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

Counties in Missouri by adult obesity rate, local model estimate

New Madrid County had the highest adult obesity rate, local model estimate of 115 counties in 2021, at 46.9%. Boone County had the lowest, at 31.4%. The median was 39.8%. Source: the Centers for Disease Control and Prevention.

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Highest46.9New Madrid County
Lowest31.4Boone County
Median39.8115 counties

Map of counties, 2021

Adair County: 33.1 %Andrew County: 38.3 %Atchison County: 38.7 %Audrain County: 42.5 %Barry County: 40.5 %Barton County: 42.8 %Bates County: 40.8 %Benton County: 43.1 %Bollinger County: 42.4 %Boone County: 31.4 %Buchanan County: 38.3 %Butler County: 42.6 %Caldwell County: 40 %Callaway County: 36.8 %Camden County: 37.3 %Cape Girardeau County: 36.8 %Carroll County: 40.6 %Carter County: 40 %Cass County: 38.3 %Cedar County: 40.4 %Chariton County: 38.7 %Christian County: 35.2 %Clark County: 38.5 %Clay County: 40.6 %Clinton County: 36.8 %Cole County: 36.5 %Cooper County: 39.7 %Crawford County: 37.9 %Dade County: 40.6 %Dallas County: 42 %Daviess County: 37 %DeKalb County: 38.3 %Dent County: 39.9 %Douglas County: 42.3 %Dunklin County: 45.2 %Franklin County: 38.1 %Gasconade County: 36.3 %Gentry County: 36 %Greene County: 32.8 %Grundy County: 36.5 %Harrison County: 43.3 %Henry County: 38.1 %Hickory County: 37.5 %Holt County: 39.8 %Howard County: 38 %Howell County: 42.3 %Iron County: 40 %Jackson County: 38.7 %Jasper County: 39.8 %Jefferson County: 37.9 %Johnson County: 33.4 %Knox County: 41 %Laclede County: 38.8 %Lafayette County: 40.3 %Lawrence County: 40.3 %Lewis County: 43.9 %Lincoln County: 43.6 %Linn County: 38.1 %Livingston County: 40.8 %McDonald County: 44.9 %Macon County: 41.3 %Madison County: 39.5 %Maries County: 40.8 %Marion County: 40.7 %Mercer County: 39.4 %Miller County: 40 %Mississippi County: 43.4 %Moniteau County: 42 %Monroe County: 41.1 %Montgomery County: 43.6 %Morgan County: 40.9 %New Madrid County: 46.9 %Newton County: 40.8 %Nodaway County: 35.3 %Oregon County: 42.1 %Osage County: 32.8 %Ozark County: 40 %Pemiscot County: 43.6 %Perry County: 37.3 %Pettis County: 41.9 %Phelps County: 38.2 %Pike County: 42.4 %Platte County: 36.9 %Polk County: 37.7 %Pulaski County: 38.1 %Putnam County: 37.9 %Ralls County: 39.5 %Randolph County: 42.1 %Ray County: 36.8 %Reynolds County: 39.7 %Ripley County: 44.6 %St. Charles County: 37.3 %St. Clair County: 38.5 %Ste. Genevieve County: 39.7 %St. Francois County: 42.3 %St. Louis County: 34 %Saline County: 36.3 %Schuyler County: 42 %Scotland County: 38.6 %Scott County: 35.9 %Shannon County: 42.2 %Shelby County: 39.3 %Stoddard County: 41.1 %Stone County: 41.2 %Sullivan County: 44 %Taney County: 36.5 %Texas County: 42.6 %Vernon County: 36.8 %Warren County: 41.4 %Washington County: 43.6 %Wayne County: 41.2 %Webster County: 36.9 %Worth County: 42.5 %Wright County: 42.4 %St. Louis city: 36.5 %
  • Under 37
  • 37 to 38
  • 38 to 40
  • 40 to 41
  • 41 to 42
  • 42 and over
%, 2021. 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, 2021

