2018’s Fattest Cities in America

Americans are the fattest people in the world, not just stereotypically but statistically too. In fact, as of 2017, almost 40% of the U.S. population aged 15 and older is obese. But such a finding should come as no surprise, considering the huge availability of fast-food and increasingly cheaper grocery items that have negatively altered our diets. Unfortunately, the extra pounds have inflated the costs of obesity-related medical treatment to nearly $316 billion a year and annual productivity losses due to work absenteeism to more than $8.6 billion.

But certain places are more responsible than others for tipping the scale in favor of bad health. To identify them, WalletHub compared 100 of the most populated U.S. metro areas across 18 key indicators of weight-related problems. Our data set ranges from share of physically inactive adults to projected obesity rates by 2030 to healthy-food access. Read on for our findings, expert advice on tackling America’s growing obesity problem and a full description of our methodology.

Main Findings

 

 

Fattest Cities in America

Overall Rank (1 = ‘Fattest’)	Metro Area	Total Score	‘Obesity & Overweight’ Rank	‘Health Consequences’ Rank	‘Food & Fitness’ Rank
1	Little Rock-North Little Rock-Conway, AR	81.03	9	1	1
2	Shreveport-Bossier City, LA	80.72	3	2	7
3	McAllen-Edinburg-Mission, TX	79.94	4	13	4
4	Memphis, TN-MS-AR	79.92	6	11	2
5	Mobile, AL	79.41	5	3	21
6	Knoxville, TN	79.18	2	12	15
7	Jackson, MS	78.28	15	8	3
8	Birmingham-Hoover, AL	78.18	10	16	5
9	Baton Rouge, LA	77.57	14	10	11
10	Lexington-Fayette, KY	76.68	11	6	23
11	Columbia, SC	76.61	12	23	6
12	Chattanooga, TN-GA	76.59	20	9	10
13	Lafayette, LA	76.57	13	14	20
14	Greenville-Anderson-Mauldin, SC	76.30	17	17	14
15	Louisville/Jefferson County, KY-IN	76.00	7	20	29
16	Nashville-Davidson--Murfreesboro--Franklin, TN	75.81	1	25	34
17	Canton-Massillon, OH	75.52	23	7	33
18	Winston-Salem, NC	74.95	30	4	25
19	Tulsa, OK	74.74	16	39	18
20	Greensboro-High Point, NC	74.73	19	15	27
21	Fayetteville-Springdale-Rogers, AR-MO	74.66	18	33	16
22	Huntsville, AL	74.57	8	100	19
23	Wichita, KS	74.27	24	45	8
24	Oklahoma City, OK	73.66	21	50	17
25	Detroit-Warren-Dearborn, MI	73.40	28	5	52
26	Fort Wayne, IN	72.86	22	21	36
27	Toledo, OH	72.79	53	24	13
28	Indianapolis-Carmel-Anderson, IN	72.36	31	19	42
29	Myrtle Beach-Conway-North Myrtle Beach, SC-NC	72.00	46	26	26
30	New Orleans-Metairie, LA	71.99	34	18	43
31	Columbus, OH	71.75	32	44	24
32	Charleston-North Charleston, SC	71.68	27	60	44
33	El Paso, TX	71.41	64	32	12
34	Augusta-Richmond County, GA-SC	71.41	68	28	9
35	Scranton--Wilkes-Barre--Hazleton, PA	70.85	40	46	54
36	Dayton, OH	70.75	49	29	45
37	Jacksonville, FL	70.49	29	41	58
38	Asheville, NC	70.43	52	53	38
39	Youngstown-Warren-Boardman, OH-PA	70.33	47	51	35
40	Charlotte-Concord-Gastonia, NC-SC	70.32	26	31	64
41	Allentown-Bethlehem-Easton, PA-NJ	69.99	25	87	47
42	Grand Rapids-Wyoming, MI	69.72	33	86	39
43	Kansas City, MO-KS	69.57	57	59	32
44	Dallas-Fort Worth-Arlington, TX	69.50	56	69	22
45	Durham-Chapel Hill, NC	69.14	36	81	46
46	San Antonio-New Braunfels, TX	69.05	51	54	41
47	Riverside-San Bernardino-Ontario, CA	68.88	76	30	30
48	Providence-Warwick, RI-MA	68.61	44	75	61
49	Cincinnati, OH-KY-IN	68.61	62	22	49
50	Tampa-St. Petersburg-Clearwater, FL	68.58	42	40	69
51	Baltimore-Columbia-Towson, MD	68.28	37	34	77
52	Akron, OH	68.10	50	85	40
53	Houston-The Woodlands-Sugar Land, TX	67.89	45	48	59
54	Raleigh, NC	67.70	43	82	57
55	St. Louis, MO-IL	67.49	54	56	63
56	Spokane-Spokane Valley, WA	67.14	88	36	50
57	Richmond, VA	67.05	95	43	28
58	Albuquerque, NM	66.97	70	62	48
59	Pittsburgh, PA	66.93	38	71	76
60	Worcester, MA-CT	66.83	87	35	60
61	Portland-South Portland, ME	66.78	69	73	62
62	Miami-Fort Lauderdale-West Palm Beach, FL	66.75	35	65	81
63	Manchester-Nashua, NH	66.52	86	47	73
64	New York-Newark-Jersey City, NY-NJ-PA	66.49	61	79	56
65	Hartford-West Hartford-East Hartford, CT	66.23	80	63	66
66	Des Moines-West Des Moines, IA	66.19	81	84	31
67	Phoenix-Mesa-Scottsdale, AZ	66.19	77	37	65
68	New Haven-Milford, CT	66.13	74	74	79
69	Springfield, MA	66.00	96	38	55
70	Las Vegas-Henderson-Paradise, NV	65.90	66	42	80
71	Atlanta-Sandy Springs-Roswell, GA	65.71	71	27	75
72	Omaha-Council Bluffs, NE-IA	65.66	72	66	68
73	Milwaukee-Waukesha-West Allis, WI	65.54	39	55	84
74	Anchorage, AK	65.48	84	70	51
75	Virginia Beach-Norfolk-Newport News, VA-NC	65.40	82	49	67
76	Orlando-Kissimmee-Sanford, FL	65.24	55	64	86
77	Austin-Round Rock, TX	64.88	48	67	82
78	Philadelphia-Camden-Wilmington, PA-NJ-DE-MD	64.73	60	52	91
79	Cleveland-Elyria, OH	64.71	41	88	70
80	Los Angeles-Long Beach-Anaheim, CA	64.49	63	72	78
81	Washington-Arlington-Alexandria, DC-VA-MD-WV	63.42	58	78	94
82	Boise, ID	63.19	83	58	88
83	Reno, NV	63.18	93	61	72
84	Tucson, AZ	62.95	90	57	85
85	Bridgeport-Stamford-Norwalk, CT	62.70	85	96	90
86	Sacramento--Roseville--Arden-Arcade, CA	62.03	59	89	95
87	San Diego-Carlsbad, CA	61.89	67	68	100
88	Chicago-Naperville-Elgin, IL-IN-WI	61.83	75	76	97
89	San Jose-Sunnyvale-Santa Clara, CA	61.61	65	98	89
90	Provo-Orem, UT	61.46	98	95	37
91	Ogden-Clearfield, UT	61.36	100	80	53
92	San Francisco-Oakland-Hayward, CA	60.40	73	99	92
93	Minneapolis-St. Paul-Bloomington, MN-WI	60.13	79	93	87
94	Denver-Aurora-Lakewood, CO	59.81	94	97	71
95	Boston-Cambridge-Newton, MA-NH	59.56	89	91	93
96	Colorado Springs, CO	59.43	92	92	83
97	Seattle-Tacoma-Bellevue, WA	59.10	78	83	99
98	Salt Lake City, UT	58.92	99	94	74
99	Honolulu, HI	58.65	97	90	96
100	Portland-Vancouver-Hillsboro, OR-WA	58.63	91	77	98

