Counties in Virginia by adult obesity rate, local model estimate

Portsmouth city had the highest adult obesity rate, local model estimate of 133 counties in 2021, at 47.4%. Arlington County had the lowest, at 24%. The median was 37.2%. Source: the Centers for Disease Control and Prevention.

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Highest47.4Portsmouth city
Median37.2133 counties

Map of counties, 2021

Accomack County: 39.9 %Albemarle County: 27.9 %Alleghany County: 37.7 %Amelia County: 40.1 %Amherst County: 36.4 %Appomattox County: 40 %Arlington County: 24 %Augusta County: 36.5 %Bath County: 40.7 %Bedford County: 36 %Bland County: 36.2 %Botetourt County: 33 %Brunswick County: 43.9 %Buchanan County: 40.7 %Buckingham County: 41.2 %Campbell County: 33.7 %Caroline County: 38 %Carroll County: 37.2 %Charles City County: 41.3 %Charlotte County: 42.5 %Chesterfield County: 36.2 %Clarke County: 34.1 %Craig County: 37.9 %Culpeper County: 39.9 %Cumberland County: 40.5 %Dickenson County: 38.5 %Dinwiddie County: 42.8 %Essex County: 44 %Fairfax County: 24.8 %Fauquier County: 34.2 %Floyd County: 32.1 %Fluvanna County: 37.4 %Franklin County: 36.3 %Frederick County: 33.7 %Giles County: 35.7 %Gloucester County: 35.6 %Goochland County: 34 %Grayson County: 36.5 %Greene County: 34.4 %Greensville County: 46.3 %Halifax County: 43.7 %Hanover County: 32.1 %Henrico County: 36.9 %Henry County: 41.7 %Highland County: 34.4 %Isle of Wight County: 38.4 %James City County: 33.2 %King and Queen County: 39.9 %King George County: 36.8 %King William County: 39.5 %Lancaster County: 35.8 %Lee County: 42.6 %Loudoun County: 30.6 %Louisa County: 36.2 %Lunenburg County: 42.9 %Madison County: 37.6 %Mathews County: 36.6 %Mecklenburg County: 39.9 %Middlesex County: 36 %Montgomery County: 28.6 %Nelson County: 37.2 %New Kent County: 36.5 %Northampton County: 36.9 %Northumberland County: 37.2 %Nottoway County: 39.6 %Orange County: 36.9 %Page County: 38.5 %Patrick County: 33 %Pittsylvania County: 41.9 %Powhatan County: 34.6 %Prince Edward County: 37.7 %Prince George County: 42.6 %Prince William County: 36.3 %Pulaski County: 37.9 %Rappahannock County: 34.6 %Richmond County: 38.6 %Roanoke County: 34.4 %Rockbridge County: 34.1 %Rockingham County: 36.7 %Russell County: 40.4 %Scott County: 37.2 %Shenandoah County: 37.9 %Smyth County: 39.8 %Southampton County: 38.3 %Spotsylvania County: 36.3 %Stafford County: 38 %Surry County: 42.3 %Sussex County: 42.2 %Tazewell County: 36.4 %Warren County: 36.6 %Washington County: 37.3 %Westmoreland County: 38.6 %Wise County: 43.5 %Wythe County: 40 %York County: 33.8 %Alexandria city: 31.4 %Bristol city: 38.9 %Buena Vista city: 36.6 %Charlottesville city: 30.5 %Chesapeake city: 36.6 %Colonial Heights city: 37.4 %Covington city: 39.9 %Danville city: 44.3 %Emporia city: 46.6 %Fairfax city: 28.7 %Falls Church city: 31.6 %Franklin city: 43.6 %Fredericksburg city: 34 %Galax city: 39.3 %Hampton city: 41.8 %Harrisonburg city: 33.1 %Hopewell city: 45.4 %Lexington city: 29.4 %Lynchburg city: 34.5 %Manassas city: 35.2 %Manassas Park city: 37.7 %Martinsville city: 44.7 %Newport News city: 45 %Norfolk city: 39.1 %Norton city: 40.1 %Petersburg city: 45.8 %Poquoson city: 32.1 %Portsmouth city: 47.4 %Radford city: 33.6 %Richmond city: 32.5 %Roanoke city: 41 %Salem city: 35 %Staunton city: 35.7 %Suffolk city: 42.8 %Virginia Beach city: 31.5 %Waynesboro city: 39.2 %Williamsburg city: 29.7 %Winchester city: 37.4 %
  • Under 34
  • 34 to 36
  • 36 to 37
  • 37 to 39
  • 39 to 42
  • 42 and over
%, 2021. 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

