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10. Reading, Pennsylvania

Obesity rate: 32.7 percent
Annual obesity-related costs: $190.2 million

Located approximately 60 miles northwest of Philadelphia, Reading, Pa., ranks 10th on the Gallup-Healthways Well-Being Index. It’s the most obese city in Pennsylvania, which has a statewide obesity rate of 28.6 percent, according to the CDC.

With 88,000 people residing in the city, more than 28,000 residents are considered obese. In Reading, 10 percent report having diabetes, a chronic disease associated with obesity. Even higher than the obesity rate is the poverty rate: 35 percent of the population in the city lives below the poverty level. According to the nonprofit Food Research and Action Center,women and children in poverty are at the highest risk for obesity.

Source: Gallup.com, Census.gov, CDC, FRAC.org || Photo: Wikimedia Commons