Special Report

States With the Largest Increase in Obesity Since 2010

Photo illustration by Cate Gillon / Getty Images

Obesity in the U.S. is an epidemic that keeps getting worse. The adult obesity rate in the country is currently 42.4%, the highest ever recorded, according to the Centers for Disease Control and Prevention. Just two decades ago, the share of adults who were considered obese — having a body mass index of 30 or greater — was 30.5%. In 2010, the adult obesity rate was 35.7%.

Though obesity rates among adults have increased in every state, how much they increased varies considerably. To determine the states with the highest increase in adult obesity rate since 2010, 24/7 Tempo reviewed 2010 and 2021 obesity data from County Health Rankings & Roadmaps, a Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute joint program.

Diet and exercise have often been cited as key factors in maintaining a healthy weight. But the National Institutes of Health has pointed to lack of physical activity as a widespread misconception about how much it is contributing to obesity.

In fact, physical activity levels since 2010 have actually increased in all but 13 states. Most of the states with the largest increase in sedentary lifestyle among adults since 2010 are among the states with the smallest increase in adult obesity.

There is some evidence that, at least partially, bigger portions have been the bigger contributor to the increase in obesity prevalence. Many commonly available foods exceed the U.S. Department of Agriculture and Food and Drug Administration standard portions.

Larger sizes of meals mean more calories, leading to energy imbalance between calories consumed and calories expended — even when exercising more. The result of this imbalance is often the accumulation of unhealthy amounts of body fat.

Diet choices have also changed over the last few decades, also contributing to the worsening of the obesity epidemic in the U.S. Consuming more calories a day is in part due to a boom in meat consumption since the 1950s, according to the United States Department of Agriculture. Consumption of added fats and grain has also skyrocketed.

The intake of added sugars has also increased, which can contribute to numerous health problems, including weight gain and obesity. The biggest sources of added sugars in people’s diets are sugar-sweetened drinks, desserts, and sweet snacks.

Rampant misinformation about obesity and nutrition, as well as about the true causes of the condition, play a role in driving up the rate of this common health problem. Here are “healthy” foods that are actually ruining your diet.

Click here for the states with the largest increase in obesity since 2010

Methodology

To determine the states with the highest increase in adult obesity rate since 2010, 24/7 Tempo reviewed 2010 and 2021 obesity data from County Health Rankings & Roadmaps, a Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute joint program.

The obesity rates — the share of adult residents who report a body mass index of 30 or greater — came from the 2010 and 2021 CHR reports.

We also considered other measures of health outcomes and health factors and how they have changed since 2010. Health factors reviewed included measures of healthy behavior such as exercise, self-reported overall health, and socioeconomic factors such as annual household income. Data for physical activity and diabetes were compared from the 2011 and 2021 CHR reports. Data was not available for 2010.

Data on the shares of adults in poor or fair health in 2010 and in 2021 also came from the CHR.

Population figures as well as median household income came from the U.S. Census American Community Survey 2010 and 2019 1-Year Estimates.

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50. New York
> Adult obesity increase, 2010-2021: 3.5%
> Adult obesity rate in 2010: 25.5% — 20th lowest
> Adult obesity rate in 2021: 26.4% — 6th lowest
> Change in adults 20+ with diabetes: 27.8% — 21st largest increase (from 7.9% in 2011 to 10.1% in 2021)
> Change in adults who don’t exercise: -7.1% — 16th largest decrease (from 25.2% in 2011 to 23.4% in 2021)
> Change in median household income: 33.2% — 15th largest increase (from $54,148 in 2010 to $72,108 in 2019)

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49. California
> Adult obesity increase, 2010-2021: 4.3%
> Adult obesity rate in 2010: 23.3% — 9th lowest
> Adult obesity rate in 2021: 24.3% — 2nd lowest
> Change in adults 20+ with diabetes: 22.2% — 18th smallest increase (from 7.2% in 2011 to 8.8% in 2021)
> Change in adults who don’t exercise: -4.8% — 14th smallest decrease (from 18.6% in 2011 to 17.7% in 2021)
> Change in median household income: 39.4% — 5th largest increase (from $57,708 in 2010 to $80,440 in 2019)

