Mississippi and West Virginia top the nation’s weight scales, while Colorado and Massachusetts residents are among the leanest in the nation, according to a new state-by-state ranking of U.S. obesity rates.

In observance of National Diabetes Awareness Month, WalletHub released its 2017's Fattest States in America, along with stats about the metabolic disorder.

For the new ranking, WalletHub’s analysts compared the 50 states and the District of Columbia, examining 19 key factors – including the proportion of overweight and obese residents, sugary-beverage consumption among adolescents, and obesity-related healthcare costs.

According to the Centers for Disease Control and Prevention, seven in 10 U.S. adults are either overweight or obese. Rates are lower for children and adolescents but have been increasing almost every year.

Americans spend more than $68 billion a year on weight-loss programs, while the U.S. spends nearly $200 billion in annual healt care costs related to obesity.

New findings by the Physical Activity Council indicate nearly 81.5 million Americans aged 6 and older were completely inactive in 2016. Lack of physical activity is a leading cause of obesity – a key risk factor in Type 2 diabetes – in addition to genetics, emotional instability, and sleeplessness.

Among the new report’s diabetes-related findings:

$407.6 billion: Estimated cost of diabetes in the U.S. in 2015 ($312.2 billion in direct medical costs, $95.4 billion in nonmedical costs).

$7,900: Average annual diabetes-related health care costs for patients.

2.3: Number of times by which a diabetes patient’s health care costs increase.

11 and 13 Years: Reduction in the average male and female diabetes patient’s life expectancy, respectively.

The new report’s rankings (from fattest to leanest states):

1. Mississippi

2. West Virginia

3. Tennessee

4. Arkansas

5. Louisiana

6.. Kentucky

7. Alabama

8. Oklahoma

9. South Carolina

10. Indiana

11. Texas

12. Iowa

13. Ohio

14. Delaware

15. Kansas

16. North Carolina

17. Georgia

18. Michigan

19. North Dakota

20. New Mexico

21. Alaska

22. Nebraska

23. Florida

24. Maryland

25. Pennsylvania

26. Rhode Island

27. Missouri

28. Wisconsin

29. Maine

30. Arizona

31. South Dakota

32. Illinois

33. Vermont

34. Wyoming

35. New York

36. Idaho

37. Washington

38. Virginia

39. District of Columbia

40. Minnesota

41. California

42. Oregon

43. New Hampshire

44. Nevada

45. New Jersey

46. Connecticut

47. Montana

48. Hawaii

49. Utah

50. Massachusetts

51.Colorado