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

US counties by adult obesity rate, local model estimate

Greene County had the highest adult obesity rate, local model estimate of 3068 counties in 2021, at 51.4%. Boulder County had the lowest, at 16.9%. The median was 37.5%. Source: the Centers for Disease Control and Prevention.

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Highest51.4Greene County
Lowest16.9Boulder County
Median37.53068 counties

Map of counties, 2021

%, 2021. 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, 2021

Greene County: 51.4 %Greene County51.4Sunflower County: 50.7 %Sunflower County50.7Coahoma County: 50.4 %Coahoma County50.4Humphreys County: 50.4 %Humphreys County50.4Perry County: 50.4 %Perry County50.4East Carroll Parish: 50.2 %East Carroll Parish50.2Holmes County: 49.9 %Holmes County49.9Bullock County: 49.2 %Bullock County49.2Leflore County: 49 %Leflore County49Tunica County: 48.8 %Tunica County48.8St. Francis County: 48.7 %St. Francis County48.7Sioux County: 48.4 %Sioux County48.4Thurston County: 48.3 %Thurston County48.3Claiborne County: 48.1 %Claiborne County48.1Kusilvak Census Area: 48.1 %Kusilvak Census Area48.1Quitman County: 48 %Quitman County48Wilcox County: 47.9 %Wilcox County47.9Randolph County: 47.7 %Randolph County47.7Ziebach County: 47.7 %Ziebach County47.7Noxubee County: 47.6 %Noxubee County47.6Sharkey County: 47.6 %Sharkey County47.6Portsmouth city: 47.4 %Portsmouth city47.4Lowndes County: 47.3 %Lowndes County47.3Scioto County: 47.3 %Scioto County47.3Laurel County: 47.2 %Laurel County47.2Marengo County: 47.1 %Marengo County47.1Jackson County: 47 %Jackson County47Lawrence County: 47 %Lawrence County47Logan County: 47 %Logan County47Rolette County: 47 %Rolette County47Jefferson County: 46.9 %Jefferson County46.9New Madrid County: 46.9 %New Madrid County46.9Lee County: 46.8 %Lee County46.8McCurtain County: 46.8 %McCurtain County46.8Chicot County: 46.7 %Chicot County46.7Magoffin County: 46.7 %Magoffin County46.7Todd County: 46.7 %Todd County46.7Emporia city: 46.6 %Emporia city46.6Buffalo County: 46.5 %Buffalo County46.5Marion County: 46.5 %Marion County46.5Greene County: 51.4 %Greene County51.4Sunflower County: 50.7 %Sunflower County50.7Coahoma County: 50.4 %Coahoma County50.4Humphreys County: 50.4 %Humphreys County50.4Perry County: 50.4 %Perry County50.4East Carroll Parish: 50.2 %East Carroll Parish50.2Holmes County: 49.9 %Holmes County49.9Bullock County: 49.2 %Bullock County49.2Leflore County: 49 %Leflore County49Tunica County: 48.8 %Tunica County48.8St. Francis County: 48.7 %St. Francis County48.7Sioux County: 48.4 %Sioux County48.4Thurston County: 48.3 %Thurston County48.3Claiborne County: 48.1 %Claiborne County48.1Kusilvak Census Area: 48.1 %Kusilvak Census Area48.1Quitman County: 48 %Quitman County48Wilcox County: 47.9 %Wilcox County47.9Randolph County: 47.7 %Randolph County47.7Ziebach County: 47.7 %Ziebach County47.7Noxubee County: 47.6 %Noxubee County47.6Sharkey County: 47.6 %Sharkey County47.6Portsmouth city: 47.4 %Portsmouth city47.4Lowndes County: 47.3 %Lowndes County47.3Scioto County: 47.3 %Scioto County47.3Laurel County: 47.2 %Laurel County47.2Marengo County: 47.1 %Marengo County47.1Jackson County: 47 %Jackson County47Lawrence County: 47 %Lawrence County47Logan County: 47 %Logan County47Rolette County: 47 %Rolette County47Jefferson County: 46.9 %Jefferson County46.9New Madrid County: 46.9 %New Madrid County46.9Lee County: 46.8 %Lee County46.8McCurtain County: 46.8 %McCurtain County46.8Chicot County: 46.7 %Chicot County46.7Magoffin County: 46.7 %Magoffin County46.7Todd County: 46.7 %Todd County46.7Emporia city: 46.6 %Emporia city46.6Buffalo County: 46.5 %Buffalo County46.5Marion County: 46.5 %Marion County46.5
%. 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

