The Most Obese States in America

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20. North Carolina
> Adult obesity rate: 32.3% (US rate: 29.7%)
> Adults who don’t exercise: 23.3% — 20th highest (US rate: 22.7%)
> Pop. over 20 with diabetes: 11.5% — 14th highest (US rate: 10.5%)
> Adults who don’t get enough sleep: 36.1% — 24th highest (US rate: 35.2%)
> Adults in fair or poor health: 18.0% — 19th highest (US rate: 17.0%)
> Premature deaths (before 75): 370 per 100,000 people — 15th most (US rate: 339 per 100,000 people)
> Median household income:$57,341 — 12th lowest (US median: $65,712)

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19. South Dakota
> Adult obesity rate: 32.4% (US rate: 29.7%)
> Adults who don’t exercise: 22.0% — 21st lowest (US rate: 22.7%)
> Pop. over 20 with diabetes: 10.1% — 25th lowest (US rate: 10.5%)
> Adults who don’t get enough sleep: 30.1% — 3rd lowest (US rate: 35.2%)
> Adults in fair or poor health: 13.4% — 5th lowest (US rate: 17.0%)
> Premature deaths (before 75): 335 per 100,000 people — 24th fewest (US rate: 339 per 100,000 people)
> Median household income:$59,533 — 18th lowest (US median: $65,712)

Source: DenisTangneyJr / Getty Images

18. Delaware
> Adult obesity rate: 32.4% (US rate: 29.7%)
> Adults who don’t exercise: 27.3% — 8th highest (US rate: 22.7%)
> Pop. over 20 with diabetes: 11.8% — 13th highest (US rate: 10.5%)
> Adults who don’t get enough sleep: 36.5% — 23rd highest (US rate: 35.2%)
> Adults in fair or poor health: 16.3% — 23rd lowest (US rate: 17.0%)
> Premature deaths (before 75): 360 per 100,000 people — 17th most (US rate: 339 per 100,000 people)
> Median household income:$70,176 — 16th highest (US median: $65,712)

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17. Michigan
> Adult obesity rate: 32.4% (US rate: 29.7%)
> Adults who don’t exercise: 23.1% — 24th highest (US rate: 22.7%)
> Pop. over 20 with diabetes: 11.0% — 18th highest (US rate: 10.5%)
> Adults who don’t get enough sleep: 40.4% — 6th highest (US rate: 35.2%)
> Adults in fair or poor health: 18.3% — 16th highest (US rate: 17.0%)
> Premature deaths (before 75): 364 per 100,000 people — 16th most (US rate: 339 per 100,000 people)
> Median household income:$59,584 — 19th lowest (US median: $65,712)

Source: DenisTangneyJr / Getty Images

16. Missouri
> Adult obesity rate: 32.5% (US rate: 29.7%)
> Adults who don’t exercise: 25.5% — 16th highest (US rate: 22.7%)
> Pop. over 20 with diabetes: 11.4% — 15th highest (US rate: 10.5%)
> Adults who don’t get enough sleep: 35.2% — 25th lowest (US rate: 35.2%)
> Adults in fair or poor health: 19.5% — 11th highest (US rate: 17.0%)
> Premature deaths (before 75): 404 per 100,000 people — 11th most (US rate: 339 per 100,000 people)
> Median household income:$57,409 — 13th lowest (US median: $65,712)