America’s Weight Problem: The States Struggling Most with Obesity in 2025
November marks National Diabetes Awareness Month, a time to shed light not only on diabetes but also on the lifestyle factors that contribute to it—chief among them, obesity. With obesity-related healthcare costs reaching an estimated $173 billion annually, it’s clear that America’s weight problem is more than a personal issue—it’s a national concern.
The personal-finance company WalletHub recently released its annual report on the Most Overweight & Obese States in 2025, highlighting where the challenges are greatest and offering insight into the state of our nation’s health.
The 20 Most Overweight & Obese States
- West Virginia
- Mississippi
- Arkansas
- Louisiana
- Alabama
- Tennessee
- Kentucky
- Texas
- Delaware
- Oklahoma
- Maine
- Ohio
- South Carolina
- North Dakota
- Kansas
- New Mexico
- Georgia
- Michigan
- Indiana
- North Carolina
What the Data Reveals
The findings paint a stark picture of regional health disparities across the U.S. States in the South and Midwest continue to rank among the highest for obesity and related health concerns, while areas like the District of Columbia and Colorado lead the way in healthier outcomes.
Here are a few key takeaways:
- The District of Columbia has the lowest percentage of obese adults—1.7 times lower than in West Virginia, which holds the unfortunate top spot.
- The District of Columbia also boasts the lowest rate of physical inactivity, 2.1 times lower than Mississippi, the state with the highest inactivity rate.
- Vermont reports the lowest percentage of diabetic adults, 1.9 times lower than in West Virginia.
- Colorado leads in heart health, with the lowest percentage of adults with high blood pressure, 1.6 times lower than Mississippi.
Why This Matters
Obesity increases the risk of developing chronic diseases such as type 2 diabetes, heart disease, and certain cancers. Beyond individual health, these conditions place a heavy burden on the nation’s healthcare system and economy.
While genetics and environment play a role, lifestyle choices—diet, exercise, stress management, and community support—remain the most powerful tools in reversing the trend. Awareness months like November serve as a reminder that prevention starts at home and in our communities.
Moving Toward Healthier Communities
Efforts to promote physical activity, improve access to nutritious food, and educate families on healthier habits are crucial. Whether it’s walking clubs, farmers’ markets, or public health campaigns, local initiatives can make a big difference in curbing obesity rates and improving quality of life.
This November, let’s honor National Diabetes Awareness Month by recommitting to small, sustainable steps toward better health—for ourselves, our families, and our communities.
