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

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

Todd County had the highest adult obesity rate, local model estimate of 66 counties in 2023, at 49.3%. Meade County had the lowest, at 30.4%. The median was 35.7%. Source: the Centers for Disease Control and Prevention.

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Highest49.3Todd County
Lowest30.4Meade County
Median35.766 counties

Map of counties, 2023

Aurora County: 36.4 %Beadle County: 35.4 %Bennett County: 42.4 %Bon Homme County: 37 %Brookings County: 35.7 %Brown County: 35.1 %Brule County: 38.2 %Buffalo County: 48.5 %Butte County: 35.7 %Campbell County: 33 %Charles Mix County: 40.4 %Clark County: 34.1 %Clay County: 34.7 %Codington County: 35.9 %Corson County: 43.5 %Custer County: 33.9 %Davison County: 38 %Day County: 34.8 %Deuel County: 33.3 %Dewey County: 43.6 %Douglas County: 35.1 %Edmunds County: 33.7 %Fall River County: 38 %Faulk County: 36.3 %Grant County: 37.3 %Gregory County: 35.9 %Haakon County: 33.7 %Hamlin County: 34.6 %Hand County: 33.9 %Hanson County: 36.6 %Harding County: 35.3 %Hughes County: 34 %Hutchinson County: 34.4 %Hyde County: 35.3 %Jackson County: 40.9 %Jerauld County: 35.6 %Jones County: 35.4 %Kingsbury County: 35.6 %Lake County: 32.5 %Lawrence County: 32.7 %Lincoln County: 34.9 %Lyman County: 40.1 %McCook County: 36.1 %McPherson County: 34.9 %Marshall County: 35.9 %Meade County: 30.4 %Mellette County: 45.6 %Miner County: 35.7 %Minnehaha County: 37.4 %Moody County: 33.6 %Oglala Lakota County: 47 %Pennington County: 33.7 %Perkins County: 36 %Potter County: 34.8 %Roberts County: 43 %Sanborn County: 36.3 %Spink County: 36 %Stanley County: 35.2 %Sully County: 34.7 %Todd County: 49.3 %Tripp County: 37 %Turner County: 34 %Union County: 31.2 %Walworth County: 34.3 %Yankton County: 38.3 %Ziebach County: 47.2 %
  • Under 34
  • 34 to 35
  • 35 to 36
  • 36 to 40
  • 40 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

