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

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

Sioux County had the highest adult obesity rate, local model estimate of 53 counties in 2022, at 49%. Cass County had the lowest, at 32.8%. The median was 37.1%. Source: the Centers for Disease Control and Prevention.

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Highest49Sioux County
Lowest32.8Cass County
Median37.153 counties

Map of counties, 2022

Adams County: 37.1 %Barnes County: 36.5 %Benson County: 41.5 %Billings County: 35.8 %Bottineau County: 39.1 %Bowman County: 36.9 %Burke County: 35 %Burleigh County: 38.6 %Cass County: 32.8 %Cavalier County: 35.9 %Dickey County: 37.4 %Divide County: 36.8 %Dunn County: 37.7 %Eddy County: 39.3 %Emmons County: 36.4 %Foster County: 39.4 %Golden Valley County: 40.9 %Grand Forks County: 34.5 %Grant County: 39.9 %Griggs County: 36.2 %Hettinger County: 36.7 %Kidder County: 37.3 %LaMoure County: 37.3 %Logan County: 37 %McHenry County: 37.4 %McIntosh County: 40.1 %McKenzie County: 35.7 %McLean County: 35.9 %Mercer County: 36.1 %Morton County: 35.9 %Mountrail County: 40.2 %Nelson County: 38.5 %Oliver County: 39.9 %Pembina County: 34.3 %Pierce County: 35.8 %Ramsey County: 35.3 %Ransom County: 37.9 %Renville County: 37.4 %Richland County: 39.8 %Rolette County: 45.2 %Sargent County: 35.8 %Sheridan County: 35.4 %Sioux County: 49 %Slope County: 36.5 %Stark County: 38.8 %Steele County: 36.2 %Stutsman County: 39.4 %Towner County: 36.5 %Traill County: 37.1 %Walsh County: 38.1 %Ward County: 36.5 %Wells County: 37.1 %Williams County: 37.7 %
  • Under 36
  • 36 to 37
  • 37 to 38
  • 38 to 40
  • 40 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.

