A recent report shows that the number of U.S. states with very high obesity rates dropped for the first time. In 2024, only 19 states had adult obesity rates at or above 35%. This is down from 23 states in 2023.
Although obesity remains a major public health concern, experts say this decrease may signal early progress in some states. Reducing obesity can improve overall health, lower healthcare costs, and reduce the risk of chronic diseases such as diabetes, heart disease, and stroke.
The report analyzed data from all 50 states, tracking adult obesity trends over time. Researchers noted that the decline was small but meaningful, indicating that public health interventions may be starting to take effect.
State-level strategies appear to be contributing to the improvement. Programs promoting healthier eating, regular physical activity, and community wellness initiatives have shown success in certain areas. Local governments, schools, and healthcare providers are working together to address obesity.
Public health experts caution that the national obesity rate remains high. While fewer states now exceed the 35% threshold, many Americans still face weight-related health risks. Comprehensive policies are still needed to maintain and expand progress.
Nutrition education and access to healthy foods are key factors. States that reported declines often combined public awareness campaigns with efforts to increase availability of fruits, vegetables, and whole grains in schools and communities.
Physical activity programs have also played a role. Initiatives encouraging walking, biking, sports participation, and safe recreational spaces have helped residents adopt healthier lifestyles.
The report’s authors emphasized that prevention is critical. By reducing obesity rates, states can lower rates of chronic illnesses, improve quality of life, and decrease healthcare expenditures. Early interventions in children and adolescents were highlighted as especially effective.
Healthcare providers note that small improvements in obesity rates can have large long-term benefits. Even modest reductions in body weight are associated with lower risks of diabetes, hypertension, and cardiovascular disease.
Policy experts say that sustained progress requires collaboration across sectors. Public health agencies, schools, food producers, urban planners, and community organizations all have a role in promoting healthy behaviors and environments.
While progress varies by state, the overall trend is encouraging. Some states showed measurable declines in adult obesity, while others maintained steady rates. Researchers hope that lessons from successful programs can be applied nationwide.
The report also highlights the importance of data monitoring. Tracking obesity trends helps policymakers identify effective interventions and target resources where they are most needed.
Experts suggest that new technologies and community-based programs could accelerate progress. Mobile health apps, fitness tracking, and social support networks are increasingly used to motivate healthy behaviors and monitor outcomes.
Although the decline is modest, it demonstrates that change is possible. Communities that combine education, access, and motivation can influence health outcomes at the population level.
The U.S. Centers for Disease Control and Prevention (CDC) and other public health organizations continue to emphasize evidence-based interventions. Strategies such as nutrition labeling, school wellness policies, and workplace wellness programs are considered essential tools in reducing obesity rates.
Researchers stress that sustained effort is required. Long-term success will depend on continuous support from government agencies, healthcare providers, community leaders, and individuals.
In conclusion, the drop in the number of states with very high obesity rates is an early sign of hope. While challenges remain, the progress suggests that coordinated efforts in policy, education, and community health can make a difference in combating the national obesity epidemic.