RankCounties2021 (%)
1Greene County51.4
2Sunflower County50.7
3Coahoma County50.4
3Humphreys County50.4
3Perry County50.4
6East Carroll Parish50.2
7Holmes County49.9
8Bullock County49.2
9Leflore County49
10Tunica County48.8
11St. Francis County48.7
12Sioux County48.4
13Thurston County48.3
14Claiborne County48.1
14Kusilvak Census Area48.1
16Quitman County48
17Wilcox County47.9
18Randolph County47.7
18Ziebach County47.7
20Noxubee County47.6
20Sharkey County47.6
22Portsmouth city47.4
23Lowndes County47.3
23Scioto County47.3
25Laurel County47.2
26Marengo County47.1
27Jackson County47
27Lawrence County47
27Logan County47
27Rolette County47
31Jefferson County46.9
31New Madrid County46.9
33Lee County46.8
33McCurtain County46.8
35Chicot County46.7
35Magoffin County46.7
35Todd County46.7
38Emporia city46.6
39Buffalo County46.5
39Marion County46.5
39Williamsburg County46.5
42Mason County46.4
42Tallahatchie County46.4
44Barnwell County46.3
44Bell County46.3
44Greensville County46.3
44Oglala Lakota County46.3
48Yazoo County46.2
49Allendale County46
49Calhoun County46
51Hale County45.9
52Escambia County45.8
52Macon County45.8
52Madison Parish45.8
52Petersburg city45.8
56Bienville Parish45.7
57Ashtabula County45.6
57Harlan County45.6
59Columbiana County45.5
59Wilkinson County45.5
61Hopewell city45.4
61Wayne County45.4
63Bertie County45.3
63Clay County45.3
63Morgan County45.3
63Mountrail County45.3
63Tensas Parish45.3
68Dunklin County45.2
68Poinsett County45.2
68Washington County45.2
71Desha County45.1
71Leslie County45.1
73Concordia Parish45
73Dimmit County45
73Lincoln County45
73Montgomery County45
73Newport News city45
73Somerset County45
73St. John the Baptist Parish45
73Sumter County45
81Benson County44.9
81Clarke County44.9
81Conecuh County44.9
81Glacier County44.9
81McDonald County44.9
81Pickens County44.9
87Fulton County44.8
87McCreary County44.8
87Texas County44.8
90Choctaw County44.7
90Martinsville city44.7
90Northampton County44.7
90Owsley County44.7
90Pike County44.7
90Putnam County44.7
96Calhoun County44.6
96Dewey County44.6
96Hempstead County44.6
96Muskingum County44.6
96Ripley County44.6
96Washington Parish44.6
102Adams County44.5
102Bolivar County44.5
102Chickasaw County44.5
102Clay County44.5
102Hudspeth County44.5
102Issaquena County44.5
108Elliott County44.4
108Fairfield County44.4
108Guernsey County44.4
108Nicholas County44.4
108Simpson County44.4
108Taylor County44.4
114Comanche County44.3
114Dallas County44.3
114Danville city44.3
114Robeson County44.3
114Rockcastle County44.3
114Scotland County44.3
120Garrett County44.2
120Green County44.2
120Highland County44.2
120Hocking County44.2
120Leake County44.2
120Marshall County44.2
120Mercer County44.2
120Washington County44.2
128Fayette County44.1
128Marlboro County44.1
128Pleasants County44.1
128Roberts County44.1
128Willacy County44.1
133Chambers County44
133Clayton County44
133De Soto Parish44
133Essex County44
133Jackson Parish44
133Lee County44
133McDowell County44
133Menifee County44
133Merrick County44
133Okfuskee County44
133Russell County44
133Sullivan County44
133Van Wert County44
133Zavala County44
147Ben Hill County43.9
147Brunswick County43.9
147Catahoula Parish43.9
147Claiborne Parish43.9
147Edgecombe County43.9
147Lewis County43.9
147Monroe County43.9
147Paulding County43.9
147Preston County43.9
147St. Clair County43.9
147Troup County43.9
147Wyoming County43.9
159Alexander County43.8
159Brooks County43.8
159Cameron County43.8
159Crittenden County43.8
159Dillon County43.8
159Franklin Parish43.8
159Hidalgo County43.8
159Mahnomen County43.8
159McKinley County43.8
