America’s most overweight states revealed: Full list of the most and least obese US states

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 Full list of the most and least obese US states

Obesity rates across the US are climbing to record levels, and a new nationwide ranking shows exactly where the crisis is hitting hardest. The report, compiled by WalletHub using 31 public health and lifestyle indicators, identifies states where limited access to healthy food, low physical activity, and economic hardship are combining to fuel some of the highest obesity and chronic disease rates in the country — costing billions in healthcare and reshaping workforce health and life expectancy.Most to least overweight and obese states in the US

RankStateStatus
1West VirginiaMost overweight & obese
2MississippiVery high rates
3ArkansasVery high rates
4KentuckyHigh obesity burden
5AlabamaHigh obesity burden
6TennesseeElevated obesity & inactivity
7LouisianaHigh obesity and diabetes rates
8OklahomaHigh inactivity, limited food access
9South CarolinaHigh obesity among adults and children
10IndianaHigh chronic disease rates
11Missouri
12Ohio
13North Dakota
14Michigan
15Texas
16Georgia
17Kansas
18Iowa
19Nebraska
20Wisconsin
21North Carolina
22Illinois
23Pennsylvania
24New Mexico
25Delaware
26Arizona
27Florida
28Nevada
29Idaho
30Wyoming
31Maryland
32Virginia
33Montana
34South Dakota
35Rhode Island
36Connecticut
37New York
38New Jersey
39Washington
40Minnesota
41Oregon
42California
43Massachusetts
44New Hampshire
45Vermont
46Utah
47Hawaii
48District of Columbia (D.C.)
49ColoradoLeast overweight & obese

What’s driving the divide

Several contributing factors influence why some states experience higher rates:

  • Limited access to fresh and affordable foods
  • High sugary drink consumption
  • Consumption of ultra-processed food
  • Low levels of regular physical activity
  • Fewer fitness centers and green recreational spaces
  • Economic and healthcare disparities

For example, West Virginia — which ranks first — has high rates of sugary beverage intake among teens, lower availability of fitness facilities, and significantly elevated rates of type 2 diabetes and cardiovascular disease.

The cost of the obesity crisis

Obesity-related health conditions such as heart disease, hypertension, stroke, and joint complications cost the US an estimated $173 billion per year. States with the highest obesity rates also experience:

  • Increased medical spending
  • Higher workplace absenteeism
  • Lower reported levels of daily energy and wellness

Experts also note that the growing popularity of GLP-1 weight-loss medications reflects both progress in medical treatment and deepening reliance on pharmaceutical solutions.Health professionals emphasise that individual effort works best when supported by community environments. Effective approaches include:

  • Increasing access to affordable nutritious foods
  • Encouraging physical activity in schools and public spaces
  • Reducing sugary beverage consumption
  • Promoting preventive healthcare and nutrition education
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