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Nebraska is 18th most obese state, ranking shows

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By the Lincoln Journal Star

Monday, Aug 25, 2008 - 11:51:27 am CDT

Nebraska was named the 18th most obese state in America, according to a recent national ranking from two health organizations.

The fifth annual “F as in Fat: How Obesity Policies Are Failing in America, 2008” report was released last week from the Trust for America’s Health and the Robert Wood Johnson Foundation.

Nebraska’s adult obesity rate is 26.5 percent. That rate has increased three years in a row.

Story Photo
(photos.com)

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See how other states rank

Nationally, adult obesity rates rose in 37 states in the past year. Rates rose for a second consecutive year in 24 states and for a third straight year in 19 states. No state saw a decrease.

In 28 states, more than a quarter of adults are obese, which is an increase from 19 states last year. In every state except Colorado, more than 20 percent of adults are obese. In 1991, no state had an obesity rate above 20 percent. Now, an estimated two-thirds of American adults are overweight or obese.

Mississippi has the highest rate of obesity, with 31.7 percent of adults considered obese. Colorado has the lowest rate (18.4 percent of adults are obese).

Rates of type 2 diabetes, a disease typically associated with obesity, increased in 26 states last year, including in Nebraska. Nebraska ranks 32nd highest in type 2 diabetes, with 7.3 percent of the population affected, and it ranks 37th highest for hypertension.

The “F as in Fat” analyzes information from the annual Behavioral Risk Factor Surveillance Survey by the federal Centers for Disease Control and Prevention. Rankings are based on three years of data (2005-07) that are averaged for each state’s obesity rate.

The report also reviews state and federal policies aimed at reducing or preventing obesity in children and adults. It shows that many policies are missing critical components or require a more comprehensive approach to be truly effective. Among the examples highlighted:

- While all 50 states and the District of Columbia have passed laws related to physical education and/or physical activity in schools, only 13 states include enforceability language. Nebraska does not have enforceability language. Of these states, only four — Arkansas, Florida, New Mexico, and Oklahoma — have sanctions or penalties if the laws are not implemented.

- While the Dietary Guidelines for Americans were updated in 2005, the U.S. Department of Agriculture school meal program has yet to adopt the recommendation.

- Eighteen states have enacted legislation requiring school meals to exceed USDA nutrition standards. Nebraska has not enacted this type of legislation.

- Ten states do not include specific coverage for nutrition assessment and counseling for obese or overweight children in their Medicaid programs. Nebraska includes this type of specific coverage.

- Twenty states explicitly do not cover nutritional assessment and consultation for obese adults under Medicaid. Nebraska does not provide this coverage.

- Only two states — Georgia and Vermont — have specific guidelines for treating obese adults in their Medicaid programs. In Nebraska and South Carolina, the Medicaid programs specifically state that obesity is not an illness and is therefore not covered.

The “F as in Fat” report concludes with a recommendation that the country set a national goal of reversing the childhood obesity epidemic by 2015. To help achieve that goal, the report’s top recommendation calls on the federal government to convene partners from state and local governments, businesses, communities, and schools to create and implement a realistic, comprehensive National Strategy to Combat Obesity. Some key policy recommendations include:

- Investing in community-based disease-prevention programs that promote increased physical activity and good nutrition;

- Improving the nutritional quality of foods available in schools and childcare programs;

- Increasing the amount and quality of physical education and activity in schools and childcare programs;

- Increasing access to safe, accessible places for physical activity in communities. Examples include creating and maintaining parks, sidewalks and bike lanes and providing incentives for smart growth designs that make communities more livable and walkable;

- Improving access to affordable nutritious foods by providing incentives for grocery stores and farmers’ markets to locate in underserved communities;

- Encouraging limits on screen time for children through school-based curricula and media literacy resources;

- Eliminating the marketing of junk food to kids;

- Encouraging employers to provide workplace wellness programs;

- Requiring public and private insurers to provide preventive services, including nutrition counseling for children and adults; and

- Providing people with the information they need about nutrition and activity to make educated decisions, including point-of-purchase information about the nutrition and calorie content of foods.


