GREENSBORO, N.C. - Almost 30 percent of adults in North Carolina are considered obese, and a report released by survey company WalletHub names four metro areas, Greensboro, Charlotte, Winston-Salem and Asheville, among its top 50 Fattest Cities in America.

The survey analyzed the percentage of people who are inactive, amounts of fruits and vegetables consumed and, of course, weight.

Registered dietitian Pam Kelle says while traditional southern foods may be partly to blame for the obesity rate of southern states, there are other socioeconomic factors.

"I think that habitual eating in the southern eating style is true, but if you tease it apart," she says. "I think you'll find a lot of those numbers fall into the poverty perspective, more than just a food preference perspective."

"parent">The Support Center of North Carolina says there are 349 "food deserts" in the state - areas in 80 counties that lack convenient access to healthy, affordable foods.

And the most recent State of Obesity report from the Robert Wood Johnson Foundation says North Carolina has more than 540,000 heart-disease cases and 142,000 obesity-related cancers.

No matter where a person lives, Kelle says healthier choices start with small steps.

"Try to talk within the family unit about making small changes overall, and it might be meal by meal," she says. "It might be, 'Let's have dinner at home three times a week.' But I think looking at your own plate and your habits, and thinking about hunger and fullness, little bitty changes can make a big difference."

Other diet changes to try include selecting lean meats, replacing fat-laden dips and sauces with choices like hummus, guacamole and yogurt, and increasing the number of "whole foods" consumed daily.



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A new program in Indiana will ensure year-round access to nutritious meals for students statewide.

The Summer Electronic Transfer program provides a one-time $120 payment for school-aged children on an EBT card. The card can be used at grocery stores, farmers markets and other retailers.

Emily Weikert Bryant, executive director of Feeding Indiana's Hungry, said history shows programs such as SUN Bucks are effective.

"What we learned from the pandemic is that when we provide benefits like this, allowing families to pickup on behalf of their children made a tremendous difference in reducing food insecurity amongst kids during the pandemic," Weikert Bryant observed. "Particularly during the summer."

Local schools will discuss eligibility with parents and families. Additionally, free meals are available at SUN Meals sites throughout communities. Funding for the initiative is provided by the state and the U-S-D-A.

Weikert Bryant said SUN Bucks serves as a crucial lifeline, ensuring no child goes hungry during the summer months. The program reflects Indiana's commitment to fostering the well-being of Hoosier kids, ensuring they receive nutritious meals to thrive personally and academically. She described who qualifies.

"Children are eligible for the program if the household already participates in SNAP, TANF -- Temporary Assistance for Needy Families -- or income-based Medicaid," Weikert Bryant outlined. "Or if the student has been identified as a ward of the state; a foster child, homeless or migrant."

Those children will automatically receive benefits. Families who do not qualify for those programs but have children who receive free and reduced priced meals need to apply for the program. The application deadline is May 1.


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Alabama is one of 14 states opting out of the 2024 summer electronic benefit program.

As summer rolls around, there will be no programs in place to help low-income families with grocery costs.

LaTrell Clifford Wood, hunger policy advocate for the group Alabama Arise, said as a result, more than 500,000 children who usually receive free or reduced lunch could go without meals. She noted while summer feeding programs will be available, they will not reach everyone in need.

"Ninety-four percent of Alabama children who rely on free and reduced-price meals won't have access to them over the summer," Clifford Wood reported. "That means that only 6% of the children who rely on those meals during the school year are going to be fed through summer feeding programs."

Clifford Wood warned limited hours, transportation and strict program rules will hinder many families from benefiting from such vital programs. The Alabama Legislature did not allocate the necessary $15 million for the program by the end of the last session. However, Clifford Wood noted there is a chance the program will be funded in the summer of 2025.

As legislators focus on next year's budgets, Clifford Wood stressed the need for funding next summer's EBT program. She pointed out Alabama Arise is calling for lawmakers to allocate funds from the Education Trust Fund to combat child hunger, affecting one in four children in the state.

"This is a program that's been tested for 13 years," Clifford Wood emphasized. "It's had three rigorous evaluation periods, and it was shown to improve the diet of children and decrease children's food hardship by a third."

Clifford Wood believes prioritizing children's needs and addressing food insecurity is a form of preventive care and serves as an early investment in the state's overall wellness.

The Food Research and Action Center said funding the e-benefits program would also benefit the economy - adding anywhere from $98 million to $117 million. The Alabama Senate Finance and Taxation Education Committee is expected to vote on the budget next week.

California's program helping low-income families buy fresh fruit and vegetables is on the chopping block and health care advocates are asking legislators to save the Market Match program.

Gov. Gavin Newsom has proposed cutting most of the program's $35 million budget to help close the state's budget shortfall.

Sophia Vaccaro, a participant in Market Match from Echo Park, said she depends on Market Match in more ways than one.

"It helps people being able to stretch their budget further," Vaccaro explained. "Then, I think it helps the community, in that it creates a sense of camaraderie at the farmers' market and makes people more invested in the community itself."

The program matches every dollar CalFresh customers spend on fresh fruits and vegetables at a farmer's market up to between $10 and $20 per day. It is active at 294 sites across the state and is partially paid for through federal matching funds.

Dr. John Maa, surgeon at Marin Health Medical Center and board member of the San Francisco Bay Area chapter of the American Heart Association, said Market Match promotes healthy eating and boosts the local farm economy.

"An improved diet really will have long-term meaningful impacts on health, and also reduce health care costs," Maa explained. "It really helps to sustain the growers and the merchants. I guess it's a win-win-win."

Siu Han Cheung, outreach coordinator for the Tenderloin Neighborhood Development Corporation and board member of the Heart of the City Farmers' Market, argued the program is vital to residents across the state.

"If the Market Match will be cut, that is terrible," Cheung stressed. "That means they have less money to buy their food. So, Market Match is very important for the low-income families and the seniors."

Legislators and the governor are working toward the May budget revisions, and must pass a balanced budget by June 15.