Obesity By State 2025. States with the highest prevalence of obesity now will continue to have high numbers including oklahoma, alabama, arkansas, mississippi, texas, west virginia and. States with lowest levels of adult obesity in 2023 were colorado (24.9 percent), hawaii (26.1 percent), massachusetts (27.4 percent), and california (27.7 percent), plus the adult obesity rate in the district of columbia was 23.5.
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