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

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

Mississippi County had the highest adult obesity rate, local model estimate of 115 counties in 2023, at 47.6%. Boone County had the lowest, at 29.8%. The median was 38.8%. Source: the Centers for Disease Control and Prevention.

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Highest47.6Mississippi County
Lowest29.8Boone County
Median38.8115 counties

Map of counties, 2023

Adair County: 34.7 %Andrew County: 36 %Atchison County: 41.6 %Audrain County: 40 %Barry County: 37.8 %Barton County: 40.7 %Bates County: 41.2 %Benton County: 38.9 %Bollinger County: 39.3 %Boone County: 29.8 %Buchanan County: 42.9 %Butler County: 41.1 %Caldwell County: 38.9 %Callaway County: 36.9 %Camden County: 35.6 %Cape Girardeau County: 34.7 %Carroll County: 38.6 %Carter County: 40 %Cass County: 38 %Cedar County: 39.8 %Chariton County: 38.3 %Christian County: 36.3 %Clark County: 41.7 %Clay County: 37.4 %Clinton County: 39.5 %Cole County: 36.6 %Cooper County: 37.5 %Crawford County: 41.9 %Dade County: 40.7 %Dallas County: 39.5 %Daviess County: 38.4 %DeKalb County: 38.9 %Dent County: 39.5 %Douglas County: 38 %Dunklin County: 46.2 %Franklin County: 39.6 %Gasconade County: 39.3 %Gentry County: 41.2 %Greene County: 36.7 %Grundy County: 39 %Harrison County: 39.3 %Henry County: 38.5 %Hickory County: 43 %Holt County: 36.6 %Howard County: 34.8 %Howell County: 36.8 %Iron County: 42.3 %Jackson County: 37.2 %Jasper County: 40 %Jefferson County: 40.3 %Johnson County: 35.3 %Knox County: 39.5 %Laclede County: 38.5 %Lafayette County: 37 %Lawrence County: 40.1 %Lewis County: 36.6 %Lincoln County: 39.9 %Linn County: 35.7 %Livingston County: 39.4 %McDonald County: 43 %Macon County: 34.4 %Madison County: 37.7 %Maries County: 38.2 %Marion County: 39.6 %Mercer County: 41.1 %Miller County: 37.5 %Mississippi County: 47.6 %Moniteau County: 39.2 %Monroe County: 37.8 %Montgomery County: 37.3 %Morgan County: 38.2 %New Madrid County: 43.2 %Newton County: 38.8 %Nodaway County: 36.1 %Oregon County: 41.1 %Osage County: 35.6 %Ozark County: 42.5 %Pemiscot County: 44.9 %Perry County: 36 %Pettis County: 36.1 %Phelps County: 34.6 %Pike County: 38.3 %Platte County: 37 %Polk County: 38.7 %Pulaski County: 35.8 %Putnam County: 35 %Ralls County: 40.1 %Randolph County: 37.7 %Ray County: 39.6 %Reynolds County: 41.2 %Ripley County: 41.3 %St. Charles County: 35.7 %St. Clair County: 37.6 %Ste. Genevieve County: 37.2 %St. Francois County: 40.3 %St. Louis County: 31.3 %Saline County: 37.7 %Schuyler County: 38.8 %Scotland County: 37.1 %Scott County: 38.1 %Shannon County: 37 %Shelby County: 40.3 %Stoddard County: 37.6 %Stone County: 41.1 %Sullivan County: 40.1 %Taney County: 35.7 %Texas County: 42.1 %Vernon County: 37.8 %Warren County: 39 %Washington County: 41.9 %Wayne County: 41.5 %Webster County: 41.7 %Worth County: 40.2 %Wright County: 42.2 %St. Louis city: 37 %
  • Under 36
  • 36 to 38
  • 38 to 39
  • 39 to 40
  • 40 to 41
  • 41 and over
%, 2023. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2023

