Knoxville, Tennessee

The final city in the top ten list of America's fattest cities is Knoxville, Tennessee. The city is among the worst in the US for giving residents access to fresh fruits and vegetables, which has contributed to a 28.7% obesity rate.

Even while Knoxville is doing considerably better than nearby Memphis, residents could still need some weight loss. Heart disease prevalence in Knoxville is ranked 11th worst in the country, and 14% of residents have diabetes. What is important to note is that most obese cities are in the South. Studies suggest that the high rate of obesity in the South is largely linked to higher rates of poverty and unemployment.