West Virginia's efforts to slim down have won national notice, with the state being cited for significant improvement since 2004.
The national obesity report card released every January by the University of Baltimore finds the state moving from a grade of 'F' in 2004 to a 'B' in 2006.
That's due to a number of legislative and public policy changes in the last two years, including asking the federal Centers for Disease Control and Prevention for help in combating obesity.
West Virginia was the first state in the country to bring in the C.D.C.
The report card measures public policy rather than the overall health of the population.
West Virginia still ranks high in terms of obesity.
But University of Baltimore Professor Kenneth Stanton says the high grade was a recognition of the state's efforts to address the problem.
Only three states, California, New York and Tennessee, got higher grades than West Virginia.
Both Kentucky and Ohio received a 'C' in the report.