5 Most Overweight and Obese Cities in the U.S. In 2023

2. Birmingham-Hoover, AL

Average BMI: 38.8

Birmingham-Hoover is representative of Alabama being among the most obese states in the U.S., though fitness is fast improving especially in the city of Hoover, and if this continues, then while Birmingham-Hoover may not be off this list for a long time, it could drop several places in coming years