WASHINGTON (AP) - Tennessee remains one of the fattest states in the country.

A report issued today shows that more than 30% of people living in the Volunteer State are obese.

Kentucky, Louisiana, Oklahoma and Arkansas also rose into the top tier, which also includes Mississippi, Alabama and West Virginia.

Mississippi continues its 6-year reign as the country's fattest state in the study's yearly rankings, along with the highest rates of physical inactivity and hypertension. The state also has the second highest rate of diabetes.

The report by the Trust for America's Health and the Robert Wood Johnson Foundation indicates efforts to reduce obesity haven't yet matched the magnitude of the problem.

A companion report finds many parents are blind to their children's obesity.

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