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 2022, at 43.2%. Orange County had the lowest, at 24.5%. The median was 35.3%. Source: the Centers for Disease Control and Prevention.

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Highest43.2Bertie County
Lowest24.5Orange County
Median35.3100 counties

Map of counties, 2022

Alamance County: 37.3 %Alexander County: 33.9 %Alleghany County: 36.2 %Anson County: 42.7 %Ashe County: 33.8 %Avery County: 32.6 %Beaufort County: 38.4 %Bertie County: 43.2 %Bladen County: 38.6 %Brunswick County: 31.1 %Buncombe County: 26.3 %Burke County: 31.9 %Cabarrus County: 35.1 %Caldwell County: 35.2 %Camden County: 35.1 %Carteret County: 31.7 %Caswell County: 35.8 %Catawba County: 33.8 %Chatham County: 30.8 %Cherokee County: 31.5 %Chowan County: 39 %Clay County: 32.5 %Cleveland County: 37.6 %Columbus County: 38.8 %Craven County: 35.4 %Cumberland County: 38.2 %Currituck County: 34.3 %Dare County: 30.1 %Davidson County: 34.3 %Davie County: 33.9 %Duplin County: 39.1 %Durham County: 32.2 %Edgecombe County: 40.2 %Forsyth County: 31.6 %Franklin County: 38.3 %Gaston County: 36.7 %Gates County: 37.6 %Graham County: 33.7 %Granville County: 37.9 %Greene County: 41.1 %Guilford County: 32.7 %Halifax County: 41.2 %Harnett County: 39.5 %Haywood County: 31.7 %Henderson County: 33.6 %Hertford County: 42.5 %Hoke County: 35.9 %Hyde County: 39.5 %Iredell County: 34 %Jackson County: 30.6 %Johnston County: 36.8 %Jones County: 38.4 %Lee County: 38.5 %Lenoir County: 40.1 %Lincoln County: 33.5 %McDowell County: 33.5 %Macon County: 31 %Madison County: 31.8 %Martin County: 38.5 %Mecklenburg County: 34.2 %Mitchell County: 34.2 %Montgomery County: 37.5 %Moore County: 32.1 %Nash County: 42 %New Hanover County: 31.6 %Northampton County: 40.3 %Onslow County: 29.3 %Orange County: 24.5 %Pamlico County: 36.2 %Pasquotank County: 35.3 %Pender County: 31.9 %Perquimans County: 33.9 %Person County: 40.6 %Pitt County: 35.4 %Polk County: 31.3 %Randolph County: 32.5 %Richmond County: 39.2 %Robeson County: 41.5 %Rockingham County: 38 %Rowan County: 33.7 %Rutherford County: 36.9 %Sampson County: 38.3 %Scotland County: 40.8 %Stanly County: 34.2 %Stokes County: 33.3 %Surry County: 35.5 %Swain County: 36.7 %Transylvania County: 31.8 %Tyrrell County: 37 %Union County: 31.7 %Vance County: 41 %Wake County: 25.8 %Warren County: 41.1 %Washington County: 40.4 %Watauga County: 29.8 %Wayne County: 38.6 %Wilkes County: 35 %Wilson County: 38.9 %Yadkin County: 36 %Yancey County: 32.8 %
  • Under 32
  • 32 to 34
  • 34 to 35
  • 35 to 38
  • 38 to 39
  • 39 and over
%, 2022. 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, 2022

