Clinical Report: US States Show First Decline in Adult Obesity Rates Since 2013
Overview
For the first time in over a decade, the number of US states with adult obesity rates of 35% or higher decreased from 23 to 19 between 2023 and 2024. Despite this encouraging sign, no state showed statistically significant changes in obesity rates, and recent federal funding cuts may threaten continued progress.
Background
Obesity, defined as a body mass index (BMI) of 30 or higher, is a chronic disease linked to diabetes, stroke, cancer, and heart disease. The US has experienced a steady rise in obesity rates over the past decade, with no states having rates above 35% before 2013. The CDC’s Behavioral Risk Factor Surveillance System annually collects data on health behaviors and chronic conditions, providing insight into obesity trends across states.
Data Highlights
Obesity Rate Category
Number of States (2024)
≥35%
19
30% to <35%
22
<30%
9
Lowest State Rate
25% (Colorado)
Highest State Rate
>40% (West Virginia)
Key Findings
The number of states with obesity rates ≥35% dropped from 23 in 2023 to 19 in 2024.
No states experienced statistically significant increases or decreases in obesity rates between 2023 and 2024.
Before 2013, no state had an obesity prevalence ≥35%; by 2019, 12 states reached this threshold.
Obesity affects approximately 40% of the US adult population and remains a major public health concern.
Potential contributors to recent improvements include increased use of appetite-suppressing drugs and enhanced nutrition assistance programs during the COVID-19 pandemic.
Federal funding cuts and program eliminations may jeopardize ongoing efforts to reduce obesity.
Clinical Implications
Clinicians should remain vigilant in addressing obesity given its high prevalence and associated comorbidities. Emerging pharmacotherapies and public health interventions may contribute to improvements but require sustained support. Awareness of potential policy changes impacting obesity prevention programs is important for comprehensive patient care.
Conclusion
The recent decline in the number of states with very high obesity rates is a promising development, though it is premature to confirm a sustained trend. Continued investment in prevention and treatment strategies is essential to maintain and accelerate progress against the obesity epidemic.
References
Associated Press/2024 -- New Analysis Indicates Potential Improvement in US Obesity Rates