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48. Arizona
> Adult obesity increase, 2010-2021: 8.1%
> Adult obesity rate in 2010: 25.8% — 22nd lowest
> Adult obesity rate in 2021: 27.9% — 14th lowest
> Change in adults 20+ with diabetes: 23.1% — 21st smallest increase (from 7.8% in 2011 to 9.6% in 2021)
> Change in adults who don’t exercise: 4.4% — 7th largest increase (from 20.3% in 2011 to 21.2% in 2021)
> Change in median household income: 32.6% — 17th largest increase (from $46,789 in 2010 to $62,055 in 2019)

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47. Tennessee
> Adult obesity increase, 2010-2021: 8.5%
> Adult obesity rate in 2010: 30.7% — 3rd highest
> Adult obesity rate in 2021: 33.3% — 14th highest
> Change in adults 20+ with diabetes: 14.7% — 9th smallest increase (from 10.9% in 2011 to 12.5% in 2021)
> Change in adults who don’t exercise: -11.4% — 4th largest decrease (from 30.7% in 2011 to 27.2% in 2021)
> Change in median household income: 35.2% — 9th largest increase (from $41,461 in 2010 to $56,071 in 2019)

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46. New Mexico
> Adult obesity increase, 2010-2021: 8.8%
> Adult obesity rate in 2010: 25.1% — 16th lowest
> Adult obesity rate in 2021: 27.3% — 13th lowest
> Change in adults 20+ with diabetes: 43.9% — 6th largest increase (from 6.6% in 2011 to 9.5% in 2021)
> Change in adults who don’t exercise: -3.6% — 7th smallest decrease (from 19.7% in 2011 to 19.0% in 2021)
> Change in median household income: 23.4% — 5th smallest increase (from $42,090 in 2010 to $51,945 in 2019)

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45. Texas
> Adult obesity increase, 2010-2021: 9.8%
> Adult obesity rate in 2010: 28.6% — 12th highest
> Adult obesity rate in 2021: 31.4% — 25th highest
> Change in adults 20+ with diabetes: 56.9% — the largest increase (from 6.5% in 2011 to 10.2% in 2021)
> Change in adults who don’t exercise: 4.0% — 6th smallest increase (from 22.3% in 2011 to 23.2% in 2021)
> Change in median household income: 31.7% — 20th largest increase (from $48,615 in 2010 to $64,034 in 2019)

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44. Nevada
> Adult obesity increase, 2010-2021: 10.2%
> Adult obesity rate in 2010: 24.6% — 13th lowest
> Adult obesity rate in 2021: 27.1% — 10th lowest
> Change in adults 20+ with diabetes: 29.6% — 16th largest increase (from 8.1% in 2011 to 10.5% in 2021)
> Change in adults who don’t exercise: -4.3% — 11th smallest decrease (from 23.5% in 2011 to 22.5% in 2021)
> Change in median household income: 24.1% — 6th smallest increase (from $51,001 in 2010 to $63,276 in 2019)

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43. Washington
> Adult obesity increase, 2010-2021: 10.4%
> Adult obesity rate in 2010: 25.9% — 23rd lowest
> Adult obesity rate in 2021: 28.6% — 17th lowest
> Change in adults 20+ with diabetes: 24.0% — 24th smallest increase (from 7.5% in 2011 to 9.3% in 2021)
> Change in adults who don’t exercise: -9.9% — 11th largest decrease (from 18.2% in 2011 to 16.4% in 2021)
> Change in median household income: 41.4% — 3rd largest increase (from $55,631 in 2010 to $78,687 in 2019)

42. Pennsylvania
> Adult obesity increase, 2010-2021: 10.8%
> Adult obesity rate in 2010: 27.8% — 18th highest
> Adult obesity rate in 2021: 30.8% — 25th lowest
> Change in adults 20+ with diabetes: 27.9% — 20th largest increase (from 8.6% in 2011 to 11.0% in 2021)
> Change in adults who don’t exercise: -14.1% — 3rd largest decrease (from 25.6% in 2011 to 22.0% in 2021)
> Change in median household income: 28.8% — 20th smallest increase (from $49,288 in 2010 to $63,463 in 2019)

