Variability of obesity prevalence in US states: are obesity growth or deterioration rates constant for different income quantiles?
By
Yuval Arbel
Yifat Arbel
Oriya Kerner
Miryam Kerner
July 8, 2026
Clinical Scorecard: Differences in Obesity Rates Across U.S. States: Are Trends in Growth or Decline Consistent Among Various Income Levels?
At a Glance
Category Detail
Condition Obesity
Key Mechanisms Socioeconomic disparities, income levels, food environments, healthcare access, physical activity.
Target Population U.S. adults across various income levels.
Care Setting Public health and policy planning.
Key Highlights
Obesity prevalence varies significantly across income groups in the U.S. Lower-income groups exhibit higher obesity rates compared to higher-income groups. All income groups experienced increases in obesity prevalence from 2012 to 2020. The highest income group showed a larger average annual increase in obesity prevalence. Stable differences in annual changes across income groups were observed over time.
Guideline-Based Recommendations
Diagnosis
Utilize state-level data to evaluate obesity prevalence.
Management
Implement public health responses that account for income-related differences.
Monitoring & Follow-up
Track annual changes in obesity prevalence across income quantiles.
Risks
Higher obesity prevalence in lower-income groups may lead to increased health risks.
Patient & Prescribing Data
Adults in the United States across different income levels.
Focus on voluntary approaches such as information campaigns and access to healthy foods.
Clinical Best Practices
Consider socioeconomic factors when addressing obesity. Promote initiatives related to physical activity and the built environment.
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