Advisory Board November 6, 2025

WalletHub on Tuesday released its list of the “Most Overweight & Obese States” in 2025, with West Virginia topping the list.

Methodology

For the analysis, WalletHub compared the 50 U.S. states and the District of Columbia on 31 metrics across three key dimensions:

  • Obesity and overweight prevalence, which includes the share of overweight or obese adults, teenagers, and children in a state (60 points)
  • Health consequences, which includes the share of adults with high cholesterol or type 2 diabetes and obesity-related healthcare costs (25 points)
  • Food and fitness, which includes the percentages of adults eating less than one serving of fruits or vegetables a day, the share of physically inactive adults, consumption of sugar-sweetened beverages among adolescents, and more...

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