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

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

Rolette County had the highest adult obesity rate, local model estimate of 53 counties in 2023, at 50.2%. Cass County had the lowest, at 33.8%. The median was 38.1%. Source: the Centers for Disease Control and Prevention.

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Highest50.2Rolette County
Lowest33.8Cass County
Median38.153 counties

Map of counties, 2023

Adams County: 34.8 %Barnes County: 37.7 %Benson County: 43.3 %Billings County: 36.4 %Bottineau County: 37.7 %Bowman County: 36.3 %Burke County: 37.3 %Burleigh County: 35.2 %Cass County: 33.8 %Cavalier County: 39.5 %Dickey County: 38.7 %Divide County: 37.4 %Dunn County: 36.7 %Eddy County: 38.7 %Emmons County: 38.1 %Foster County: 35.7 %Golden Valley County: 37.6 %Grand Forks County: 35.2 %Grant County: 41.3 %Griggs County: 36.8 %Hettinger County: 37.4 %Kidder County: 39.9 %LaMoure County: 34.4 %Logan County: 39.8 %McHenry County: 42.1 %McIntosh County: 35.8 %McKenzie County: 41.1 %McLean County: 40.2 %Mercer County: 39.8 %Morton County: 38.6 %Mountrail County: 42.2 %Nelson County: 39.6 %Oliver County: 34.6 %Pembina County: 41.9 %Pierce County: 40.7 %Ramsey County: 40.8 %Ransom County: 37.9 %Renville County: 39 %Richland County: 36.1 %Rolette County: 50.2 %Sargent County: 41.2 %Sheridan County: 36.2 %Sioux County: 49.1 %Slope County: 38.3 %Stark County: 37.4 %Steele County: 35 %Stutsman County: 39.7 %Towner County: 43.9 %Traill County: 38.2 %Walsh County: 35.8 %Ward County: 33.9 %Wells County: 37.8 %Williams County: 40.4 %
  • Under 36
  • 36 to 37
  • 37 to 38
  • 38 to 40
  • 40 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.

All counties, 2023

Rolette County: 50.2 %Rolette County50.2Sioux County: 49.1 %Sioux County49.1Towner County: 43.9 %Towner County43.9Benson County: 43.3 %Benson County43.3Mountrail County: 42.2 %Mountrail County42.2McHenry County: 42.1 %McHenry County42.1Pembina County: 41.9 %Pembina County41.9Grant County: 41.3 %Grant County41.3Sargent County: 41.2 %Sargent County41.2McKenzie County: 41.1 %McKenzie County41.1Ramsey County: 40.8 %Ramsey County40.8Pierce County: 40.7 %Pierce County40.7Williams County: 40.4 %Williams County40.4McLean County: 40.2 %McLean County40.2Kidder County: 39.9 %Kidder County39.9Logan County: 39.8 %Logan County39.8Mercer County: 39.8 %Mercer County39.8Stutsman County: 39.7 %Stutsman County39.7Nelson County: 39.6 %Nelson County39.6Cavalier County: 39.5 %Cavalier County39.5Renville County: 39 %Renville County39Dickey County: 38.7 %Dickey County38.7Eddy County: 38.7 %Eddy County38.7Morton County: 38.6 %Morton County38.6Slope County: 38.3 %Slope County38.3Traill County: 38.2 %Traill County38.2Emmons County: 38.1 %Emmons County38.1Ransom County: 37.9 %Ransom County37.9Wells County: 37.8 %Wells County37.8Barnes County: 37.7 %Barnes County37.7Bottineau County: 37.7 %Bottineau County37.7Golden Valley County: 37.6 %Golden Valley County37.6Divide County: 37.4 %Divide County37.4Hettinger County: 37.4 %Hettinger County37.4Stark County: 37.4 %Stark County37.4Burke County: 37.3 %Burke County37.3Griggs County: 36.8 %Griggs County36.8Dunn County: 36.7 %Dunn County36.7Billings County: 36.4 %Billings County36.4Bowman County: 36.3 %Bowman County36.3Sheridan County: 36.2 %Sheridan County36.2Richland County: 36.1 %Richland County36.1McIntosh County: 35.8 %McIntosh County35.8Walsh County: 35.8 %Walsh County35.8Foster County: 35.7 %Foster County35.7Burleigh County: 35.2 %Burleigh County35.2Grand Forks County: 35.2 %Grand Forks County35.2Steele County: 35 %Steele County35Adams County: 34.8 %Adams County34.8Oliver County: 34.6 %Oliver County34.6LaMoure County: 34.4 %LaMoure County34.4Ward County: 33.9 %Ward County33.9Cass County: 33.8 %Cass County33.8Rolette County: 50.2 %Rolette County50.2Sioux County: 49.1 %Sioux County49.1Towner County: 43.9 %Towner County43.9Benson County: 43.3 %Benson County43.3Mountrail County: 42.2 %Mountrail County42.2McHenry County: 42.1 %McHenry County42.1Pembina County: 41.9 %Pembina County41.9Grant County: 41.3 %Grant County41.3Sargent County: 41.2 %Sargent County41.2McKenzie County: 41.1 %McKenzie County41.1Ramsey County: 40.8 %Ramsey County40.8Pierce County: 40.7 %Pierce County40.7Williams County: 40.4 %Williams County40.4McLean County: 40.2 %McLean County40.2Kidder County: 39.9 %Kidder County39.9Logan County: 39.8 %Logan County39.8Mercer County: 39.8 %Mercer County39.8Stutsman County: 39.7 %Stutsman County39.7Nelson County: 39.6 %Nelson County39.6Cavalier County: 39.5 %Cavalier County39.5Renville County: 39 %Renville County39Dickey County: 38.7 %Dickey County38.7Eddy County: 38.7 %Eddy County38.7Morton County: 38.6 %Morton County38.6Slope County: 38.3 %Slope County38.3Traill County: 38.2 %Traill County38.2Emmons County: 38.1 %Emmons County38.1Ransom County: 37.9 %Ransom County37.9Wells County: 37.8 %Wells County37.8Barnes County: 37.7 %Barnes County37.7Bottineau County: 37.7 %Bottineau County37.7Golden Valley County: 37.6 %Golden Valley County37.6Divide County: 37.4 %Divide County37.4Hettinger County: 37.4 %Hettinger County37.4Stark County: 37.4 %Stark County37.4Burke County: 37.3 %Burke County37.3Griggs County: 36.8 %Griggs County36.8Dunn County: 36.7 %Dunn County36.7Billings County: 36.4 %Billings County36.4Bowman County: 36.3 %Bowman County36.3Sheridan County: 36.2 %Sheridan County36.2Richland County: 36.1 %Richland County36.1McIntosh County: 35.8 %McIntosh County35.8Walsh County: 35.8 %Walsh County35.8Foster County: 35.7 %Foster County35.7Burleigh County: 35.2 %Burleigh County35.2Grand Forks County: 35.2 %Grand Forks County35.2Steele County: 35 %Steele County35Adams County: 34.8 %Adams County34.8Oliver County: 34.6 %Oliver County34.6LaMoure County: 34.4 %LaMoure County34.4Ward County: 33.9 %Ward County33.9Cass County: 33.8 %Cass County33.8
%. 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

