Life expectancy in the U.S. has dropped a full year in the first half of 2020 — the biggest decrease since World War II — largely due to the COVID-19 pandemic. The disease has had a large impact on older Americans and people with certain health conditions, including obesity. Obesity is a major risk factor for COVID-19 complications and death, according to the Centers for Disease Control and Prevention.
Obesity, which is defined as having a body mass index (BMI) over 30, is associated with a higher risk for developing several serious conditions, including heart disease, Type 2 diabetes, and certain types of cancer — which are some of the leading causes of death in the U.S.
24/7 Tempo reviewed county-level health data from the 2020 County Health Rankings & Roadmaps, a Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute joint program, to identify the most obese county in every state.
Obesity is a complex health concern with a wide range of causes that include genetics, access to healthy food, and environment, among other factors. Partially as a result, obesity rates can range considerably from state to state as well as between counties of the same state.
In Mississippi, 36.8% of adults are obese, the largest share of any state in the country. In Mississippi’s most overweight county, the adult obesity rate is 45.4%, much higher than the national adult obesity rate of 29.0%. On the other end of the spectrum, in Colorado, the state with the lowest adult obesity rate of 21.8%, the adult obesity rate is below the national average in most counties.
Health experts have pointed to several lifestyle factors that are likely contributing to the excess weight problem, among them a sedentary lifestyle and the consumption of high-calorie diets, including large sugary beverages — here are 45 popular fast-food single items with more than 1,000 calories.
Click here to see the most obese county in every state
To determine the most obese county in every state, 24/7 Tempo reviewed county-level obesity rates from the 2020 County Health Rankings & Roadmaps, a Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute joint program. The share of adults who don’t exercise and the share of the population over 20 with diabetes also came from the CHR. Median household income and population data came from the U.S. Census Bureau’s 2019 American Community Survey 5-year averages.
Alabama: Macon County
> Adult obesity rate: 49.6% — 11th out of 3,142 counties (state: 35.5%)
> Adults who don’t exercise: 32.3% — 570th out of 3,142 counties (state: 29.8%)
> Pop. over 20 with diabetes: 23.0% — 38th out of 3,142 counties (state: 14.2%)
> Adults in poor or fair health: 29.9% — 57th out of 3,142 counties (state: 22.0%)
> Median household income: $33,370 — 3,021st out of 3,142 counties (state: $50,536)
> County population: 18,708
> Largest city: Tuskegee
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Alaska: Aleutians East County
> Adult obesity rate: 50.5% — 7th out of 3,142 counties (state: 32.5%)
> Adults who don’t exercise: 30.0% — 971st out of 3,142 counties (state: 20.0%)
> Pop. over 20 with diabetes: 12.6% — 1,245th out of 3,142 counties (state: 7.9%)
> Adults in poor or fair health: 16.8% — 1,653rd out of 3,142 counties (state: 18.1%)
> Median household income: $69,250 — 338th out of 3,142 counties (state: $77,640)
> County population: 3,385
> Largest city: Sand Point
24/7 Wall St.
