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* Guam’s obesity prevalence is over 40%4
http://www.hsvg.org/ Guahan Global Foundation
Guahan Global Foundation P.O. Box 206, Hagatna, GU 96932, USA
(October 16, 2026) Aware of it but no action on it To promote breast cancer awareness, prevention, and research in October, the American Cancer Society recently released the findings of its new survey, pointing out that significant gaps exist between awareness of modifiable breast cancer risk factors and taking positive action to lower risk.   After decades of campaigning breast cancer awareness in October, it is exciting that the survey found 99% of 32,775 survey respondents know that smoking raises cancer risk. 91% of them learn low physical activity levels raise risk. 89% of women know excess body weight increases risk. 85% of ladies know alcohol use is also going to raise risk.   The survey also looked into awareness of breast cancer risk and protective factors by race and ethnicity. Among Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPI), 99% of women in this group know that smoking raises cancer risk. 92% of them learn low physical activity levels raise risk. 89% of them know excess body weight increases risk. The percentage of AANHPI women knowing alcohol use could raise risk is also 89%.   It is great to learn that the awareness levels of breast cancer risk factors among AANHPI ladies are as high as overall survey respondents.   However, while 91% of women surveyed know that low levels of physical activity increase cancer risk, only 27% of the same respondents meet the American Cancer Society’s recommendation of 150 to 300 minutes of moderate-intensity activity, or 75 to 150 minutes of vigorous-intensity activity, each week.   Alcohol use shows the second-widest gap in the survey, with 85% of women knowing alcohol raises cancer risk and 69% still report drinking to some extent.   In addition, 89% of women know excess body weight increases cancer risk, but only 47% meet the American Cancer Society’s recommendation of staying at a healthy body weight throughout your life. And, 99% of ladies know smoking raises risk, but 28% of them do not avoid smoking or quit.   The research of the survey did not further investigate the awareness-action gaps of each ethnicity group. Given that Guam’s adult obesity prevalence was getting higher in recent years, it is reasonable to infer that quite a number of people in our island community did not take action to really balance their food intake and physical activity even though the awareness of risk factors may be high.   When the U.S. Centers for Disease Control and Prevention (CDC) released 2023 Adult Obesity Prevalence Maps for 48 states, the District of Columbia, and 3 territories in September 2024, Guam’s adult obesity rate was above 35% for the first time. On the CDC’s 2024 maps released in December 2025, Guam’s adult obesity rate increased again and was surprisingly jumping to 40.2%. There were only 3 states or territories with 40% or higher adult obesity rates.   However, in addition to diet and exercise, body weight is affected by many other factors, including genetics, hormones, environment, medications, and stress. An individual’s willpower alone does not drive weight-loss outcomes. A supportive ecosystem is crucial and necessary.   So, our foundation wants to point out that the American Cancer Society actually emphasized their survey results highlight the importance of initiatives to expand access to “safe, walkable community” and “affordable, healthy food” to help people easily take action in their daily life to increase physical activity and eat healthy.   Regarding “safe, walkable community,” it means people are able to safely and comfortably walk around their neighborhood, instead of driving to certain places and then walking or running there. Obviously, the system on our island has to allocate lots of resources to improve certain infrastructure to reach this goal. In addition, at the same time, the issues of stray dogs must be addressed. Otherwise, many people will not feel safe walking around their village.   Our island community also needs to work harder to secure the stability of the shipment of fresh food from off-island as well as the supply of the locally produced food, helping people's access to “affordable, healthy food.” That is why our foundation appreciates the hard work of the Port Authority of Guam, the shipping companies, and all related parties. We also admire the continuous efforts made by many local farmers, experts, and organizations that try to strengthen our island’s food resiliency.   The American Cancer Society also mentioned in its report that the findings of the survey have implications for public health awareness efforts as well as conversations between healthcare providers and their patients.   For example, breastfeeding for women who have children and can breastfeed is the least-known protective factor in the survey. Only 55% of women know that breastfeeding for several months after childbirth may offer the added benefit of reducing breast cancer risk. Its awareness level is much lower than other factors’. The percentage of AANHPI women knowing this protective factor is also just 57%. Some improvement could be made through public health awareness efforts or conversations between healthcare providers and their patients.   It is also important that people pursuing a healthy body weight can learn the science behind weight management from professionals. Our foundation looks forward to more relevant conversations between healthcare providers and their patients to facilitate the learning and motivate patients to take action on obesity or other health issues.   Finally, we would like to stress once again that steady lifestyle changes are helping long-term well-being. Once you make a start, even small improvements can bring meaningful benefits. So, regarding prevention, please do take action to make some changes after you are aware of the risk factors. Let’s close the awareness-action gaps. (This op-ed article is Guahan Global Foundation's column published in the Guam Daily Post on October 16, 2026) http://www.hsvg.org/hot_540987.html * Aware of it but no action on it 2026-10-16 2027-10-16
Guahan Global Foundation P.O. Box 206, Hagatna, GU 96932, USA http://www.hsvg.org/hot_540987.html
Guahan Global Foundation P.O. Box 206, Hagatna, GU 96932, USA http://www.hsvg.org/hot_540987.html
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Home ﹥ News > News > * Guam’s obesity prevalence is over 40%

Links：https://www.postguam.com/forum/featured_columnists/guam-s-ob ...

