Skip to main content

The Manual may earn a commission when you buy through links on our site.

These are the fittest (and most unhealthy) states in the U.S.

Total Shape breaks down the stats on the fittest states, and the highest and lowest obesity rates

We are a fat nation, yet we are also fit. With upwards of 70% of this country’s population being obese, we overconsume and are overfed (per a 2016 study by the English Our World in Data nonprofit). Not coincidentally, the United States also contains some of the most fast food restaurants per capita. According to a national survey by online fitness resource Total Shape, though, we make up that calorie consumption by retaining access to the most gyms in the world.

Health Crossfitter's silhouette. Lake, foothills, and sky in background.
Mohamed Mahmoud Hassan

“The fast-food industry in America is worth over $250 billion and 1 in 4 Americans visit a fast-food restaurant daily,” Total Shape said in a press release. “Americans also have some of the greatest sports facilities and events in the world, inspir(ing) millions to get out and get active.”

Recommended Videos

Such is reality in this contradiction of a nation.

Total Shape conducted an extensive research study that uncovered these stark fitness differences. Researchers analyzed data on key health indicators in America, such as searches for gym memberships, gyms per 100,000 capita of population, percentage of adult smokers, and obesity rates. This data elicited some fascinating results, not least of which is one comparing the healthiest and unhealthiest states in the Union.

The fittest states in the U.S.

The healthiest state in the U.S. according to Total Shape? California. This seems obvious, but there are also lots of nearby outdoors paradises like Colorado, Utah, and Washington to compete. California, however, won out on sporting the most gyms and some of the lowest obesity and smoking rates in the country. With more than 30,000 fast food restaurants, California does have the most in the nation. Being a huge state, though, there are only 77 restaurants per 100,000 people — only slightly above the national average of 74.

Colorado, Montana, and Utah appear on the list of healthiest states but check in only at numbers seven, eight, and nine, respectively. This is somewhat of a surprise, at least for the writer with a West Coast bias. Total Shape found Connecticut, Massachusetts, Vermont, and New Jersey are the next-healthiest states in the U.S. Taylor Pork Rolls — good for you. Who knew?

Connecticut opened the U.S.’s first burger restaurant in 1895, which led to over 2,500 fast food restaurants opening across the state, but this is only a middling number per capita. Where the state stands out is its figure of 19 gyms for every 100,000 people, the second-highest in Total Shape’s list. New Jersey may be the “diner capital of the world,” but with 15 gyms per 100,000 people, only 13% of adults smoking, and a “low” obesity rate of 27%, Jersey knows how to stay fit.

The least healthy states in the U.S.

The least healthy states in Total Shape’s analysis — West Virginia, Kentucky, Arkansas, and Mississippi — all share the opposite characteristics: nearly 40% obesity rates, almost double the amount of smokers, and nearly half the amount of gyms per capita. Goes to show that culture matters.

Notably, Hawaii has the highest search rates for gym memberships in America, but it has few opportunities for gym-goers due to scarce, expensive land spread along the islands. There are only 10 gyms for every 100,000 people contrasted with 102 fast food restaurants per 100,000 people — the highest rate in America and about 25 more than average. Despite this unhealthy stat, the state does remain paradise, and Hawaii’s 25% obesity rate is one of the lowest in the U.S.

Fast food restaurants per 100,000 people, in fact, is one of the more consistent measures across the country.

“Even in the healthiest states, such as Massachusetts and Connecticut, there are just over triple the number of fast-food restaurants than gyms,” Total Shape said. “In states such as Kentucky and West Virginia, this figure rises to seven times the number of fast-food restaurants to gyms.”

Total Shape also found that we boast the most gym and health facilities globally (and the highest annual industry revenue in the world), the average gym member sits about four to six miles from their local gym, whereas the closest food joint is between about 2.5 to 3.7 miles away.

A lot of temptation, in other words, lies in wait for the typical U.S. citizen, which isn’t great for obesity rates in America. Communities can help to combat that. If you’re already a gym member, try to join some groups or classes. If you’re not at the gym, check into local fitness meetups. People love to get together to encourage each other to run, jump, and climb. Even online resources like Total Shape can help us congregate over good health and positive habits.

Matthew Denis
Former Digital Trends Contributor
Matt Denis is an on-the-go remote multimedia reporter, exploring arts, culture, and the existential in the Pacific Northwest…
Martial arts and fitness guru Billy Blanks brings back this 90’s fitness trend
Get your heart pumping and your muscles moving with a dose of 90's nostalgia
Billy Blanks martial arts guru flexing

From the birth of the Super Nintendo and the Walkman to the rise of the Information Age, the 90s was an iconic era. We can reminisce about many of the interesting fitness trends of the 90s, like rollerblading, step aerobics, and jazzercise. Coaches, influencers, and bodybuilders like Arnold Schwarzenegger dominated the fitness spotlight and encouraged people to get their bodies moving and fine-tune their physical performance. One of the most popular of these trends was Tae-Bo, led by celebrity and martial arts guru Billy Blanks. Now Billy Blanks is back at it with the first Tae-Bo workout video in over a decade. Let’s look at what Tae-Bo is, the benefits of this type of exercise, and this fitness leader’s newest power workout.
What is Tae-Bo?

Tae-Bo is a potent blend of martial arts, kickboxing, and high-energy dance or cardio. You’ll be doing kicks, punches, blocks, and other dance movements. Tae-Bo was developed by martial artist, fitness celebrity, and actor Billy Blanks in the 1970’s. By the 90s, it was one of the most prominent fitness trends, and Billy Blanks became known for his positive and encouraging mindset and his heart-pumping workout sessions. 
What are the benefits of Tae-Bo?

Read more
Here’s how many days it took this runner to complete 7 marathons on 7 continents
From teeth-chattering temperatures to 100-degree weather and rough terrain; this runner from Texas still crossed the finish line.
man running marathon

Completing one marathon shows an impressive degree of strength, dedication, and athletic prowess. A full marathon is 26.2 miles, and in 2023, the average running time for men was 4 hours and 14 minutes. How long it takes you to cross that finish line depends on factors like your fitness level and age. Elite marathoners might take just over two hours, whereas others might take up to eight hours or longer. One runner decided to run seven marathons on seven continents, which is an interesting and challenging goal to set your mind on. 
7 marathons on 7 continents in 7 days

Mike Rogers is a 71-year-old runner from Texas who’s part of the USA FIT Lubbock run club. While you might be picturing your typical marathon, Mike started this fitness challenge in teeth-chattering temperatures below freezing in Wolf’s Fang, Antarctica. Mike was one of 55 people who completed the Great World Race in November, covering seven marathons on all seven continents in seven days to help raise money for charities such as Make a Wish. Seven is the magic number when it comes to the Great World Race.

Read more
When should you take creatine to optimize muscle growth? Here’s the science
Does supplementing creatine really help your muscles swell? When should you take it?
Man drinking a protein shake

Creatine remains one of the most talked about supplements in the fitness world when it comes to boosting muscle mass and aiding muscle recovery. Some take it before workouts, and others take it after workouts or first thing in the morning. It's been on the top supplement list of athletes and fitness professionals for decades.

Creatine has remained popular for so long, probably because of its multitude of evidence-based benefits, including lowering blood sugar and increasing muscle mass and strength. Most researchers and fitness professionals believe creatine is a safe and effective supplement when taken properly. Let’s look at the science on the benefits of creatine and the best time to take this supplement to optimize muscle growth.
What is creatine?

Read more