Arizona: Yuma County
> Adult obesity rate: 36.9% — 705th out of 3,142 counties (state: 27.5%)
> Adults who don’t exercise: 26.3% — 1,793rd out of 3,142 counties (state: 21.8%)
> Pop. over 20 with diabetes: 14.1% — 858th out of 3,142 counties (state: 9.7%)
> Adults in poor or fair health: 22.7% — 481st out of 3,142 counties (state: 18.6%)
> Median household income: $45,243 — 2,259th out of 3,142 counties (state: $58,945)
> County population: 209,468
> Largest city: Yuma
Arkansas: Bradley County
> Adult obesity rate: 46.4% — 26th out of 3,142 counties (state: 34.2%)
> Adults who don’t exercise: 40.8% — 38th out of 3,142 counties (state: 31.6%)
> Pop. over 20 with diabetes: 16.1% — 488th out of 3,142 counties (state: 13.4%)
> Adults in poor or fair health: 28.4% — 86th out of 3,142 counties (state: 23.2%)
> Median household income: $43,184 — 2,451st out of 3,142 counties (state: $47,597)
> County population: 10,874
> Largest city: Warren
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California: Lassen County
> Adult obesity rate: 40.9% — 184th out of 3,142 counties (state: 23.6%)
> Adults who don’t exercise: 36.9% — 164th out of 3,142 counties (state: 17.6%)
> Pop. over 20 with diabetes: 19.6% — 133rd out of 3,142 counties (state: 8.6%)
> Adults in poor or fair health: 15.2% — 2,118th out of 3,142 counties (state: 17.2%)
> Median household income: $56,352 — 1,066th out of 3,142 counties (state: $75,235)
> County population: 30,818
> Largest city: Susanville
Colorado: Logan County
> Adult obesity rate: 38.0% — 525th out of 3,142 counties (state: 21.8%)
> Adults who don’t exercise: 23.4% — 2,371st out of 3,142 counties (state: 15.5%)
> Pop. over 20 with diabetes: 11.1% — 1,732nd out of 3,142 counties (state: 6.3%)
> Adults in poor or fair health: 14.6% — 2,282nd out of 3,142 counties (state: 14.5%)
> Median household income: $53,318 — 1,371st out of 3,142 counties (state: $72,331)
> County population: 22,380
> Largest city: Sterling
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Connecticut: Windham County
> Adult obesity rate: 30.3% — 2,165th out of 3,142 counties (state: 25.8%)
> Adults who don’t exercise: 23.0% — 2,441st out of 3,142 counties (state: 20.4%)
> Pop. over 20 with diabetes: 11.1% — 1,732nd out of 3,142 counties (state: 8.9%)
> Adults in poor or fair health: 13.4% — 2,611th out of 3,142 counties (state: 13.8%)
> Median household income: $66,550 — 417th out of 3,142 counties (state: $78,444)
> County population: 116,566
> Largest city: Willimantic CDP
24/7 Wall St.
Delaware: Kent County
> Adult obesity rate: 35.4% — 1,024th out of 3,142 counties (state: 30.9%)
> Adults who don’t exercise: 31.2% — 746th out of 3,142 counties (state: 27.7%)
> Pop. over 20 with diabetes: 13.1% — 1,119th out of 3,142 counties (state: 11.5%)
> Adults in poor or fair health: 19.0% — 1,181st out of 3,142 counties (state: 18.0%)
> Median household income: $60,910 — 704th out of 3,142 counties (state: $68,287)
> County population: 176,699
> Largest city: Dover
Florida: Gadsden County
> Adult obesity rate: 42.8% — 91st out of 3,142 counties (state: 26.6%)
> Adults who don’t exercise: 35.4% — 251st out of 3,142 counties (state: 25.9%)
> Pop. over 20 with diabetes: 20.0% — 115th out of 3,142 counties (state: 10.6%)
> Adults in poor or fair health: 25.8% — 179th out of 3,142 counties (state: 17.5%)
> Median household income: $41,401 — 2,608th out of 3,142 counties (state: $55,660)
> County population: 45,945
> Largest city: Quincy
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Georgia: Warren County
> Adult obesity rate: 57.7% — 1st out of 3,142 counties (state: 32.0%)
> Adults who don’t exercise: 27.8% — 1,423rd out of 3,142 counties (state: 27.5%)
> Pop. over 20 with diabetes: 24.1% — 22nd out of 3,142 counties (state: 11.8%)
