The woman sitting on the couch in a Woodbury apartment doesn't look anything at all like the fat lady in her scrapbooks. Brittany Robinson is two women, one before and one after, and it's the new one she likes best.
The change came after her weight soared about 100 pounds during her pregnancy with Wyatt, now her 22-month-old son.
"I asked the nurse, 'What's the most you've seen anybody gain?' " said Robinson, 28, who has lost all of that weight since. "She looked at me and said, 'You're one of those, Brittany.' It made me sad in my heart. I just decided I don't want to be fat anymore."
Robinson's determination to regain her ideal weight appears to be a rarity in Minnesota these days. That is causing serious concern for health officials who have started several weight-loss campaigns across the state.
Fully 62 percent of residents now are hefty enough to rank as overweight or even obese. The relentless march of obesity -- anyone with a body mass index of 30 or more qualifies -- is spreading alarm among health officials as they prepare to unleash a four-year war on obesity. The effort -- funded with $24 million in state-appropriated money -- begins July 1.
"It's really scary," said Cara McNulty, who manages the anti-obesity initiative for the Minnesota Health Department. "It's why we call it an epidemic. This is a crisis issue."
Obesity-induced heart disease, stroke, cancer and diabetes accounted for 54 percent of all deaths statewide in 2006, according to state figures. Obesity and the other culprit targeted in the initiative -- tobacco use -- account for millions of dollars in medical expenses in the state each year.
The number of people considered overweight in Minnesota -- meaning a body mass index of 25 to 29 and a category separate from obesity -- has grown just a bit since 1990. But a more troubling indicator lies with obesity, which has surged nearly 20 percent in the same period.