This document discusses obesity rates in upstate New York from 2004 to 2008. It finds that obesity among adults in the region increased dramatically during this period. The counties with the highest obesity rates each year tended to be Chautauqua, Chemung, Franklin, Seneca, and Yates counties. Obesity is linked to numerous health issues like heart disease, diabetes, and cancer. The document recommends eating healthier foods, daily exercise, and potentially surgery as ways to reduce obesity.