Portsmouth city: 47.4 %Portsmouth city47.4Emporia city: 46.6 %Emporia city46.6Greensville County: 46.3 %Greensville County46.3Petersburg city: 45.8 %Petersburg city45.8Hopewell city: 45.4 %Hopewell city45.4Newport News city: 45 %Newport News city45Martinsville city: 44.7 %Martinsville city44.7Danville city: 44.3 %Danville city44.3Essex County: 44 %Essex County44Brunswick County: 43.9 %Brunswick County43.9Halifax County: 43.7 %Halifax County43.7Franklin city: 43.6 %Franklin city43.6Wise County: 43.5 %Wise County43.5Lunenburg County: 42.9 %Lunenburg County42.9Dinwiddie County: 42.8 %Dinwiddie County42.8Suffolk city: 42.8 %Suffolk city42.8Lee County: 42.6 %Lee County42.6Prince George County: 42.6 %Prince George County42.6Charlotte County: 42.5 %Charlotte County42.5Surry County: 42.3 %Surry County42.3Sussex County: 42.2 %Sussex County42.2Pittsylvania County: 41.9 %Pittsylvania County41.9Hampton city: 41.8 %Hampton city41.8Henry County: 41.7 %Henry County41.7Charles City County: 41.3 %Charles City County41.3Buckingham County: 41.2 %Buckingham County41.2Roanoke city: 41 %Roanoke city41Bath County: 40.7 %Bath County40.7Buchanan County: 40.7 %Buchanan County40.7Cumberland County: 40.5 %Cumberland County40.5Russell County: 40.4 %Russell County40.4Amelia County: 40.1 %Amelia County40.1Norton city: 40.1 %Norton city40.1Appomattox County: 40 %Appomattox County40Wythe County: 40 %Wythe County40Accomack County: 39.9 %Accomack County39.9Covington city: 39.9 %Covington city39.9Culpeper County: 39.9 %Culpeper County39.9King and Queen County: 39.9 %King and Queen County39.9Mecklenburg County: 39.9 %Mecklenburg County39.9Portsmouth city: 47.4 %Portsmouth city47.4Emporia city: 46.6 %Emporia city46.6Greensville County: 46.3 %Greensville County46.3Petersburg city: 45.8 %Petersburg city45.8Hopewell city: 45.4 %Hopewell city45.4Newport News city: 45 %Newport News city45Martinsville city: 44.7 %Martinsville city44.7Danville city: 44.3 %Danville city44.3Essex County: 44 %Essex County44Brunswick County: 43.9 %Brunswick County43.9Halifax County: 43.7 %Halifax County43.7Franklin city: 43.6 %Franklin city43.6Wise County: 43.5 %Wise County43.5Lunenburg County: 42.9 %Lunenburg County42.9Dinwiddie County: 42.8 %Dinwiddie County42.8Suffolk city: 42.8 %Suffolk city42.8Lee County: 42.6 %Lee County42.6Prince George County: 42.6 %Prince George County42.6Charlotte County: 42.5 %Charlotte County42.5Surry County: 42.3 %Surry County42.3Sussex County: 42.2 %Sussex County42.2Pittsylvania County: 41.9 %Pittsylvania County41.9Hampton city: 41.8 %Hampton city41.8Henry County: 41.7 %Henry County41.7Charles City County: 41.3 %Charles City County41.3Buckingham County: 41.2 %Buckingham County41.2Roanoke city: 41 %Roanoke city41Bath County: 40.7 %Bath County40.7Buchanan County: 40.7 %Buchanan County40.7Cumberland County: 40.5 %Cumberland County40.5Russell County: 40.4 %Russell County40.4Amelia County: 40.1 %Amelia County40.1Norton city: 40.1 %Norton city40.1Appomattox County: 40 %Appomattox County40Wythe County: 40 %Wythe County40Accomack County: 39.9 %Accomack County39.9Covington city: 39.9 %Covington city39.9Culpeper County: 39.9 %Culpeper County39.9King and Queen County: 39.9 %King and Queen County39.9Mecklenburg County: 39.9 %Mecklenburg County39.9
%. 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 (%)
1Portsmouth city47.4
2Emporia city46.6
3Greensville County46.3
4Petersburg city45.8
5Hopewell city45.4
6Newport News city45
7Martinsville city44.7
8Danville city44.3
9Essex County44
10Brunswick County43.9
11Halifax County43.7
12Franklin city43.6
13Wise County43.5
14Lunenburg County42.9
15Dinwiddie County42.8
15Suffolk city42.8
17Lee County42.6
17Prince George County42.6
19Charlotte County42.5
20Surry County42.3
21Sussex County42.2
22Pittsylvania County41.9
23Hampton city41.8
24Henry County41.7
