Beating the annual list of fattest cities in the nation from Men's Fitness by a few weeks is the 17th annual report of America's Health Rankings issued by the United Health Foundation.

The unhealthiest states -- Louisiana, Mississippi and South Carolina -- may not surprise you very much, as there is high unemployment in these states and obesity and poverty often travel together. The three healthiest states might defy your expectations, however. All three -- Minnesota, Vermont and New Hampshire -- certainly dispel any excuses you might raise about blaming colder climates for your poor health.

However, my favorite vacation spot, Hawaii, has the longest lived people in the United States. They typically live to be over 80, which is three years longer than people on the U.S. mainland. Aside from the more relaxed pace I believe it has lots to do with plentiful sunshine. It certainly isn't their diet, as many natives consume foods that are far from healthy.

You may feel a little better knowing America's overall health has improved some 19 percent since the foundation began issuing yearly reports in 1990, but don't be fooled. During that same time, obesity rates have more than doubled and the life expectancy of the average baby girl in America is seven years less than her counterpart in Japan.

It is important that you take your health into your own hands. You won't find a pill or a surgical procedure that doesn't have some serious risks involved. Diet and exercise are both crucial, and work better together than either do on their own.

Although, of course, your location does not determine your health, Vital Votes readers reacted to the news with either joy or dismay. Jim, from Concord, Massachusetts, writes:

"I've been in a state of disarray and sometimes even a depressed state, but it cheers me to see I'm in a 'healthy' state here.  In fact, all of New England is represented in the Top Lucky 13."

But Cynthia, from Sumter, South Carolina, adds:

"When I read the title for this there was no doubt in my mind I was living in an unhealthy state.  Ah!  There it is right there in the reading, South Carolina.  When military members first get assigned here we are briefed on the health conditions of the area.  We are given warnings for sexual activity because this is the highest area for STDs, namely HIV and Chlamydia. 

"I am sure my negative opinion of where I live at least partially stems from getting this lovely information upon arrival here."

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