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

US counties by adult obesity rate, local model estimate

Holmes County had the highest adult obesity rate, local model estimate of 3144 counties in 2022, at 52.2%. San Francisco County had the lowest, at 17.6%. The median was 38.2%. Source: the Centers for Disease Control and Prevention.

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Highest52.2Holmes County
Lowest17.6San Francisco County
Median38.23144 counties

Map of counties, 2022

%, 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.

Top 40 counties, 2022

Holmes County: 52.2 %Holmes County52.2Jefferson County: 51.7 %Jefferson County51.7East Carroll Parish: 50.9 %East Carroll Parish50.9Phillips County: 50.7 %Phillips County50.7Humphreys County: 50.6 %Humphreys County50.6Greene County: 50.4 %Greene County50.4Quitman County: 50.3 %Quitman County50.3Dallas County: 50.2 %Dallas County50.2Tunica County: 50.2 %Tunica County50.2Bullock County: 49.6 %Bullock County49.6Sharkey County: 49.6 %Sharkey County49.6Lowndes County: 49.4 %Lowndes County49.4Claiborne County: 49.2 %Claiborne County49.2Wilkinson County: 49.1 %Wilkinson County49.1Dimmit County: 49 %Dimmit County49Meigs County: 49 %Meigs County49Sioux County: 49 %Sioux County49Lee County: 48.6 %Lee County48.6Perry County: 48.3 %Perry County48.3Bibb County: 48.1 %Bibb County48.1Macon County: 48.1 %Macon County48.1St. Landry Parish: 48.1 %St. Landry Parish48.1Coahoma County: 47.8 %Coahoma County47.8Wilcox County: 47.8 %Wilcox County47.8Thurston County: 47.7 %Thurston County47.7Hardeman County: 47.5 %Hardeman County47.5Willacy County: 47.4 %Willacy County47.4Hughes County: 47.3 %Hughes County47.3Madison Parish: 47.3 %Madison Parish47.3Randolph County: 47.3 %Randolph County47.3Sunflower County: 47.3 %Sunflower County47.3Kenedy County: 47.2 %Kenedy County47.2Williamsburg County: 47.2 %Williamsburg County47.2Hancock County: 47.1 %Hancock County47.1Russell County: 47.1 %Russell County47.1Wheeler County: 47.1 %Wheeler County47.1Zavala County: 47 %Zavala County47Chickasaw County: 46.9 %Chickasaw County46.9Columbiana County: 46.9 %Columbiana County46.9Hidalgo County: 46.8 %Hidalgo County46.8Holmes County: 52.2 %Holmes County52.2Jefferson County: 51.7 %Jefferson County51.7East Carroll Parish: 50.9 %East Carroll Parish50.9Phillips County: 50.7 %Phillips County50.7Humphreys County: 50.6 %Humphreys County50.6Greene County: 50.4 %Greene County50.4Quitman County: 50.3 %Quitman County50.3Dallas County: 50.2 %Dallas County50.2Tunica County: 50.2 %Tunica County50.2Bullock County: 49.6 %Bullock County49.6Sharkey County: 49.6 %Sharkey County49.6Lowndes County: 49.4 %Lowndes County49.4Claiborne County: 49.2 %Claiborne County49.2Wilkinson County: 49.1 %Wilkinson County49.1Dimmit County: 49 %Dimmit County49Meigs County: 49 %Meigs County49Sioux County: 49 %Sioux County49Lee County: 48.6 %Lee County48.6Perry County: 48.3 %Perry County48.3Bibb County: 48.1 %Bibb County48.1Macon County: 48.1 %Macon County48.1St. Landry Parish: 48.1 %St. Landry Parish48.1Coahoma County: 47.8 %Coahoma County47.8Wilcox County: 47.8 %Wilcox