Counties in Washington by adult obesity rate, local model estimate, 2023

Cowlitz County had the highest adult obesity rate, local model estimate of 39 counties in 2023, at 40.5%. King County had the lowest, at 22.6%. The median was 34.7%. Source: the Centers for Disease Control and Prevention.

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Highest40.5Cowlitz County
Lowest22.6King County
Median34.739 counties

Map of counties, 2023

Adams County: 37.6 %Asotin County: 35.3 %Benton County: 36.2 %Chelan County: 29.1 %Clallam County: 31 %Clark County: 35.3 %Columbia County: 32.4 %Cowlitz County: 40.5 %Douglas County: 35.8 %Ferry County: 40.2 %Franklin County: 35.2 %Garfield County: 31 %Grant County: 38.7 %Grays Harbor County: 37 %Island County: 31.3 %Jefferson County: 28.7 %King County: 22.6 %Kitsap County: 31.8 %Kittitas County: 34.7 %Klickitat County: 32.9 %Lewis County: 39 %Lincoln County: 37.6 %Mason County: 35.9 %Okanogan County: 32.6 %Pacific County: 36.4 %Pend Oreille County: 38.9 %Pierce County: 36.9 %San Juan County: 24.7 %Skagit County: 33 %Skamania County: 32.8 %Snohomish County: 30.6 %Spokane County: 34.7 %Stevens County: 34.3 %Thurston County: 31.2 %Wahkiakum County: 39.1 %Walla Walla County: 34.1 %Whatcom County: 26.5 %Whitman County: 28.5 %Yakima County: 39.7 %
  • Under 31
  • 31 to 33
  • 33 to 35
  • 35 to 36
  • 36 to 38
  • 38 and over
%, 2023. 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.