> Adults in poor or fair health: 24.3% — 290th out of 3,142 counties (state: 18.0%)
> Median household income: $37,203 — 2,891st out of 3,142 counties (state: $58,700)
> County population: 5,297
> Largest city: Warrenton
Hawaii: Hawaii County
> Adult obesity rate: 25.5% — 2,850th out of 3,142 counties (state: 23.7%)
> Adults who don’t exercise: 21.0% — 2,722nd out of 3,142 counties (state: 20.5%)
> Pop. over 20 with diabetes: 10.3% — 2,028th out of 3,142 counties (state: 10.3%)
> Adults in poor or fair health: 13.9% — 2,448th out of 3,142 counties (state: 14.2%)
> Median household income: $62,409 — 623rd out of 3,142 counties (state: $81,275)
> County population: 199,459
> Largest city: Hilo CDP
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Idaho: Owyhee County
> Adult obesity rate: 39.3% — 327th out of 3,142 counties (state: 29.3%)
> Adults who don’t exercise: 26.3% — 1,793rd out of 3,142 counties (state: 20.8%)
> Pop. over 20 with diabetes: 13.5% — 1,018th out of 3,142 counties (state: 8.9%)
> Adults in poor or fair health: 20.1% — 961st out of 3,142 counties (state: 14.6%)
> Median household income: $43,798 — 2,387th out of 3,142 counties (state: $55,785)
> County population: 11,552
> Largest city: Homedale
Illinois: Kankakee County
> Adult obesity rate: 41.2% — 164th out of 3,142 counties (state: 29.7%)
> Adults who don’t exercise: 36.5% — 193rd out of 3,142 counties (state: 22.3%)
> Pop. over 20 with diabetes: 10.8% — 1,848th out of 3,142 counties (state: 9.9%)
> Adults in poor or fair health: 16.4% — 1,764th out of 3,142 counties (state: 17.2%)
> Median household income: $58,902 — 851st out of 3,142 counties (state: $65,886)
> County population: 110,637
> Largest city: Kankakee
Indiana: Martin County
> Adult obesity rate: 42.5% — 105th out of 3,142 counties (state: 33.4%)
> Adults who don’t exercise: 39.6% — 62nd out of 3,142 counties (state: 26.7%)
> Pop. over 20 with diabetes: 8.6% — 2,530th out of 3,142 counties (state: 11.9%)
> Adults in poor or fair health: 17.5% — 1,488th out of 3,142 counties (state: 19.8%)
> Median household income: $52,726 — 1,449th out of 3,142 counties (state: $56,303)
> County population: 10,212
> Largest city: Loogootee
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Iowa: Franklin County
> Adult obesity rate: 45.1% — 40th out of 3,142 counties (state: 33.2%)
> Adults who don’t exercise: 29.8% — 1,017th out of 3,142 counties (state: 23.7%)
> Pop. over 20 with diabetes: 15.6% — 587th out of 3,142 counties (state: 9.7%)
> Adults in poor or fair health: 15.8% — 1,969th out of 3,142 counties (state: 14.5%)
> Median household income: $56,419 — 1,063rd out of 3,142 counties (state: $60,523)
> County population: 10,162
> Largest city: Hampton
Kansas: Atchison County
> Adult obesity rate: 43.4% — 69th out of 3,142 counties (state: 33.2%)
> Adults who don’t exercise: 32.7% — 522nd out of 3,142 counties (state: 24.8%)
> Pop. over 20 with diabetes: 11.3% — 1,662nd out of 3,142 counties (state: 10.1%)
> Adults in poor or fair health: 17.4% — 1,523rd out of 3,142 counties (state: 16.1%)
> Median household income: $50,439 — 1,718th out of 3,142 counties (state: $59,597)
> County population: 16,268
> Largest city: Atchison
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Kentucky: Owsley County
> Adult obesity rate: 46.3% — 28th out of 3,142 counties (state: 33.8%)
> Adults who don’t exercise: 26.1% — 1,844th out of 3,142 counties (state: 28.6%)
> Pop. over 20 with diabetes: 11.4% — 1,623rd out of 3,142 counties (state: 12.6%)
> Adults in poor or fair health: 26.6% — 138th out of 3,142 counties (state: 23.9%)
> Median household income: $30,284 — 3,081st out of 3,142 counties (state: $50,589)
> County population: 4,442
> Largest city: Booneville
Louisiana: Grant County
