The United States has the highest obesity rate in the western (developed) world, and the 18th highest obesity rate in the world if you take small Island nations into account, at 42.7%. Obesity rates vary significantly among states](/state-rankings/obesity-rate-by-state), ranging from 24.7% to 40.6%. This is due to the same dietary, environmental, and cultural factors that cause variations among countries. Diet is primarily to blame, with Americans receiving mixed messages about what they should be eating and how much. Faced with mouth-watering advertisements served alongside campaigns promoting daily physical activity and proper nutrition, many Americans opt for fast, cheap, and filling options such as processed packaged food, fast food, and larger portions. This often leads to a diet rich in fat, calories, and sodium (the "butter, sugar, salt" trifecta) and low in vitamins and nutrients.
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