Skip to Content
Streetsblog New York City home
Streetsblog New York City home
Log In
Commuting

Car-Dependent States Hit Hardest by Obesity Epidemic

driving_obesity.pngStates where more people drive to work face an even worse obesity crisis. Graphic: Noah Kazis and Carly Clark

Transportation is a public health issue. As profiled in the recently released report from the Trust for America's Health, "F as in Fat," obesity rates continue to rise across the nation, increasing the risk of serious health problems like diabetes and hypertension. To solve the obesity epidemic, the data suggest, we need to rethink our dependence on the automobile. 

"F as in Fat" breaks out obesity numbers state by state. After glancing at their map, it seemed like transit and pedestrian-friendly states were doing better than the national average. To get more precise, we decided to compare adult obesity rates, as gathered in the report, to commuting statistics in the U.S. Census. You can download our spreadsheet here

The result is the scatterplot shown above, which clearly shows that states where more people drive to work have higher obesity rates. Caveats abound -- correlation isn't causation and state-level data can obscure important patterns visible only through a closer microscope -- but the result is provocative. The two outliers are D.C. and New York State; they imply that while a large shift away from driving can make a big difference, it can't solve the obesity crisis on its own.

Although "F as in Fat" doesn't analyze transportation behavior itself, the authors agree that moving away from a reliance on the automobile is a critical component in curbing obesity. Their recommendations include: passing legislation supporting non-motorized transportation, such as an expansion of the Safe Routes to School program or a national complete streets bill; building more safe pedestrian space and bike paths to encourage active transport; and supporting mixed-use, walkable, and transit-oriented development.

Stay in touch

Sign up for our free newsletter

More from Streetsblog New York City

SCOUT’s Honor: Hochul To Expand MTA Program Pairing Nurses and Cops to Combat Mental Illness in Subways

Gov. Hochul's pitch to state lawmakers follows a nine month-long investigation by Streetsblog into how New York's social safety net struggles to help ill people in the subway.

January 13, 2026

Advance Look: Hochul Offers Major Transportation Policies in 2026 ‘State Of The State’ Speech

Why wait for the governor to start her annual address? We have the goods for you now.

January 13, 2026

State of the State Exclusive: Hochul Will Push ‘Stop Super Speeders’ Bill Through Her Budget

City motorists with a documented pattern of excessive speeding would be required to install speed-limiting devices inside their cars, Gov. Hochul is expected to announce today.

January 13, 2026

Westward Ho! Hochul Proposes to Extend Second Ave. Subway Along 125th Street to Broadway

The westward crosstown extension will connect what is now the Q train to seven different subway lines.

January 13, 2026

Delivery Apps Have Caused $550M In Pay Loss for Workers By Changing How Customers Tip: Mamdani Admin. Report

The average tip on UberEats and DoorDash is just 76¢ per delivery — compared to $2.17 on apps that offer the option to tip before checkout.

January 13, 2026

NJ Pols Want Registration Of Low-Speed E-Bikes, Despite Driver Mayhem

A restrictive e-bike registration bill is one step closer to becoming law in the Garden State.

January 13, 2026
See all posts