The 10 most obese states in the U.S.

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Jacques
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The 10 most obese states in the U.S.

Postby Jacques » Sat Nov 09, 2019 11:58 am

Here’s a look at the top 10 fattest states in America, according to WalletHub:

#10. Ohio

#9. Delaware

#8. Arkansas

#7. Louisiana

#6. Oklahoma

#5. Alabama

#4. Tennessee

#3. Kentucky

#2. West Virginia

#1. Mississippi

https://wallethub.com/edu/fattest-states/16585

... and for comparison, here's the 2007 map of colorectal cancer incidence by state:

Image

boxhill
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Re: The 10 most obese states in the U.S.

Postby boxhill » Sat Nov 09, 2019 12:33 pm

Instead of fat-shaming, perhaps one might look into something like the percentage of people who have health insurance (and thus get colonoscopies). Or other factors.
F, 64 at DX CRC Stage IV
3/17/18 blockage, r hemi
11 of 25 nodes,5 mesentery nodes
5mm liver met out
pT3 pN2b pM1
BRAF wild, KRAS G12D
dMMR, MSI-H
5/18 FOLFOX
7/18 and 11/18 CT NED
12/18 MRI 5mm liver mass, 2 lymph nodes in porta hepatis
12/31/18 Keytruda
6/19 Multiphasic CT LNs normal, Liver stable
6/28/19 Pause Key, predisone for joint pain
7/31/19 Restart Key
9/19 CT stable
Pain: all fails but Celebrex
12/23/19 CT stable
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Stop Key
8/20 MRI NED

Jannine
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Re: The 10 most obese states in the U.S.

Postby Jannine » Sat Nov 09, 2019 1:52 pm

Adding to Boxhill's comment, colorectal cancer rates within each state vary drastically from county to county. Economic disparities and access to health care are a big factor.

As we all know, obesity is just one risk factor among many. Highlighting obesity isn't any more informative than highlighting the amount of red meat consumed on average in each state.
DX: sigmoid colon cancer 5/2018. 48 F
laparoscopic sigmoid resection (24 cm removed); no stoma.
7.5cm adenocarcinoma -- mod. diff.
1 noncontiguous tumor deposit removed; 0/31 lymph nodes
T3 pN1c M0
5/18 before surgery, CEA 11.2
6/18 began FOLFOX
7/18: CEA 1.9; added neulasta post infusion
9/18: CEA 2.8
10/18: 25% chemo reduction
11/18: CEA 1.8
7/19 CT scan clear

Rock_Robster
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Re: The 10 most obese states in the U.S.

Postby Rock_Robster » Sat Nov 09, 2019 5:12 pm

Not saying it’s not correct, but I think there’s a pretty strong correlation with median income in those states too. There would seem to be a correlation between income and colorectal cancer rates (fewer screenings, poorer insurance, lifestyle, diet, etc.), so there could be at least one other variable involved here.
38M Australia
10/2018 Dx RC, 12cm high
Mod diff, EMVI+ LVI+. 4 liver mets
pT3N1aM1a Stage IVa. MSS NRAS G13R
CEA: Oct-18= 12; Nov-18= 14, Mar-19= 2.4, Aug-19 <2.0, Mar-20=2.2, May-20=1.9, Jun-20=2.1, Sep-20: 2.1
11/18 FOLFOX x6
3/19 Liver resect
5/19 25x pelvic radiation; complete met. response
07/19 ULAR w ileo, 1/27 LN+
08/19 Found liver spot
08/19 FOLFOX x1, FOLFOXIRI x1, FOLFIRI x5
12/19 Liver resect
02/20 Ileo reversed
03/20 NED (PET+MRI)
06/20 NED (CT+MRI)
07/20 Clear scope
09/20 NED (PET)

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CRguy
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Re: The 10 most obese states in the U.S.

Postby CRguy » Sat Nov 09, 2019 5:35 pm

BUTT ..... one also needs to look at the Mississippi river watershed map, which reflects another level of concomitant
correlation, with or without causation ?

https://en.wikipedia.org/wiki/File:Miss ... _map_1.jpg
Image

Who knows, maybe it IS ... something in the water ????
Just sayin'

Cheers all
CRguy
Caregiver x 4
Stage IV A rectal cancer/lung met
13 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
Review of my Journey so far

Rock_Robster
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Re: The 10 most obese states in the U.S.

Postby Rock_Robster » Sat Nov 09, 2019 8:11 pm

boxhill wrote:Instead of fat-shaming, perhaps one might look into something like the percentage of people who have health insurance (and thus get colonoscopies). Or other factors.

I don’t see it as fat-shaming; I think Jacques has highlighted a valid and known risk factor for CRC. There are others - red meat consumption, alcohol, diabetes - I wouldn’t say we are ‘shaming’ those people either (I fall into at least 2 of these groups!).