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41. Oregon
> Adult obesity increase, 2010-2021: 11.4%
> Adult obesity rate in 2010: 26.3% — 25th highest
> Adult obesity rate in 2021: 29.3% — 21st lowest
> Change in adults 20+ with diabetes: 22.8% — 20th smallest increase (from 7.9% in 2011 to 9.7% in 2021)
> Change in adults who don’t exercise: -0.6% — 2nd smallest decrease (from 17.4% in 2011 to 17.3% in 2021)
> Change in median household income: 44.0% — the largest increase (from $46,560 in 2010 to $67,058 in 2019)

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40. Minnesota
> Adult obesity increase, 2010-2021: 11.5%
> Adult obesity rate in 2010: 26.0% — 24th lowest
> Adult obesity rate in 2021: 29.0% — 18th lowest
> Change in adults 20+ with diabetes: 49.1% — 3rd largest increase (from 5.7% in 2011 to 8.5% in 2021)
> Change in adults who don’t exercise: 17.4% — the largest increase (from 16.7% in 2011 to 19.6% in 2021)
> Change in median household income: 34.5% — 10th largest increase (from $55,459 in 2010 to $74,593 in 2019)

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39. New Jersey
> Adult obesity increase, 2010-2021: 12.0%
> Adult obesity rate in 2010: 24.1% — 11th lowest
> Adult obesity rate in 2021: 27.0% — 7th lowest
> Change in adults 20+ with diabetes: 11.2% — 2nd smallest increase (from 8.9% in 2011 to 9.9% in 2021)
> Change in adults who don’t exercise: 5.1% — 6th largest increase (from 25.3% in 2011 to 26.6% in 2021)
> Change in median household income: 26.7% — 11th smallest increase (from $67,681 in 2010 to $85,751 in 2019)

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38. Georgia
> Adult obesity increase, 2010-2021: 12.5%
> Adult obesity rate in 2010: 28.7% — 9th highest
> Adult obesity rate in 2021: 32.3% — 21st highest
> Change in adults 20+ with diabetes: 44.6% — 5th largest increase (from 8.3% in 2011 to 12.0% in 2021)
> Change in adults who don’t exercise: 11.9% — 3rd largest increase (from 23.6% in 2011 to 26.4% in 2021)
> Change in median household income: 33.5% — 13th largest increase (from $46,430 in 2010 to $61,980 in 2019)

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37. North Carolina
> Adult obesity increase, 2010-2021: 12.5%
> Adult obesity rate in 2010: 28.7% — 9th highest
> Adult obesity rate in 2021: 32.3% — 20th highest
> Change in adults 20+ with diabetes: 21.1% — 16th smallest increase (from 9.5% in 2011 to 11.5% in 2021)
> Change in adults who don’t exercise: -2.9% — 6th smallest decrease (from 24.0% in 2011 to 23.3% in 2021)
> Change in median household income: 32.4% — 18th largest increase (from $43,326 in 2010 to $57,341 in 2019)

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36. Florida
> Adult obesity increase, 2010-2021: 12.9%
> Adult obesity rate in 2010: 24.1% — 11th lowest
> Adult obesity rate in 2021: 27.2% — 12th lowest
> Change in adults 20+ with diabetes: 13.7% — 7th smallest increase (from 9.5% in 2011 to 10.8% in 2021)
> Change in adults who don’t exercise: 7.1% — 5th largest increase (from 24.1% in 2011 to 25.8% in 2021)
> Change in median household income: 33.4% — 14th largest increase (from $44,409 in 2010 to $59,227 in 2019)

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35. Alaska
> Adult obesity increase, 2010-2021: 13.1%
> Adult obesity rate in 2010: 28.2% — 13th highest
> Adult obesity rate in 2021: 31.9% — 22nd highest
> Change in adults 20+ with diabetes: 29.7% — 15th largest increase (from 6.4% in 2011 to 8.3% in 2021)
> Change in adults who don’t exercise: -14.6% — the largest decrease (from 22.6% in 2011 to 19.3% in 2021)
> Change in median household income: 16.9% — the smallest increase (from $64,576 in 2010 to $75,463 in 2019)

