

Washington D.C. New Mexico

Obesity Trends* Among U.S. Adults; BRFSS, 2009

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Less than No Data 10%-14% 10% 15%-19% Colorado Washington D.C. 20%-24% Alaska California Connecticut Hawaii Idaho Massachusetts Minnesota Montana New Jersey New York Oregon Rhode Island Utah Vermont Virginia Wyoming 25%-29% Arizona Delaware Florida Georgia Illinois Indiana Iowa Kansas Maine Maryland Michigan Nebraska Nevada New Hampshire New Mexico North Carolina North Dakota Ohio Pennsylvania South Carolina South Dakota Texas Washington Wisconsin Source: MMWR 2010; 59(29). Greater than or equal to 30% Alabama Arkansas Kentucky Louisiana Mississippi Missouri Oklahoma Tennessee West Virginia

Obesity Trends* Among U.S. Adults; BRFSS, 2010

(*BMI greater than or equal to 30, or about 30 lbs overweight for 54" person) Less than No Data 10%-14% 10% 15%-19% 20%-24% Alaska Arizona California Colorado Connecticut Hawaii Massachusetts Minnesota Montana Nevada New Jersey New York Utah Vermont 25%-29% Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Maine Maryland Nebraska New Mexico North Carolina Ohio Oregon Pennsylvania Rhode Island South Dakota Virginia Washington Wisconsin Wyoming Source: BRFSS, CDC. Greater than or equal to 30% Alabama Arkansas Kentucky Louisiana Michigan Mississippi Missouri Oklahoma South Carolina Tennessee Texas

New Hampshire West Virginia

Washington D.C. North Dakota