The US obesity epidemic achieved several areas of progress, including the strength of increased awareness, the political involvement and the social involvement that will address the issue of obesity, the new treatment option and the elaborate evidence based for the prevention and intervention strategies. The obesity remains to be a national and global health challenge and a risk factor for an increasing set of chronic diseases, including the cardiovascular disease (CVD), diabetes, chronic kidney disease, non-alcoholic fatty liver disease, metabolic syndrome and many cancers, among other comorbid conditions. The obesity is now included among the global, non-communicable disease targets identified by the World Health Organization (Kushner and
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The United States (U.S.) population has issues with obesity and the African Americans populations have the highest -age adjusted rates of obesity at 48.1%. In the African American population, nearly seventy percent of men and over eighty percent of women are overweight or obese (Burton et al, 2017). The Obesity prevalence in the United States is higher in the rural areas than in the urban areas, particularly from the population of racial ethnic minorities. An estimated of forty percent of the rural residents, compared with the thirty percent of urban residents, are obese (body mass index (BMI) ≥30 kg/m2). Likewise, fifty six percent of the African American rural residents are obese compared with the forty three percent of African American urban residents and thirty eight percent of the white rural residents. The geographic disparities include greater obesity in the prevalence among residents of the South regions of the United States. The African American women residing in the deep South States of Alabama, Georgia, Louisiana, Mississippi, and South Carolina have increased obesity, decreased physical activity, and poor-unhealthy diets (Johnson et al., 2014). The Southern states in the U.S. have higher rates of the obesity than the northern states. The affected increased rate of obesity in the rural populations exhibits higher prevalence of obesity and the obesity related outcomes such as type 2 diabetes (Hill et al.,
The United States (U.S.) population has issues with obesity and the African Americans populations have the highest -age adjusted rates of obesity at 48.1%. In the African American population, nearly seventy percent of men and over eighty percent of women are overweight or obese (Burton et al, 2017). The Obesity prevalence in the United States is higher in the rural areas than in the urban areas, particularly from the population of racial ethnic minorities. An estimated of forty percent of the rural residents, compared with the thirty percent of urban residents, are obese (body mass index (BMI) ≥30 kg/m2). Likewise, fifty six percent of the African American rural residents are obese compared with the forty three percent of African American urban residents and thirty eight percent of the white rural residents. The geographic disparities include greater obesity in the prevalence among residents of the South regions of the United States. The African American women residing in the deep South States of Alabama, Georgia, Louisiana, Mississippi, and South Carolina have increased obesity, decreased physical activity, and poor-unhealthy diets (Johnson et al., 2014). The Southern states in the U.S. have higher rates of the obesity than the northern states. The affected increased rate of obesity in the rural populations exhibits higher prevalence of obesity and the obesity related outcomes such as type 2 diabetes (Hill et al.,