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34. Hawaii
> Adult obesity increase, 2010-2021: 13.4%
> Adult obesity rate in 2010: 21.7% — 5th lowest
> Adult obesity rate in 2021: 24.6% — 3rd lowest
> Change in adults 20+ with diabetes: 35.4% — 13th largest increase (from 8.2% in 2011 to 11.1% in 2021)
> Change in adults who don’t exercise: 9.5% — 4th largest increase (from 17.9% in 2011 to 19.6% in 2021)
> Change in median household income: 31.9% — 19th largest increase (from $63,030 in 2010 to $83,102 in 2019)

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33. New Hampshire
> Adult obesity increase, 2010-2021: 13.9%
> Adult obesity rate in 2010: 25.1% — 16th lowest
> Adult obesity rate in 2021: 28.6% — 16th lowest
> Change in adults 20+ with diabetes: 20.0% — 15th smallest increase (from 8.0% in 2011 to 9.6% in 2021)
> Change in adults who don’t exercise: -2.8% — 5th smallest decrease (from 21.4% in 2011 to 20.8% in 2021)
> Change in median household income: 27.7% — 13th smallest increase (from $61,042 in 2010 to $77,933 in 2019)

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32. Delaware
> Adult obesity increase, 2010-2021: 14.9%
> Adult obesity rate in 2010: 28.2% — 13th highest
> Adult obesity rate in 2021: 32.4% — 18th highest
> Change in adults 20+ with diabetes: 28.3% — 18th largest increase (from 9.2% in 2011 to 11.8% in 2021)
> Change in adults who don’t exercise: 15.7% — 2nd largest increase (from 23.6% in 2011 to 27.3% in 2021)
> Change in median household income: 25.7% — 8th smallest increase (from $55,847 in 2010 to $70,176 in 2019)

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31. Michigan
> Adult obesity increase, 2010-2021: 14.9%
> Adult obesity rate in 2010: 28.2% — 13th highest
> Adult obesity rate in 2021: 32.4% — 17th highest
> Change in adults 20+ with diabetes: 19.6% — 13th smallest increase (from 9.2% in 2011 to 11.0% in 2021)
> Change in adults who don’t exercise: -4.5% — 13th smallest decrease (from 24.2% in 2011 to 23.1% in 2021)
> Change in median household income: 31.2% — 21st largest increase (from $45,413 in 2010 to $59,584 in 2019)

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30. Massachusetts
> Adult obesity increase, 2010-2021: 15.2%
> Adult obesity rate in 2010: 21.7% — 5th lowest
> Adult obesity rate in 2021: 25.0% — 4th lowest
> Change in adults 20+ with diabetes: 3.6% — the smallest increase (from 8.4% in 2011 to 8.7% in 2021)
> Change in adults who don’t exercise: -9.9% — 10th largest decrease (from 22.2% in 2011 to 20.0% in 2021)
> Change in median household income: 38.3% — 7th largest increase (from $62,072 in 2010 to $85,843 in 2019)

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29. Missouri
> Adult obesity increase, 2010-2021: 15.2%
> Adult obesity rate in 2010: 28.2% — 13th highest
> Adult obesity rate in 2021: 32.5% — 16th highest
> Change in adults 20+ with diabetes: 42.5% — 7th largest increase (from 8.0% in 2011 to 11.4% in 2021)
> Change in adults who don’t exercise: -5.9% — 18th smallest decrease (from 27.1% in 2011 to 25.5% in 2021)
> Change in median household income: 29.6% — 23rd smallest increase (from $44,301 in 2010 to $57,409 in 2019)

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28. Idaho
> Adult obesity increase, 2010-2021: 15.5%
> Adult obesity rate in 2010: 25.1% — 16th lowest
> Adult obesity rate in 2021: 29.0% — 19th lowest
> Change in adults 20+ with diabetes: 12.0% — 3rd smallest increase (from 8.3% in 2011 to 9.3% in 2021)
> Change in adults who don’t exercise: 2.0% — 4th smallest increase (from 20.0% in 2011 to 20.4% in 2021)
> Change in median household income: 40.3% — 4th largest increase (from $43,490 in 2010 to $60,999 in 2019)