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oCS wrote on August 25, 2008 12:32 pm:
" It's the runza (krautBurgers). We don't have them here in Colo and we're teh thinnest state in the Union. except Ft Collins, but they call them krautBurgers (because they have cabbage, not to insult Germans).maybe you can try something like sushi. It sounds awful but is acturally very delicouis. And running or hiking helps too. "

 HFCS wrote on August 25, 2008 12:32 pm:
" If we get rid of High Fructose Corn Syrup in our foods we would all loose some weight. This is in a lot of foods even in food you don't think it should be in!. I'm allergic to HFCS and I have to read all the labels twice. In addition we should start insisting that our food manufacturers start making more foods with LESS preservatives. Preservatives are fattening America at an alarming rate "

 Seems about right wrote on August 25, 2008 12:37 pm:
" It's unfortunate but is expected. The whole country (except for Colorado, basically) is overweight. I like to blame it on portion-sizes myself. It seems like restaurants have to serve huge portions to make people believe they're getting a good deal. Most people will eat it all and be miserable later. My spouse and I have learned to split meals and it works great. "

 why not cover weight loss programs wrote on August 25, 2008 12:51 pm:
" Interesting that the Nebraska Medicaid program , which is vigorously cutting costs, does not consider obesity an illness. Perhaps if Medicaid covered services to help adults lose weight, the state would not have to spend so much money down the road on expensive treatment for obesity-related illnesses such as diabetes, heart disease, etc. because adults would be healthier. "

 Really wrote on August 25, 2008 12:54 pm:
" That's funny, because just from where I work, I could've sworn this is definitely the MOST obese state!! "

 whatever wrote on August 25, 2008 12:56 pm:
" Mandate weight loss and tax junk food and tax restaurant food at say 20 to 30 percent. "

 recommended reading wrote on August 25, 2008 12:58 pm:
" Read "In Defense of Food: An Eater's Manifesto" by Michael Pollan, a book that will change how you look at food. It does talk a lot about HFCS and the overabundance of corn sweeteners too. "

 Fat Folk wrote on August 25, 2008 1:04 pm:
" What a waist of tax dollars this is! Keeping kids thin is NOT my responsibility as a taxpayer. All these fat people walking around and sitting at the fast food places are just plain lazy. They sould get out and exercise and wire their jaws shut. "

 Michael P. wrote on August 25, 2008 1:08 pm:
" Not surprising. Where beef is king! Eating meat three meals a day isn't healthy folks. "

 SB wrote on August 25, 2008 1:20 pm:
" Coincidentally the state fair attendance is up! "

 meals wrote on August 25, 2008 1:26 pm:
" The problem isn't that we eat 3 meals a day, it's that we eat 6 meals worth of calories a day and get no exercise, then wonder why we feel so tired all the time. Our life choices have got us where we are -- individually and as a culture. We've been too quick to adopt unhealthy, "value added" foods and passive forms of entertainment when offered. Those who aren't fat now, probably will get fat over the course of their lives... unless we wise up and quick. "

 Brock Landers wrote on August 25, 2008 1:27 pm:
" Portion size, moderation, and excercise. It isn't what you eat it how much, when, and how much excercise you get. And to think in Lincoln the people want to cut funding for parks and rec and health department outreach programs... go figure! Guess it is just easier to sit in front of your computer and whine about high taxes and fat people every where than it is to actually do something about it! "

 MLM wrote on August 25, 2008 1:38 pm:
" Eating 3 meals a day isn't healthy? Nice logic. 3 meals a day are great if you are controlling portions and making sensible decisions. Most nutritionists recommend 6 small meals a day. Eating isn't bad...it's our choices that are wrong. "

 Virtuales wrote on August 25, 2008 1:48 pm:
" We all know the formula folks:
Eat less and increase your level of activity! Unless you have a health problem.
But of course, it's easier to say than done!
Stop eating @ Sin City (Junk Food Places) "

 oCS wrote on August 25, 2008 1:53 pm:
" Gee, thanks for the tip. I had no idea avoiding Runzas and adding hiking to my list of hobbies would prevent obesity. (Sarcasm!!)

Also, I think most of the time, people KNOW they're eating bad food, they just don't care. I know the caloric content of a lot of bad food, but I eat it anyways sometimes and I'm not even overweight! Shoot me!