(February 13, 2026)

Guam’s obesity prevalence is over 40%




The U.S. Centers for Disease Control and Prevention (CDC) recently released the nation’s latest Adult Obesity Prevalence Maps. Guam’s adult obesity prevalence is over 40% on the map. There are only 3 states or territories with 40% or higher adult obesity rates.



The CDC has released the map every year since 2012. When the CDC released 2023 Adult Obesity Prevalence Maps for 48 states, the District of Columbia, and 3 territories in September 2024, Guam’s adult obesity rate has been above 35% for the first time. On the 2024 map released in December 2025, Guam’s adult obesity prevalence is 40.2%.



On the 2023 map, Michigan, Puerto Rico, and Mississippi’s adult obesity rates were 35.4%, 36%, and 40.1%, respectively. Although their 2024 numbers also went up, Michigan’s rate for 2024 is 36.1%, Puerto Rico is 36.2%, and Mississippi is 40.4% while Guam’s adult obesity rate jumps significantly from 2023’s 35.4% to 2024’s 40.2%.



Hawaii’s adult obesity prevalence has also kept increasing year by year, but its 2022 number was 25.9%, 2023 was 26.1%, and the latest 2024 is only 27%.



Some states with a high obesity rate actually reversed the trend. Alaska’s number on the 2023 map was 35.2% and drops to 34% on the 2024 one. New Mexico’s rate drops to 34.5% on the 2024 map from 2023’s 35.3%. Also, in Missouri, 2023’s 35.3% drops to 2024’s 34.6%. In Illinois, 2023’s 36% drops to 2024’s 34.2%.



So, it is possible to reverse the population’s obesity trend. Guam needs to encourage more people in the community to watch their body weight.



The increasing prevalence of obesity is highly associated with the risk for developing diabetes, which is another Guam’s prevalent health issue. In addition, the American Heart Association (AHA) warns that the rate of deaths from ischemic heart disease related to obesity nearly tripled in the U.S. over a two-decade span.



The AHA explains that ischemic heart disease occurs when narrowed arteries reduce the flow of blood and oxygen to the heart muscle. This can lead to a heart attack. Obesity is a serious risk factor for ischemic heart disease, and this risk is going up at an alarming rate along with the increasing prevalence of obesity.



While the AHA is commemorating American Heart Month now in February, they also remind that body weight is a powerful signal of how the body’s most important systems are working together. Maintaining a healthy body weight supports the cardiovascular system, kidney and metabolim,  which is the way the body creates, stores and uses energy. When body weight is within a healthier range, the body manages blood sugar more easily, the heart works better, and the kidneys filter more effectively. Together, this is called cardiovascular-kidney-metabolic (CKM) health.



It happened that the Federal government released the Dietary Guidelines for Americans 2025-2030 last month. According to its press release, the U.S. Department of Health and Human Services (HHS) is confident that the new guidance will dramatically lower chronic disease for Americans. For example, the U.S. faces the highest obesity and type 2 diabetes rates in the developed world. One-third of teens in the U.S. suffer from pre-diabetes. 20% of children and adolescents have obesity, and 18.5% of young adults have nonalcoholic fatty liver disease.



The HHS’ press release emphasized the new dietary guidelines are evangelizing real food. “The guidance provides possibilities across all recommendations. For example, in proteins, options such as chicken, pork, beans, and legumes; a larger variety of dairy products, at all price points, including whole milk and full-fat dairy products; fresh, frozen, dried, and canned fruits and vegetables, from beets to strawberries, carrots to apples; and whole grains. Paired with a reduction in highly processed foods laden with refined carbohydrates, added sugars, excess sodium, unhealthy fats, and chemical additives.” HHS said.



Our foundation welcomes the new dietary guidelines highlighting real food and prioritizing whole grains, healthy fats, high-quality protein, and all kinds of fruits and vegetables. We also commend the emphasis on avoiding highly processed foods and added sugar. We look forward to seeing the new dietary guidelines and the related policies really promote people’s healthier eating and provide school children, senior citizens, military members and our veterans with healthier meals to subsequently help reduce the prevalence of obesity and chronic disease.



Speaking of promoting a real food framework in Guam, our island community obviously must work harder to secure the stability of the imported fresh food’s shipment as well as the locally produced food’s supply to help people's access to real food. That is why our foundation appreciates the hard work of the Port authority of Guam, the shipping companies, and all related organizations. We also admire the continuous efforts made by many local organizations to strengthen our island’s food resiliency.



We therefore want to remind our island community that Guahan Sustainable Culture is trying the pilot “Southside Sunday Farmer’s Market” every Sunday morning in February at its Food Resiliency Hub in the village of Yona. We encourage community members to make time for the farmer’s market, enjoy the beautiful Sunday surrounded by natural beauties in the south of the island, and purchase food from local farmers and producers as much as possible.



In addition to food and diet, body weight is affected by many other factors, including genetics, hormones, environment, medications, and stress. Willpower alone does not drive weight-loss outcomes. People with obesity should understand that learning the science behind weight management from professionals is important. Every small improvement can bring meaningful benefits. Steady lifestyle changes will help long-term well-being.



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