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27. Illinois
> Adult obesity increase, 2010-2021: 16.0%
> Adult obesity rate in 2010: 25.6% — 21st lowest
> Adult obesity rate in 2021: 29.7% — 22nd lowest
> Change in adults 20+ with diabetes: 39.4% — 8th largest increase (from 7.1% in 2011 to 9.9% in 2021)
> Change in adults who don’t exercise: -5.3% — 16th smallest decrease (from 22.8% in 2011 to 21.6% in 2021)
> Change in median household income: 30.7% — 24th largest increase (from $52,972 in 2010 to $69,187 in 2019)

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26. Colorado
> Adult obesity increase, 2010-2021: 16.1%
> Adult obesity rate in 2010: 19.3% — the lowest
> Adult obesity rate in 2021: 22.4% — the lowest
> Change in adults 20+ with diabetes: 37.5% — 10th largest increase (from 4.8% in 2011 to 6.6% in 2021)
> Change in adults who don’t exercise: -5.7% — 17th smallest decrease (from 15.7% in 2011 to 14.8% in 2021)
> Change in median household income: 42.7% — 2nd largest increase (from $54,046 in 2010 to $77,127 in 2019)

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25. Alabama
> Adult obesity increase, 2010-2021: 16.8%
> Adult obesity rate in 2010: 30.9% — 2nd highest
> Adult obesity rate in 2021: 36.1% — 4th highest
> Change in adults 20+ with diabetes: 21.8% — 17th smallest increase (from 11.9% in 2011 to 14.5% in 2021)
> Change in adults who don’t exercise: -3.9% — 9th smallest decrease (from 30.5% in 2011 to 29.3% in 2021)
> Change in median household income: 27.8% — 16th smallest increase (from $40,474 in 2010 to $51,734 in 2019)

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24. South Carolina
> Adult obesity increase, 2010-2021: 17.2%
> Adult obesity rate in 2010: 29.0% — 7th highest
> Adult obesity rate in 2021: 34.0% — 9th highest
> Change in adults 20+ with diabetes: 17.7% — 10th smallest increase (from 11.3% in 2011 to 13.3% in 2021)
> Change in adults who don’t exercise: -3.7% — 8th smallest decrease (from 27.0% in 2011 to 26.0% in 2021)
> Change in median household income: 33.8% — 12th largest increase (from $42,018 in 2010 to $56,227 in 2019)

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23. Louisiana
> Adult obesity increase, 2010-2021: 18.2%
> Adult obesity rate in 2010: 30.7% — 3rd highest
> Adult obesity rate in 2021: 36.3% — 3rd highest
> Change in adults 20+ with diabetes: 14.0% — 8th smallest increase (from 11.4% in 2011 to 13.0% in 2021)
> Change in adults who don’t exercise: -6.4% — 17th largest decrease (from 29.9% in 2011 to 28.0% in 2021)
> Change in median household income: 20.2% — 2nd smallest increase (from $42,505 in 2010 to $51,073 in 2019)

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22. Maine
> Adult obesity increase, 2010-2021: 18.3%
> Adult obesity rate in 2010: 25.2% — 17th lowest
> Adult obesity rate in 2021: 29.8% — 23rd lowest
> Change in adults 20+ with diabetes: 18.2% — 11th smallest increase (from 8.8% in 2011 to 10.4% in 2021)
> Change in adults who don’t exercise: -5.0% — 15 smallest decrease (from 21.9% in 2011 to 20.8% in 2021)
> Change in median household income: 28.6% — 17th smallest increase (from $45,815 in 2010 to $58,924 in 2019)

