Data / Rankings / Adult obesity rate, local model estimate / US counties

US counties by adult obesity rate, local model estimate, 2023

Perry County had the highest adult obesity rate, local model estimate of 2956 counties in 2023, at 52.9%. Boulder County had the lowest, at 16.7%. The median was 37.9%. Source: the Centers for Disease Control and Prevention.

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Highest52.9Perry County
Lowest16.7Boulder County
Median37.92956 counties

Map of counties, 2023

%, 2023. Hatched areas have no value for this period. 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

Perry County: 52.9 %Perry County52.9Greene County: 52.7 %Greene County52.7Humphreys County: 52.4 %Humphreys County52.4Jefferson County: 51.5 %Jefferson County51.5Bullock County: 51.3 %Bullock County51.3East Carroll Parish: 51.2 %East Carroll Parish51.2Lowndes County: 51.2 %Lowndes County51.2Quitman County: 51.2 %Quitman County51.2Wilcox County: 51.2 %Wilcox County51.2Tunica County: 51 %Tunica County51Holmes County: 50.7 %Holmes County50.7Yazoo County: 50.5 %Yazoo County50.5Sharkey County: 50.3 %Sharkey County50.3Rolette County: 50.2 %Rolette County50.2Madison Parish: 49.9 %Madison Parish49.9Todd County: 49.3 %Todd County49.3Sioux County: 49.1 %Sioux County49.1Sunflower County: 48.6 %Sunflower County48.6Buffalo County: 48.5 %Buffalo County48.5Claiborne Parish: 48.5 %Claiborne Parish48.5Phillips County: 48.4 %Phillips County48.4Tensas Parish: 48.4 %Tensas Parish48.4St. Francis County: 48.2 %St. Francis County48.2Pickens County: 48 %Pickens County48Robeson County: 47.9 %Robeson County47.9Claiborne County: 47.8 %Claiborne County47.8Clay County: 47.6 %Clay County47.6Hale County: 47.6 %Hale County47.6Mississippi County: 47.6 %Mississippi County47.6Bienville Parish: 47.5 %Bienville Parish47.5Zavala County: 47.5 %Zavala County47.5Cass County: 47.4 %Cass County47.4Wilkinson County: 47.4 %Wilkinson County47.4Lafourche Parish: 47.2 %Lafourche Parish47.2Lake County: 47.2 %Lake County47.2Lauderdale County: 47.2 %Lauderdale County47.2Sumter County: 47.2 %Sumter County47.2Ziebach County: 47.2 %Ziebach County47.2Chicot County: 47.1 %Chicot County47.1Sequoyah County: 47.1 %Sequoyah County47.1Perry County: 52.9 %Perry County52.9Greene County: 52.7 %Greene County52.7Humphreys County: 52.4 %Humphreys County52.4Jefferson County: 51.5 %Jefferson County51.5Bullock County: 51.3 %Bullock County51.3East Carroll Parish: 51.2 %East Carroll Parish51.2Lowndes County: 51.2 %Lowndes County51.2Quitman County: 51.2 %Quitman County51.2Wilcox County: 51.2 %Wilcox County51.2Tunica County: 51 %Tunica County51Holmes County: 50.7 %Holmes County50.7Yazoo County: 50.5 %Yazoo County50.5Sharkey County: 50.3 %Sharkey County50.3Rolette County: 50.2 %Rolette County50.2Madison Parish: 49.9 %Madison Parish49.9Todd County: 49.3 %Todd County49.3Sioux County: 49.1 %Sioux County49.1Sunflower County: 48.6 %Sunflower County48.6Buffalo County: 48.5 %Buffalo County48.5Claiborne Parish: 48.5 %Claiborne Parish48.5Phillips County: 48.4 %Phillips County48.4Tensas Parish: 48.4 %Tensas