SYRACUSE -- As waistlines continue to grow, so too does the obesity epidemic. Here in Central New York, a new report from Excellus Blue Cross Blue Shield sheds light on a serious problem.

The numbers are startling. Locally, 35.7% of adults are overweight, and 26.2% are considered obese. There's a financial toll too. The report finds $309 million in excess annual medical costs due to obesity. "No matter how many times I hear the numbers about the obesity statistics, they shock me," said Rachel Murphy, a registered dietician with the Onondaga County Health Department.

So, what's to blame? Murphy says it's a combination of genetics, a sedentary lifestyle, lack of access to healthy food and larger portion sizes. "Half of your plate should be made with fruits and vegetables," Murphy said. "The other half should be divided up between protein source and carbohydrates."

The problem is more serious than some people think. Being overweight or obese puts you at higher risk for serious health conditions like Type II diabetes, hypertension, heart disease and stroke.

Some local companies are taking notice, implementing Wellness Programs at work. At SRC in North Syracuse, employees have access to a state-of-the-art gym with cardio equipment, weights and even a Pilates studio. Sensis Corporation offers an on-site fitness facility too, along with yoga classes and outdoor walking paths. They also offer employees annual blood screenings and flu shots, and once-a-month chair massages. But there's only so much they can do.

So, what's the take home message? "Make a small change for yourself so that you don't have to struggle with this national issue, the obesity epidemic," Murphy said.

The Onondaga County Health Department has launched a major effort called "Eat Well Play Hard" to combat the childhood obesity epidemic. They're working with local food pantries to keep them stocked with fresh fruits and vegetables and other healthy options.