Americans are among the most overweight populations in the world — and it’s not just a stereotype. Statistically, nearly 42 percent of U.S. adults are classified as obese. This staggering figure isn’t all that surprising given the widespread availability of fast food and cheap, unhealthy grocery items that have reshaped our diets over the past few decades.

But the issue isn’t just about health — it’s hitting Americans hard financially, too. Obesity-related medical treatments now cost an estimated $190.2 billion each year, while work absenteeism due to weight-related health problems causes an additional $4.3 billion in annual productivity losses.

However, some parts of the country are more responsible than others for tipping the scales in the wrong direction. To find out which areas are struggling the most, WalletHub conducted a study comparing 100 of the most populated U.S. metro areas across 19 key indicators tied to weight problems. The data looked at factors such as the percentage of physically inactive adults, projected obesity rates by 2030, and access to healthy foods.

The findings highlight just how deeply rooted the obesity epidemic is across the nation. In many areas, limited access to nutritious options and sedentary lifestyles continue to fuel an already alarming trend. As policymakers, community leaders, and healthcare providers search for solutions, these numbers serve as a wake-up call — and a reminder that change must happen not just individually but collectively.