I do think this is also way more complex that one factor of course - eg my comment earlier on income, also geographic access to care, and obviously genetics.
38M Australia
10/2018 Dx RC, 12cm high
Mod diff, EMVI+ LVI+. 4 liver mets
pT3N1aM1a Stage IVa. MSS NRAS G13R
CEA: Oct-18= 12; Nov-18= 14, Mar-19= 2.4, Aug-19 <2.0, Mar-20=2.2, May-20=1.9, Jun-20=2.1, Sep-20: 2.1
11/18 FOLFOX x6
3/19 Liver resect
5/19 25x pelvic radiation; complete met. response
07/19 ULAR w ileo, 1/27 LN+
08/19 Found liver spot
08/19 FOLFOX x1, FOLFOXIRI x1, FOLFIRI x5
12/19 Liver resect
02/20 Ileo reversed
03/20 NED (PET+MRI)
06/20 NED (CT+MRI)
07/20 Clear scope
09/20 NED (PET)

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CRguy
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Re: The 10 most obese states in the U.S.

Postby CRguy » Sun Nov 10, 2019 12:23 am

I agree completely buddy and I was certainly NOT making light of the situation.

Geographic exposure to any number of factors may well be a contributing factor to the
epidemiology of CRC incidence in this particular demographic.

Harmony
CRguy
Caregiver x 4
Stage IV A rectal cancer/lung met
13 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
Review of my Journey so far

Rock_Robster
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Re: The 10 most obese states in the U.S.

Postby Rock_Robster » Sun Nov 10, 2019 12:40 am

CRguy wrote:I agree completely buddy and I was certainly NOT making light of the situation.

Geographic exposure to any number of factors may well be a contributing factor to the
epidemiology of CRC incidence in this particular demographic.

Harmony
CRguy

I’m with you CRguy and wasn’t suggesting you were making light of it (and even if so, sometimes that’s all we can do!).
38M Australia
10/2018 Dx RC, 12cm high
Mod diff, EMVI+ LVI+. 4 liver mets
pT3N1aM1a Stage IVa. MSS NRAS G13R
CEA: Oct-18= 12; Nov-18= 14, Mar-19= 2.4, Aug-19 <2.0, Mar-20=2.2, May-20=1.9, Jun-20=2.1, Sep-20: 2.1
11/18 FOLFOX x6
3/19 Liver resect
5/19 25x pelvic radiation; complete met. response
07/19 ULAR w ileo, 1/27 LN+
08/19 Found liver spot
08/19 FOLFOX x1, FOLFOXIRI x1, FOLFIRI x5
12/19 Liver resect
02/20 Ileo reversed
03/20 NED (PET+MRI)
06/20 NED (CT+MRI)
07/20 Clear scope
09/20 NED (PET)

hawkowl
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Re: The 10 most obese states in the U.S.

Postby hawkowl » Sun Nov 10, 2019 7:22 am

CRguy wrote:Who knows, maybe it IS ... something in the water ????
Just sayin'

Cheers all
CRguy


I have actually seriously wondered if it actually is something in the water. I was living in a rural part of Minnesota when I was diagnosed, and had zero risk factors (thin, athletic, plant-based diet). And two of my neighbors were also diagnosed with CRC at a relatively youn age; both have since died of the disease. All of us drank well water.
Dx 12/2014 T3N2MX (distant LPLN) low rectal
12/2014-4/2015: FOLFOX (8 cycles)
4/2015-6/2015: 28 cycles of chemoradiation with xeloda, SBRT
8/2015: Robotic APR with iliac node dissection; path showed ypT0,ypN0 (complete pathological response).
11/2015 scans clear, CEA 2.1
11/2015 parastomal hernia repair
3/2016 CEA 1.7, scans stable...
6/2020 5 years of normal CEA and stable scans
Now dealing with pyoderma gangrenosum.
Totally disabled due to oxaliplatin induced neuropathy and dysautonomia

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mobrouser
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Re: The 10 most obese states in the U.S.

Postby mobrouser » Sun Nov 10, 2019 1:29 pm

Is it wise to compare 2019 obesity rates with 2007 CRC rates?

8) mob
CC Dx Oct 2017 @ age 58
Laparoscopic right hemi-colectomy Dec 2017
Adenocarcinoma ascending colon – 6cm x 6cm x 2cm, Low Grade, penetrates to peritoneum
T4a N2a M0, Stage IIIC
lymph nodes 6 positive out of 18
FOLFOX started Jan 16 2018; finished Aug 2 2018 (felt like a year)
CEA - 01/15/18 - 2.8; 07/29/18 - 5.3
CT scan Aug 8 2018 - Clear
PET scan Sept 6 2018 (thought about bringing the cat :wink: ) - Clear
Colonoscopy Dec 7 2018 - Clear - Next in 3 years?

Beckster
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Re: The 10 most obese states in the U.S.

Postby Beckster » Sun Nov 10, 2019 4:35 pm

hawkowl wrote:
CRguy wrote:Who knows, maybe it IS ... something in the water ????
Just sayin'

Cheers all
CRguy


I have actually seriously wondered if it actually is something in the water. I was living in a rural part of Minnesota when I was diagnosed, and had zero risk factors (thin, athletic, plant-based diet). And two of my neighbors were also diagnosed with CRC at a relatively youn age; both have since died of the disease. All of us drank well water.


