Is this based on weight alone?
If a guy has a 32” waist and a 46” chest, is he considered obese?
No, it's not weight-based. In the ten years I've lived down here, I've seen skinny high school girls with a roll of fat around their waistbands, and you wouldn't believe how many more with flat-out pus guts! In all my years, I've never seen so many females that are built like long-haul truckers between the boobs and the knees. It's like some sort of genetic anomaly. It's definitely related to dietary and lifestyle choices. Go into your average supermarket down here, and
salad bars don't exist. Olive bars in upscale neighborhoods, maybe, but that's as far as it goes. Southern cooking and the Internet have turned a lot of people into non-motile masses of lipids in this region.
