Counties in Nebraska by adult obesity rate, local model estimate

Thurston County had the highest adult obesity rate, local model estimate of 93 counties in 2021, at 48.3%. Lancaster County had the lowest, at 32.7%. The median was 38.6%. Source: the Centers for Disease Control and Prevention.

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Highest48.3Thurston County
Median38.693 counties

Map of counties, 2021

Adams County: 36.8 %Antelope County: 35.9 %Arthur County: 38 %Banner County: 37.5 %Blaine County: 37.6 %Boone County: 41.6 %Box Butte County: 43.1 %Boyd County: 36.3 %Brown County: 38.8 %Buffalo County: 38.2 %Burt County: 39.5 %Butler County: 40.4 %Cass County: 39.6 %Cedar County: 37.2 %Chase County: 36 %Cherry County: 37.6 %Cheyenne County: 39.1 %Clay County: 41.9 %Colfax County: 42.5 %Cuming County: 37.9 %Custer County: 37.4 %Dakota County: 40 %Dawes County: 37 %Dawson County: 43.1 %Deuel County: 39.7 %Dixon County: 38.6 %Dodge County: 42.8 %Douglas County: 35.2 %Dundy County: 39.8 %Fillmore County: 37.6 %Franklin County: 43.2 %Frontier County: 36.8 %Furnas County: 40.6 %Gage County: 41.2 %Garden County: 41.5 %Garfield County: 34.4 %Gosper County: 39.5 %Grant County: 38.9 %Greeley County: 35.3 %Hall County: 40.9 %Hamilton County: 40.7 %Harlan County: 35.9 %Hayes County: 36.9 %Hitchcock County: 43.5 %Holt County: 38.6 %Hooker County: 34.6 %Howard County: 37.5 %Jefferson County: 40.4 %Johnson County: 39.2 %Kearney County: 36.1 %Keith County: 34 %Keya Paha County: 38.4 %Kimball County: 40.8 %Knox County: 38.9 %Lancaster County: 32.7 %Lincoln County: 39.6 %Logan County: 38.1 %Loup County: 38.3 %McPherson County: 40.1 %Madison County: 36.3 %Merrick County: 44 %Morrill County: 38.9 %Nance County: 39.9 %Nemaha County: 40.8 %Nuckolls County: 37.3 %Otoe County: 38.8 %Pawnee County: 36.6 %Perkins County: 40.9 %Phelps County: 41 %Pierce County: 35.4 %Platte County: 35.7 %Polk County: 37.4 %Red Willow County: 36.6 %Richardson County: 42.5 %Rock County: 38.2 %Saline County: 43.1 %Sarpy County: 37.2 %Saunders County: 35.4 %Scotts Bluff County: 39.7 %Seward County: 35.1 %Sheridan County: 43.3 %Sherman County: 40.5 %Sioux County: 37.4 %Stanton County: 42.2 %Thayer County: 38.1 %Thomas County: 36.7 %Thurston County: 48.3 %Valley County: 35.2 %Washington County: 34.9 %Wayne County: 35.2 %Webster County: 42.2 %Wheeler County: 37.5 %York County: 41.1 %
  • Under 36
  • 36 to 37
  • 37 to 39
  • 39 to 40
  • 40 to 41
  • 41 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