Bertie County: 43.2 %Bertie County43.2Anson County: 42.7 %Anson County42.7Hertford County: 42.5 %Hertford County42.5Nash County: 42 %Nash County42Robeson County: 41.5 %Robeson County41.5Halifax County: 41.2 %Halifax County41.2Greene County: 41.1 %Greene County41.1Warren County: 41.1 %Warren County41.1Vance County: 41 %Vance County41Scotland County: 40.8 %Scotland County40.8Person County: 40.6 %Person County40.6Washington County: 40.4 %Washington County40.4Northampton County: 40.3 %Northampton County40.3Edgecombe County: 40.2 %Edgecombe County40.2Lenoir County: 40.1 %Lenoir County40.1Harnett County: 39.5 %Harnett County39.5Hyde County: 39.5 %Hyde County39.5Richmond County: 39.2 %Richmond County39.2Duplin County: 39.1 %Duplin County39.1Chowan County: 39 %Chowan County39Wilson County: 38.9 %Wilson County38.9Columbus County: 38.8 %Columbus County38.8Bladen County: 38.6 %Bladen County38.6Wayne County: 38.6 %Wayne County38.6Lee County: 38.5 %Lee County38.5Martin County: 38.5 %Martin County38.5Beaufort County: 38.4 %Beaufort County38.4Jones County: 38.4 %Jones County38.4Franklin County: 38.3 %Franklin County38.3Sampson County: 38.3 %Sampson County38.3Cumberland County: 38.2 %Cumberland County38.2Rockingham County: 38 %Rockingham County38Granville County: 37.9 %Granville County37.9Cleveland County: 37.6 %Cleveland County37.6Gates County: 37.6 %Gates County37.6Montgomery County: 37.5 %Montgomery County37.5Alamance County: 37.3 %Alamance County37.3Tyrrell County: 37 %Tyrrell County37Rutherford County: 36.9 %Rutherford County36.9Johnston County: 36.8 %Johnston County36.8Bertie County: 43.2 %Bertie County43.2Anson County: 42.7 %Anson County42.7Hertford County: 42.5 %Hertford County42.5Nash County: 42 %Nash County42Robeson County: 41.5 %Robeson County41.5Halifax County: 41.2 %Halifax County41.2Greene County: 41.1 %Greene County41.1Warren County: 41.1 %Warren County41.1Vance County: 41 %Vance County41Scotland County: 40.8 %Scotland County40.8Person County: 40.6 %Person County40.6Washington County: 40.4 %Washington County40.4Northampton County: 40.3 %Northampton County40.3Edgecombe County: 40.2 %Edgecombe County40.2Lenoir County: 40.1 %Lenoir County40.1Harnett County: 39.5 %Harnett County39.5Hyde County: 39.5 %Hyde County39.5Richmond County: 39.2 %Richmond County39.2Duplin County: 39.1 %Duplin County39.1Chowan County: 39 %Chowan County39Wilson County: 38.9 %Wilson County38.9Columbus County: 38.8 %Columbus County38.8Bladen County: 38.6 %Bladen County38.6Wayne County: 38.6 %Wayne County38.6Lee County: 38.5 %Lee County38.5Martin County: 38.5 %Martin County38.5Beaufort County: 38.4 %Beaufort County38.4Jones County: 38.4 %Jones County38.4Franklin County: 38.3 %Franklin County38.3Sampson County: 38.3 %Sampson County38.3Cumberland County: 38.2 %Cumberland County38.2Rockingham County: 38 %Rockingham County38Granville County: 37.9 %Granville County37.9Cleveland County: 37.6 %Cleveland County37.6Gates County: 37.6 %Gates County37.6Montgomery County: 37.5 %Montgomery County37.5Alamance County: 37.3 %Alamance County37.3Tyrrell County: 37 %Tyrrell County37Rutherford County: 36.9 %Rutherford County36.9Johnston County: 36.8 %Johnston County36.8
%. 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