Mississippi County: 47.6 %Mississippi County47.6Dunklin County: 46.2 %Dunklin County46.2Pemiscot County: 44.9 %Pemiscot County44.9New Madrid County: 43.2 %New Madrid County43.2Hickory County: 43 %Hickory County43McDonald County: 43 %McDonald County43Buchanan County: 42.9 %Buchanan County42.9Ozark County: 42.5 %Ozark County42.5Iron County: 42.3 %Iron County42.3Wright County: 42.2 %Wright County42.2Texas County: 42.1 %Texas County42.1Crawford County: 41.9 %Crawford County41.9Washington County: 41.9 %Washington County41.9Clark County: 41.7 %Clark County41.7Webster County: 41.7 %Webster County41.7Atchison County: 41.6 %Atchison County41.6Wayne County: 41.5 %Wayne County41.5Ripley County: 41.3 %Ripley County41.3Bates County: 41.2 %Bates County41.2Gentry County: 41.2 %Gentry County41.2Reynolds County: 41.2 %Reynolds County41.2Butler County: 41.1 %Butler County41.1Mercer County: 41.1 %Mercer County41.1Oregon County: 41.1 %Oregon County41.1Stone County: 41.1 %Stone County41.1Barton County: 40.7 %Barton County40.7Dade County: 40.7 %Dade County40.7Jefferson County: 40.3 %Jefferson County40.3Shelby County: 40.3 %Shelby County40.3St. Francois County: 40.3 %St. Francois County40.3Worth County: 40.2 %Worth County40.2Lawrence County: 40.1 %Lawrence County40.1Ralls County: 40.1 %Ralls County40.1Sullivan County: 40.1 %Sullivan County40.1Audrain County: 40 %Audrain County40Carter County: 40 %Carter County40Jasper County: 40 %Jasper County40Lincoln County: 39.9 %Lincoln County39.9Cedar County: 39.8 %Cedar County39.8Franklin County: 39.6 %Franklin County39.6Mississippi County: 47.6 %Mississippi County47.6Dunklin County: 46.2 %Dunklin County46.2Pemiscot County: 44.9 %Pemiscot County44.9New Madrid County: 43.2 %New Madrid County43.2Hickory County: 43 %Hickory County43McDonald County: 43 %McDonald County43Buchanan County: 42.9 %Buchanan County42.9Ozark County: 42.5 %Ozark County42.5Iron County: 42.3 %Iron County42.3Wright County: 42.2 %Wright County42.2Texas County: 42.1 %Texas County42.1Crawford County: 41.9 %Crawford County41.9Washington County: 41.9 %Washington County41.9Clark County: 41.7 %Clark County41.7Webster County: 41.7 %Webster County41.7Atchison County: 41.6 %Atchison County41.6Wayne County: 41.5 %Wayne County41.5Ripley County: 41.3 %Ripley County41.3Bates County: 41.2 %Bates County41.2Gentry County: 41.2 %Gentry County41.2Reynolds County: 41.2 %Reynolds County41.2Butler County: 41.1 %Butler County41.1Mercer County: 41.1 %Mercer County41.1Oregon County: 41.1 %Oregon County41.1Stone County: 41.1 %Stone County41.1Barton County: 40.7 %Barton County40.7Dade County: 40.7 %Dade County40.7Jefferson County: 40.3 %Jefferson County40.3Shelby County: 40.3 %Shelby County40.3St. Francois County: 40.3 %St. Francois County40.3Worth County: 40.2 %Worth County40.2Lawrence County: 40.1 %Lawrence County40.1Ralls County: 40.1 %Ralls County40.1Sullivan County: 40.1 %Sullivan County40.1Audrain County: 40 %Audrain County40Carter County: 40 %Carter County40Jasper County: 40 %Jasper County40Lincoln County: 39.9 %Lincoln County39.9Cedar County: 39.8 %Cedar County39.8Franklin County: 39.6 %Franklin County39.6
%. 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
1Mississippi County47.6+3.2 pts
2Dunklin County46.2+3.3 pts
3Pemiscot County44.9+1.4 pts
4New Madrid County43.2+1.6 pts
5Hickory County43-0.1 pts
5McDonald County43+1.5 pts
7Buchanan County42.9+3 pts
8Ozark County42.5-1.6 pts
9Iron County42.3+2.3 pts
10Wright County42.2+1.1 pts
11Texas County42.1+1.4 pts
12Crawford County41.9+3.1 pts
12Washington County41.9+2.5 pts
14Clark County41.7+1.2 pts
14Webster County41.7+2.8 pts
16Atchison County41.6+2.5 pts
17Wayne County41.5-0.4 pts
18Ripley County41.3-1.5 pts
19Bates County41.2+3 pts
19Gentry County41.2+3.6 pts
19Reynolds County41.2+0.7 pts
22Butler County41.10 pts
22Mercer County41.1-1.1 pts