All counties, 2022

Sioux County: 49 %Sioux County49Rolette County: 45.2 %Rolette County45.2Benson County: 41.5 %Benson County41.5Golden Valley County: 40.9 %Golden Valley County40.9Mountrail County: 40.2 %Mountrail County40.2McIntosh County: 40.1 %McIntosh County40.1Grant County: 39.9 %Grant County39.9Oliver County: 39.9 %Oliver County39.9Richland County: 39.8 %Richland County39.8Foster County: 39.4 %Foster County39.4Stutsman County: 39.4 %Stutsman County39.4Eddy County: 39.3 %Eddy County39.3Bottineau County: 39.1 %Bottineau County39.1Stark County: 38.8 %Stark County38.8Burleigh County: 38.6 %Burleigh County38.6Nelson County: 38.5 %Nelson County38.5Walsh County: 38.1 %Walsh County38.1Ransom County: 37.9 %Ransom County37.9Dunn County: 37.7 %Dunn County37.7Williams County: 37.7 %Williams County37.7Dickey County: 37.4 %Dickey County37.4McHenry County: 37.4 %McHenry County37.4Renville County: 37.4 %Renville County37.4Kidder County: 37.3 %Kidder County37.3LaMoure County: 37.3 %LaMoure County37.3Adams County: 37.1 %Adams County37.1Traill County: 37.1 %Traill County37.1Wells County: 37.1 %Wells County37.1Logan County: 37 %Logan County37Bowman County: 36.9 %Bowman County36.9Divide County: 36.8 %Divide County36.8Hettinger County: 36.7 %Hettinger County36.7Barnes County: 36.5 %Barnes County36.5Slope County: 36.5 %Slope County36.5Towner County: 36.5 %Towner County36.5Ward County: 36.5 %Ward County36.5Emmons County: 36.4 %Emmons County36.4Griggs County: 36.2 %Griggs County36.2Steele County: 36.2 %Steele County36.2Mercer County: 36.1 %Mercer County36.1Cavalier County: 35.9 %Cavalier County35.9McLean County: 35.9 %McLean County35.9Morton County: 35.9 %Morton County35.9Billings County: 35.8 %Billings County35.8Pierce County: 35.8 %Pierce County35.8Sargent County: 35.8 %Sargent County35.8McKenzie County: 35.7 %McKenzie County35.7Sheridan County: 35.4 %Sheridan County35.4Ramsey County: 35.3 %Ramsey County35.3Burke County: 35 %Burke County35Grand Forks County: 34.5 %Grand Forks County34.5Pembina County: 34.3 %Pembina County34.3Cass County: 32.8 %Cass County32.8Sioux County: 49 %Sioux County49Rolette County: 45.2 %Rolette County45.2Benson County: 41.5 %Benson County41.5Golden Valley County: 40.9 %Golden Valley County40.9Mountrail County: 40.2 %Mountrail County40.2McIntosh County: 40.1 %McIntosh County40.1Grant County: 39.9 %Grant County39.9Oliver County: 39.9 %Oliver County39.9Richland County: 39.8 %Richland County39.8Foster County: 39.4 %Foster County39.4Stutsman County: 39.4 %Stutsman County39.4Eddy County: 39.3 %Eddy County39.3Bottineau County: 39.1 %Bottineau County39.1Stark County: 38.8 %Stark County38.8Burleigh County: 38.6 %Burleigh County38.6Nelson County: 38.5 %Nelson County38.5Walsh County: 38.1 %Walsh County38.1Ransom County: 37.9 %Ransom County37.9Dunn County: 37.7 %Dunn County37.7Williams County: 37.7 %Williams County37.7Dickey County: 37.4 %Dickey County37.4McHenry County: 37.4 %McHenry County37.4Renville County: 37.4 %Renville County37.4Kidder County: 37.3 %Kidder County37.3LaMoure County: 37.3 %LaMoure County37.3Adams County: 37.1 %Adams County37.1Traill County: 37.1 %Traill County37.1Wells County: 37.1 %Wells County37.1Logan County: 37 %Logan County37Bowman County: 36.9 %Bowman County36.9Divide County: 36.8 %Divide County36.8Hettinger County: 36.7 %Hettinger County36.7Barnes County: 36.5 %Barnes County36.5Slope County: 36.5 %Slope County36.5Towner County: 36.5 %Towner County36.5Ward County: 36.5 %Ward County36.5Emmons County: 36.4 %Emmons County36.4Griggs County: 36.2 %Griggs County36.2Steele County: 36.2 %Steele County36.2Mercer County: 36.1 %Mercer County36.1Cavalier County: 35.9 %Cavalier County35.9McLean County: 35.9 %McLean County35.9Morton County: 35.9 %Morton County35.9Billings County: 35.8 %Billings County35.8Pierce County: 35.8 %Pierce County35.8Sargent County: 35.8 %Sargent County35.8McKenzie County: 35.7 %McKenzie County35.7Sheridan County: 35.4 %Sheridan County35.4Ramsey County: 35.3 %Ramsey County35.3Burke County: 35 %Burke County35Grand Forks County: 34.5 %Grand Forks County34.5Pembina County: 34.3 %Pembina County34.3Cass County: 32.8 %Cass County32.8
%. 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
1Sioux County49+0.6 pts
2Rolette County45.2-1.8 pts
3Benson County41.5-3.4 pts
4Golden Valley County40.9+2.3 pts
5Mountrail County40.2-5.1 pts
6McIntosh County40.1+2.3 pts
7Grant County39.9+0.8 pts
7Oliver County39.9+3 pts
9Richland County39.8+1.7 pts
10Foster County39.4+3 pts
10Stutsman County39.4-1.8 pts
12Eddy County39.3-0.9 pts
13Bottineau County39.1-2.7 pts
14Stark County38.8-1.1 pts
15Burleigh County38.6+8.6 pts
16Nelson County38.5-3.4 pts
17Walsh County38.1+2.1 pts
18Ransom County37.9+0.6 pts
19Dunn County37.7-2.6 pts
19Williams County37.7-0.7 pts
21Dickey County37.4-0.5 pts
21McHenry County37.4-3.4 pts
21Renville County37.4+0.5 pts
24Kidder County37.3-0.8 pts
24LaMoure County37.3-0.1 pts
26Adams County37.1-2.7 pts
26Traill County37.1+0.4 pts
26Wells County37.1+1.2 pts
29Logan County37-0.5 pts
30Bowman County36.9-0.5 pts
31Divide County36.8-2.4 pts
32Hettinger County36.7-4.2 pts
33Barnes County36.5-5.6 pts
33Slope County36.5-1.1 pts
33Towner County36.5-1.5 pts
33Ward County36.5-0.3 pts
37Emmons County36.4+2.1 pts
38Griggs County36.2-1.8 pts
38Steele County36.2-2 pts
40Mercer County36.1-4.1 pts
41Cavalier County35.9-3.1 pts
41McLean County35.9-5.4 pts
41Morton County35.9-4.1 pts
44Billings County35.8-0.7 pts
44Pierce County35.8-0.3 pts
44Sargent County35.8-2.2 pts
47McKenzie County35.7-1.4 pts
48Sheridan County35.4+0.5 pts
49Ramsey County35.3-1.3 pts
50Burke County35-2.8 pts
51Grand Forks County34.5-1.1 pts
52Pembina County34.3-4 pts
53Cass County32.8-1.4 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, 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 Dakota 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-dakota-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 Dakota 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-dakota-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 Dakota 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-dakota-counties?period=2022 (Accessed: 12 October 2026).

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

Sioux County, with 49% in 2022, according to the Centers for Disease Control and Prevention.

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

Cass County, with 32.8% 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 Dakota: more rankings