Ask the Experts

Fighting obesity requires a multi-level approach. We turned to a panel of experts for the best ways to address the problem, from the personal to policy level. Click on the experts’ profiles to read their bios and responses to the following key questions:

1. What are some tips for eating healthy without breaking the bank?
2. What are the biggest mistakes people make when trying to achieve and maintain a healthy lifestyle?
3. What is the impact of obesity on the economy and worker productivity?
4. Should employers play a role in helping workers maintain a healthy lifestyle? How?
5. What policies should government pursue to fight obesity and lower the cost of health care?

Methodology

In order to determine the fattest cities in America, WalletHub compared 100 of the most populated U.S. metro areas across three key dimensions: 1) Obesity & Overweight, 2) Health Consequences and 3) Food & Fitness.

We evaluated those dimensions using 18 relevant metrics, which are listed below with their corresponding weights. Each metric was graded on a 100-point scale, with a score of 100 representing the “fattest.” Data for metrics marked with an asterisk (*) were available only at the state level.

We then determined each city’s weighted average across all metrics to calculate its total score and used the resulting scores to rank-order our sample.

Obesity & Overweight – Total Points: 60

• Share of Overweight Adults: Full Weight (~13.33 Points)
• Share of Obese Adults: Full Weight (~13.33 Points)
• Share of Overweight Teenagers: Half* Weight (~6.67 Points)
  Note: “Teenagers” includes persons aged 14 to 18.
• Share of Obese Teenagers: Half* Weight (~6.67 Points)
  Note: “Teenagers” includes persons aged 14 to 18.
• Share of Overweight Children: Half* Weight (~6.67 Points)
  Note: “Children” includes persons aged 10 to 17.
• Share of Obese Children: Half* Weight (~6.67 Points)
  Note: “Children” includes persons aged 10 to 17.
• Projected Obesity Rates by 2030: Half* Weight (~6.67 Points)

Health Consequences – Total Points: 25

• Share of Adults with High Cholesterol: Full Weight (~5.56 Points)
• Share of Diabetic Adults: Full Weight (~5.56 Points)
• Share of Adults with High Blood Pressure: Full Weight (~5.56 Points)
• Heart-Disease Rate: Full Weight (~5.56 Points)
• Obesity-Related Death Rate: Half* Weight (~2.78 Points)

Food & Fitness – Total Points: 15

• Share of Adults with Low Fruit/Vegetable Consumption: Full Weight (~1.67 Points)
• Share of Residents Who Say They Eat Healthy: Full Weight (~1.67 Points)
• Access to Healthy Food: Full Weight (~1.67 Points)
  Note: This metric measures the percentage of urban-area residents who earn a low income and live more than 1 mile from a grocery store or supermarket.
• Share of Physically Inactive Adults: Full Weight (~1.67 Points)
• City Friendliness toward an Active Lifestyle: Quadruple Weight (~6.67 Points)
  Note: This metric is based on data from WalletHub’s Best & Worst Cities for an Active Lifestyle ranking.
• Access to Parks & Recreational Facilities: Full Weight (~1.67 Points)

 

Sources: Data used to create this ranking were collected from the Centers for Disease Control and Prevention, County Health Rankings, United States Department of Agriculture Economic Research Service, Child and Adolescent Health Measurement Initiative, Gallup, Trust for America's Health and WalletHub research.