Obesity remains a national epidemic, with four in ten U.S. adults affected, and the burden falling disproportionately on Black, Latino, and rural populations. A new report from Trust for America’s Health reveals that while the number of states with obesity rates over 35 percent dipped slightly in 2024, the overall picture remains troubling.
Black adults had the highest obesity rate at 49.9 percent, followed by Latino adults at 45.6 percent. These rates far exceed the national average and reflect deep-rooted structural barriers. “It is vital that government and other sectors invest in – not cut – proven programs that support good nutrition and physical activity and ensure they reach all communities,” said J. Nadine Gracia, M.D., MSCE, President and CEO of the organization.
Rural communities also face elevated obesity rates, often due to limited access to healthy food, safe spaces for physical activity, and healthcare services. The report links obesity to economic and community conditions that shape daily life—education, income, stress, and food affordability all play a role.
Among children and adolescents, obesity rates have more than tripled since the 1970s. Black and Latino youth are especially affected, with rates significantly higher than their white and Asian peers.
Despite these challenges, federal budget proposals threaten to eliminate key public health programs, including the CDC’s National Center for Chronic Disease Prevention. Advocates warn that such cuts could reverse recent progress and deepen disparities.
See: “U.S. Adult Obesity Rates Remain at Epidemic Levels Despite a One-Year Dip in States with Obesity Rates Over 35 Percent” (October 16, 2025)
