The Most Obese County in Every State

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16. Kansas
> Most obese county:
Cherokee
> County obesity rate: 38.7%
> Statewide obesity rate: 30.2%
> Pct. of adults who exercise regularly: 67.3%
> Share of adults reporting fair or poor health: 16.2%

Nearly 39% of adults in Cherokee County are obese, a far greater share than the 30% statewide obesity rate. A higher than average obesity rate in the county may be partially attributable to a lower than average exercise rate. Only 67% of adults in Cherokee report regular physical activity compared to 75% of adults statewide who exercise regularly.

17. Kentucky
> Most obese county:
Breathitt
> County obesity rate: 42.9%
> Statewide obesity rate: 32.3%
> Pct. of adults who exercise regularly: 66.8%
> Share of adults reporting fair or poor health: 28.4%

Only a handful of U.S. counties have a higher obesity rate than Breathitt, where nearly 43% of adults are obese. Kentucky itself is not an especially healthy state. Nearly one in three adults in Kentucky are obese, the seventh highest obesity rate of any state in the country.

18. Louisiana
> Most obese county:
East Carroll
> County obesity rate: 43.2%
> Statewide obesity rate: 34.3%
> Pct. of adults who exercise regularly: 63.4%
> Share of adults reporting fair or poor health: 37.9%

The most obese county in a fairly unhealthy state, East Carroll Parish’s 43.2% obesity rate is the highest in Louisiana and among the highest in the United States. East Carroll Parish residents also report some of the worst health outcomes in the state and nation. Almost 38% of adults report feeling in fair or poor health, higher than the 20.8% of Alabama adults who report such poor health and the fifth largest share of any U.S. county.

19. Maine
> Most obese county:
Aroostook
> County obesity rate: 33.9%
> Statewide obesity rate: 27.9%
> Pct. of adults who exercise regularly: 72.3%
> Share of adults reporting fair or poor health: 15.7%

Aroostook County’s 33.9% obesity rate is higher than both Maine’s 27.9% obesity rate and the 27.0% national obesity rate. Perhaps as a result, county residents have relatively poor health outcomes. For every 100,000 county residents, 7,503 years of potential life are lost annually due to premature death. To compare, 6,314 years of potential life are lost per 100,000 Maine residents annually due to premature death.

20. Maryland
> Most obese county:
Somerset
> County obesity rate: 39.5%
> Statewide obesity rate: 28.4%
> Pct. of adults who exercise regularly: 68.9%
> Share of adults reporting fair or poor health: 20.1%

Nearly two in five Somerset County adults are obese, the highest obesity rate in Maryland and among the highest rates in the United States. County adults also report worse health outcomes than statewide adults. More than 20% of Somerset County adults report being in fair or poor health, compared to 13% in Maryland as a whole and 14% nationwide.