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21. South Dakota
> Adult obesity increase, 2010-2021: 19.1%
> Adult obesity rate in 2010: 27.2% — 22nd highest
> Adult obesity rate in 2021: 32.4% — 19th highest
> Change in adults 20+ with diabetes: 36.5% — 12th largest increase (from 7.4% in 2011 to 10.1% in 2021)
> Change in adults who don’t exercise: -14.1% — 2nd largest decrease (from 25.6% in 2011 to 22.0% in 2021)
> Change in median household income: 29.7% — 24th smallest increase (from $45,904 in 2010 to $59,533 in 2019)

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20. Kansas
> Adult obesity increase, 2010-2021: 19.1%
> Adult obesity rate in 2010: 27.7% — 19th highest
> Adult obesity rate in 2021: 33.0% — 15th highest
> Change in adults 20+ with diabetes: 38.2% — 9th largest increase (from 7.6% in 2011 to 10.5% in 2021)
> Change in adults who don’t exercise: 1.3% — 2nd smallest increase (from 23.6% in 2011 to 23.9% in 2021)
> Change in median household income: 28.7% — 19th smallest increase (from $48,257 in 2010 to $62,087 in 2019)

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19. Wyoming
> Adult obesity increase, 2010-2021: 19.2%
> Adult obesity rate in 2010: 24.5% — 12th lowest
> Adult obesity rate in 2021: 29.2% — 20th lowest
> Change in adults 20+ with diabetes: 25.0% — 25th largest increase (from 7.2% in 2011 to 9.0% in 2021)
> Change in adults who don’t exercise: 0.9% — the smallest increase (from 22.9% in 2011 to 23.1% in 2021)
> Change in median household income: 21.5% — 3rd smallest increase (from $53,512 in 2010 to $65,003 in 2019)

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18. Ohio
> Adult obesity increase, 2010-2021: 19.2%
> Adult obesity rate in 2010: 28.1% — 17th highest
> Adult obesity rate in 2021: 33.5% — 12th highest
> Change in adults 20+ with diabetes: 24.5% — 25th smallest increase (from 9.8% in 2011 to 12.2% in 2021)
> Change in adults who don’t exercise: -0.4% — the smallest decrease (from 26.2% in 2011 to 26.1% in 2021)
> Change in median household income: 30.1% — 25th smallest increase (from $45,090 in 2010 to $58,642 in 2019)

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17. Arkansas
> Adult obesity increase, 2010-2021: 19.5%
> Adult obesity rate in 2010: 29.3% — 6th highest
> Adult obesity rate in 2021: 35.0% — 5th highest
> Change in adults 20+ with diabetes: 35.0% — 14th largest increase (from 10.0% in 2011 to 13.5% in 2021)
> Change in adults who don’t exercise: 2.0% — 5th smallest increase (from 29.8% in 2011 to 30.4% in 2021)
> Change in median household income: 27.8% — 14th smallest increase (from $38,307 in 2010 to $48,952 in 2019)

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16. Oklahoma
> Adult obesity increase, 2010-2021: 19.8%
> Adult obesity rate in 2010: 28.8% — 8th highest
> Adult obesity rate in 2021: 34.5% — 7th highest
> Change in adults 20+ with diabetes: 28.1% — 19th largest increase (from 9.6% in 2011 to 12.3% in 2021)
> Change in adults who don’t exercise: -10.9% — 5th largest decrease (from 31.2% in 2011 to 27.8% in 2021)
> Change in median household income: 29.4% — 22nd smallest increase (from $42,072 in 2010 to $54,449 in 2019)

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15. Montana
> Adult obesity increase, 2010-2021: 19.9%
> Adult obesity rate in 2010: 22.6% — 8th lowest
> Adult obesity rate in 2021: 27.1% — 11th lowest
> Change in adults 20+ with diabetes: 23.6% — 22nd smallest increase (from 7.2% in 2011 to 8.9% in 2021)
> Change in adults who don’t exercise: 1.9% — 3rd smallest increase (from 21.3% in 2011 to 21.7% in 2021)
> Change in median household income: 34.0% — 11th largest increase (from $42,666 in 2010 to $57,153 in 2019)

