Data / Rankings / Adult obesity rate, local model estimate / Counties in Alabama

Counties in Alabama by adult obesity rate, local model estimate, 2023

Perry County had the highest adult obesity rate, local model estimate of 67 counties in 2023, at 52.9%. Shelby County had the lowest, at 31.7%. The median was 40.8%. Source: the Centers for Disease Control and Prevention.

Highest52.9Perry County
Lowest31.7Shelby County
Median40.867 counties

Top 40 counties, 2023

Perry County: 52.9 %Perry County52.9Greene County: 52.7 %Greene County52.7Bullock County: 51.3 %Bullock County51.3Lowndes County: 51.2 %Lowndes County51.2Wilcox County: 51.2 %Wilcox County51.2Pickens County: 48 %Pickens County48Hale County: 47.6 %Hale County47.6Sumter County: 47.2 %Sumter County47.2Barbour County: 46.8 %Barbour County46.8Macon County: 46.7 %Macon County46.7Conecuh County: 46.4 %Conecuh County46.4Dallas County: 46.3 %Dallas County46.3Montgomery County: 46.1 %Montgomery County46.1Talladega County: 45.6 %Talladega County45.6Choctaw County: 44.4 %Choctaw County44.4Bibb County: 43.9 %Bibb County43.9Clarke County: 43.9 %Clarke County43.9Escambia County: 43.9 %Escambia County43.9Etowah County: 43.8 %Etowah County43.8Monroe County: 43.8 %Monroe County43.8Marengo County: 43.1 %Marengo County43.1Russell County: 43 %Russell County43Clay County: 42.5 %Clay County42.5Marion County: 42.4 %Marion County42.4Geneva County: 42.3 %Geneva County42.3Franklin County: 42.2 %Franklin County42.2Coosa County: 41.9 %Coosa County41.9Chambers County: 41.5 %Chambers County41.5Dale County: 41.3 %Dale County41.3Henry County: 41.3 %Henry County41.3Washington County: 41.1 %Washington County41.1Coffee County: 41 %Coffee County41Tuscaloosa County: 41 %Tuscaloosa County41Lamar County: 40.8 %Lamar County40.8Fayette County: 40.6 %Fayette County40.6Crenshaw County: 40.5 %Crenshaw County40.5Houston County: 40.5 %Houston County40.5Butler County: 40.4 %Butler County40.4Pike County: 40.3 %Pike County40.3Chilton County: 40 %Chilton County40
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2023 (%)Change on 2022
1Perry County52.9+4.6 pts
2Greene County52.7+2.3 pts
3Bullock County51.3+1.7 pts
4Lowndes County51.2+1.8 pts
4Wilcox County51.2+3.4 pts
6Pickens County48+4.2 pts
7Hale County47.6+3.1 pts
8Sumter County47.2+4.8 pts
9Barbour County46.8+3.5 pts
10Macon County46.7+0.7 pts
11Conecuh County46.4+2 pts
12Dallas County46.3-3.9 pts
13Montgomery County46.1+1.9 pts
14Talladega County45.6+3 pts
15Choctaw County44.4-1.6 pts
16Bibb County43.9+2.5 pts
16Clarke County43.9-0.1 pts
16Escambia County43.9+0.5 pts
19Etowah County43.8+2.4 pts
19Monroe County43.8+1.3 pts
21Marengo County43.1-3.1 pts
22Russell County43-4.1 pts
23Clay County42.5+3 pts
24Marion County42.4+2.7 pts
25Geneva County42.3+3.7 pts
26Franklin County42.2+2.8 pts
27Coosa County41.9-1 pts
28Chambers County41.5-4.1 pts
29Dale County41.3-3 pts
29Henry County41.3+2.9 pts
31Washington County41.1-0.3 pts
32Coffee County41+6.8 pts
32Tuscaloosa County41+1.5 pts
34Lamar County40.8+2.4 pts
35Fayette County40.6+1.6 pts
36Crenshaw County40.5+0.2 pts
36Houston County40.5+3.3 pts
38Butler County40.4-4.6 pts
39Pike County40.3+2.6 pts
40Chilton County40+3.3 pts
41Madison County39.9+4.6 pts
42Autauga County39.8+0.9 pts
43Limestone County39.6+3.2 pts
43St. Clair County39.6+6.2 pts
45Cherokee County39.5-0.4 pts
45Lawrence County39.5-1.6 pts
45Tallapoosa County39.5-2.3 pts
48Jackson County39.3+0.4 pts
49Winston County39.1+2.3 pts
50Mobile County39-3.1 pts
51Elmore County38.9+2.5 pts
52Calhoun County38.6+0.9 pts
52DeKalb County38.6-0.4 pts
52Morgan County38.6-0.1 pts
55Lee County38.4+4.5 pts
56Covington County37.9-5.9 pts
57Randolph County37.8-2.5 pts
58Marshall County37.6-0.7 pts
59Colbert County37.5-3.1 pts
60Cleburne County37.4-2.2 pts
60Jefferson County37.4-2.1 pts
62Cullman County36.4-3.6 pts
63Blount County36.1-1.2 pts
64Walker County35.8-7.3 pts
65Lauderdale County35.6+0.4 pts
66Baldwin County35.2-1.6 pts
67Shelby County31.7-0.3 pts

Other periods

About this ranking

Percentage of adults with a body mass index of 30 or more, calculated from self-reported weight and height. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries. State and national values come from direct BRFSS estimates under adult_obesity_rate.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence (Counties in Alabama by adult obesity rate, local model estimate, 2023) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence, Counties in Alabama by adult obesity rate, local model estimate, 2023. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/alabama-counties. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence. Counties in Alabama by adult obesity rate, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/alabama-counties.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence, Counties in Alabama by adult obesity rate, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-obesity-rate-county-estimate/alabama-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_by_2023,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence: Counties in Alabama by adult obesity rate, local model estimate, 2023}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/alabama-counties. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence: Counties in Alabama by adult obesity rate, local model estimate, 2023
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-obesity-rate-county-estimate/alabama-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/alabama-counties.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  -
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Rank Counties in Alabama by adult obesity rate, local model estimate using official data, and cite the source.
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Questions

Which county has the highest adult obesity rate, local model estimate?

Perry County, with 52.9% in 2023, according to the Centers for Disease Control and Prevention.

Which county has the lowest adult obesity rate, local model estimate?

Shelby County, with 31.7% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence. Retrieved 2026-10-12.

Adult obesity rate, local model estimate: other rankings

Counties in Alabama: more rankings