Parish48.4St. Francis County: 48.2 %St. Francis County48.2Pickens County: 48 %Pickens County48Robeson County: 47.9 %Robeson County47.9Claiborne County: 47.8 %Claiborne County47.8Clay County: 47.6 %Clay County47.6Hale County: 47.6 %Hale County47.6Mississippi County: 47.6 %Mississippi County47.6Bienville Parish: 47.5 %Bienville Parish47.5Zavala County: 47.5 %Zavala County47.5Cass County: 47.4 %Cass County47.4Wilkinson County: 47.4 %Wilkinson County47.4Lafourche Parish: 47.2 %Lafourche Parish47.2Lake County: 47.2 %Lake County47.2Lauderdale County: 47.2 %Lauderdale County47.2Sumter County: 47.2 %Sumter County47.2Ziebach County: 47.2 %Ziebach County47.2Chicot County: 47.1 %Chicot County47.1Sequoyah County: 47.1 %Sequoyah County47.1
%. 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
1Perry County52.9+4.6 pts
2Greene County52.7+2.3 pts
3Humphreys County52.4+1.8 pts
4Jefferson County51.5-0.2 pts
5Bullock County51.3+1.7 pts
6East Carroll Parish51.2+0.3 pts
6Lowndes County51.2+1.8 pts
6Quitman County51.2+0.9 pts
6Wilcox County51.2+3.4 pts
10Tunica County51+0.8 pts
11Holmes County50.7-1.5 pts
12Yazoo County50.5+4.9 pts
13Sharkey County50.3+0.7 pts
14Rolette County50.2+5 pts
15Madison Parish49.9+2.6 pts
16Todd County49.3+5.7 pts
17Sioux County49.1+0.1 pts
18Sunflower County48.6+1.3 pts
19Buffalo County48.5+4.8 pts
19Claiborne Parish48.5+3.6 pts
21Phillips County48.4-2.3 pts
21Tensas Parish48.4+2.3 pts
23St. Francis County48.2+3.7 pts
24Pickens County48+4.2 pts
25Robeson County47.9+6.4 pts
26Claiborne County47.8-1.4 pts
27Clay County47.6+5.6 pts
27Hale County47.6+3.1 pts
27Mississippi County47.6+3.2 pts
30Bienville Parish47.5+1.5 pts
30Zavala County47.5+0.5 pts
32Cass County47.4+7.2 pts
32Wilkinson County47.4-1.7 pts
34Lafourche Parish47.2+4.4 pts
34Lake County47.2+2.5 pts
34Lauderdale County47.2+2.7 pts
34Sumter County47.2+4.8 pts
34Ziebach County47.2+3 pts
39Chicot County47.1+2.7 pts
39Sequoyah County47.1+5.9 pts
41Oglala Lakota County47+3.7 pts
42Lee County46.9+2 pts
43Barbour County46.8+3.5 pts
43Dimmit County46.8-2.2 pts
43McMinn County46.8+6.5 pts
46Allendale County46.7+2.4 pts
46Boone County46.7+4.9 pts
46Crittenden County46.7+5.4 pts
46Macon County46.7+0.7 pts
50Desha County46.6+1.5 pts
50Haywood County46.6+2.6 pts
50Mississippi County46.6+3.7 pts
50Petersburg city46.6+0.4 pts
54Bolivar County46.5+1.3 pts
54Kusilvak Census Area46.5+1 pts
56Coahoma County46.4-1.4 pts
56Conecuh County46.4+2 pts
56Noxubee County46.4-0.1 pts
56Osage County46.4+6.1 pts
60Dallas County46.3-3.9 pts
60Lawrence County46.3+2.9 pts
60Panola County46.3+0.3 pts
63Adair County46.2+2.7 pts
63Dunklin County46.2+3.3 pts
63McDowell County46.2+1.5 pts
66Grenada County46.1+1 pts
66Lunenburg County46.1+3.1 pts
66Montgomery County46.1+1.9 pts
69Forest County46+3.1 pts
69Lafayette County46+3.3 pts
69Pike County46+0.7 pts
72Jefferson County45.9+2.2 pts
72Randolph County45.9+4.9 pts
72Winn Parish45.9+2.5 pts
75Ashtabula County45.8+2.9 pts
75Hopewell city45.8+0.3 pts
75Okfuskee County45.8+1.1 pts
78Fairfield County45.7+4.7 pts
79Concordia Parish45.6+4.1 pts
79Darlington County45.6+4.4 pts