22Oregon County41.1-2.8 pts
22Stone County41.1+1.3 pts
26Barton County40.7-1.6 pts
26Dade County40.7-3.7 pts
28Jefferson County40.3+0.8 pts
28Shelby County40.3-0.9 pts
28St. Francois County40.3+0.3 pts
31Worth County40.2+0.8 pts
32Lawrence County40.1-1.7 pts
32Ralls County40.1-0.4 pts
32Sullivan County40.1+0.4 pts
35Audrain County40-0.2 pts
35Carter County40-0.1 pts
35Jasper County40+4.7 pts
38Lincoln County39.9-1.8 pts
39Cedar County39.8-1.7 pts
40Franklin County39.6+0.5 pts
40Marion County39.6+4 pts
40Ray County39.6-0.9 pts
43Clinton County39.5+1.5 pts
43Dallas County39.5-1.2 pts
43Dent County39.5+0.7 pts
43Knox County39.5+1.5 pts
47Livingston County39.4+1.1 pts
48Bollinger County39.3-2.1 pts
48Gasconade County39.3+0.9 pts
48Harrison County39.3-2.8 pts
51Moniteau County39.2-0.8 pts
52Grundy County390 pts
52Warren County39+1.4 pts
54Benton County38.9+0.7 pts
54Caldwell County38.9-1.3 pts
54DeKalb County38.9-3.4 pts
57Newton County38.8+2 pts
57Schuyler County38.8-0.3 pts
59Polk County38.7-2.3 pts
60Carroll County38.6+0.1 pts
61Henry County38.5-1.7 pts
61Laclede County38.5-5.8 pts
63Daviess County38.4+1.3 pts
64Chariton County38.3+2.2 pts
64Pike County38.3-5 pts
66Maries County38.2-0.5 pts
66Morgan County38.2-4.9 pts
68Scott County38.1-5.3 pts
69Cass County38+2.7 pts
69Douglas County38-0.9 pts
71Barry County37.8-0.4 pts
71Monroe County37.8-3.3 pts
71Vernon County37.8-2.8 pts
74Madison County37.70 pts
74Randolph County37.7-3.9 pts
74Saline County37.7+0.2 pts
77St. Clair County37.6-2.8 pts
77Stoddard County37.6-7.5 pts
79Cooper County37.5-3.3 pts
79Miller County37.5-2 pts
81Clay County37.4+1.9 pts
82Montgomery County37.3-4 pts
83Jackson County37.2-1.5 pts
83Ste. Genevieve County37.2+0.2 pts
85Scotland County37.1-1.5 pts
86Lafayette County37-1.8 pts
86Platte County37-2.9 pts
86Shannon County37-4.8 pts
86St. Louis city37+0.2 pts
90Callaway County36.9-4.6 pts
91Howell County36.8-3.6 pts
92Greene County36.7+3.6 pts
93Cole County36.6+0.2 pts
93Holt County36.6-2.5 pts
93Lewis County36.6-1.7 pts
96Christian County36.3-0.7 pts
97Nodaway County36.1-2.7 pts
97Pettis County36.1-2.6 pts
99Andrew County36-6.3 pts
99Perry County36-1.5 pts
101Pulaski County35.8+2.5 pts
102Linn County35.7-5.6 pts
102St. Charles County35.7-0.6 pts
102Taney County35.7-2.7 pts
105Camden County35.6+1.4 pts
105Osage County35.6-0.8 pts
107Johnson County35.3-2.7 pts
108Putnam County35-5 pts
109Howard County34.8-3.8 pts
110Adair County34.7-2 pts
110Cape Girardeau County34.7-4.2 pts
112Phelps County34.6-2.8 pts
113Macon County34.4-2.4 pts
114St. Louis County31.3-1.8 pts
115Boone County29.8-0.9 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 Missouri 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 Missouri 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/missouri-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 Missouri 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/missouri-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 Missouri 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/missouri-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_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 Missouri 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/missouri-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 Missouri 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/missouri-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/missouri-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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Questions

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

Mississippi County, with 47.6% in 2023, according to the Centers for Disease Control and Prevention.

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

Boone County, with 29.8% 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 Missouri: more rankings