Obesity on decline in US as GLP-1 use skyrockets

The obesity rate in the U.S. has seen a marked decline over the last three years, as the share of Americans who report using GLP-1 agonists for weight loss skyrockets, according to data from Gallup.

In the latest report from the Gallup National Health and Well-Being Index, published Tuesday, 37 percent of American adults are classified as obese, down from the record 39.9 percent reported in 2022. The drop has been gradual: The obesity rate fell to 38.4 percent in 2023, and it fell to 37.5 percent in 2024.

That nearly 3-point decline in U.S. obesity over the last three years represents an estimated 7.6 million fewer obese adults, Gallup notes.

Gallup classifies respondents as obese if they have a body mass index (BMI) of 30 or higher, consistent with the federal standard for obesity. Gallup used respondents’ self-reported height and weight to calculate BMI.

The polling firm notes there is likely a “vanity effect” that accounts for Gallup’s slightly lower obesity rates on average, when compared to randomized clinical measurements, but Gallup’s methods have been consistent over the years, so “the trend still provides valuable information regarding changes over time.”

Meanwhile, the latest Gallup report shows the share of Americans who reported ever taking an injection for weight loss more than doubled since February 2024, the first and only other time Gallup has asked the question.

In the latest survey, 12.4 percent of Americans said they have taken an injectable for weight loss, more than twice the 5.8 percent rate reported in early 2024.

Women have outpaced men, both in terms of higher GLP-1 use and their declining obesity rate.

Today, 15.2 percent of American women reported ever taking an injection for weight loss, compared with 9.7 percent of American men. Both have more than doubled since early 2024, when 6.9 percent of women and 4.7 percent of men reported having taken a GLP-1 injection for weight loss.

As more women take weight loss injections, they also see a faster decline in obesity compared with men since the peak in 2022. The rate among women has dropped 3.5 percentage points to 38.8 percent, and men’s rate dropped 2.3 points to 35.2 percent.

Meanwhile, the same health index shows the rate of diabetes, as determined by those who have ever been told they have the disease by a medical professional, reached an all-time high this year at 13.8 percent. Last year, the rate dropped to 13.4 percent, after reaching the previous peak of 13.6 percent in 2023.

The results are based on combined data from three nationally representative surveys of 16,946 U.S. adults — conducted Feb. 18-26, May 27-June 4 and Aug. 26-Sept. 3. The margin of error is approximately 0.9 percentage points.