> Adult obesity rate: 47.4% — 19th out of 3,142 counties (state: 35.4%)
> Adults who don’t exercise: 41.4% — 28th out of 3,142 counties (state: 29.2%)
> Pop. over 20 with diabetes: 20.5% — 99th out of 3,142 counties (state: 12.8%)
> Adults in poor or fair health: 22.5% — 517th out of 3,142 counties (state: 22.0%)
> Median household income: $42,505 — 2,506th out of 3,142 counties (state: $49,469)
> County population: 22,340
> Largest city: Colfax
Maine: Piscataquis County
> Adult obesity rate: 36.6% — 764th out of 3,142 counties (state: 29.9%)
> Adults who don’t exercise: 25.1% — 2,064th out of 3,142 counties (state: 21.6%)
> Pop. over 20 with diabetes: 11.4% — 1,623rd out of 3,142 counties (state: 10.2%)
> Adults in poor or fair health: 15.2% — 2,108th out of 3,142 counties (state: 15.0%)
> Median household income: $40,890 — 2,648th out of 3,142 counties (state: $57,918)
> County population: 16,836
> Largest city: Dover-Foxcroft CDP
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Maryland: Somerset County
> Adult obesity rate: 44.4% — 47th out of 3,142 counties (state: 31.0%)
> Adults who don’t exercise: 34.5% — 334th out of 3,142 counties (state: 22.4%)
> Pop. over 20 with diabetes: 13.3% — 1,056th out of 3,142 counties (state: 10.7%)
> Adults in poor or fair health: 19.1% — 1,161st out of 3,142 counties (state: 14.9%)
> Median household income: $37,803 — 2,852nd out of 3,142 counties (state: $84,805)
> County population: 25,729
> Largest city: Princess Anne
Massachusetts: Hampden County
> Adult obesity rate: 31.2% — 1,985th out of 3,142 counties (state: 24.7%)
> Adults who don’t exercise: 25.7% — 1,926th out of 3,142 counties (state: 21.3%)
> Pop. over 20 with diabetes: 10.7% — 1,881st out of 3,142 counties (state: 8.9%)
> Adults in poor or fair health: 18.3% — 1,311th out of 3,142 counties (state: 14.4%)
> Median household income: $55,429 — 1,139th out of 3,142 counties (state: $81,215)
> County population: 467,871
> Largest city: Springfield
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Michigan: Gladwin County
> Adult obesity rate: 42.5% — 104th out of 3,142 counties (state: 32.0%)
> Adults who don’t exercise: 26.1% — 1,844th out of 3,142 counties (state: 23.4%)
> Pop. over 20 with diabetes: 19.4% — 145th out of 3,142 counties (state: 10.8%)
> Adults in poor or fair health: 17.1% — 1,592nd out of 3,142 counties (state: 17.4%)
> Median household income: $44,619 — 2,316th out of 3,142 counties (state: $57,144)
> County population: 25,279
> Largest city: Gladwin
Minnesota: Polk County
> Adult obesity rate: 39.4% — 316th out of 3,142 counties (state: 27.9%)
> Adults who don’t exercise: 27.4% — 1,511th out of 3,142 counties (state: 20.1%)
> Pop. over 20 with diabetes: 9.6% — 2,233rd out of 3,142 counties (state: 8.3%)
> Adults in poor or fair health: 13.6% — 2,550th out of 3,142 counties (state: 12.1%)
> Median household income: $59,343 — 822nd out of 3,142 counties (state: $71,306)
> County population: 31,521
> Largest city: East Grand Forks
Mississippi: Jefferson County
> Adult obesity rate: 53.7% — 2nd out of 3,142 counties (state: 36.8%)
> Adults who don’t exercise: 35.1% — 286th out of 3,142 counties (state: 31.9%)
> Pop. over 20 with diabetes: 16.0% — 505th out of 3,142 counties (state: 14.6%)
> Adults in poor or fair health: 37.5% — 6th out of 3,142 counties (state: 24.1%)
> Median household income: $25,019 — 3,131st out of 3,142 counties (state: $45,081)
> County population: 7,225
> Largest city: Fayette
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Missouri: Daviess County
> Adult obesity rate: 45.4% — 36th out of 3,142 counties (state: 32.2%)
> Adults who don’t exercise: 30.4% — 892nd out of 3,142 counties (state: 25.8%)
> Pop. over 20 with diabetes: 7.3% — 2,839th out of 3,142 counties (state: 11.6%)