County47.8Thurston County: 47.7 %Thurston County47.7Hardeman County: 47.5 %Hardeman County47.5Willacy County: 47.4 %Willacy County47.4Hughes County: 47.3 %Hughes County47.3Madison Parish: 47.3 %Madison Parish47.3Randolph County: 47.3 %Randolph County47.3Sunflower County: 47.3 %Sunflower County47.3Kenedy County: 47.2 %Kenedy County47.2Williamsburg County: 47.2 %Williamsburg County47.2Hancock County: 47.1 %Hancock County47.1Russell County: 47.1 %Russell County47.1Wheeler County: 47.1 %Wheeler County47.1Zavala County: 47 %Zavala County47Chickasaw County: 46.9 %Chickasaw County46.9Columbiana County: 46.9 %Columbiana County46.9Hidalgo County: 46.8 %Hidalgo County46.8
%. 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
1Holmes County52.2+2.3 pts
2Jefferson County51.7+4.8 pts
3East Carroll Parish50.9+0.7 pts
4Phillips County50.7+7.9 pts
5Humphreys County50.6+0.2 pts
6Greene County50.4-1 pts
7Quitman County50.3+2.3 pts
8Dallas County50.2+5.9 pts
8Tunica County50.2+1.4 pts
10Bullock County49.6+0.4 pts
10Sharkey County49.6+2 pts
12Lowndes County49.4+2.1 pts
13Claiborne County49.2+1.1 pts
14Wilkinson County49.1+3.6 pts
15Dimmit County49+4 pts
15Meigs County49+8.9 pts
15Sioux County49+0.6 pts
18Lee County48.6+4.6 pts
19Perry County48.3-2.1 pts
20Bibb County48.1+9.3 pts
20Macon County48.1+5.1 pts
20St. Landry Parish48.1+8.2 pts
23Coahoma County47.8-2.6 pts
23Wilcox County47.8-0.1 pts
25Thurston County47.7-0.6 pts
26Hardeman County47.5+7 pts
27Willacy County47.4+3.3 pts
28Hughes County47.3+6 pts
28Madison Parish47.3+1.5 pts
28Randolph County47.3-0.4 pts
28Sunflower County47.3-3.4 pts
32Kenedy County47.2+3.9 pts
32Williamsburg County47.2+0.7 pts
34Hancock County47.1+3.9 pts
34Russell County47.1+3.1 pts
34Wheeler County47.1+3.7 pts
37Zavala County47+3 pts
38Chickasaw County46.9+2.4 pts
38Columbiana County46.9+1.4 pts
40Hidalgo County46.8+3 pts
40Starr County46.8+3.5 pts
40Terrell County46.8+3.3 pts
43Allen County46.6+4.1 pts
43Calhoun County46.6+0.6 pts
43Greensville County46.6+0.3 pts
43Lewis County46.6+3.1 pts
43Wyoming County46.6+2.7 pts
48Emporia city46.5-0.1 pts
48Franklin city46.5+2.9 pts
48Noxubee County46.5-1.1 pts
51Cameron County46.4+2.6 pts
51Mitchell County46.4+4.1 pts
53Hinds County46.3+3.1 pts
53Red River Parish46.3+4.1 pts
55Marengo County46.2-0.9 pts
55Petersburg city46.2+0.4 pts
57Orangeburg County46.1+4 pts
57Sabine Parish46.1+3.3 pts
57Tensas Parish46.1+0.8 pts
60Bienville Parish46+0.3 pts
60Choctaw County46+1.3 pts
60Macon County46+0.2 pts
60Marlboro County46+1.9 pts
60Panola County46+4.1 pts
60Seneca County46+4.5 pts
60Tattnall County46+3.6 pts
67Evangeline Parish45.9+4.5 pts
67Scott County45.9+2.8 pts
69Copiah County45.8+2.6 pts
70Corson County45.7+2.4 pts
70Iberville Parish45.7+4.4 pts
70St. Helena Parish45.7+2.9 pts
70Telfair County45.7+2.8 pts
74Avoyelles Parish45.6+2.6 pts
74Caddo Parish45.6+4.3 pts
74Chambers County45.6+1.6 pts
74Clayton County45.6+1.6 pts
74Kiowa County45.6+4.3 pts
74Shawano County45.6+9.2 pts
74Yazoo County45.6-0.6 pts
81Adams County45.5+3.4 pts
81Hopewell city45.5+0.1 pts
81Kusilvak Census Area45.5-2.6 pts
