Inactivity and diabetes, county by county

One of the tightest links in the health data: counties where adults don’t exercise have far more diabetes.

Counties with higher Adults with No Leisure-Time Exercise tend to have higher Adults with Diabetes.

Very strong link: a correlation of 0.87 across 2,916 counties.CorrelationHow closely two metrics move together, from −1 to +1. Near +1: both rise together. Near −1: one rises as the other falls. Near 0: no clear link.More in the glossary →

10.0%15.0%20.0%20.0%30.0%40.0%Adults with No Leisure-Time Exercise (%)Adults with Diabetes (%)Oglala Lakota County, SDTodd County, SDDouglas County, COChittenden County, VTDunklin County, MO
Each dot is one place. The dashed line is the trend; circled places are named in the text.

Type 2 diabetes is closely tied to activity and weight. Across counties, the share of adults who get no leisure-time exercise lines up with diabetes rates remarkably closely.

Each dot in the chart is one of 2,916 counties. The correlation between Adults with No Leisure-Time Exercise and Adults with Diabetes is 0.87, a very strong relationship: about 76% of the differences in Adults with Diabetes from place to place line up with Adults with No Leisure-Time Exercise. Ranked instead of measured, the link is 0.86.

The highest Adults with Diabetes is in Oglala Lakota County, SD (23.8%), Todd County, SD (22.9%) and Dimmit County, TX (21.5%); the lowest is in Douglas County, CO (6%), Chittenden County, VT (6.2%) and Hinsdale County, CO (6.4%). The median place has 10.7% for Adults with Diabetes and 26.5% for Adults with No Leisure-Time Exercise.

The biggest exceptions sit furthest from the trend line. Oglala Lakota County, SD, Todd County, SD and McKinley County, NM have a much higher Adults with Diabetes than their Adults with No Leisure-Time Exercise would predict, while Dunklin County, MO, Scott County, MO and Kingfisher County, OK have a much lower one.

This is a comparison across places, not proof that one causes the other: both can follow from something else, such as income, age or how urban a place is. Adults with No Leisure-Time Exercise is from 2023 and Adults with Diabetes from 2023.

Highest Adults with Diabetes

PlaceAdults with DiabetesAdults with No Leisure-Time Exercise
Oglala Lakota County, SD23.8%41.7%
Todd County, SD22.9%42.3%
Dimmit County, TX21.5%48.9%
Zavala County, TX21.4%48.2%
Bullock County, AL21.3%42.7%

Lowest Adults with Diabetes

PlaceAdults with DiabetesAdults with No Leisure-Time Exercise
Douglas County, CO6%13.3%
Chittenden County, VT6.2%14.1%
Hinsdale County, CO6.4%12.9%
Pitkin County, CO6.5%12.6%
Addison County, VT6.5%17.0%

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