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

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

Bertie County had the highest adult obesity rate, local model estimate of 100 counties in 2021, at 45.3%. Orange County had the lowest, at 26.5%. The median was 37.3%. Source: the Centers for Disease Control and Prevention.

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Highest45.3Bertie County
Lowest26.5Orange County
Median37.3100 counties

Map of counties, 2021

Alamance County: 36.1 %Alexander County: 35.3 %Alleghany County: 37.3 %Anson County: 43.1 %Ashe County: 38.2 %Avery County: 36.4 %Beaufort County: 40.7 %Bertie County: 45.3 %Bladen County: 41.7 %Brunswick County: 32.8 %Buncombe County: 31.4 %Burke County: 37 %Cabarrus County: 33.2 %Caldwell County: 36.9 %Camden County: 34.5 %Carteret County: 32.7 %Caswell County: 39.9 %Catawba County: 36.2 %Chatham County: 32.8 %Cherokee County: 38.1 %Chowan County: 38.8 %Clay County: 34.5 %Cleveland County: 37.2 %Columbus County: 42.8 %Craven County: 36.9 %Cumberland County: 39.1 %Currituck County: 33.5 %Dare County: 32.9 %Davidson County: 37.3 %Davie County: 35.1 %Duplin County: 43.4 %Durham County: 30.2 %Edgecombe County: 43.9 %Forsyth County: 34.7 %Franklin County: 36.4 %Gaston County: 38.5 %Gates County: 39.6 %Graham County: 35.7 %Granville County: 41.3 %Greene County: 42.8 %Guilford County: 34.8 %Halifax County: 43.2 %Harnett County: 40.5 %Haywood County: 36.8 %Henderson County: 34 %Hertford County: 42.9 %Hoke County: 39.4 %Hyde County: 39.8 %Iredell County: 35.4 %Jackson County: 34.4 %Johnston County: 41.7 %Jones County: 40.1 %Lee County: 39.1 %Lenoir County: 40 %Lincoln County: 34.8 %McDowell County: 35 %Macon County: 36.5 %Madison County: 35.3 %Martin County: 40.6 %Mecklenburg County: 33.6 %Mitchell County: 34.4 %Montgomery County: 37.3 %Moore County: 32 %Nash County: 40.2 %New Hanover County: 30.4 %Northampton County: 44.7 %Onslow County: 34.1 %Orange County: 26.5 %Pamlico County: 37.7 %Pasquotank County: 37.1 %Pender County: 35.1 %Perquimans County: 37.5 %Person County: 39.5 %Pitt County: 39 %Polk County: 31.2 %Randolph County: 38.3 %Richmond County: 40.2 %Robeson County: 44.3 %Rockingham County: 39.9 %Rowan County: 38.9 %Rutherford County: 37.5 %Sampson County: 40.2 %Scotland County: 44.3 %Stanly County: 35.1 %Stokes County: 36.2 %Surry County: 37.9 %Swain County: 38.5 %Transylvania County: 33.8 %Tyrrell County: 39.6 %Union County: 32 %Vance County: 43 %Wake County: 32 %Warren County: 43.1 %Washington County: 42.9 %Watauga County: 29.7 %Wayne County: 38.9 %Wilkes County: 36.5 %Wilson County: 38.5 %Yadkin County: 37 %Yancey County: 35.4 %
  • Under 34
  • 34 to 35
  • 35 to 37
  • 37 to 39
  • 39 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