> Adults in poor or fair health: 18.4% — 1,289th out of 3,142 counties (state: 18.0%)
> Median household income: $51,679 — 1,581st out of 3,142 counties (state: $55,461)
> County population: 8,295
> Largest city: Gallatin
Montana: Blaine County
> Adult obesity rate: 39.1% — 353rd out of 3,142 counties (state: 25.8%)
> Adults who don’t exercise: 27.2% — 1,566th out of 3,142 counties (state: 21.6%)
> Pop. over 20 with diabetes: 13.6% — 996th out of 3,142 counties (state: 8.1%)
> Adults in poor or fair health: 23.1% — 429th out of 3,142 counties (state: 14.7%)
> Median household income: $41,279 — 2,619th out of 3,142 counties (state: $54,970)
> County population: 6,719
> Largest city: Fort Belknap Agency CDP
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Nebraska: Thurston County
> Adult obesity rate: 44.1% — 54th out of 3,142 counties (state: 32.2%)
> Adults who don’t exercise: 32.2% — 588th out of 3,142 counties (state: 23.3%)
> Pop. over 20 with diabetes: 19.2% — 166th out of 3,142 counties (state: 9.4%)
> Adults in poor or fair health: 25.1% — 220th out of 3,142 counties (state: 14.4%)
> Median household income: $51,034 — 1,649th out of 3,142 counties (state: $61,439)
> County population: 7,181
> Largest city: Pender
Nevada: Lyon County
> Adult obesity rate: 34.9% — 1,130th out of 3,142 counties (state: 25.7%)
> Adults who don’t exercise: 25.0% — 2,082nd out of 3,142 counties (state: 23.1%)
> Pop. over 20 with diabetes: 12.4% — 1,310th out of 3,142 counties (state: 10.2%)
> Adults in poor or fair health: 18.0% — 1,371st out of 3,142 counties (state: 19.9%)
> Median household income: $56,875 — 1,021st out of 3,142 counties (state: $60,365)
> County population: 54,380
> Largest city: Fernley
New Hampshire: Coos County
> Adult obesity rate: 33.6% — 1,450th out of 3,142 counties (state: 27.9%)
> Adults who don’t exercise: 25.9% — 1,886th out of 3,142 counties (state: 21.3%)
> Pop. over 20 with diabetes: 13.1% — 1,119th out of 3,142 counties (state: 9.3%)
> Adults in poor or fair health: 14.9% — 2,207th out of 3,142 counties (state: 13.1%)
> Median household income: $47,117 — 2,087th out of 3,142 counties (state: $76,768)
> County population: 31,741
> Largest city: Berlin
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New Jersey: Salem County
> Adult obesity rate: 36.5% — 796th out of 3,142 counties (state: 26.4%)
> Adults who don’t exercise: 29.6% — 1,056th out of 3,142 counties (state: 26.0%)
> Pop. over 20 with diabetes: 14.4% — 802nd out of 3,142 counties (state: 9.5%)
> Adults in poor or fair health: 19.2% — 1,138th out of 3,142 counties (state: 17.7%)
> Median household income: $66,842 — 406th out of 3,142 counties (state: $82,545)
> County population: 62,990
> Largest city: Pennsville CDP
New Mexico: McKinley County
> Adult obesity rate: 38.8% — 380th out of 3,142 counties (state: 26.6%)
> Adults who don’t exercise: 25.6% — 1,946th out of 3,142 counties (state: 19.7%)
> Pop. over 20 with diabetes: 17.1% — 361st out of 3,142 counties (state: 8.9%)
> Adults in poor or fair health: 26.5% — 146th out of 3,142 counties (state: 20.6%)
> Median household income: $33,834 — 3,009st out of 3,142 counties (state: $49,754)
> County population: 72,438
> Largest city: Gallup
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New York: Chenango County
> Adult obesity rate: 38.8% — 378th out of 3,142 counties (state: 25.5%)
> Adults who don’t exercise: 24.2% — 2,248th out of 3,142 counties (state: 24.7%)
> Pop. over 20 with diabetes: 13.3% — 1,056th out of 3,142 counties (state: 9.8%)
> Adults in poor or fair health: 14.7% — 2,245th out of 3,142 counties (state: 16.6%)
> Median household income: $52,002 — 1,548th out of 3,142 counties (state: $68,486)
> County population: 47,909
> Largest city: Norwich
24/7 Wall St.