25Charles City County41.3
26Buckingham County41.2
27Roanoke city41
28Bath County40.7
28Buchanan County40.7
30Cumberland County40.5
31Russell County40.4
32Amelia County40.1
32Norton city40.1
34Appomattox County40
34Wythe County40
36Accomack County39.9
36Covington city39.9
36Culpeper County39.9
36King and Queen County39.9
36Mecklenburg County39.9
41Smyth County39.8
42Nottoway County39.6
43King William County39.5
44Galax city39.3
45Waynesboro city39.2
46Norfolk city39.1
47Bristol city38.9
48Richmond County38.6
48Westmoreland County38.6
50Dickenson County38.5
50Page County38.5
52Isle of Wight County38.4
53Southampton County38.3
54Caroline County38
54Stafford County38
56Craig County37.9
56Pulaski County37.9
56Shenandoah County37.9
59Alleghany County37.7
59Manassas Park city37.7
59Prince Edward County37.7
62Madison County37.6
63Colonial Heights city37.4
63Fluvanna County37.4
63Winchester city37.4
66Washington County37.3
67Carroll County37.2
67Nelson County37.2
67Northumberland County37.2
67Scott County37.2
71Henrico County36.9
71Northampton County36.9
71Orange County36.9
74King George County36.8
75Rockingham County36.7
76Buena Vista city36.6
76Chesapeake city36.6
76Mathews County36.6
76Warren County36.6
80Augusta County36.5
80Grayson County36.5
80New Kent County36.5
83Amherst County36.4
83Tazewell County36.4
85Franklin County36.3
85Prince William County36.3
85Spotsylvania County36.3
88Bland County36.2
88Chesterfield County36.2
88Louisa County36.2
91Bedford County36
91Middlesex County36
93Lancaster County35.8
94Giles County35.7
94Staunton city35.7
96Gloucester County35.6
97Manassas city35.2
98Salem city35
99Powhatan County34.6
99Rappahannock County34.6
101Lynchburg city34.5
102Greene County34.4
102Highland County34.4
102Roanoke County34.4
105Fauquier County34.2
106Clarke County34.1
106Rockbridge County34.1
108Fredericksburg city34
108Goochland County34
110York County33.8
111Campbell County33.7
111Frederick County33.7
113Radford city33.6
114James City County33.2
115Harrisonburg city33.1
116Botetourt County33
116Patrick County33
118Richmond city32.5
119Floyd County32.1
119Hanover County32.1
119Poquoson city32.1
122Falls Church city31.6
123Virginia Beach city31.5
124Alexandria city31.4
125Loudoun County30.6
126Charlottesville city30.5
127Williamsburg city29.7
128Lexington city29.4
129Fairfax city28.7
130Montgomery County28.6
131Albemarle County27.9
132Fairfax County24.8
133Arlington County24

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 Virginia 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, Counties in Virginia 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/virginia-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. Counties in Virginia 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/virginia-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, Counties in Virginia 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/virginia-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_virginia_by_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: Counties in Virginia 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/virginia-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: Counties in Virginia 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/virginia-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/virginia-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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Questions

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

Portsmouth city, with 47.4% in 2021, according to the Centers for Disease Control and Prevention.

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

Arlington County, with 24% 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.

Adult obesity rate, local model estimate: other rankings

Counties in Virginia: more rankings