Methodology

To determine the most obese city in every state, 24/7 Tempo analyzed county-level data from the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute joint program’s 2022 County Health Rankings & Roadmaps report . We aggregated county-level statistics to metropolitan statistical areas. 

Adult obesity is defined in the Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System as having a body mass index of 30kg/m2 or greater for adults 20 years and over. 

The percentage of adults who have been diagnosed with diabetes came from the CHR.The share of adults who report fair or poor health, who report no physical activity on a regular basis, and who get less than seven hours of sleep on average came from the CHR. All CHR data is for the most recent year available.

The  median annual household income listed for metro areas and states came from the U.S. Census Bureau’s 2020 American Community Survey and are five-year estimates.