RankCounties2023 (%)Change on 2022
1Rolette County50.2+5 pts
2Sioux County49.1+0.1 pts
3Towner County43.9+7.4 pts
4Benson County43.3+1.8 pts
5Mountrail County42.2+2 pts
6McHenry County42.1+4.7 pts
7Pembina County41.9+7.6 pts
8Grant County41.3+1.4 pts
9Sargent County41.2+5.4 pts
10McKenzie County41.1+5.4 pts
11Ramsey County40.8+5.5 pts
12Pierce County40.7+4.9 pts
13Williams County40.4+2.7 pts
14McLean County40.2+4.3 pts
15Kidder County39.9+2.6 pts
16Logan County39.8+2.8 pts
16Mercer County39.8+3.7 pts
18Stutsman County39.7+0.3 pts
19Nelson County39.6+1.1 pts
20Cavalier County39.5+3.6 pts
21Renville County39+1.6 pts
22Dickey County38.7+1.3 pts
22Eddy County38.7-0.6 pts
24Morton County38.6+2.7 pts
25Slope County38.3+1.8 pts
26Traill County38.2+1.1 pts
27Emmons County38.1+1.7 pts
28Ransom County37.90 pts
29Wells County37.8+0.7 pts
30Barnes County37.7+1.2 pts
30Bottineau County37.7-1.4 pts
32Golden Valley County37.6-3.3 pts
33Divide County37.4+0.6 pts
33Hettinger County37.4+0.7 pts
33Stark County37.4-1.4 pts
36Burke County37.3+2.3 pts
37Griggs County36.8+0.6 pts
38Dunn County36.7-1 pts
39Billings County36.4+0.6 pts
40Bowman County36.3-0.6 pts
41Sheridan County36.2+0.8 pts
42Richland County36.1-3.7 pts
43McIntosh County35.8-4.3 pts
43Walsh County35.8-2.3 pts
45Foster County35.7-3.7 pts
46Burleigh County35.2-3.4 pts
46Grand Forks County35.2+0.7 pts
48Steele County35-1.2 pts
49Adams County34.8-2.3 pts
50Oliver County34.6-5.3 pts
51LaMoure County34.4-2.9 pts
52Ward County33.9-2.6 pts
53Cass County33.8+1 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 Dakota 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties (Accessed: 12 October 2026).

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

Rolette County, with 50.2% in 2023, according to the Centers for Disease Control and Prevention.

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

Cass County, with 33.8% 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 Dakota: more rankings