2025 State of Obesity Report: Transforming Policies for a Healthier America – Insights from TFAH

On October 16, 2025, new data revealed a slight drop in adult obesity rates across the U.S. In 2024, 19 states reported obesity rates of 35% or higher, down from 23 states the previous year. This decrease marks the first decline in this particular measure in decades. However, experts warn that progress may be at risk due to recent federal budget cuts aimed at public health programs, which threaten chronic disease prevention efforts.

The report, conducted by Trust for America’s Health (TFAH) and based on 2024 data from the CDC, shows that while some areas have managed to slow the rise in obesity, the national rate remains concerningly high. Approximately 40% of American adults are affected by obesity. The report specifically points out significant reductions in participation and funding for programs designed to combat obesity and related chronic diseases.

“We need continued investment in programs that promote good nutrition and physical activity,” said Dr. J. Nadine Gracia, President of TFAH. She stressed that without support, many communities will continue to face barriers to healthy living.

Some key findings from the report include:

• The states with the highest adult obesity rates in 2024 were West Virginia (41.4%), Mississippi (40.4%), and Louisiana (39.2%).
• On the flip side, Colorado (25.0%), Hawaii (27.0%), and Massachusetts (27.0%) showed the lowest rates.
• Rates were notably higher among Black (49.9%) and Latino adults (45.6%).
• Rural communities struggle with higher obesity rates compared to urban areas.
• Adults with college degrees or higher incomes typically have lower obesity rates, highlighting the connection between economic status and healthy eating.

The issue isn’t just limited to adults. Among children and teens aged 2 to 19, over 21% face obesity—more than triple the rates seen in the mid-1970s. However, Black and Latino youth experience even higher rates compared to other groups.

Obesity isn’t just a number; it brings a host of health issues, mental health challenges, and increased healthcare costs. Many factors contribute to obesity, including the economic landscape and community environments. Access to affordable, healthy food and safe spaces for physical activity is critical for making positive lifestyle choices. Unfortunately, groups that already face barriers, such as those in rural areas and communities of color, often bear the brunt of these dietary challenges.

The report also highlights growing concerns about ultra-processed foods and their link to rising obesity rates—a topic that has gained traction in public health discussions.

To confront this crisis, the report recommends several actionable strategies for lawmakers:

• Sustain and enhance the National Center for Chronic Disease Prevention and Health Promotion at the CDC.
• Reverse cuts to nutrition support programs, ensuring better food quality in programs like SNAP and WIC.
• Implement clear nutrition labeling to assist consumers in making informed choices.
• Ensure access to healthcare, especially in obesity prevention and treatment.
• Target obesity prevention efforts toward communities with the greatest needs.
• Encourage physical activity by enhancing community infrastructure for transportation and recreation.
• Limit marketing unhealthy foods to children to combat rising obesity rates in youth.

To understand more about how these findings can shape public health policy, check out the full report at [Trust for America’s Health](https://www.tfah.org).

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