And by the way, where do they get these numbers each year? I've never submitted my weight anywhere, so how am I getting accounted for? "

 Outside the Box wrote on August 25, 2008 1:56 pm:
" Weight management is a pretty simple formula: at the end of the day, if you have consumed more calories than you've used, you will gain weight. Use more calories than what you've consumed, and you'll lose weight.

Unfortunately, given the number of people with credit card balances, foreclosed homes, and no savings it's no wonder that we're a bunch of fatties.

(Disclosure - Outside the Box could stand to lose 25 pounds) "

 Pat wrote on August 25, 2008 1:57 pm:
" People need to wake up and take responsibility for what they are doing to their own bodies. Yeah, fast food and junk food help out, but you can eat those and not get huge. Just have some self control. Also, get up and move around! If you are active and actually burn calories, you won't have as many problems. Use your heads, people. Don't just place blame. Take an active position to change. Kids needs help from parents, schools and regulators. Adults need to do it on their own.

That said, at least there are 17 states that are fatter. How many are in the South? I'm guessing they make up most of those 17. "

 bo wrote on August 25, 2008 2:07 pm:
" were the fattest northern state. at least we have to be a little proud of that. "

 JT wrote on August 25, 2008 2:11 pm:
" How bout everyone rides their bike once a week to work. That'd reduce gas prices and obesity. "

 fruit and fast food wrote on August 25, 2008 3:07 pm:
" Maybe they should decrease the cost/taxes of healthy foods and increase the taxes and prices of the junk food. I have been struggling to keep fruit and veggies in my diet because they are so expensive and rarely on sale, unlike junk foods. Every time I look in the ads for groceries, they never have healthier foods on sale, maybe it should be mandatory that companies allow their healthy food to be cheap just like their junk foods, maybe more people would BE ABLE to buy them. "

 Fat and happy wrote on August 25, 2008 3:17 pm:
" Definition of bullying is the act of intentionally causing harm to others, through verbal harassment. It's too bad people aren't happy in their own lives that they have to be bullies to others. I'm quite happy and content and have friends and family that love and appreciate me. Too bad that you'll never get to know me because all you see if the outside shell. "

 Nic F wrote on August 25, 2008 3:38 pm:
" To "Fruit and Fast Food",
You could grow your own stuff if you have a back yard. Sure it's a little work, but you'll get great fruit/vegetables, and you'll burn some calories from doing it all! Double bonus!

I'm not surprised we're in this situation. Look what we're teaching our kids, and have been since I was in middle school. Kids can get an entire meal of just French Fries at school. Nothing else, just fries! That's not healthy at all. "

 The Solution is Simple wrote on August 25, 2008 4:00 pm:
" Eat less, walk more and make healthy decisions. But of coarse different individuals have different needs. But instead of opting for fast food, how about opting for homemade food. I also think smoking has something to do with obesity.

But don't take my word for it. I'm not a Hercules by any standard but I'm sure glad I don't have a spare tire or two on my body. "

 Pass the twinkies wrote on August 25, 2008 4:00 pm:
" Dang it, we are yet again not number one. How much more of this are we going to take? I, for one, am getting sick and tired of not being number one. Folks, grab a cupcake, put down the salad and eat up! We will be number one again! "

 wake up wrote on August 25, 2008 4:07 pm:
" all those overweight people that you don't want to spend tax dollars helping now are going to be your tax burden down the road when health issues catch up with them. nobody gets to live as an island in this country - no matter how much you only want to look out for yourself. you can pay now, or pay later - your choice. "

 Pat wrote on August 25, 2008 4:11 pm:
" Fat and happy, it's not just looks that are of issue here. There's a health concern involved to which you shouldn't be oblivious. The article isn't suggesting that obesity is a problem because of looks. Comments left might lead to that assumption, but overall, health issues are the main reason. People may like you, but you have to be responsible and healthy so you can stick around so they can keep loving you. And children are at an even bigger risk, because if they start being unhealthy at a young age, it's a tough road.

Here's what surprised me about this whole deal. I pulled up the link above and went to the report. Nebraska is the 18th most obese, but we're ranked 31st in physical activity. That means we're more active than the obesity ranking would lead you to believe. For example, Mississippi is the most obese and the most physically inactive. How is the state still so high in obesity? This leads me to believe that either: 1) diet is more of an issue here, or 2) one of these two rankings isn't accurate (and I'm guessing it's physical inactivity). "

 Tired of seeing bulge... wrote on August 25, 2008 4:18 pm:
" How is it anyone else's fault what you choose to eat?

