People who are overweight or have obesity face a lot of health complications, negative consequences, and concerns. In fact, being overweight or having obesity increases a person’s risk for many diseases and health conditions. Unfortunately, obesity rates in the United States are rising. With that statistic comes some staggering costs.

In the United States, 36.5 percent of adults have obesity. Another 32.5 percent of American adults are overweight. In all, more than two-thirds of adults in the United States are overweight or have obesity.

Around 17 percent of American children ages 2 to 19 have obesity. That’s more than 12.7 million American children. One in 8 preschoolers has obesity. The good news is obesity rates among preschool children have been falling in recent years.

If you are overweight or have obesity, your risk for dozens of diseases and conditions is higher. These include type 2 diabetes, heart disease, stroke, cancer, and many other diseases.

Children who are overweight or have obesity are five times more likely to have obesity or be overweight adults than children of normal weight. This can increase their risk for many chronic diseases and health complications.

Researchers found that men with waist circumferences in the highest 10 percent of measurements were 20 times more likely to develop type 2 diabetes than men whose waist circumferences fell in the lowest 10 percent. Also, waist measurements may help predict which people with a low or normal weight are more likely to develop diabetes.

Globally, obesity is one of the top five leading causes of death. It causes more than 2.8 million deaths each year. The other four leading causes are high blood pressure, tobacco use, high blood glucose, and physical inactivity.

Obesity costs Americans $147 billion each year. People who have obesity pay more out of pocket than people who are not. In fact, the medical costs for people with obesity are $1,429 higher each year than those of people with a normal weight.

Your ethnicity may impact your risk for obesity. Almost half (48.4 percent) of non-Hispanic Black people have obesity. They’re followed by Hispanics with 42.6 percent, non-Hispanic white people with 36.4 percent, and non-Hispanic Asians with 12.6 percent.

Adults between the ages of 40 and 59 are more likely to have obesity. In fact, more than 40 percent of adults between these ages have obesity. Another one-third of adults age 60 and over have obesity, and another one-third (32.3 percent) of adults age 20 to 39 have obesity.

Men are more likely to be overweight than women, but 40.4 percent of American women have obesity. Meanwhile, 35 percent of American men have obesity.

As of 2017, all 50 states have an obesity rate over 20 percent. Just two decades ago, no state had a rate above 15 percent.

Five states have an obesity rate over 35 percent. West Virginia leads the group with 37.7 percent of adults having obesity. Mississippi comes in second with 37.3 percent. Alabama and Arkansas are close in the alphabet and tied for obesity percentages (35.7 percent). Louisiana rounds out the top 5 with 35.5 percent.

Colorado has the lowest rate of obesity. Just 22.3 percent of people who live in the state have obesity. Washington, D.C., is a close second with 22.6 percent. Massachusetts, Hawaii, and California all have a population with obesity at or below 25 percent.

Today, Americans eat 23 percent more calories than we did in 1970. That can really add up. One of the leading causes of overweight and obesity is an imbalance of calories. When you eat more than you burn, your body stores the extra energy as fat. Over time, the pounds can begin to pile on.

People who are overweight or have obesity miss about 56 percent more work days than people of normal weight. While normal-weight employees miss an average of three days per year, overweight individuals and individuals with obesity miss approximately two additional days.

The good news is obesity is largely preventable. A healthy diet and regular exercise can go a long way to help you reach and maintain a healthy weight. Otherwise, the realities of carrying around excess weight can start to creep up on you and take their toll.