81Webster Parish45.5+1.8 pts
85Kemper County45.4+3.6 pts
85Montgomery County45.4+0.4 pts
85Wayne County45.40 pts
85Zapata County45.4+2.3 pts
89Choctaw County45.3+4.1 pts
89Dakota County45.3+5.3 pts
89Hancock County45.3+3.4 pts
89Leflore County45.3-3.7 pts
89Magoffin County45.3-1.4 pts
89Pike County45.3+0.6 pts
95Bolivar County45.2+0.7 pts
95Jefferson County45.2+3.2 pts
95Latimer County45.2+5.2 pts
95Leake County45.2+1 pts
95Rolette County45.2-1.8 pts
100Clarendon County45.1+5.8 pts
100Clinch County45.1+2.9 pts
100Desha County45.10 pts
100Grenada County45.1+2.2 pts
100Lincoln County45.1+0.1 pts
100Lyon County45.1+8.5 pts
100Rockdale County45.1+3.6 pts
100Stoddard County45.1+4 pts
100Wolfe County45.1+1.4 pts
109Burke County45+5 pts
109Butler County45+3.4 pts
109Danville city45+0.7 pts
109Harlan County45-0.6 pts
109Louisa County45+4.3 pts
109Portsmouth city45-2.4 pts
109Wayne County45+3.1 pts
116Claiborne Parish44.9+1 pts
116Fulton County44.9+0.1 pts
116Jackson County44.9+7.4 pts
116Lawrence County44.9-2.1 pts
116Lee County44.9-1.9 pts
116Marion County44.9-1.6 pts
116McCurtain County44.9-1.9 pts
123Colleton County44.8+7.4 pts
123Franklin Parish44.8+1 pts
123Montgomery County44.8+1.9 pts
123Tallahatchie County44.8-1.6 pts
127Brunswick County44.7+0.8 pts
127Lake County44.7+3.5 pts
127McDowell County44.7+0.7 pts
127Okfuskee County44.7+0.7 pts
127Seward County44.7+1.7 pts
132Amite County44.6+2.9 pts
132Bossier Parish44.6+7 pts
132Early County44.6+2.4 pts
132Leslie County44.6-0.5 pts
132Noble County44.6+4 pts
132St. Bernard Parish44.6+3.3 pts
132St. Mary Parish44.6+5.4 pts
132Suwannee County44.6n/a
140Calhoun County44.5-0.1 pts
140Cass County44.5+2.2 pts
140Evans County44.5+2.7 pts
140Grant County44.5+4.4 pts
140Hale County44.5-1.4 pts
140Lauderdale County44.5+3 pts
140St. Francis County44.5-4.2 pts
140Washington County44.5+0.3 pts
140Winston County44.5+2.7 pts
149Chicot County44.4-2.3 pts
149Clarke County44.4-0.5 pts
149Conecuh County44.4-0.5 pts
149Coweta County44.4+10.6 pts
149Dade County44.4+3.8 pts
149Dodge County44.4+6.7 pts
149Issaquena County44.4-0.1 pts
149Mississippi County44.4+1 pts
157Allendale County44.3-1.7 pts
157Bell County44.3-2 pts
157Buchanan County44.3+3.6 pts
157Crisp County44.3+1.5 pts
157Dale County44.3+5.6 pts
157Jackson County44.3-2.7 pts
157Laclede County44.3+5.5 pts
157Lee County44.3+2.8 pts
157Martinsville city44.3-0.4 pts
157Maverick County44.3+2.1 pts
157Murray County44.3+3.2 pts
157Muskogee County44.3+3.9 pts
169Attala County44.2+1.3 pts
169Gadsden County44.2n/a
169Jefferson County44.2+0.6 pts
169Montgomery County44.2+6.2 pts
169Morehouse Parish44.2+2.3 pts
169Trumbull County44.2+2.4 pts
169Ziebach County44.2-3.5 pts
176Henry County44.1+5.9 pts
176Jenkins County44.1+1.1 pts
176Jim Hogg County44.1+1.4 pts
176Liberty County44.1+7.1 pts
176Marshall County44.1-0.1 pts
176Mason County44.1-2.3 pts
176Mitchell County44.1+6.7 pts
176Nottoway County44.1+4.5 pts
176Ozark County44.1+4.1 pts
176Pocahontas County44.1+2.9 pts
176Sussex County44.1+1.9 pts
176Warren County44.1+1.4 pts
176Washington County44.1-1.1 pts
189Candler County44+2.8 pts
189Clarke County44+0.9 pts
