US cities by adult obesity rate, local model estimate

East St. Louis, IL had the highest adult obesity rate, local model estimate of 3032 cities in 2021, at 57.4%. Cupertino, CA had the lowest, at 14.5%. The median was 34.2%. Source: the Centers for Disease Control and Prevention.

Highest57.4East St. Louis, IL

Lowest14.5Cupertino, CA

Median34.23032 cities

Top 40 cities, 2021

%. Source: CDC, PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult obesity rate, crude prevalence. Retrieved 2026-10-12.

Full ranking

Rank	Cities	2021 (%)
1	East St. Louis, IL	57.4
2	Gary, IN	52.3
3	Flint, MI	51.4
4	Saginaw, MI	50.8
5	Forrest City, AR	50.3
6	Prichard, AL	50.1
7	Clarksdale, MS	49.9
8	East Chicago, IN	49.3
9	Trotwood, OH	49.2
10	Youngstown, OH	48.7
11	Marion, OH	48.5
12	Middletown, OH	48.3
12	Portsmouth, OH	48.3
14	Jennings, MO	48.1
14	York, PA	48.1
16	Greenwood, MS	47.8
17	Akron, OH	47.7
17	Ashtabula, OH	47.7
19	East Cleveland, OH	47.6
19	McComb, MS	47.6
21	Ironton, OH	47.5
21	Muskegon, MI	47.5
23	Hamilton, OH	47.3
24	Canton, OH	47.2
24	Warren, OH	47.2
26	Bogalusa, LA	47
27	Zanesville, OH	46.9
28	Selma, AL	46.7
29	Portsmouth, VA	46.6
30	Dayton, OH	46.5
30	Minden, LA	46.5
32	Donna, TX	46.4
32	Lancaster, OH	46.4
34	Lima, OH	46.3
35	San Benito, TX	46.2
36	West Memphis, AR	46.1
37	Greenville, MS	45.9
37	Johnstown, PA	45.9
37	Vicksburg, MS	45.9
40	Cambridge, OH	45.8
40	Sandusky, OH	45.8
42	Meridian, MS	45.7
42	Petersburg, VA	45.7
44	Freeport, TX	45.6
44	LaGrange, GA	45.6
44	Springfield, OH	45.6
44	Van Wert, OH	45.6
48	Detroit, MI	45.5
49	Bessemer, AL	45.4
49	Mercedes, TX	45.4
49	New Iberia, LA	45.4
49	Raymondville, TX	45.4
53	Bridgeton, NJ	45.3
53	Guymon, OK	45.3
53	Mendota, CA	45.3
53	Radcliff, KY	45.3
57	Conneaut, OH	45.2
58	Anderson, IN	45.1
58	Canton, MS	45.1
58	Forest Hill, TX	45.1
58	Henderson, NC	45.1
58	Hidalgo, TX	45.1
58	Palmview, TX	45.1
64	Barberton, OH	45
64	Center Point, AL	45
64	Kennett, MO	45
64	Marietta, OH	45
64	Opelousas, LA	45
64	Salem, OH	45
70	Bellefontaine Neighbors, MO	44.9
70	Birmingham, AL	44.9
70	Chester, PA	44.9
70	Harrisburg, PA	44.9
70	Lawton, OK	44.9
70	Pine Bluff, AR	44.9
70	San Luis, AZ	44.9
70	Trenton, OH	44.9
78	Brownsville, TX	44.8
78	Okmulgee, OK	44.8
80	Brookhaven, MS	44.7
80	Rio Grande City, TX	44.7
80	Roma, TX	44.7
83	Decatur, AL	44.6
83	Fairfield, OH	44.6
83	Jackson, MS	44.6
83	Lexington, NE	44.6
83	Riverdale, GA	44.6
83	Talladega, AL	44.6
83	Waycross, GA	44.6
90	Pharr, TX	44.5
91	Coatesville, PA	44.4
91	Laredo, TX	44.4
91	Warrensville Heights, OH	44.4
91	Washington Court House, OH	44.4
95	Alton, TX	44.3
95	Inkster, MI	44.3
97	Gatesville, TX	44.2
97	Harvey, IL	44.2
97	Lovejoy, GA	44.2
97	Natchez, MS	44.2
97	Poplar Bluff, MO	44.2
97	Robstown, TX	44.2
97	San Juan, TX	44.2
97	Sharon, PA	44.2
97	Toledo, OH	44.2
106	Fostoria, OH	44.1
106	Laurinburg, NC	44.1
108	Ferguson, MO	44
108	Fremont, OH	44
110	Adelanto, CA	43.9
110	Horn Lake, MS	43.9
110	Riverdale, IL	43.9
113	Dodge City, KS	43.8
113	Hopewell, VA	43.8
113	Lumberton, NC	43.8
113	Mansfield, OH	43.8
113	Rockford, IL	43.8
118	Huntsville, AL	43.7
119	Bedford, IN	43.6
119	Crowley, LA	43.6
119	Douglas, GA	43.6
119	Harlingen, TX	43.6
119	Kankakee, IL	43.6
119	Somerton, AZ	43.6
125	Danville, VA	43.5
125	Eagle Pass, TX	43.5
125	Guthrie, OK	43.5
125	Kokomo, IN	43.5
125	Laurel, MS	43.5
125	Moultrie, GA	43.5
125	Parlier, CA	43.5
125	Phenix City, AL	43.5
125	Picayune, MS	43.5
125	Reading, PA	43.5
135	Alamo, TX	43.4
135	Anniston, AL	43.4
135	Circleville, OH	43.4
135	Grenada, MS	43.4
135	Hammond, IN	43.4
135	Huntington, WV	43.4
135	Monroe, MI	43.4
135	Moss Point, MS	43.4
135	Palestine, TX	43.4
135	Rocky Mount, NC	43.4
135	Suffolk, VA	43.4
146	Claremore, OK	43.3
146	Evansville, IN	43.3
146	Martinsville, VA	43.3
146	Moberly, MO	43.3
146	Pickerington, OH	43.3
146	Smithfield, NC	43.3
152	Belleville, IL	43.2
152	Cairo, GA	43.2
152	Massillon, OH	43.2
152	Pleasantville, NJ	43.2
152	Shively, KY	43.2
152	Troy, MO	43.2
158	Alton, IL	43.1
158	Columbus, MS	43.1
158	Lufkin, TX	43.1
158	Sunnyside, WA	43.1
162	Auburn, NY	43
162	Bellmead, TX	43
162	Chillicothe, OH	43
162	Gadsden, AL	43
162	Martinsburg, WV	43
162	Steubenville, OH	43
168	Camden, AR	42.9
168	Eufaula, AL	42.9
168	Excelsior Springs, MO	42.9
168	Forest Park, GA	42.9
168	Liberal, KS	42.9
168	Lorain, OH	42.9
168	Norwalk, OH	42.9
168	Owensboro, KY	42.9
176	Barstow, CA	42.8
176	Brunswick, GA	42.8
176	Eloy, AZ	42.8
176	Enid, OK	42.8
176	Glasgow, KY	42.8
176	Kinston, NC	42.8
176	Valley, AL	42.8
183	Connersville, IN	42.7
183	Kansas City, KS	42.7
183	Mount Clemens, MI	42.7
183	Natchitoches, LA	42.7
183	Pontiac, MI	42.7
188	Fremont, NE	42.6
188	Reidsville, NC	42.6
190	Alice, TX	42.5
190	Alliance, OH	42.5
190	Galena Park, TX	42.5
190	Greenville, TX	42.5
190	Hagerstown, MD	42.5
190	McFarland, CA	42.5
190	Tarboro, NC	42.5
190	Wilmington, DE	42.5
198	Blythe, CA	42.4
198	Clinton, IA	42.4
198	Darby, PA	42.4
198	Dublin, GA	42.4
198	Elk City, OK	42.4
198	Moncks Corner, SC	42.4
198	Parkersburg, WV	42.4
198	Sylacauga, AL	42.4
206	Burton, MI	42.3
206	Lexington, NC	42.3
206	Woodward, OK	42.3
209	Atlantic City, NJ	42.2
209	Fairview Heights, IL	42.2
209	Galion, OH	42.2
209	Lake Station, IN	42.2
209	Opelika, AL	42.2
209	San Bernardino, CA	42.2
209	Sunland Park, NM	42.2
216	Dolton, IL	42.1
216	Eastpointe, MI	42.1
216	Galesburg, IL	42.1
219	Berwick, PA	42
219	Conyers, GA	42
219	Lake Charles, LA	42
219	Newport News, VA	42
219	Piqua, OH	42
219	Seymour, IN	42
219	Sidney, OH	42
226	Beeville, TX	41.9
226	Cleveland, OH	41.9
226	Coachella, CA	41.9
226	Hartford, CT	41.9
226	Port Arthur, TX	41.9
226	Sedalia, MO	41.9
226	Weslaco, TX	41.9
226	Whitehall, OH	41.9
234	Battle Creek, MI	41.8
234	Camden, NJ	41.8
234	Coweta, OK	41.8
234	Cumberland, MD	41.8
234	Defiance, OH	41.8
234	Farmington, MO	41.8
234	Grandview, MO	41.8
234	Hampton, VA	41.8
234	Markham, IL	41.8
234	McAlester, OK	41.8
234	Merrillville, IN	41.8
234	Newberry, SC	41.8
234	Shreveport, LA	41.8
234	Vidalia, GA	41.8
248	Alexander City, AL	41.7
248	Dover, DE	41.7
248	Elizabethtown, KY	41.7