RankCounties2022 (%)Change on 2021
1Bertie County43.2-2.1 pts
2Anson County42.7-0.4 pts
3Hertford County42.5-0.4 pts
4Nash County42+1.8 pts
5Robeson County41.5-2.8 pts
6Halifax County41.2-2 pts
7Greene County41.1-1.7 pts
7Warren County41.1-2 pts
9Vance County41-2 pts
10Scotland County40.8-3.5 pts
11Person County40.6+1.1 pts
12Washington County40.4-2.5 pts
13Northampton County40.3-4.4 pts
14Edgecombe County40.2-3.7 pts
15Lenoir County40.1+0.1 pts
16Harnett County39.5-1 pts
16Hyde County39.5-0.3 pts
18Richmond County39.2-1 pts
19Duplin County39.1-4.3 pts
20Chowan County39+0.2 pts
21Wilson County38.9+0.4 pts
22Columbus County38.8-4 pts
23Bladen County38.6-3.1 pts
23Wayne County38.6-0.3 pts
25Lee County38.5-0.6 pts
25Martin County38.5-2.1 pts
27Beaufort County38.4-2.3 pts
27Jones County38.4-1.7 pts
29Franklin County38.3+1.9 pts
29Sampson County38.3-1.9 pts
31Cumberland County38.2-0.9 pts
32Rockingham County38-1.9 pts
33Granville County37.9-3.4 pts
34Cleveland County37.6+0.4 pts
34Gates County37.6-2 pts
36Montgomery County37.5+0.2 pts
37Alamance County37.3+1.2 pts
38Tyrrell County37-2.6 pts
39Rutherford County36.9-0.6 pts
40Johnston County36.8-4.9 pts
41Gaston County36.7-1.8 pts
41Swain County36.7-1.8 pts
43Alleghany County36.2-1.1 pts
43Pamlico County36.2-1.5 pts
45Yadkin County36-1 pts
46Hoke County35.9-3.5 pts
47Caswell County35.8-4.1 pts
48Surry County35.5-2.4 pts
49Craven County35.4-1.5 pts
49Pitt County35.4-3.6 pts
51Pasquotank County35.3-1.8 pts
52Caldwell County35.2-1.7 pts
53Cabarrus County35.1+1.9 pts
53Camden County35.1+0.6 pts
55Wilkes County35-1.5 pts
56Currituck County34.3+0.8 pts
56Davidson County34.3-3 pts
58Mecklenburg County34.2+0.6 pts
58Mitchell County34.2-0.2 pts
58Stanly County34.2-0.9 pts
61Iredell County34-1.4 pts
62Alexander County33.9-1.4 pts
62Davie County33.9-1.2 pts
62Perquimans County33.9-3.6 pts
65Ashe County33.8-4.4 pts
65Catawba County33.8-2.4 pts
67Graham County33.7-2 pts
67Rowan County33.7-5.2 pts
69Henderson County33.6-0.4 pts
70Lincoln County33.5-1.3 pts
70McDowell County33.5-1.5 pts
72Stokes County33.3-2.9 pts
73Yancey County32.8-2.6 pts
74Guilford County32.7-2.1 pts
75Avery County32.6-3.8 pts
76Clay County32.5-2 pts
76Randolph County32.5-5.8 pts
78Durham County32.2+2 pts
79Moore County32.1+0.1 pts
80Burke County31.9-5.1 pts
80Pender County31.9-3.2 pts
82Madison County31.8-3.5 pts
82Transylvania County31.8-2 pts
84Carteret County31.7-1 pts
84Haywood County31.7-5.1 pts
84Union County31.7-0.3 pts
87Forsyth County31.6-3.1 pts
87New Hanover County31.6+1.2 pts
89Cherokee County31.5-6.6 pts
90Polk County31.3+0.1 pts
91Brunswick County31.1-1.7 pts
92Macon County31-5.5 pts
93Chatham County30.8-2 pts
94Jackson County30.6-3.8 pts
95Dare County30.1-2.8 pts
96Watauga County29.8+0.1 pts
97Onslow County29.3-4.8 pts
98Buncombe County26.3-5.1 pts
99Wake County25.8-6.2 pts
100Orange County24.5-2 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, 2022) [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, 2022. 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=2022. 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, 2022. 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=2022.

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, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-obesity-rate-county-estimate/north-carolina-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_north_carolina_2022,
  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, 2022}},
  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=2022. 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, 2022
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=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/north-carolina-counties?period=2022.
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?

Bertie County, with 43.2% in 2022, according to the Centers for Disease Control and Prevention.

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

Orange County, with 24.5% in 2022.

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