Thurston County: 48.3 %Thurston County48.3Merrick County: 44 %Merrick County44Hitchcock County: 43.5 %Hitchcock County43.5Sheridan County: 43.3 %Sheridan County43.3Franklin County: 43.2 %Franklin County43.2Box Butte County: 43.1 %Box Butte County43.1Dawson County: 43.1 %Dawson County43.1Saline County: 43.1 %Saline County43.1Dodge County: 42.8 %Dodge County42.8Colfax County: 42.5 %Colfax County42.5Richardson County: 42.5 %Richardson County42.5Stanton County: 42.2 %Stanton County42.2Webster County: 42.2 %Webster County42.2Clay County: 41.9 %Clay County41.9Boone County: 41.6 %Boone County41.6Garden County: 41.5 %Garden County41.5Gage County: 41.2 %Gage County41.2York County: 41.1 %York County41.1Phelps County: 41 %Phelps County41Hall County: 40.9 %Hall County40.9Perkins County: 40.9 %Perkins County40.9Kimball County: 40.8 %Kimball County40.8Nemaha County: 40.8 %Nemaha County40.8Hamilton County: 40.7 %Hamilton County40.7Furnas County: 40.6 %Furnas County40.6Sherman County: 40.5 %Sherman County40.5Butler County: 40.4 %Butler County40.4Jefferson County: 40.4 %Jefferson County40.4McPherson County: 40.1 %McPherson County40.1Dakota County: 40 %Dakota County40Nance County: 39.9 %Nance County39.9Dundy County: 39.8 %Dundy County39.8Deuel County: 39.7 %Deuel County39.7Scotts Bluff County: 39.7 %Scotts Bluff County39.7Cass County: 39.6 %Cass County39.6Lincoln County: 39.6 %Lincoln County39.6Burt County: 39.5 %Burt County39.5Gosper County: 39.5 %Gosper County39.5Johnson County: 39.2 %Johnson County39.2Cheyenne County: 39.1 %Cheyenne County39.1Thurston County: 48.3 %Thurston County48.3Merrick County: 44 %Merrick County44Hitchcock County: 43.5 %Hitchcock County43.5Sheridan County: 43.3 %Sheridan County43.3Franklin County: 43.2 %Franklin County43.2Box Butte County: 43.1 %Box Butte County43.1Dawson County: 43.1 %Dawson County43.1Saline County: 43.1 %Saline County43.1Dodge County: 42.8 %Dodge County42.8Colfax County: 42.5 %Colfax County42.5Richardson County: 42.5 %Richardson County42.5Stanton County: 42.2 %Stanton County42.2Webster County: 42.2 %Webster County42.2Clay County: 41.9 %Clay County41.9Boone County: 41.6 %Boone County41.6Garden County: 41.5 %Garden County41.5Gage County: 41.2 %Gage County41.2York County: 41.1 %York County41.1Phelps County: 41 %Phelps County41Hall County: 40.9 %Hall County40.9Perkins County: 40.9 %Perkins County40.9Kimball County: 40.8 %Kimball County40.8Nemaha County: 40.8 %Nemaha County40.8Hamilton County: 40.7 %Hamilton County40.7Furnas County: 40.6 %Furnas County40.6Sherman County: 40.5 %Sherman County40.5Butler County: 40.4 %Butler County40.4Jefferson County: 40.4 %Jefferson County40.4McPherson County: 40.1 %McPherson County40.1Dakota County: 40 %Dakota County40Nance County: 39.9 %Nance County39.9Dundy County: 39.8 %Dundy County39.8Deuel County: 39.7 %Deuel County39.7Scotts Bluff County: 39.7 %Scotts Bluff County39.7Cass County: 39.6 %Cass County39.6Lincoln County: 39.6 %Lincoln County39.6Burt County: 39.5 %Burt County39.5Gosper County: 39.5 %Gosper County39.5Johnson County: 39.2 %Johnson County39.2Cheyenne County: 39.1 %Cheyenne County39.1
%. 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 (%)
1Thurston County48.3
2Merrick County44
3Hitchcock County43.5
4Sheridan County43.3
5Franklin County43.2
6Box Butte County43.1
6Dawson County43.1
6Saline County43.1
9Dodge County42.8
10Colfax County42.5
10Richardson County42.5
12Stanton County42.2
12Webster County42.2
14Clay County41.9
15Boone County41.6
16Garden County41.5
17Gage County41.2
18York County41.1
19Phelps County41
20Hall County40.9
20Perkins County40.9
22Kimball County40.8
22Nemaha County40.8
24Hamilton County40.7
25Furnas County40.6
26Sherman County40.5
27Butler County40.4
27Jefferson County40.4
29McPherson County40.1
30Dakota County40
31Nance County39.9
32Dundy County39.8
33Deuel County39.7
33Scotts Bluff County39.7
35Cass County39.6
35Lincoln County39.6
37Burt County39.5
37Gosper County39.5
39Johnson County39.2
40Cheyenne County39.1
41Grant County38.9
41Knox County38.9
41Morrill County38.9
44Brown County38.8
44Otoe County38.8
46Dixon County38.6
46Holt County38.6
48Keya Paha County38.4
49Loup County38.3
50Buffalo County38.2
50Rock County38.2
52Logan County38.1
52Thayer County38.1
54Arthur County38
55Cuming County37.9
56Blaine County37.6
56Cherry County37.6
56Fillmore County37.6
59Banner County37.5
59Howard County37.5
59Wheeler County37.5
62Custer County37.4
62Polk County37.4
62Sioux County37.4
65Nuckolls County37.3
66Cedar County37.2
66Sarpy County37.2
68Dawes County37
69Hayes County36.9
70Adams County36.8
70Frontier County36.8
72Thomas County36.7
73Pawnee County36.6
73Red Willow County36.6
75Boyd County36.3
75Madison County36.3
77Kearney County36.1
78Chase County36
79Antelope County35.9
79Harlan County35.9
81Platte County35.7
82Pierce County35.4
82Saunders County35.4
84Greeley County35.3
85Douglas County35.2
85Valley County35.2
85Wayne County35.2
88Seward County35.1
89Washington County34.9
90Hooker County34.6
91Garfield County34.4
92Keith County34
93Lancaster County32.7

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 Nebraska 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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-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 Nebraska 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/nebraska-counties?period=2021 (Accessed: 12 October 2026).

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

Thurston County, with 48.3% in 2021, according to the Centers for Disease Control and Prevention.

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

Lancaster County, with 32.7% 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 Nebraska: more rankings