All counties, 2023

Cowlitz County: 40.5 %Cowlitz County40.5Ferry County: 40.2 %Ferry County40.2Yakima County: 39.7 %Yakima County39.7Wahkiakum County: 39.1 %Wahkiakum County39.1Lewis County: 39 %Lewis County39Pend Oreille County: 38.9 %Pend Oreille County38.9Grant County: 38.7 %Grant County38.7Adams County: 37.6 %Adams County37.6Lincoln County: 37.6 %Lincoln County37.6Grays Harbor County: 37 %Grays Harbor County37Pierce County: 36.9 %Pierce County36.9Pacific County: 36.4 %Pacific County36.4Benton County: 36.2 %Benton County36.2Mason County: 35.9 %Mason County35.9Douglas County: 35.8 %Douglas County35.8Asotin County: 35.3 %Asotin County35.3Clark County: 35.3 %Clark County35.3Franklin County: 35.2 %Franklin County35.2Kittitas County: 34.7 %Kittitas County34.7Spokane County: 34.7 %Spokane County34.7Stevens County: 34.3 %Stevens County34.3Walla Walla County: 34.1 %Walla Walla County34.1Skagit County: 33 %Skagit County33Klickitat County: 32.9 %Klickitat County32.9Skamania County: 32.8 %Skamania County32.8Okanogan County: 32.6 %Okanogan County32.6Columbia County: 32.4 %Columbia County32.4Kitsap County: 31.8 %Kitsap County31.8Island County: 31.3 %Island County31.3Thurston County: 31.2 %Thurston County31.2Clallam County: 31 %Clallam County31Garfield County: 31 %Garfield County31Snohomish County: 30.6 %Snohomish County30.6Chelan County: 29.1 %Chelan County29.1Jefferson County: 28.7 %Jefferson County28.7Whitman County: 28.5 %Whitman County28.5Whatcom County: 26.5 %Whatcom County26.5San Juan County: 24.7 %San Juan County24.7King County: 22.6 %King County22.6Cowlitz County: 40.5 %Cowlitz County40.5Ferry County: 40.2 %Ferry County40.2Yakima County: 39.7 %Yakima County39.7Wahkiakum County: 39.1 %Wahkiakum County39.1Lewis County: 39 %Lewis County39Pend Oreille County: 38.9 %Pend Oreille County38.9Grant County: 38.7 %Grant County38.7Adams County: 37.6 %Adams County37.6Lincoln County: 37.6 %Lincoln County37.6Grays Harbor County: 37 %Grays Harbor County37Pierce County: 36.9 %Pierce County36.9Pacific County: 36.4 %Pacific County36.4Benton County: 36.2 %Benton County36.2Mason County: 35.9 %Mason County35.9Douglas County: 35.8 %Douglas County35.8Asotin County: 35.3 %Asotin County35.3Clark County: 35.3 %Clark County35.3Franklin County: 35.2 %Franklin County35.2Kittitas County: 34.7 %Kittitas County34.7Spokane County: 34.7 %Spokane County34.7Stevens County: 34.3 %Stevens County34.3Walla Walla County: 34.1 %Walla Walla County34.1Skagit County: 33 %Skagit County33Klickitat County: 32.9 %Klickitat County32.9Skamania County: 32.8 %Skamania County32.8Okanogan County: 32.6 %Okanogan County32.6Columbia County: 32.4 %Columbia County32.4Kitsap County: 31.8 %Kitsap County31.8Island County: 31.3 %Island County31.3Thurston County: 31.2 %Thurston County31.2Clallam County: 31 %Clallam County31Garfield County: 31 %Garfield County31Snohomish County: 30.6 %Snohomish County30.6Chelan County: 29.1 %Chelan County29.1Jefferson County: 28.7 %Jefferson County28.7Whitman County: 28.5 %Whitman County28.5Whatcom County: 26.5 %Whatcom County26.5San Juan County: 24.7 %San Juan County24.7King County: 22.6 %King County22.6
%. 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
1Cowlitz County40.5+1.2 pts
2Ferry County40.2+4 pts
3Yakima County39.7-1.6 pts
4Wahkiakum County39.1-0.6 pts
5Lewis County39-1.5 pts
6Pend Oreille County38.9+5.6 pts
7Grant County38.7-2.7 pts
8Adams County37.6-0.2 pts
8Lincoln County37.6+2.7 pts
10Grays Harbor County37+0.1 pts
11Pierce County36.9+1 pts
12Pacific County36.4-0.4 pts
13Benton County36.2-3.7 pts
14Mason County35.9-1.7 pts
15Douglas County35.8-1.7 pts
16Asotin County35.3+0.7 pts
16Clark County35.3+2.5 pts
18Franklin County35.2-4.2 pts
19Kittitas County34.7+5.1 pts
19Spokane County34.7+1 pts
21Stevens County34.3+1.8 pts
22Walla Walla County34.1+2.7 pts
23Skagit County33-3.3 pts
24Klickitat County32.90 pts
25Skamania County32.8-3.7 pts
26Okanogan County32.6-5.7 pts
27Columbia County32.4-5.2 pts
28Kitsap County31.8+0.2 pts
29Island County31.3-1.6 pts
30Thurston County31.2-2.3 pts
31Clallam County31-2.5 pts
31Garfield County31-6 pts
33Snohomish County30.6-2.7 pts
34Chelan County29.1+0.7 pts
35Jefferson County28.7+2.9 pts
36Whitman County28.5+1.8 pts
37Whatcom County26.5-0.9 pts
38San Juan County24.7-1.2 pts
39King County22.6-0.3 pts

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 Washington 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, Counties in Washington 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/washington-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. Counties in Washington 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/washington-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, Counties in Washington 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/washington-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_washington_by_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: Counties in Washington 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/washington-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: Counties in Washington 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/washington-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-obesity-rate-county-estimate/washington-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 Counties in Washington 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?

Cowlitz County, with 40.5% in 2023, according to the Centers for Disease Control and Prevention.

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

King County, with 22.6% 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.

Adult obesity rate, local model estimate: other rankings

Counties in Washington: more rankings