If you are fat, it is not the government's fault, nor is it the fault of the restaurant you chose to go to because their portions are too large. It isn't the fault of the food manufacturers because you purchased their food for consumption. You chose what food to buy and consume. You chose how much of it to eat.

Learn some self-control and personal responsibility. "

 Come on wrote on August 25, 2008 4:25 pm:
" You people are talking like we were rated number 1 in the country or something. I think a lot of our problem is we don't have the same self image issues that some of the other states have. We love each other no matter what we look like and some times that prevents the need to look as good as possible. I am not the weight that is recommended I should be for my age and height, but I also have a real woman's figure. I eat properly and exercise on a regular basis. Some people will never measure up to their "standards" no matter how hard they try, but they will still label you overweight. Plus, they obviously have not seen some of the people I have that live in Colorado. They could blow us Nebraskan's right out of the water, literally. "

 Nina wrote on August 25, 2008 4:29 pm:
" The guidelines for overcoming are sound, but oh, for the days before we had ever heard of cholesterol. I would imagine that the top states for obesity are those that are known for soul food or country cooking. Both can't be beat for comfort food and nostalgic memories, as well as taste. The question is do we do what's good for us, or what we really want? I'm having company tonight, and we're having baked poppy-seed chicken, sweet potatoes, and from the garden, green beans, corn on the cob, and fresh tomatoes in a homemade dill dressing. The pineapple-zucchini dessert cake I made with Splenda. I would sully my reputation if I served kebabs and salad. We tend to eat more healthy during the week and splurge on weekends. Not as good as we could be, but better than eating the good stuff all week long. "

 Wow wrote on August 25, 2008 4:30 pm:
" I believe it, that we are up there for the fattest states. You can't walk around with out seeing overweight people everywhere. It's not that hard to exercise and eat somewhat healthy. I am busy everyday but still find time to go to the gym. Stop eating fast food all the time and don’t blame being fat because of the things in your food or the proportions at restaurants. You can read the labels and you don’t have to eat everything that’s on your plate. "

 Poor Fat wrote on August 25, 2008 5:07 pm:
" We're over-worked in Nebraska, so we don't have time to work out or grow our own veggies.

Then, we are paid crappy wages, just like Mississippi, Arkansas and the other states.

So we can only afford to buy and eat the cheap, trans-fat loaded foods.

Raise our pay so we can afford gym memberships and fresh produce and get skinny! "

 pam hill wrote on August 25, 2008 6:15 pm:
" quit putting the food in your mouth, and eat half as much, i have an issue with obese people for some reason. "

 Hamon Righ wrote on August 25, 2008 6:37 pm:
" I'm amazed every time I hear someone state that we need to educate people to keep them from getting fat and becoming a health care burden. Do we need to teach them how to breathe as well? Should we show them how to tie their shoes???
Unless there is a completely legitimate reason for someone gaining excessive weight, obese people do not deserve extra, tax funded heatlh care. Again, common sense. They could have saved enough money to cover the medical costs had they not spent it on over eating. And please don't give me the psycho babble crap about it being a mental problem or an addiction. There's a huge difference between smack and a greasy big mac.
I moved to Lincoln four years ago. The first thing I noticed was the large number of overweight people compared to where I lived before. It blows my mind every time I visit Grand Island and see all the bloated, unhealthy looking, aged beyond their years people. Same goes for many of the towns in this state.
It comes down to self control, portion size, sensible diet, and moderate exercise. I know a woman who lost around 60 pounds in a few months. How? She decided that she didn't want to be that size anymore. Really made up her mind and didn't just whine that she wished she could do it. She cut her portions and went to the gym a few times a week. And before you say that you don't have time...... this woman worked full time, was planning a wedding, had a second job, and was going to school at night working on her master's degree.
I cringe at all the obese kids I see these days as well. Growing up, there might have been the one heavier kid, now the skinny ones are the exception. I feel every time I see two obese parents with their obese kids because I know those parents coontributed to making those children unhealthy and just as sure as slow poisoning them ,have set those kids up for less life and future health problems. "

 stignob wrote on August 25, 2008 6:55 pm:
" Universal health care anybody? This is why it won't work. We need a change in life style people. "

