These Are The Fattest States In America

Global adult obesity rates have steadily increased in the past few decades, more than tripling from 5% to 16% from 1990 to 2022.

With a much higher average obesity rate of 34%, the U.S. does see variance in its overweight population across regions and states. Lifestyle, dietary habits, socioeconomic status, access to healthcare, and physical activity levels all contribute to these regional differences.

This map, via Visual Capitalist’s Kayla Zhu, shows obesity rates in 2022 in each U.S. state and territory. Obesity is defined as having a body mass index (BMI) equal to or greater than 30.

The figures come from the U.S. Centers for Disease Control and Prevention (CDC) and are updated as of September 2023. Obesity figures are based on self-reported height and weight.

Midwest and South Have Highest Obesity Rates

In 2022, every U.S. state and territory had an obesity rate of over 20%, meaning more than one in five adults in the U.S. was obese.

Overall, the Midwest (35.8%) and South (35.6%) regions had the highest obesity rates, followed by the Northeast (30.5%) and West (29.5%)

State/Territory
Adult obesity rate in 2022
West Virginia
41.0%
Louisiana
40.1%
Oklahoma
40.0%
Mississippi
39.5%
Tennessee
38.9%
Alabama
38.3%
Ohio
38.1%
Delaware
37.9%
Indiana
37.7%
Kentucky
37.7%
Wisconsin
37.7%
Arkansas
37.4%
Iowa
37.4%
Georgia
37.0%
South Dakota
36.8%
Missouri
36.4%
Kansas
35.7%
Texas
35.5%
North Dakota
35.4%
Nebraska
35.3%
Virginia
35.2%
South Carolina
35.0%
Michigan
34.5%
Wyoming
34.3%
North Carolina
34.1%
Puerto Rico
34.1%
Minnesota
33.6%
Nevada
33.5%
Illinois
33.4%
Pennsylvania
33.4%
Arizona
33.2%
Idaho
33.2%
Maryland
33.2%
Maine
33.1%
Guam
32.7%
New Mexico
32.4%
Alaska
32.1%
Virgin Islands
32.1%
Washington
31.7%
Florida
31.6%
Utah
31.1%
Oregon
30.9%
Rhode Island
30.8%
Connecticut
30.6%
Montana
30.5%
New Hampshire
30.2%
New York
30.1%
New Jersey
29.1%
California
28.1%
Massachusetts
27.2%
Vermont
26.8%
Hawaii
25.9%
Colorado
25.0%
District of Columbia
24.3%

West Virginia recorded the highest obesity rate in the United States at 41%, followed by Louisiana and Oklahoma at 40%.

These states, characterized by high rural populations and poverty rates, are often home to many food deserts, or areas where access to fresh and healthy foods is limited, leading residents to rely more on fast food and other nutritionally poor options.

The CDC data also showed disparities in age and education level when it came to obesity prevalence.

According to the CDC, young adults were half as likely to be obese compared to middle-aged adults. Adults aged 18–24 years had the lowest prevalence of obesity (20.5%) while adults aged 45–54 years had the highest (39.9%).

Adults without a high school diploma were the most likely to be obese (37.6%) compared to 35.9% of adults with some college education, and 27.2% of college graduates.

To see how the United States ranks among the countries that have the highest obesity rates in the world, check out this graphic.