North Carolina: Hertford County
> Adult obesity rate: 46.5% — 25th out of 3,142 counties (state: 31.4%)
> Adults who don’t exercise: 42.5% — 18th out of 3,142 counties (state: 24.3%)
> Pop. over 20 with diabetes: 21.7% — 64th out of 3,142 counties (state: 11.2%)
> Adults in poor or fair health: 23.5% — 385th out of 3,142 counties (state: 18.5%)
> Median household income: $41,028 — 2,631st out of 3,142 counties (state: $54,602)
> County population: 24,012
> Largest city: Ahoskie
North Dakota: Rolette County
> Adult obesity rate: 43.0% — 88th out of 3,142 counties (state: 32.7%)
> Adults who don’t exercise: 33.2% — 462nd out of 3,142 counties (state: 23.9%)
> Pop. over 20 with diabetes: 14.9% — 716th out of 3,142 counties (state: 9.0%)
> Adults in poor or fair health: 29.8% — 59th out of 3,142 counties (state: 15.1%)
> Median household income: $43,158 — 2,457th out of 3,142 counties (state: $64,894)
> County population: 14,511
> Largest city: Belcourt CDP
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Ohio: Van Wert County
> Adult obesity rate: 40.8% — 190th out of 3,142 counties (state: 32.3%)
> Adults who don’t exercise: 31.2% — 746th out of 3,142 counties (state: 26.4%)
> Pop. over 20 with diabetes: 14.9% — 716th out of 3,142 counties (state: 11.8%)
> Adults in poor or fair health: 16.2% — 1,834th out of 3,142 counties (state: 18.0%)
> Median household income: $54,254 — 1,265th out of 3,142 counties (state: $56,602)
> County population: 28,261
> Largest city: Van Wert
Oklahoma: Okfuskee County
> Adult obesity rate: 48.4% — 14th out of 3,142 counties (state: 33.7%)
> Adults who don’t exercise: 30.5% — 874th out of 3,142 counties (state: 29.3%)
> Pop. over 20 with diabetes: 19.8% — 126th out of 3,142 counties (state: 12.2%)
> Adults in poor or fair health: 24.6% — 262nd out of 3,142 counties (state: 20.8%)
> Median household income: $38,411 — 2,808th out of 3,142 counties (state: $52,919)
> County population: 12,067
> Largest city: Okemah
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Oregon: Jefferson County
> Adult obesity rate: 42.6% — 98th out of 3,142 counties (state: 28.8%)
> Adults who don’t exercise: 24.0% — 2,276th out of 3,142 counties (state: 17.2%)
> Pop. over 20 with diabetes: 19.3% — 155th out of 3,142 counties (state: 9.3%)
> Adults in poor or fair health: 19.6% — 1,052nd out of 3,142 counties (state: 16.7%)
> Median household income: $53,277 — 1,375th out of 3,142 counties (state: $62,818)
> County population: 23,607
> Largest city: Madras
Pennsylvania: Armstrong County
> Adult obesity rate: 42.3% — 115th out of 3,142 counties (state: 30.3%)
> Adults who don’t exercise: 30.8% — 821st out of 3,142 counties (state: 23.1%)
> Pop. over 20 with diabetes: 12.0% — 1,422nd out of 3,142 counties (state: 10.6%)
> Adults in poor or fair health: 16.3% — 1,819th out of 3,142 counties (state: 17.5%)
> Median household income: $51,410 — 1,617th out of 3,142 counties (state: $61,744)
> County population: 65,867
> Largest city: Kittanning
Rhode Island: Kent County
