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

Counties in North Carolina by adult obesity rate, local model estimate, 2023

Robeson County had the highest adult obesity rate, local model estimate of 100 counties in 2023, at 47.9%. Orange County had the lowest, at 28%. The median was 37.2%. Source: the Centers for Disease Control and Prevention.

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Highest47.9Robeson County
Lowest28Orange County
Median37.2100 counties

Map of counties, 2023

Alamance County: 38.5 %Alexander County: 36.5 %Alleghany County: 36.5 %Anson County: 43.3 %Ashe County: 36.2 %Avery County: 37.1 %Beaufort County: 36.8 %Bertie County: 43 %Bladen County: 41.3 %Brunswick County: 32.8 %Buncombe County: 31.3 %Burke County: 36.8 %Cabarrus County: 33.3 %Caldwell County: 33.4 %Camden County: 35.2 %Carteret County: 34 %Caswell County: 39.3 %Catawba County: 37.4 %Chatham County: 30.1 %Cherokee County: 34.8 %Chowan County: 40.4 %Clay County: 35.3 %Cleveland County: 38.6 %Columbus County: 41.1 %Craven County: 36.9 %Cumberland County: 40.1 %Currituck County: 34.5 %Dare County: 31.6 %Davidson County: 36.2 %Davie County: 33.4 %Duplin County: 39.4 %Durham County: 36.1 %Edgecombe County: 43.7 %Forsyth County: 41.2 %Franklin County: 38.8 %Gaston County: 36.2 %Gates County: 39 %Graham County: 35.1 %Granville County: 36.2 %Greene County: 42.8 %Guilford County: 38 %Halifax County: 42.6 %Harnett County: 36.9 %Haywood County: 33.3 %Henderson County: 30.3 %Hertford County: 42.5 %Hoke County: 38.5 %Hyde County: 41 %Iredell County: 32.8 %Jackson County: 34.5 %Johnston County: 35.1 %Jones County: 40 %Lee County: 37.8 %Lenoir County: 42.4 %Lincoln County: 35 %McDowell County: 35.2 %Macon County: 35.3 %Madison County: 34.6 %Martin County: 40.4 %Mecklenburg County: 29.7 %Mitchell County: 37.2 %Montgomery County: 38.7 %Moore County: 32.6 %Nash County: 38.4 %New Hanover County: 31.1 %Northampton County: 42.7 %Onslow County: 33.4 %Orange County: 28 %Pamlico County: 36 %Pasquotank County: 38.3 %Pender County: 36.3 %Perquimans County: 37.3 %Person County: 38.8 %Pitt County: 39 %Polk County: 35.2 %Randolph County: 39.9 %Richmond County: 42.9 %Robeson County: 47.9 %Rockingham County: 37.3 %Rowan County: 37.4 %Rutherford County: 38.1 %Sampson County: 41.8 %Scotland County: 45.2 %Stanly County: 36.3 %Stokes County: 37.1 %Surry County: 40.9 %Swain County: 40.7 %Transylvania County: 33.7 %Tyrrell County: 41.3 %Union County: 33.4 %Vance County: 42.6 %Wake County: 29.3 %Warren County: 43.9 %Washington County: 43.6 %Watauga County: 33 %Wayne County: 39.5 %Wilkes County: 38 %Wilson County: 38.4 %Yadkin County: 36.3 %Yancey County: 35.6 %
  • Under 33
  • 33 to 36
  • 36 to 37
  • 37 to 39
  • 39 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

