Little Rock, Arkansas

Little Rock, Arkansas, was named the fattest city in America in 2018. Therefore, the region's drop to the fourth position shows that substantial progress has been achieved. In fact, the city's obesity rate has been decreasing rather than increasing in recent years, going against the general trend.

That's due in large part to policies that have been implemented to reduce citizens' waistlines. For example, all Arkansas schools are now required to implement physical education programs and to offer their young kids meals that follow certain nutritional recommendations. In order to build greenways that promote bicycling and walking, the state of Arkansas and the city of Little Rock have also teamed up.