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Montanans are among the most fit in the nation, according to a recent study conducted by QuoteWizard by Lending Tree.

To rank the fittest and fattest states, the study analyzed Center for Disease Control obesity data along with Body Mass Index data from QuoteWizard health insurance users to find an aggregate ranking.

The only state that ranked higher than Montana in being fit was Hawaii. Lowest ranking was Mississippi.

Today in America, over 93 million adults, nearly 40 percent, are considered obese. The issue of obesity goes beyond people’s waistlines — it’s the largest economic impact on healthcare that directly affects the cost of health insurance for Americans. By some estimations, obesity-related healthcare costs range from $147 billion to $210 billion per year, and with health insurance companies footing those bills, it’s driving up the cost of health insurance for all Americans.

When ranking the fittest and the fattest states, there’s really no clear cut divide in state obesity levels. According to data from the Center for Disease Control, West Virginia ranks highest at 38.1 percent of adults who are obese, compared to the lowest state, Colorado, at 22.6 percent. Colorado’s 22.6 percent of obese adults goes to show that America’s obesity is prevalent even at its lowest levels.