New Madrid County: 46.9 %New Madrid County46.9Dunklin County: 45.2 %Dunklin County45.2McDonald County: 44.9 %McDonald County44.9Ripley County: 44.6 %Ripley County44.6Sullivan County: 44 %Sullivan County44Lewis County: 43.9 %Lewis County43.9Lincoln County: 43.6 %Lincoln County43.6Montgomery County: 43.6 %Montgomery County43.6Pemiscot County: 43.6 %Pemiscot County43.6Washington County: 43.6 %Washington County43.6Mississippi County: 43.4 %Mississippi County43.4Harrison County: 43.3 %Harrison County43.3Benton County: 43.1 %Benton County43.1Barton County: 42.8 %Barton County42.8Butler County: 42.6 %Butler County42.6Texas County: 42.6 %Texas County42.6Audrain County: 42.5 %Audrain County42.5Worth County: 42.5 %Worth County42.5Bollinger County: 42.4 %Bollinger County42.4Pike County: 42.4 %Pike County42.4Wright County: 42.4 %Wright County42.4Douglas County: 42.3 %Douglas County42.3Howell County: 42.3 %Howell County42.3St. Francois County: 42.3 %St. Francois County42.3Shannon County: 42.2 %Shannon County42.2Oregon County: 42.1 %Oregon County42.1Randolph County: 42.1 %Randolph County42.1Dallas County: 42 %Dallas County42Moniteau County: 42 %Moniteau County42Schuyler County: 42 %Schuyler County42Pettis County: 41.9 %Pettis County41.9Warren County: 41.4 %Warren County41.4Macon County: 41.3 %Macon County41.3Stone County: 41.2 %Stone County41.2Wayne County: 41.2 %Wayne County41.2Monroe County: 41.1 %Monroe County41.1Stoddard County: 41.1 %Stoddard County41.1Knox County: 41 %Knox County41Morgan County: 40.9 %Morgan County40.9Bates County: 40.8 %Bates County40.8New Madrid County: 46.9 %New Madrid County46.9Dunklin County: 45.2 %Dunklin County45.2McDonald County: 44.9 %McDonald County44.9Ripley County: 44.6 %Ripley County44.6Sullivan County: 44 %Sullivan County44Lewis County: 43.9 %Lewis County43.9Lincoln County: 43.6 %Lincoln County43.6Montgomery County: 43.6 %Montgomery County43.6Pemiscot County: 43.6 %Pemiscot County43.6Washington County: 43.6 %Washington County43.6Mississippi County: 43.4 %Mississippi County43.4Harrison County: 43.3 %Harrison County43.3Benton County: 43.1 %Benton County43.1Barton County: 42.8 %Barton County42.8Butler County: 42.6 %Butler County42.6Texas County: 42.6 %Texas County42.6Audrain County: 42.5 %Audrain County42.5Worth County: 42.5 %Worth County42.5Bollinger County: 42.4 %Bollinger County42.4Pike County: 42.4 %Pike County42.4Wright County: 42.4 %Wright County42.4Douglas County: 42.3 %Douglas County42.3Howell County: 42.3 %Howell County42.3St. Francois County: 42.3 %St. Francois County42.3Shannon County: 42.2 %Shannon County42.2Oregon County: 42.1 %Oregon County42.1Randolph County: 42.1 %Randolph County42.1Dallas County: 42 %Dallas County42Moniteau County: 42 %Moniteau County42Schuyler County: 42 %Schuyler County42Pettis County: 41.9 %Pettis County41.9Warren County: 41.4 %Warren County41.4Macon County: 41.3 %Macon County41.3Stone County: 41.2 %Stone County41.2Wayne County: 41.2 %Wayne County41.2Monroe County: 41.1 %Monroe County41.1Stoddard County: 41.1 %Stoddard County41.1Knox County: 41 %Knox County41Morgan County: 40.9 %Morgan County40.9Bates County: 40.8 %Bates County40.8
%. 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

RankCounties2021 (%)
1New Madrid County46.9
2Dunklin County45.2
3McDonald County44.9
4Ripley County44.6
5Sullivan County44
6Lewis County43.9
7Lincoln County43.6
7Montgomery County43.6
7Pemiscot County43.6
7Washington County43.6
11Mississippi County43.4
12Harrison County43.3
13Benton County43.1
14Barton County42.8
15Butler County42.6
15Texas County42.6
17Audrain County42.5
17Worth County42.5
19Bollinger County42.4
19Pike County42.4
19Wright County42.4
22Douglas County42.3
22Howell County42.3
22St. Francois County42.3
25Shannon County42.2
26Oregon County42.1
26Randolph County42.1
28Dallas County42
28Moniteau County42
28Schuyler County42
31Pettis County41.9
32Warren County41.4
33Macon County41.3
34Stone County41.2
34Wayne County41.2
36Monroe County41.1
36Stoddard County41.1
38Knox County41
39Morgan County40.9
40Bates County40.8
40Livingston County40.8
40Maries County40.8
40Newton County40.8
44Marion County40.7
45Carroll County40.6
45Clay County40.6
45Dade County40.6
48Barry County40.5
49Cedar County40.4
50Lafayette County40.3
50Lawrence County40.3
52Caldwell County40
52Carter County40
52Iron County40
52Miller County40
52Ozark County40
57Dent County39.9
58Holt County39.8
58Jasper County39.8
60Cooper County39.7
60Reynolds County39.7
60Ste. Genevieve County39.7
63Madison County39.5
63Ralls County39.5
65Mercer County39.4
66Shelby County39.3
67Laclede County38.8
68Atchison County38.7
68Chariton County38.7
68Jackson County38.7
71Scotland County38.6
72Clark County38.5
72St. Clair County38.5
74Andrew County38.3
74Buchanan County38.3
74Cass County38.3
74DeKalb County38.3
78Phelps County38.2
79Franklin County38.1
79Henry County38.1
79Linn County38.1
79Pulaski County38.1
83Howard County38
84Crawford County37.9
84Jefferson County37.9
84Putnam County37.9
87Polk County37.7
88Hickory County37.5
89Camden County37.3
89Perry County37.3
89St. Charles County37.3
92Daviess County37
93Platte County36.9
93Webster County36.9
95Callaway County36.8
95Cape Girardeau County36.8
95Clinton County36.8
95Ray County36.8
95Vernon County36.8
100Cole County36.5
100Grundy County36.5
100St. Louis city36.5
100Taney County36.5
104Gasconade County36.3
104Saline County36.3
106Gentry County36
107Scott County35.9
108Nodaway County35.3
109Christian County35.2
110St. Louis County34
111Johnson County33.4
112Adair County33.1
113Greene County32.8
113Osage County32.8
115Boone County31.4

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, 2021) [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, 2021. 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?period=2021. 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, 2021. 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?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-obesity-rate-county-estimate/missouri-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_by_2021,
  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, 2021}},
  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?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/missouri-counties?period=2021.
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 Missouri 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?

New Madrid County, with 46.9% in 2021, according to the Centers for Disease Control and Prevention.

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

Boone County, with 31.4% in 2021.

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