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How many people are fat and how many leans varies from state to state and city to city depending on a whole list of variables ranging from genetics to physical activity and, of course, the local diet. Table 4-1 shows the ten leanest and fattest states. Table 4-2 does the same for the top ten fattest and leanest cities. In both cases, the information is solidly reliable drawn from such eminent statistics sources as the Centers for Disease Control and Prevention, the U.S. Census, and the U.S. Department of Agriculture.

What do the fattest cities and states have in common? According to Michael Wimberly of the Geographic Information Science Center of Excellence at South Dakota State University, the people living there are

 Less likely to engage in physical activity

 Less likely to eat five servings of fruits and vegetables a day

 More likely to eat the “wrong” foods

 More likely to be living somewhere pretty far away from a really good supermarket

TABLE 4-1 The Ten Fattest and Leanest U.S. States

Fattest States (Fattest First)	Leanest States (Leanest First)
Mississippi	Utah
Kentucky	Colorado
Oklahoma	Connecticut
West Virginia	Idaho
Tennessee	Oregon
Alabama	Minnesota
Arkansas	Montana
Louisiana	Massachusetts
Michigan	Alaska
Ohio	Washington

From “Fattest States in the U.S.” https://wallethub.com/edu/fattest-states/16585/

TABLE 4-2 The Ten Fattest and Leanest American Cities

Fattest Cities (Fattest First)	Leanest Cities (Leanest First)
McAllen-Edinburg-Mission, TX	San Francisco-Oakland, CA
Shreveport-Bossier City, LA	Honolulu, HI
Memphis, TN	Minneapolis-St Paul, MN
Jackson, MS	Seattle-Tacoma-Belleville, WA
Knoxville, TN	Portland, OR
Tulsa, OK	Boston, MA
Mobile, AL	Denver, CO
Nashville, TN	Alexandria-D.C., VA
Columbia, SC	Colorado Springs, CO
Lafayette, LA	Salt Lake City, UT

From https://walletyhub.com/edu/fattest-cities-in-america/10532

Wimberly calls this an obesogenic environment, a situation that encourages weight gain.