Todd County: 49.3 %Todd County49.3Buffalo County: 48.5 %Buffalo County48.5Ziebach County: 47.2 %Ziebach County47.2Oglala Lakota County: 47 %Oglala Lakota County47Mellette County: 45.6 %Mellette County45.6Dewey County: 43.6 %Dewey County43.6Corson County: 43.5 %Corson County43.5Roberts County: 43 %Roberts County43Bennett County: 42.4 %Bennett County42.4Jackson County: 40.9 %Jackson County40.9Charles Mix County: 40.4 %Charles Mix County40.4Lyman County: 40.1 %Lyman County40.1Yankton County: 38.3 %Yankton County38.3Brule County: 38.2 %Brule County38.2Davison County: 38 %Davison County38Fall River County: 38 %Fall River County38Minnehaha County: 37.4 %Minnehaha County37.4Grant County: 37.3 %Grant County37.3Bon Homme County: 37 %Bon Homme County37Tripp County: 37 %Tripp County37Hanson County: 36.6 %Hanson County36.6Aurora County: 36.4 %Aurora County36.4Faulk County: 36.3 %Faulk County36.3Sanborn County: 36.3 %Sanborn County36.3McCook County: 36.1 %McCook County36.1Perkins County: 36 %Perkins County36Spink County: 36 %Spink County36Codington County: 35.9 %Codington County35.9Gregory County: 35.9 %Gregory County35.9Marshall County: 35.9 %Marshall County35.9Brookings County: 35.7 %Brookings County35.7Butte County: 35.7 %Butte County35.7Miner County: 35.7 %Miner County35.7Jerauld County: 35.6 %Jerauld County35.6Kingsbury County: 35.6 %Kingsbury County35.6Beadle County: 35.4 %Beadle County35.4Jones County: 35.4 %Jones County35.4Harding County: 35.3 %Harding County35.3Hyde County: 35.3 %Hyde County35.3Stanley County: 35.2 %Stanley County35.2Todd County: 49.3 %Todd County49.3Buffalo County: 48.5 %Buffalo County48.5Ziebach County: 47.2 %Ziebach County47.2Oglala Lakota County: 47 %Oglala Lakota County47Mellette County: 45.6 %Mellette County45.6Dewey County: 43.6 %Dewey County43.6Corson County: 43.5 %Corson County43.5Roberts County: 43 %Roberts County43Bennett County: 42.4 %Bennett County42.4Jackson County: 40.9 %Jackson County40.9Charles Mix County: 40.4 %Charles Mix County40.4Lyman County: 40.1 %Lyman County40.1Yankton County: 38.3 %Yankton County38.3Brule County: 38.2 %Brule County38.2Davison County: 38 %Davison County38Fall River County: 38 %Fall River County38Minnehaha County: 37.4 %Minnehaha County37.4Grant County: 37.3 %Grant County37.3Bon Homme County: 37 %Bon Homme County37Tripp County: 37 %Tripp County37Hanson County: 36.6 %Hanson County36.6Aurora County: 36.4 %Aurora County36.4Faulk County: 36.3 %Faulk County36.3Sanborn County: 36.3 %Sanborn County36.3McCook County: 36.1 %McCook County36.1Perkins County: 36 %Perkins County36Spink County: 36 %Spink County36Codington County: 35.9 %Codington County35.9Gregory County: 35.9 %Gregory County35.9Marshall County: 35.9 %Marshall County35.9Brookings County: 35.7 %Brookings County35.7Butte County: 35.7 %Butte County35.7Miner County: 35.7 %Miner County35.7Jerauld County: 35.6 %Jerauld County35.6Kingsbury County: 35.6 %Kingsbury County35.6Beadle County: 35.4 %Beadle County35.4Jones County: 35.4 %Jones County35.4Harding County: 35.3 %Harding County35.3Hyde County: 35.3 %Hyde County35.3Stanley County: 35.2 %Stanley County35.2
%. 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
1Todd County49.3+5.7 pts
2Buffalo County48.5+4.8 pts
3Ziebach County47.2+3 pts
4Oglala Lakota County47+3.7 pts
5Mellette County45.6+3.3 pts
6Dewey County43.6+2.7 pts
7Corson County43.5-2.2 pts
8Roberts County43+0.6 pts
9Bennett County42.4+0.2 pts
10Jackson County40.9+1.9 pts
11Charles Mix County40.4+2.7 pts
12Lyman County40.1+0.6 pts
13Yankton County38.3+3.5 pts
14Brule County38.2+1.9 pts
15Davison County38+1.6 pts
15Fall River County38+1.3 pts
17Minnehaha County37.4+3.3 pts
18Grant County37.3+4.5 pts
19Bon Homme County37+1.3 pts
19Tripp County37-3.2 pts
21Hanson County36.6+2.7 pts
22Aurora County36.4+3.3 pts
23Faulk County36.3-0.5 pts
23Sanborn County36.3+1.4 pts
25McCook County36.1+1.8 pts
26Perkins County36+3.7 pts
26Spink County36-0.5 pts
28Codington County35.9-3.7 pts
28Gregory County35.9-0.3 pts
28Marshall County35.9+3.1 pts
31Brookings County35.7+1.5 pts
31Butte County35.7+1.1 pts
31Miner County35.7+0.2 pts
34Jerauld County35.6-0.5 pts
34Kingsbury County35.6+1.8 pts
36Beadle County35.4+0.6 pts
36Jones County35.4-0.3 pts
38Harding County35.3+1.4 pts
38Hyde County35.3+0.9 pts
40Stanley County35.2+1.8 pts
41Brown County35.1-0.2 pts
41Douglas County35.1+0.5 pts
43Lincoln County34.9+2.2 pts
43McPherson County34.9-2.2 pts
45Day County34.8-2.6 pts
45Potter County34.8+0.9 pts
47Clay County34.7-0.2 pts
47Sully County34.7-1.9 pts
49Hamlin County34.6+0.8 pts
50Hutchinson County34.4+1 pts
51Walworth County34.30 pts
52Clark County34.1-3.3 pts
53Hughes County34-1 pts
53Turner County34-0.1 pts
55Custer County33.9-4.6 pts
55Hand County33.9+0.1 pts
57Edmunds County33.7-1.2 pts
57Haakon County33.7-1.2 pts
57Pennington County33.7-0.9 pts
60Moody County33.6+0.8 pts
61Deuel County33.3-1.7 pts
62Campbell County33-0.7 pts
63Lawrence County32.7-1.2 pts
64Lake County32.5-2.2 pts
65Union County31.2-1.6 pts
66Meade County30.4-2.3 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 South 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 South 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/south-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 South 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/south-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 South 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/south-dakota-counties (Accessed: 12 October 2026).

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

Todd County, with 49.3% in 2023, according to the Centers for Disease Control and Prevention.

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

Meade County, with 30.4% 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 South Dakota: more rankings