The Most Obese County in Every State

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46. Virginia
> Most obese county:
Sussex
> County obesity rate: 38.7%
> Statewide obesity rate: 27.3%
> Pct. of adults who exercise regularly: 72.7%
> Share of adults reporting fair or poor health: 22.4%

In some parts of the country, a rural environment can limit access to healthy food and opportunities for exercise and ultimately lead to less healthy behaviors. In rural Sussex County, just 3.3% of residents have access to recreational opportunities compared to 80.7% of Virginia residents overall. Similarly, 12.2% of county residents are low income and live relatively far from a grocery store, a much larger share than the 3.7% of Virginians in a similar position.

47. Washington
> Most obese county:
Grays Harbor
> County obesity rate: 36.5%
> Statewide obesity rate: 27.2%
> Pct. of adults who exercise regularly: 72.4%
> Share of adults reporting fair or poor health: 16.3%

In Grays Harbor County, 36.5% of adults are obese, a larger share than any other county in Washington. Obesity can increase the incidence of heart disease, stroke, and diabetes, among other health issues, and ultimately lead to premature death. In Grays Harbor County, 8,375 years are lost per 100,000 people annually, well above the state and national estimates.

48. West Virginia
> Most obese county:
Logan
> County obesity rate: 41.2%
> Statewide obesity rate: 34.1%
> Pct. of adults who exercise regularly: 63.1%
> Share of adults reporting fair or poor health: 25.8%

In Logan, more than 41% of adults are obese, the largest share of any county in West Virginia and one of the largest of U.S. counties. Obesity can lead to several chronic conditions that can dramatically decrease life expectancy. For every 100,000 county resident, 15,345 years of potential life are lost each year due to premature death before age 75, considerably more than the 9,731 years of life lost statewide.

49. Wisconsin
> Most obese county:
Menominee
> County obesity rate: 41.0%
> Statewide obesity rate: 29.4%
> Pct. of adults who exercise regularly: 69.5%
> Share of adults reporting fair or poor health: 28.2%

Menominee County is home to the Menominee Indian Reservation and its population is 82.2% American Indian. Indian reservations tend to be some of the least healthy places in the country, and Menominee County struggles with many health issues in addition to obesity. On average, county adults feel physically unwell 5.8 days a month and mentally unwell for 5.3 days a month, the most of any Wisconsin county and among the most nationwide.

50. Wyoming
> Most obese county:
Campbell
> County obesity rate: 33.6%
> Statewide obesity rate: 26.6%
> Pct. of adults who exercise regularly: 74.6%
> Share of adults reporting fair or poor health: 12.8%

More than one in three Campbell County adults are obese, the highest obesity rate in Wyoming. County residents report other relatively unhealthy behaviors, with higher smoking, drinking, and inactivity rates than those of Wyoming residents overall. Despite this, county residents have slightly better health outcomes than residents statewide. For every 100,000 county residents, 6,914 years of potential life are lost due to premature death annually, slightly less than the corresponding statewide figure of 7,194 years of life lost.