The same thing with the well water in one of our area neighborhood. We had a clothing factory that closed and was sited for dumping the chemicals into the ground. All the homes had well water....in the past 20 years, most of the residents developed cancers....from CRC, brain,lymphoma,bladder...So yes, it makes you wonder if it was the well water. I also lived in a rural area and use to run under the planes when they were dusting the crops. We had well water. My aunt lived next door and both of us developed CRC.
57/F
DX:(CC) 10/19/16
11/4/16- Lap right hemi(cecum)
CEA- Pre Op (1.9), Pre Chemo (2.5)
Type: Adenocarcinoma
Tumor size:3.5 cm x 2.5 x 0.7 cm
Grade: G3 (path) G2 (pre-op)
TNM: T3N0M0/IIA
LN: 0/24
LVI present
Surgical margins: clear
MSS
12/27/2016 - Capeox, anaphylactic reaction
1/2/17 to 6/9/17- Xeloda monotherapy
6/17,12/17,6/18,12/18, 6/19, 12/19 CT Scan NED :D
CEA- 6/17- 3.6, 9/17- 2.8 12/17-2.8, 3/18-3.1, 6/18-3.0, 9/18 2.8, 12/18 2.5 3/19 3.1 6/19 3.1 9/19 2.6 12/19 2.8 6/20 3.0
Clear Colonoscopy 10/17, 11/19 :D

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CRguy
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Re: The 10 most obese states in the U.S.

Postby CRguy » Sun Nov 10, 2019 11:20 pm

Rock_Robster wrote:I’m with you CRguy and wasn’t suggesting you were making light of it (and even if so, sometimes that’s all we can do!).

No harm No foul ! I didn't take it that way,
just that with moving from obesity to CRC rates to watersheds .....
I thought I should give my usual disclaimer :shock: :oops:
THIS time I was actually NOT being a smartass ! :mrgreen:

Cheers all
CRguy
Caregiver x 4
Stage IV A rectal cancer/lung met
13 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
Review of my Journey so far

Rock_Robster
Posts: 517
Joined: Thu Oct 25, 2018 5:27 am
Location: Melbourne, Australia

Re: The 10 most obese states in the U.S.

Postby Rock_Robster » Mon Nov 11, 2019 5:10 am

CRguy wrote:
Rock_Robster wrote:I’m with you CRguy and wasn’t suggesting you were making light of it (and even if so, sometimes that’s all we can do!).

No harm No foul ! I didn't take it that way,
just that with moving from obesity to CRC rates to watersheds .....
I thought I should give my usual disclaimer :shock: :oops:
THIS time I was actually NOT being a smartass ! :mrgreen:

Cheers all
CRguy

Actually my comment wasn’t even on your post! But anyway I think the watershed theory is fascinating. There does seem to be a clear divide, but I’m not in the US enough to know whether that divide shows up fairly commonly in other areas too (and hence may have another cause), or just in this case.

PS please continue to be a smart ass - I’m Australian and miss that here sometimes :-)
38M Australia
10/2018 Dx RC, 12cm high
Mod diff, EMVI+ LVI+. 4 liver mets
pT3N1aM1a Stage IVa. MSS NRAS G13R
CEA: Oct-18= 12; Nov-18= 14, Mar-19= 2.4, Aug-19 <2.0, Mar-20=2.2, May-20=1.9, Jun-20=2.1, Sep-20: 2.1
11/18 FOLFOX x6
3/19 Liver resect
5/19 25x pelvic radiation; complete met. response
07/19 ULAR w ileo, 1/27 LN+
08/19 Found liver spot
08/19 FOLFOX x1, FOLFOXIRI x1, FOLFIRI x5
12/19 Liver resect
02/20 Ileo reversed
03/20 NED (PET+MRI)
06/20 NED (CT+MRI)
07/20 Clear scope
09/20 NED (PET)

stu
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Joined: Sat Aug 17, 2013 5:46 pm

Re: The 10 most obese states in the U.S.

Postby stu » Mon Nov 11, 2019 6:48 am

Hi ,
I have noticed people are being quickly closed down from discussing a healthy weight in the UK despite an upward trend . However our departing Chief Medical Officer has stated it’s a future issue that requires attention now to the point of proposing no eating on public transport !
The way I see it , it’s possibly only a factor but one that can at least you can do something about unlike your genetics so why not discuss it in a polite manner . If you at least know some of the contributing factors then you can address them or not as is your choice .

Take care ,
Stu
supporter to my mum who lives a great life despite a difficult diagnosis
stage4 2009 significant spread to liver
2010 colon /liver resection
chemo following recurrence
73% of liver removed
enjoying life treatment free
2016 lung resection
Oct 2017 nice clear scan . Two lung nodules disappeared
Oct 2018. Another clear scan .


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