> Adult obesity rate: 29.8% — 2,262nd out of 3,142 counties (state: 28.1%)
> Adults who don’t exercise: 24.2% — 2,248th out of 3,142 counties (state: 24.4%)
> Pop. over 20 with diabetes: 10.3% — 2,028th out of 3,142 counties (state: 9.5%)
> Adults in poor or fair health: 14.3% — 2,355th out of 3,142 counties (state: 16.4%)
> Median household income: $73,521 — 253rd out of 3,142 counties (state: $67,167)
> County population: 163,869
> Largest city: Warwick
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South Carolina: Marion County
> Adult obesity rate: 43.6% — 65th out of 3,142 counties (state: 32.9%)
> Adults who don’t exercise: 38.1% — 101st out of 3,142 counties (state: 25.9%)
> Pop. over 20 with diabetes: 21.9% — 62nd out of 3,142 counties (state: 12.8%)
> Adults in poor or fair health: 26.0% — 165th out of 3,142 counties (state: 18.2%)
> Median household income: $32,063 — 3,051st out of 3,142 counties (state: $53,199)
> County population: 31,308
> Largest city: Marion
South Dakota: Ziebach County
> Adult obesity rate: 51.6% — 5th out of 3,142 counties (state: 31.8%)
> Adults who don’t exercise: 27.4% — 1,511th out of 3,142 counties (state: 21.3%)
> Pop. over 20 with diabetes: 17.5% — 318th out of 3,142 counties (state: 9.9%)
> Adults in poor or fair health: 29.2% — 73rd out of 3,142 counties (state: 13.4%)
> Median household income: $37,400 — 2,876th out of 3,142 counties (state: $58,275)
> County population: 2,791
> Largest city: Eagle Butte
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Tennessee: Haywood County
> Adult obesity rate: 46.6% — 24th out of 3,142 counties (state: 33.2%)
> Adults who don’t exercise: 31.6% — 684th out of 3,142 counties (state: 27.2%)
> Pop. over 20 with diabetes: 15.1% — 675th out of 3,142 counties (state: 12.8%)
> Adults in poor or fair health: 27.2% — 116th out of 3,142 counties (state: 19.7%)
> Median household income: $37,905 — 2,844th out of 3,142 counties (state: $53,320)
> County population: 17,623
> Largest city: Brownsville
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Texas: Bowie County
> Adult obesity rate: 47.3% — 21st out of 3,142 counties (state: 30.1%)
> Adults who don’t exercise: 39.3% — 72nd out of 3,142 counties (state: 24.4%)
> Pop. over 20 with diabetes: 14.8% — 733rd out of 3,142 counties (state: 10.0%)
> Adults in poor or fair health: 18.9% — 1,199th out of 3,142 counties (state: 20.8%)
> Median household income: $50,164 — 1,759th out of 3,142 counties (state: $61,874)
> County population: 93,373
> Largest city: Texarkana
Utah: Uintah County
> Adult obesity rate: 35.2% — 1,056th out of 3,142 counties (state: 25.9%)
> Adults who don’t exercise: 24.2% — 2,248th out of 3,142 counties (state: 18.1%)
> Pop. over 20 with diabetes: 9.9% — 2,140th out of 3,142 counties (state: 7.1%)
> Adults in poor or fair health: 14.5% — 2,315th out of 3,142 counties (state: 13.9%)
> Median household income: $65,264 — 459th out of 3,142 counties (state: $71,621)
> County population: 36,084
> Largest city: Vernal
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Vermont: Franklin County