 Chris wrote on August 25, 2008 7:18 pm:
" Here's a suggestion for you whiners: your fat is your responsibility. Quit smoking. Quit guzzling soda. Quit sitting on your duff watching reality TV. Downgrade to basic cable and get a gym membership with the savings, then use the freed up time to exercise. "

 Forgivethefat wrote on August 25, 2008 9:03 pm:
" Oh dear thin people.....please forgive me for my obesity. I truly apologize for disgusting you and for being so very lazy. As I continue to do my job through my fatness and watch my thinner colleagues skip work and call in sick, it is amazing that I can still work! I think you should put all of us lazy fat people in prison to teach a lesson. Then maybe we would get thinner and learn our lesson. If I could only be thin and be open minded like "Fat Folk"......oh to be in a situation where I could completely judge others without knowing any circumstances. "

 Slightly chunky wrote on August 25, 2008 9:46 pm:
" No where in the article did they say where they got actual weights to determine if we were truly obese. I didn't think doctors were allowed to share any of my info with anyone, so unless they stood on a street corner and counted fat people, where do they come up with this stuff? I am not shocked at all the rude comments. Ask yourself, if you were blind, would you judge me differently? If you talk to employees in your branch offices, like to talk to them, then find out one is fat, would you stop being nice? Apparently most of you would. Fat and happy has it right, quit being bullys. And as far as fat people being sick more, how come the people in my office thats on diets are constantly sick? I go to a doctor twice a year, and don't have major health problems, and yet you would call me fat. It must be easy to make fun of fat people on an anonymous comment, but I bet you wouldn't say that to peoples faces. If you and your co-worker, having done the same good deeds in life, were standing at the pearly gates, do you think God would treat you better because you're thinner? You all say you're just trying to help fat people be healthier, but I think the nasty is just coming out in you because it's easy to make fun of fat people. "

 Beaker wrote on August 25, 2008 9:58 pm:
" I was surprised this was the top five or at least ten. You people need to really work on leaving the fork at the side of your palte for a change or not pulling up a chair at the buffet line. "

 No surprise.... wrote on August 25, 2008 10:29 pm:
" I see it at 10th and N when the State workers take 35 seconds to cross the street. I see it in the dirty looks from drivers when I'm out running. I see it at the long drive-thru lanes at Mickey D's. Come on people, get out of your seats and exercise. Then maybe you won't feel so guilty in the McDonald's drive thru! Even if you just walk 30 minutes a day. I was 35 pounds heavier 6 years ago and couldn't run 1 mile. Last year I ran my first marathon and have run 2 since then. I spend less time sick, more time awake and productive, and have MORE energy to spend time being active with my kids. "

 day glutton wrote on August 25, 2008 10:31 pm:
" I"m sure I helped pad the stats a little this weekend at the State
Fair! I know it's back to eating right, but how I will miss "fair food"
when it goes to G.I. "

 Ha wrote on August 25, 2008 11:07 pm:
" If Nebraska is the 18th, than I say that's not too bad. I love the fact that us fat people sure do rile up the rest of you. Doesn't bother me a bit, but apparently, it reallllly bothers you. Too bad, your loss. Learn to live with actual people, not barbie dolls, and you'll be happier. "

 Brian wrote on August 26, 2008 6:08 am:
" I moved from Lincoln to Missouri after my May graduation from UNL and I'm pushing a size 33 now, as opposed to a 32 when I left. While Lincoln has some food like Val's, Runza and the East Campus Dairy Store, I've found the bad food here more tempting. Maybe I should cut back on the sweet tea. "

 IS no Place Like wrote on August 26, 2008 8:28 am:
" Why do ya think they call it the good life??
Please pass the deep fried maynoisse balls please!!!! "

 Lindsay wrote on August 26, 2008 8:43 am:
" I did weight watchers last year and lost almost 30 lbs...one of the best decisions of my life. I have much more energy and feel better about myself in general. I still indulge in junk food...but I also run about 30 miles a week and I try to get in some fruits and veggies every day...and most of all keep my portions down.