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14. Mississippi
> Adult obesity increase, 2010-2021: 19.9%
> Adult obesity rate in 2010: 32.6% — the highest
> Adult obesity rate in 2021: 39.1% — the highest
> Change in adults 20+ with diabetes: 13.2% — 4th smallest increase (from 12.9% in 2011 to 14.6% in 2021)
> Change in adults who don’t exercise: -6.2% — 19th largest decrease (from 32.4% in 2011 to 30.4% in 2021)
> Change in median household income: 24.3% — 7th smallest increase (from $36,851 in 2010 to $45,792 in 2019)

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13. Maryland
> Adult obesity increase, 2010-2021: 20.2%
> Adult obesity rate in 2010: 26.3% — 25th highest
> Adult obesity rate in 2021: 31.6% — 24th highest
> Change in adults 20+ with diabetes: 13.3% — 5th smallest increase (from 9.8% in 2011 to 11.1% in 2021)
> Change in adults who don’t exercise: -8.4% — 14th largest decrease (from 23.9% in 2011 to 21.9% in 2021)
> Change in median household income: 26.0% — 9th smallest increase (from $68,854 in 2010 to $86,738 in 2019)

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12. Utah
> Adult obesity increase, 2010-2021: 20.5%
> Adult obesity rate in 2010: 22.4% — 7th lowest
> Adult obesity rate in 2021: 27.0% — 8th lowest
> Change in adults 20+ with diabetes: 13.6% — 6th smallest increase (from 6.6% in 2011 to 7.5% in 2021)
> Change in adults who don’t exercise: -9.7% — 12th largest decrease (from 18.5% in 2011 to 16.7% in 2021)
> Change in median household income: 38.4% — 6th largest increase (from $54,744 in 2010 to $75,780 in 2019)

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11. Virginia
> Adult obesity increase, 2010-2021: 20.6%
> Adult obesity rate in 2010: 25.3% — 19th lowest
> Adult obesity rate in 2021: 30.5% — 24th lowest
> Change in adults 20+ with diabetes: 37.2% — 11th largest increase (from 7.8% in 2011 to 10.7% in 2021)
> Change in adults who don’t exercise: -2.6% — 4th smallest decrease (from 22.8% in 2011 to 22.2% in 2021)
> Change in median household income: 26.0% — 10th smallest increase (from $60,674 in 2010 to $76,456 in 2019)

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10. Kentucky
> Adult obesity increase, 2010-2021: 20.6%
> Adult obesity rate in 2010: 28.7% — 9th highest
> Adult obesity rate in 2021: 34.6% — 6th highest
> Change in adults 20+ with diabetes: 19.8% — 14th smallest increase (from 10.6% in 2011 to 12.7% in 2021)
> Change in adults who don’t exercise: -10.0% — 8th largest decrease (from 31.9% in 2011 to 28.7% in 2021)
> Change in median household income: 30.5% — 25th largest increase (from $40,062 in 2010 to $52,295 in 2019)

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9. Connecticut
> Adult obesity increase, 2010-2021: 21.2%
> Adult obesity rate in 2010: 21.7% — 5th lowest
> Adult obesity rate in 2021: 26.3% — 5th lowest
> Change in adults 20+ with diabetes: 19.5% — 12th smallest increase (from 7.7% in 2011 to 9.2% in 2021)
> Change in adults who don’t exercise: -8.7% — 13th largest decrease (from 21.8% in 2011 to 19.9% in 2021)
> Change in median household income: 23.1% — 4th smallest increase (from $64,032 in 2010 to $78,833 in 2019)

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8. Vermont
> Adult obesity increase, 2010-2021: 23.3%
> Adult obesity rate in 2010: 21.9% — 6th lowest
> Adult obesity rate in 2021: 27.0% — 9th lowest
> Change in adults 20+ with diabetes: 27.5% — 22nd largest increase (from 6.9% in 2011 to 8.8% in 2021)
> Change in adults who don’t exercise: -4.2% — 10th smallest decrease (from 19.2% in 2011 to 18.4% in 2021)
> Change in median household income: 27.5% — 12th smallest increase (from $49,406 in 2010 to $63,001 in 2019)