189Clay County44+2.1 pts
189Haywood County44+1.1 pts
193Benton County43.9+0.8 pts
193Clay County43.9+0.5 pts
193Crawford County43.9+2.9 pts
193Crawford County43.9+5.6 pts
193Marion County43.9+1 pts
193Okmulgee County43.9+1.6 pts
193Oregon County43.9+1.8 pts
193St. James Parish43.9+4.6 pts
193St. John the Baptist Parish43.9-1.1 pts
202Covington County43.8+3.6 pts
202McCreary County43.8-1 pts
202Pickens County43.8-1.1 pts
202Richardson County43.8+1.3 pts
206Buffalo County43.7-2.8 pts
206Calhoun County43.7n/a
206Greenup County43.7+1.7 pts
206Hampton County43.7+1.9 pts
206Hardin County43.7+3.8 pts
206Jefferson County43.7+0.8 pts
206Miller County43.7+5.5 pts
206Richmond County43.7+3.6 pts
206Tuscarawas County43.7+4.1 pts
215Adams County43.6-0.9 pts
215Brooks County43.6-0.2 pts
215Clay County43.6+0.8 pts
215Craig County43.6+0.1 pts
215Dallas County43.6+3.6 pts
215Dooly County43.6+2.5 pts
215Dougherty County43.6+3 pts
215Jasper County43.6+0.4 pts
215Lowndes County43.6+2.6 pts
215Mahnomen County43.6-0.2 pts
215Manitowoc County43.6+7.9 pts
215Martin County43.6+3.3 pts
215McDuffie County43.6+4.3 pts
215Nueces County43.6+3.3 pts
215Page County43.6+1.1 pts
215Pittsylvania County43.6+1.7 pts
215Talbot County43.6+1.2 pts
215Todd County43.6-3.1 pts
215Wagoner County43.6+2.2 pts
234Adair County43.5+0.4 pts
234Iberia Parish43.5+0.2 pts
234Newton County43.5+1.2 pts
234Pemiscot County43.5-0.1 pts
234Union Parish43.5+1.6 pts
239Breathitt County43.4+3.3 pts
239Butler County43.4+4.6 pts
239Charles County43.4+1.1 pts
239Escambia County43.4-2.4 pts
239Haskell County43.4-0.3 pts
239Kay County43.4+3.6 pts
239Lawrence County43.40 pts
239Scott County43.4+7.5 pts
239Wilkes County43.4+2 pts
239Winn Parish43.4+3.7 pts
249Accomack County43.3+3.4 pts
249Barbour County43.30 pts

Showing the top 250 of 3144. 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. 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, 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, US counties 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/us-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. US counties 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/us-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, US counties 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/us-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_us_counties_by_adult_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: US counties 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/us-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: US counties 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/us-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/us-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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Questions

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

Holmes County, with 52.2% in 2022, according to the Centers for Disease Control and Prevention.

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

San Francisco County, with 17.6% 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

US counties: more rankings