Is anybody shocked that Hoosiers are unhealthy?

"We have to remember that these reports are just a snapshot and not the gospel of what is actually going on, but I am still a little disappointed with Indiana's ranking," said Penny Caudill, administrator of the Monroe County Health Department. "I'm always reminded of the quote that 'health is wealth.' Health is everything, so I'm disappointed we rank near the bottom in this ranking."

Hawaii ranked the healthiest state, followed by Vermont, Massachusetts, Connecticut, and Utah. Mississippi ranked 50th, preceded by Arkansas (49), Louisiana (48), Kentucky (47) and Oklahoma (46). You can see the full rankings at www.americashealthrankings.org.

Indiana ranked 43rd in the percent of adults who are physically active and 42nd in the percent of adults who are obese — defined as having a body mass index of 30 or higher. The report showed that 31.8 percent of Hoosier adults are obese. In 1990, that figure was 15 percent, and it climbed to 20 percent in 2000 and 31.4 percent in 2013.

The obesity rankings should come as no surprise. Three months ago the 11th annual obesity report was released by Trust for America's Health and the Robert Wood Johnson Foundation, showing that Indiana's adult obesity rate had grown to 31.8 percent in 2013 — ninth highest in the nation.