79Hempstead County45.6+4.8 pts
79Lincoln County45.6+0.5 pts
79Mellette County45.6+3.3 pts
79Pulaski County45.6+3 pts
79Randolph County45.6-1.7 pts
79Talladega County45.6+3 pts
87Sussex County45.5+1.4 pts
87Washington Parish45.5+2.4 pts
89Choctaw County45.4+0.1 pts
89Jefferson Davis County45.4+2.1 pts
89Menominee County45.4+2.6 pts
89Thurston County45.4-2.3 pts
93Alexander County45.3+2.5 pts
93Dillon County45.3+3.2 pts
93Greensville County45.3-1.3 pts
93Issaquena County45.3+0.9 pts
93Marion County45.3+2.8 pts
93Richardson County45.3+1.5 pts
93St. Martin Parish45.3+4.3 pts
100Chesterfield County45.2+5.4 pts
100Clayton County45.2-0.4 pts
100Henry County45.2+5.6 pts
100Scotland County45.2+4.4 pts
104Ashley County45.1+3.2 pts
104Mitchell County45.1-1.3 pts
106Amite County45+0.4 pts
106Cross County45+6.5 pts
106Logan County45+3.8 pts
106Okmulgee County45+1.1 pts
106Seminole County45+2.8 pts
106St. Mary Parish45+0.4 pts
106Starr County45-1.8 pts
106Williamsburg County45-2.2 pts
114Fayette County44.9+3.9 pts
114Fentress County44.9+4.6 pts
114Jackson County44.9+0.6 pts
114Jackson Parish44.9+4.6 pts
114Jasper County44.9+1.3 pts
114Martinsville city44.9+0.6 pts
114Pemiscot County44.9+1.4 pts
114Tallahatchie County44.9+0.1 pts
122Hancock County44.8-2.3 pts
122McIntosh County44.8+3.2 pts
122Morehouse Parish44.8+0.6 pts
125Bibb County44.7-3.4 pts
125Evangeline Parish44.7-1.2 pts
125Jim Hogg County44.7+0.6 pts
125Sabine Parish44.7-1.4 pts
125Scioto County44.7+1.4 pts
130Crisp County44.6+0.3 pts
130Gadsden County44.6+0.4 pts
130Pope County44.6+9.4 pts
130Webster Parish44.6-0.9 pts
130White County44.6+5.4 pts
130Wyoming County44.6-2 pts
136Liberty County44.5+3.5 pts
136Meigs County44.5-4.5 pts
138Bedford County44.4+3.2 pts
138Choctaw County44.4-1.6 pts
138De Soto Parish44.4+4.2 pts
138Emporia city44.4-2.1 pts
138Furnas County44.4+3.8 pts
138Monroe County44.4+5.6 pts
138Turner County44.4+1.2 pts
145Blackford County44.3+6.6 pts
145Dakota County44.3-1 pts
145Miami County44.3+2.5 pts
145Muskegon County44.3+1.5 pts
145Ross County44.3+1.7 pts
145Taylor County44.3+3.3 pts
151Allen Parish44.2+3.1 pts
151Barnwell County44.2+1.3 pts
151Hidalgo County44.2-2.6 pts
151Marion County44.2-0.7 pts
151Washington County44.2-0.3 pts
151Wayne County44.2-0.8 pts
157Cabell County44.1+3.8 pts
157Lincoln County44.1+1.9 pts
157Marshall County44.1+3.9 pts
157Texas County44.1+3.1 pts
157Tipton County44.1+4.4 pts
162Atkinson County44+1.8 pts
162Hancock County44-1.3 pts
162Hinds County44-2.3 pts
162Laurens County44+2.8 pts
162Nevada County44+2.6 pts
162Pleasants County44+2.3 pts
162Reno County44+6.7 pts
162Tillman County44+1.5 pts
162Union County44+1.1 pts
171Bibb County43.9+2.5 pts
171Clark County43.9+2.7 pts
171Clarke County43.9-0.1 pts
171Escambia County43.9+0.5 pts
171Jackson County43.9+3.3 pts
171Maverick County43.9-0.4 pts
171Muskingum County43.9+2.8 pts
171Okeechobee County43.9+4.2 pts
171Ouachita Parish43.9+2 pts
171Red River Parish43.9-2.4 pts
171Towner County43.9+7.4 pts
171Warren County43.9+2.8 pts
183Cherokee County43.8+1.5 pts
183Drew County43.8+3.4 pts