> Adult obesity rate: 34.3% — 1,277th out of 3,142 counties (state: 26.3%)
> Adults who don’t exercise: 26.1% — 1,844th out of 3,142 counties (state: 19.1%)
> Pop. over 20 with diabetes: 10.4% — 1,998th out of 3,142 counties (state: 8.4%)
> Adults in poor or fair health: 13.2% — 2,656th out of 3,142 counties (state: 13.1%)
> Median household income: $65,485 — 447th out of 3,142 counties (state: $61,973)
> County population: 49,116
> Largest city: St. Albans
Virginia: King and Queen County
> Adult obesity rate: 52.3% — 3rd out of 3,142 counties (state: 29.8%)
> Adults who don’t exercise: 28.8% — 1,203rd out of 3,142 counties (state: 22.9%)
> Pop. over 20 with diabetes: 12.7% — 1,221st out of 3,142 counties (state: 10.5%)
> Adults in poor or fair health: 17.8% — 1,416th out of 3,142 counties (state: 15.8%)
> Median household income: $63,982 — 526th out of 3,142 counties (state: $74,222)
> County population: 7,042
> Largest city: N/A
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Washington: Pend Oreille County
> Adult obesity rate: 39.9% — 264th out of 3,142 counties (state: 27.8%)
> Adults who don’t exercise: 24.9% — 2,104th out of 3,142 counties (state: 17.0%)
> Pop. over 20 with diabetes: 13.9% — 902nd out of 3,142 counties (state: 8.8%)
> Adults in poor or fair health: 16.8% — 1,662nd out of 3,142 counties (state: 15.6%)
> Median household income: $50,591 — 1,688th out of 3,142 counties (state: $73,775)
> County population: 13,377
> Largest city: Newport
West Virginia: Ritchie County
> Adult obesity rate: 44.2% — 51st out of 3,142 counties (state: 36.7%)
> Adults who don’t exercise: 30.4% — 892nd out of 3,142 counties (state: 28.9%)
> Pop. over 20 with diabetes: 13.2% — 1,093rd out of 3,142 counties (state: 14.9%)
> Adults in poor or fair health: 21.9% — 611th out of 3,142 counties (state: 23.9%)
> Median household income: $43,577 — 2,411th out of 3,142 counties (state: $46,711)
> County population: 9,844
> Largest city: Harrisville
Wisconsin: Columbia County
> Adult obesity rate: 43.2% — 79th out of 3,142 counties (state: 31.3%)
> Adults who don’t exercise: 20.2% — 2,818th out of 3,142 counties (state: 20.8%)
> Pop. over 20 with diabetes: 11.0% — 1,772nd out of 3,142 counties (state: 9.3%)
> Adults in poor or fair health: 12.4% — 2,851st out of 3,142 counties (state: 16.7%)
> Median household income: $68,005 — 367th out of 3,142 counties (state: $61,747)
> County population: 57,133
> Largest city: Portage
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Wyoming: Uinta County
> Adult obesity rate: 35.8% — 954th out of 3,142 counties (state: 28.9%)
> Adults who don’t exercise: 27.2% — 1,566th out of 3,142 counties (state: 24.1%)
> Pop. over 20 with diabetes: 11.3% — 1,662nd out of 3,142 counties (state: 8.7%)
> Adults in poor or fair health: 15.5% — 2,027th out of 3,142 counties (state: 15.0%)
> Median household income: $63,403 — 564th out of 3,142 counties (state: $64,049)
> County population: 20,479
> Largest city: Evanston
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