With November being National Diabetes Awareness Month and obesity costing the health care system around $147 billion each year, WalletHub has released its report on 2021’s Most Overweight & Obese States in America.

To determine which states contribute the most to America’s overweight and obesity problem, WalletHub compared the 50 states and the District of Columbia across 31 key metrics.

They range from a share of overweight and obese population to sugary-beverage consumption among adolescents to obesity-related health care costs.

20 Most Overweight & Obese States

1.  West Virginia
2. Mississippi
3. Arkansas
4. Kentucky
5. Alabama
6. Tennessee
7. Delaware
8. Louisiana
9. South Carolina
10. Oklahoma
11. Texas
12. Ohio
13. Georgia
14. Missouri
15. Kansas
16. Iowa
17. North Carolina
18. Michigan
19. Indiana
20. Maryland

Key Stats:

• Colorado and Massachusetts have the lowest percentage of obese adults, 24.00 percent, which is 1.7 times lower than in Mississippi, the state with the highest at 39.70 percent.
• Utah has the lowest percentage of physically inactive adults, 16.10 percent, which is 1.8 times lower than in Kentucky, the state with the highest at 29.40 percent.
• Colorado has the lowest percentage of diabetic adults, 7.50 percent, which is 2.1 times lower than in West Virginia, the state with the highest at 15.70 percent.
• Colorado has the lowest percentage of adults with high blood pressure, 24.50 percent, which is 1.7 times lower than in Mississippi, the state with the highest, at 40.60 percent.

You can learn more about WalletHub and their studies here, at their website.