African American female adolescence (who live in urban areas) compared to female caucasion female adolescence (who live in suburban areas) have a lot of differences amongst themselves. Among adults and children has increased dramatically in the past 20 years to reach epidemic proportions, and health care costs of excessive weight are estimated at more than $98 billion a year. In a previous study investigating risk factors for cardiovascular disease in a poor, rural county in Tennessee, the authors found that morbid African American female adolescence (who live in urban area) compared to caucasion female adolescence (who live in suburban areas was 6 times more common in urban African-American female adolescents than men, particularly middle-aged urban African-American female adolescents, and self-reported health status among obese urban African-American female adolescents was significantly lower than that of urban African-American female adolescents who were not obese. It is unknown, however, whether these findings are limited...