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7. Indiana
> Adult obesity increase, 2010-2021: 23.7%
> Adult obesity rate in 2010: 27.4% — 21st highest
> Adult obesity rate in 2021: 33.9% — 10th highest
> Change in adults 20+ with diabetes: 27.4% — 23rd largest increase (from 9.5% in 2011 to 12.1% in 2021)
> Change in adults who don’t exercise: -2.2% — 3rd smallest decrease (from 27.3% in 2011 to 26.7% in 2021)
> Change in median household income: 29.1% — 21st smallest increase (from $44,613 in 2010 to $57,603 in 2019)

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6. Iowa
> Adult obesity increase, 2010-2021: 23.8%
> Adult obesity rate in 2010: 27.7% — 19th highest
> Adult obesity rate in 2021: 34.3% — 8th highest
> Change in adults 20+ with diabetes: 52.3% — 2nd largest increase (from 6.5% in 2011 to 9.9% in 2021)
> Change in adults who don’t exercise: -10.0% — 9th largest decrease (from 25.1% in 2011 to 22.6% in 2021)
> Change in median household income: 28.6% — 18th smallest increase (from $47,961 in 2010 to $61,691 in 2019)

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5. West Virginia
> Adult obesity increase, 2010-2021: 24.8%
> Adult obesity rate in 2010: 30.3% — 5th highest
> Adult obesity rate in 2021: 37.8% — 2nd highest
> Change in adults 20+ with diabetes: 22.8% — 19th smallest increase (from 12.3% in 2011 to 15.1% in 2021)
> Change in adults who don’t exercise: -10.5% — 7th largest decrease (from 31.3% in 2011 to 28.0% in 2021)
> Change in median household income: 27.8% — 15th smallest increase (from $38,218 in 2010 to $48,850 in 2019)

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4. Wisconsin
> Adult obesity increase, 2010-2021: 25.3%
> Adult obesity rate in 2010: 25.3% — 19th lowest
> Adult obesity rate in 2021: 31.7% — 23rd highest
> Change in adults 20+ with diabetes: 28.4% — 17th largest increase (from 7.4% in 2011 to 9.5% in 2021)
> Change in adults who don’t exercise: -10.6% — 6th largest decrease (from 22.7% in 2011 to 20.3% in 2021)
> Change in median household income: 31.0% — 22nd largest increase (from $49,001 in 2010 to $64,168 in 2019)

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3. North Dakota
> Adult obesity increase, 2010-2021: 25.6%
> Adult obesity rate in 2010: 27.0% — 23rd highest
> Adult obesity rate in 2021: 33.9% — 11th highest
> Change in adults 20+ with diabetes: 23.7% — 23rd smallest increase (from 7.6% in 2011 to 9.4% in 2021)
> Change in adults who don’t exercise: -8.3% — 15th largest decrease (from 25.2% in 2011 to 23.1% in 2021)
> Change in median household income: 32.7%% — 16th largest increase (from $48,670 in 2010 to $64,577 in 2019)

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2. Nebraska
> Adult obesity increase, 2010-2021: 26.0%
> Adult obesity rate in 2010: 26.5% — 24th highest
> Adult obesity rate in 2021: 33.4% — 13th highest
> Change in adults 20+ with diabetes: 44.9% — 4th largest increase (from 6.9% in 2011 to 10.0% in 2021)
> Change in adults who don’t exercise: -6.2% — 18th largest decrease (from 24.2% in 2011 to 22.7% in 2021)
> Change in median household income: 30.6% — 23rd largest increase (from $48,408 in 2010 to $63,229 in 2019)

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1. Rhode Island
> Adult obesity increase, 2010-2021: 31.3%
> Adult obesity rate in 2010: 21.7% — 5th lowest
> Adult obesity rate in 2021: 28.5% — 15th lowest
> Change in adults 20+ with diabetes: 26.3% — 24th largest increase (from 8.0% in 2011 to 10.1% in 2021)
> Change in adults who don’t exercise: -4.5% — 12th smallest decrease (from 24.6% in 2011 to 23.5% in 2021)
> Change in median household income: 36.2% — 8th largest increase (from $52,254 in 2010 to $71,169 in 2019)

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