To the defensive and overweight: you know you have a problem. You shouldn't have to catch your breath walking a mile or even just walking up stairs. Do yourself a favor and join Weight Watchers...you never have to give up anything you love...you just learn how to control how and what goes into your mouth. "

 Go Lindsay wrote on August 26, 2008 10:07 am:
" Lindsay, thank you for being another voice of reason. And congratulations on your success. You're a good example for others to follow. It's amazing how many Lincolnites are so reluctant to change of any kind. "

 misinformation wrote on August 26, 2008 10:31 am:
" Yes, it does matter what you eat! Research shows a one to one match between eating red meat and cancer. Fruits and vegetables keep weight down and may even prevent cancer. Eat Fruit and Veggies and your weight will take care of itself. the old "protein" mantra can be taken care of with nuts. The Nebraska diet is gross overall. "

 Nina wrote on August 26, 2008 12:02 pm:
" I recommend, Pam Hill, that you read the last issue of Newsweek, in addition to some recent medical science journals, to learn about how many obese people's area of the brain that contains the 'sensors' for knowing when enough food is eaten is bascially shriveled and useless. This affects also the hormones that are in short supply in many obese people, which are basically the same hormones that are low, causing depression. In other words, these people are always hungry, because their brains don't tell them otherwise, as do most peoples'. Not only do they eat because they think they're hungry, but to avoid depression. That there is medical cause of obesity as well as choices as to what and how much one eats is now proven. Medical science has also found a drug to replace those abnormalities within the brain and certain glands, which Newsweek said will be at least seven years away for approval. So when you have a problem with obese people, it may be akin to having problems with those who have kidney dysfunction, sciatica, thyroid disease, etc. - all ongoing health problems. Judge not - just say 'there, but for the grace of God, go I,' and realize all have imperfections in some way. "

 real solution wrote on August 26, 2008 2:10 pm:
" its about changing your lifestyle not just your eating habits. ive lost 25 pounds in the last 7weeks with very little exercise. I simple changed what I eat. the key to my weight loss is to measure everything I eat and keep my calorie intake at around 1200 calories per day. I still get to eat three squares a day too!

p.s. there was a person infront of me at a store with a cart full of low calorie/fat healthy food and this person was talking on the phone trying to choose between two different fast-food places to eat for lunch. just something to think about "

 Just Fact wrote on August 26, 2008 2:17 pm:
" You can eat anything in moderation. I like how most people are giving excuses. The fact of the matter is people eat to dang much. Portion control. I eat ice cream and junk food but in moderation. I am not fat or have I ever been. My point is that everyone needs to take responsibility for what they put in there mouth. It isn't rocket science...it is a pretty easy concept on how people get fat. "

 PriceDriven wrote on August 26, 2008 4:22 pm:
" It's amazing how much it costs me to eat healthy. I would say at least twice as much to buy healthier foods than to buy not so healthy foods at the store. I mean simple things, like baked chips, fat free hot dogs, low cal anything...at least twice the price. No it's not an excuse, just an easy option to select cheaper foods. "

 Nina wrote on August 26, 2008 4:59 pm:
" Hat to break the bubble on the some posts here - 'I've lost xxx lbs since xxx. Most overweight people (9 in 10, say doctors) can relate to that. I wish you the best, but the odds are against you. Myself, personally, I've lost hundreds of pounds. The same 30 lb. about a dozen times. It's not so easy to keep it off long-term as it was to lose it, believe me. To an over-eater, food means instant serenity, comfort, and a feeling of well-being, I've heard again and again. (Refer to science's findings in my first posting). Trouble is, the benefits are short-term and the extra pounds are long-term. "

 price is an excuse wrote on August 26, 2008 5:03 pm:
" Bananas are 70cents per pound, apples are $1.25 per pound, a head of lettuce is under $2 and last time I checked water is free. sure some man-made health food are more expensive but if thats your only excuse for eating unhealthy than it is just that... an excuse to eat unhealthy foods "

 Pat wrote on August 27, 2008 8:34 am:
" PriceDriven, I think that's insane. I have seen plenty of healthy food that's inexpensive. And how can you throw "fat-free hot dogs" in with healthy food? I'm guessing those still aren't great for you. Also, that claim about low-cal foods costing twice as much is ridiculous.

Nina, as much as you want to claim that science backs up people being fat and they have no control, that's pretty weak. I know plenty of people who have lost the weight and kept it off.

Lastly, price as an excuse, water isn't free unless you're drinking it at work or you live in an apartment that pays your water bill. "

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