Robeson County: 47.9 %Robeson County47.9Scotland County: 45.2 %Scotland County45.2Warren County: 43.9 %Warren County43.9Edgecombe County: 43.7 %Edgecombe County43.7Washington County: 43.6 %Washington County43.6Anson County: 43.3 %Anson County43.3Bertie County: 43 %Bertie County43Richmond County: 42.9 %Richmond County42.9Greene County: 42.8 %Greene County42.8Northampton County: 42.7 %Northampton County42.7Halifax County: 42.6 %Halifax County42.6Vance County: 42.6 %Vance County42.6Hertford County: 42.5 %Hertford County42.5Lenoir County: 42.4 %Lenoir County42.4Sampson County: 41.8 %Sampson County41.8Bladen County: 41.3 %Bladen County41.3Tyrrell County: 41.3 %Tyrrell County41.3Forsyth County: 41.2 %Forsyth County41.2Columbus County: 41.1 %Columbus County41.1Hyde County: 41 %Hyde County41Surry County: 40.9 %Surry County40.9Swain County: 40.7 %Swain County40.7Chowan County: 40.4 %Chowan County40.4Martin County: 40.4 %Martin County40.4Cumberland County: 40.1 %Cumberland County40.1Jones County: 40 %Jones County40Randolph County: 39.9 %Randolph County39.9Wayne County: 39.5 %Wayne County39.5Duplin County: 39.4 %Duplin County39.4Caswell County: 39.3 %Caswell County39.3Gates County: 39 %Gates County39Pitt County: 39 %Pitt County39Franklin County: 38.8 %Franklin County38.8Person County: 38.8 %Person County38.8Montgomery County: 38.7 %Montgomery County38.7Cleveland County: 38.6 %Cleveland County38.6Alamance County: 38.5 %Alamance County38.5Hoke County: 38.5 %Hoke County38.5Nash County: 38.4 %Nash County38.4Wilson County: 38.4 %Wilson County38.4Robeson County: 47.9 %Robeson County47.9Scotland County: 45.2 %Scotland County45.2Warren County: 43.9 %Warren County43.9Edgecombe County: 43.7 %Edgecombe County43.7Washington County: 43.6 %Washington County43.6Anson County: 43.3 %Anson County43.3Bertie County: 43 %Bertie County43Richmond County: 42.9 %Richmond County42.9Greene County: 42.8 %Greene County42.8Northampton County: 42.7 %Northampton County42.7Halifax County: 42.6 %Halifax County42.6Vance County: 42.6 %Vance County42.6Hertford County: 42.5 %Hertford County42.5Lenoir County: 42.4 %Lenoir County42.4Sampson County: 41.8 %Sampson County41.8Bladen County: 41.3 %Bladen County41.3Tyrrell County: 41.3 %Tyrrell County41.3Forsyth County: 41.2 %Forsyth County41.2Columbus County: 41.1 %Columbus County41.1Hyde County: 41 %Hyde County41Surry County: 40.9 %Surry County40.9Swain County: 40.7 %Swain County40.7Chowan County: 40.4 %Chowan County40.4Martin County: 40.4 %Martin County40.4Cumberland County: 40.1 %Cumberland County40.1Jones County: 40 %Jones County40Randolph County: 39.9 %Randolph County39.9Wayne County: 39.5 %Wayne County39.5Duplin County: 39.4 %Duplin County39.4Caswell County: 39.3 %Caswell County39.3Gates County: 39 %Gates County39Pitt County: 39 %Pitt County39Franklin County: 38.8 %Franklin County38.8Person County: 38.8 %Person County38.8Montgomery County: 38.7 %Montgomery County38.7Cleveland County: 38.6 %Cleveland County38.6Alamance County: 38.5 %Alamance County38.5Hoke County: 38.5 %Hoke County38.5Nash County: 38.4 %Nash County38.4Wilson County: 38.4 %Wilson County38.4
%. 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
1Robeson County47.9+6.4 pts
2Scotland County45.2+4.4 pts
3Warren County43.9+2.8 pts
