America's waistline continues to grow, especially in places where belts are tighter because of the economy.
A new report from the Trust for America's Health and the Robert Wood Johnson Foundation finds obesity rates have risen, and the South is hit particularly hard.
The report found the percentage of obese adults increased in 16 states between 2009 and 2010.
Most of those states are in the south, where poverty rates tend to be highest.
Researchers point to a lack of access to healthcare and places where diet is traditionally higher in fat.
Mississippi had the largest percentage of obese adults.
Colorado was the leanest state, however the news wasn't all good.
"Even Colorado, when you combine overweight and obese, is still well over 50% of the population," points out Trust for America's Health deputy director Richard Hamburg.
Researchers say the nation is suffering from a major lack of exercise.
The number of adults who said they don't get any physical activity increased in 14 states last year.
Walking or biking to school and work is the exception; most of us now live in commuter societies.
Obesity increases the risk for various health problems, including heart disease, Type II Diabetes and some cancers.
Adults reported their own height and weight for this analysis and since people over under-report their weight, some experts think the obesity rates may be higher than we think.