183Elkhart County43.8+1.8 pts
183Etowah County43.8+2.4 pts
183Fond du Lac County43.8+2.2 pts
183Franklin city43.8-2.7 pts
183Macon County43.8-4.3 pts
183Madison County43.8+5.1 pts
183Mahnomen County43.8+0.2 pts
183Monroe County43.8+1.3 pts
183Vermilion County43.8+3.4 pts
183Warren County43.8+2 pts
195DeKalb County43.7+6.1 pts
195Edgecombe County43.7+3.5 pts
195Hardeman County43.7-3.8 pts
195Henry County43.7-0.4 pts
195Kemper County43.7-1.7 pts
195Lawrence County43.7+2.7 pts
195Lee County43.7-4.9 pts
195Perry County43.7+1.8 pts
195Polk County43.7+5.6 pts
195Putnam County43.7+3.6 pts
195St. James Parish43.7-0.2 pts
195Washington County43.7-0.4 pts
195Zapata County43.7-1.7 pts
208Buckingham County43.6+2 pts
208Calhoun County43.6-3 pts
208Crawford County43.6+2.2 pts
208Dewey County43.6+2.7 pts
208Jay County43.6+1.5 pts
208Saluda County43.6+4.6 pts
208Smith County43.6+1.9 pts
208Sullivan County43.6+5.4 pts
208Terrell County43.6-3.2 pts
208Washington County43.6+3.2 pts
218Corson County43.5-2.2 pts
218Johnson County43.5+0.8 pts
218Kent County43.5+4.6 pts
218Marion County43.5-0.4 pts
218Mingo County43.5+1.7 pts
218Monroe County43.5+0.5 pts
218Montgomery County43.5-1.9 pts
218Newton County43.5+1.9 pts
218Nottoway County43.5-0.6 pts
218Ouachita County43.5+1.1 pts
218San Augustine County43.5+1.2 pts
218Warren County43.5-0.6 pts
218Wise County43.5+2 pts
218Wood County43.5+5.1 pts
232Appanoose County43.4+0.2 pts
232Boone County43.4+4.8 pts
232Brunswick County43.4-1.3 pts
232Iowa County43.4+7.4 pts
232Leflore County43.4-1.9 pts
232Marion County43.4+4.3 pts
232Marquette County43.4+2.1 pts
232Morgan County43.4+2.8 pts
232Scott County43.4-2.5 pts
232Scott County43.4+2 pts
232Tuscarawas County43.4-0.3 pts
243Anson County43.3+0.6 pts
243Baker County43.3+1.1 pts
243Barbour County43.3+3.1 pts
243Benson County43.3+1.8 pts
243Chickasaw County43.3-3.6 pts
243Clay County43.3+1 pts
243Dixon County43.3+2.7 pts
243Tippah County43.3+1.6 pts

Showing the top 250 of 2956. The Excel download has every row.

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. 188 counties with data in other periods have no value for 2023 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, 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 (US counties 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, US counties 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/us-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. US counties 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/us-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, US counties 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/us-counties (Accessed: 12 October 2026).

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

Perry County, with 52.9% in 2023, according to the Centers for Disease Control and Prevention.

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

Boulder County, with 16.7% 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. 188 counties have no value for 2023 and are not ranked.

Adult obesity rate, local model estimate: other rankings

US counties: more rankings