4Edgecombe County43.7+3.5 pts
5Washington County43.6+3.2 pts
6Anson County43.3+0.6 pts
7Bertie County43-0.2 pts
8Richmond County42.9+3.7 pts
9Greene County42.8+1.7 pts
10Northampton County42.7+2.4 pts
11Halifax County42.6+1.4 pts
11Vance County42.6+1.6 pts
13Hertford County42.50 pts
14Lenoir County42.4+2.3 pts
15Sampson County41.8+3.5 pts
16Bladen County41.3+2.7 pts
16Tyrrell County41.3+4.3 pts
18Forsyth County41.2+9.6 pts
19Columbus County41.1+2.3 pts
20Hyde County41+1.5 pts
21Surry County40.9+5.4 pts
22Swain County40.7+4 pts
23Chowan County40.4+1.4 pts
23Martin County40.4+1.9 pts
25Cumberland County40.1+1.9 pts
26Jones County40+1.6 pts
27Randolph County39.9+7.4 pts
28Wayne County39.5+0.9 pts
29Duplin County39.4+0.3 pts
30Caswell County39.3+3.5 pts
31Gates County39+1.4 pts
31Pitt County39+3.6 pts
33Franklin County38.8+0.5 pts
33Person County38.8-1.8 pts
35Montgomery County38.7+1.2 pts
36Cleveland County38.6+1 pts
37Alamance County38.5+1.2 pts
37Hoke County38.5+2.6 pts
39Nash County38.4-3.6 pts
39Wilson County38.4-0.5 pts
41Pasquotank County38.3+3 pts
42Rutherford County38.1+1.2 pts
43Guilford County38+5.3 pts
43Wilkes County38+3 pts
45Lee County37.8-0.7 pts
46Catawba County37.4+3.6 pts
46Rowan County37.4+3.7 pts
48Perquimans County37.3+3.4 pts
48Rockingham County37.3-0.7 pts
50Mitchell County37.2+3 pts
51Avery County37.1+4.5 pts
51Stokes County37.1+3.8 pts
53Craven County36.9+1.5 pts
53Harnett County36.9-2.6 pts
55Beaufort County36.8-1.6 pts
55Burke County36.8+4.9 pts
57Alexander County36.5+2.6 pts
57Alleghany County36.5+0.3 pts
59Pender County36.3+4.4 pts
59Stanly County36.3+2.1 pts
59Yadkin County36.3+0.3 pts
62Ashe County36.2+2.4 pts
62Davidson County36.2+1.9 pts
62Gaston County36.2-0.5 pts
62Granville County36.2-1.7 pts
66Durham County36.1+3.9 pts
67Pamlico County36-0.2 pts
68Yancey County35.6+2.8 pts
69Clay County35.3+2.8 pts
69Macon County35.3+4.3 pts
71Camden County35.2+0.1 pts
71McDowell County35.2+1.7 pts
71Polk County35.2+3.9 pts
74Graham County35.1+1.4 pts
74Johnston County35.1-1.7 pts
76Lincoln County35+1.5 pts
77Cherokee County34.8+3.3 pts
78Madison County34.6+2.8 pts
79Currituck County34.5+0.2 pts
79Jackson County34.5+3.9 pts
81Carteret County34+2.3 pts
82Transylvania County33.7+1.9 pts
83Caldwell County33.4-1.8 pts
83Davie County33.4-0.5 pts
83Onslow County33.4+4.1 pts
83Union County33.4+1.7 pts
87Cabarrus County33.3-1.8 pts
87Haywood County33.3+1.6 pts
89Watauga County33+3.2 pts
90Brunswick County32.8+1.7 pts
90Iredell County32.8-1.2 pts
92Moore County32.6+0.5 pts
93Dare County31.6+1.5 pts
94Buncombe County31.3+5 pts
95New Hanover County31.1-0.5 pts
96Henderson County30.3-3.3 pts
97Chatham County30.1-0.7 pts
98Mecklenburg County29.7-4.5 pts
99Wake County29.3+3.5 pts
100Orange County28+3.5 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 North Carolina 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/north-carolina-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 North Carolina 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?

Robeson County, with 47.9% in 2023, according to the Centers for Disease Control and Prevention.

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

Orange County, with 28% 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 North Carolina: more rankings