Bertie County: 45.3 %Bertie County45.3Northampton County: 44.7 %Northampton County44.7Robeson County: 44.3 %Robeson County44.3Scotland County: 44.3 %Scotland County44.3Edgecombe County: 43.9 %Edgecombe County43.9Duplin County: 43.4 %Duplin County43.4Halifax County: 43.2 %Halifax County43.2Anson County: 43.1 %Anson County43.1Warren County: 43.1 %Warren County43.1Vance County: 43 %Vance County43Hertford County: 42.9 %Hertford County42.9Washington County: 42.9 %Washington County42.9Columbus County: 42.8 %Columbus County42.8Greene County: 42.8 %Greene County42.8Bladen County: 41.7 %Bladen County41.7Johnston County: 41.7 %Johnston County41.7Granville County: 41.3 %Granville County41.3Beaufort County: 40.7 %Beaufort County40.7Martin County: 40.6 %Martin County40.6Harnett County: 40.5 %Harnett County40.5Nash County: 40.2 %Nash County40.2Richmond County: 40.2 %Richmond County40.2Sampson County: 40.2 %Sampson County40.2Jones County: 40.1 %Jones County40.1Lenoir County: 40 %Lenoir County40Caswell County: 39.9 %Caswell County39.9Rockingham County: 39.9 %Rockingham County39.9Hyde County: 39.8 %Hyde County39.8Gates County: 39.6 %Gates County39.6Tyrrell County: 39.6 %Tyrrell County39.6Person County: 39.5 %Person County39.5Hoke County: 39.4 %Hoke County39.4Cumberland County: 39.1 %Cumberland County39.1Lee County: 39.1 %Lee County39.1Pitt County: 39 %Pitt County39Rowan County: 38.9 %Rowan County38.9Wayne County: 38.9 %Wayne County38.9Chowan County: 38.8 %Chowan County38.8Gaston County: 38.5 %Gaston County38.5Swain County: 38.5 %Swain County38.5Bertie County: 45.3 %Bertie County45.3Northampton County: 44.7 %Northampton County44.7Robeson County: 44.3 %Robeson County44.3Scotland County: 44.3 %Scotland County44.3Edgecombe County: 43.9 %Edgecombe County43.9Duplin County: 43.4 %Duplin County43.4Halifax County: 43.2 %Halifax County43.2Anson County: 43.1 %Anson County43.1Warren County: 43.1 %Warren County43.1Vance County: 43 %Vance County43Hertford County: 42.9 %Hertford County42.9Washington County: 42.9 %Washington County42.9Columbus County: 42.8 %Columbus County42.8Greene County: 42.8 %Greene County42.8Bladen County: 41.7 %Bladen County41.7Johnston County: 41.7 %Johnston County41.7Granville County: 41.3 %Granville County41.3Beaufort County: 40.7 %Beaufort County40.7Martin County: 40.6 %Martin County40.6Harnett County: 40.5 %Harnett County40.5Nash County: 40.2 %Nash County40.2Richmond County: 40.2 %Richmond County40.2Sampson County: 40.2 %Sampson County40.2Jones County: 40.1 %Jones County40.1Lenoir County: 40 %Lenoir County40Caswell County: 39.9 %Caswell County39.9Rockingham County: 39.9 %Rockingham County39.9Hyde County: 39.8 %Hyde County39.8Gates County: 39.6 %Gates County39.6Tyrrell County: 39.6 %Tyrrell County39.6Person County: 39.5 %Person County39.5Hoke County: 39.4 %Hoke County39.4Cumberland County: 39.1 %Cumberland County39.1Lee County: 39.1 %Lee County39.1Pitt County: 39 %Pitt County39Rowan County: 38.9 %Rowan County38.9Wayne County: 38.9 %Wayne County38.9Chowan County: 38.8 %Chowan County38.8Gaston County: 38.5 %Gaston County38.5Swain County: 38.5 %Swain County38.5
%. 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 (%)
1Bertie County45.3
2Northampton County44.7
3Robeson County44.3
3Scotland County44.3
5Edgecombe County43.9
6Duplin County43.4
7Halifax County43.2
8Anson County43.1
8Warren County43.1
10Vance County43
11Hertford County42.9
11Washington County42.9
13Columbus County42.8
13Greene County42.8
15Bladen County41.7
15Johnston County41.7
17Granville County41.3
18Beaufort County40.7
19Martin County40.6
20Harnett County40.5
21Nash County40.2
21Richmond County40.2
21Sampson County40.2
24Jones County40.1
25Lenoir County40
26Caswell County39.9
26Rockingham County39.9
28Hyde County39.8
29Gates County39.6
29Tyrrell County39.6
31Person County39.5
32Hoke County39.4
33Cumberland County39.1
33Lee County39.1
35Pitt County39
36Rowan County38.9
36Wayne County38.9
38Chowan County38.8
39Gaston County38.5
39Swain County38.5
39Wilson County38.5
42Randolph County38.3
43Ashe County38.2
44Cherokee County38.1
45Surry County37.9
46Pamlico County37.7
47Perquimans County37.5
47Rutherford County37.5
49Alleghany County37.3
49Davidson County37.3
49Montgomery County37.3
52Cleveland County37.2
53Pasquotank County37.1
54Burke County37
54Yadkin County37
56Caldwell County36.9
56Craven County36.9
58Haywood County36.8
59Macon County36.5
59Wilkes County36.5
61Avery County36.4
61Franklin County36.4
63Catawba County36.2
63Stokes County36.2
65Alamance County36.1
66Graham County35.7
67Iredell County35.4
67Yancey County35.4
69Alexander County35.3
69Madison County35.3
71Davie County35.1
71Pender County35.1
71Stanly County35.1
74McDowell County35
75Guilford County34.8
75Lincoln County34.8
77Forsyth County34.7
78Camden County34.5
78Clay County34.5
80Jackson County34.4
80Mitchell County34.4
82Onslow County34.1
83Henderson County34
84Transylvania County33.8
85Mecklenburg County33.6
86Currituck County33.5
87Cabarrus County33.2
88Dare County32.9
89Brunswick County32.8
89Chatham County32.8
91Carteret County32.7
92Moore County32
92Union County32
92Wake County32
95Buncombe County31.4
96Polk County31.2
97New Hanover County30.4
98Durham County30.2
99Watauga County29.7
100Orange County26.5

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, 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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_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 North Carolina 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/north-carolina-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 North Carolina 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/north-carolina-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/north-carolina-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 North Carolina by adult obesity rate, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_obesity_rate_modelled","level":"province","within":"North Carolina","limit":10}
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Questions

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

Bertie County, with 45.3% in 2021, according to the Centers for Disease Control and Prevention.

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

Orange County, with 26.5% 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 North Carolina: more rankings