Showing the top 250 of 3032. The Excel download has every row.

Other periods

2023
2022
2021

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 cities are compared on one definition. 179 cities with data in other periods have no value for 2021 and are left out rather than filled from another source. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult obesity rate, crude prevalence (US cities 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult obesity rate, crude prevalence, US cities by adult obesity rate, local model estimate, 2021. Centers for Disease Control and Prevention, 12 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/us-cities?period=2021. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult obesity rate, crude prevalence. US cities 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/us-cities?period=2021.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult obesity rate, crude prevalence, US cities 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/us-cities?period=2021 (Accessed: 12 October 2026).

BibTeX

@misc{centers_us_cities_by_adult_2021,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult obesity rate, crude prevalence: US cities 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/us-cities?period=2021. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult obesity rate, crude prevalence: US cities by adult obesity rate, local model estimate, 2021
PY  - 2025
DA  - 2025/12/12
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/us-cities?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/us-cities?period=2021.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j 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 US cities by adult obesity rate, local model estimate using official data, and cite the source.

rank_places {"indicator":"adult_obesity_rate_modelled","level":"municipality","within":"United States","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=adult_obesity_rate_modelled&level=municipality&within=United%20States&limit=10

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Questions

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

East St. Louis, IL, with 57.4% in 2021, according to the Centers for Disease Control and Prevention.

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

Cupertino, CA, with 14.5% 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, Place Data (eav7-hnsx, sd8v-uq83, krqc-563j and later releases), adult obesity rate, crude prevalence. Retrieved 2026-10-12. 179 cities have no value for 2021 and are not ranked.