159Pike County43.8
169Ford County43.7
169Grant County43.7
169Halifax County43.7
169Haskell County43.7
169Jefferson Davis County43.7
169Osage County43.7
169Perry County43.7
169Roane County43.7
169Webb County43.7
169Webster Parish43.7
169Wolfe County43.7
180Caddo County43.6
180Franklin city43.6
180Jefferson County43.6
180Lincoln County43.6
180Montgomery County43.6
180Pemiscot County43.6
180Washington County43.6
187Craig County43.5
187Cumberland County43.5
187Fairfield County43.5
187Garfield County43.5
187Hitchcock County43.5
187Lewis County43.5
187Terrell County43.5
187Wise County43.5
187Yalobusha County43.5
196Beckham County43.4
196Brown County43.4
196Butler County43.4
196Clay County43.4
196Duplin County43.4
196Floyd County43.4
196Jackson County43.4
196Jackson County43.4
196Lawrence County43.4
196Mississippi County43.4
196Morgan County43.4
196Neshoba County43.4
196Terry County43.4
196Wheeler County43.4
210Barbour County43.3
210Corson County43.3
210Crawford County43.3
210Harrison County43.3
210Iberia Parish43.3
210Kenedy County43.3
210Madison County43.3
210Ritchie County43.3
210Sheridan County43.3
210Starr County43.3
220Copiah County43.2
220Cross County43.2
220Franklin County43.2
220Halifax County43.2
220Hancock County43.2
220Hinds County43.2
220Jasper County43.2
220Kearny County43.2
220Labette County43.2
220Lewis County43.2
220McIntosh County43.2
220Nowata County43.2
220Woodward County43.2
233Adair County43.1
233Anson County43.1
233Benton County43.1
233Benton County43.1
233Box Butte County43.1
233Clarke County43.1
233Dawson County43.1
233Garvin County43.1
233Laurens County43.1
233Saline County43.1
233Scott County43.1
233Vinton County43.1
233Warren County43.1
233Wayne County43.1
233Wirt County43.1
233Zapata County43.1
249Avoyelles Parish43
249Bamberg County43

Showing the top 250 of 3068. 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. 76 counties 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, 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, 2021) [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, 2021. 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?period=2021. 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, 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-counties?period=2021.

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, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-obesity-rate-county-estimate/us-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_us_counties_by_adult_2021,
  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, 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-counties?period=2021. 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, 2021
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?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/us-counties?period=2021.
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.
rank_places {"indicator":"adult_obesity_rate_modelled","level":"province","within":"United States","limit":10}
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Questions

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

Greene County, with 51.4% in 2021, according to the Centers for Disease Control and Prevention.

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

Boulder County, with 16.9% 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, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), adult obesity rate, crude prevalence. Retrieved 2026-10-12. 76 counties have no value for 2021 and are not ranked.

Adult obesity rate, local model estimate: other rankings

US counties: more rankings