11 March, 2026
one-in-five-americans-skip-exercise-state-rankings-revealed

A new report reveals that nearly one in five Americans do not engage in any physical activity outside of work, with significant variations among states. According to data from the U.S. Department of Health and Human Services and the United Health Foundation’s latest America’s Health Rankings report, approximately 21.8% of adults report no exercise beyond their regular jobs. The findings highlight how geographical factors may influence activity levels during leisure time.

Mississippi emerges as the state with the highest rate of inactivity, with a striking 30.6% of adults indicating they do not engage in physical exercise outside of work. Following closely are West Virginia and Arkansas, with inactivity rates of 28.7% and 28.5%, respectively. Other Southern and Appalachian states, such as Alabama, Louisiana, Kentucky, and Oklahoma, also report inactivity rates near 28%.

Health Implications of Physical Inactivity

Public health experts warn that a lack of physical activity can lead to serious health risks. The United Health Foundation emphasizes that insufficient exercise is linked to higher rates of cardiovascular disease, Type 2 diabetes, certain cancers, dementia, anxiety, and depression. The report states, “Being physically active and reducing sedentary behavior improves health at all ages.”

In contrast, Washington, D.C. boasts the lowest rate of physical inactivity at 13.9%. Among the states, Colorado, Vermont, and Utah stand out for their higher activity levels, with inactivity rates of 15.6%, 16%, and 17%, respectively. Washington and Minnesota are also commendable, showing rates between 17% and 18%.

States with major urban centers, like New York and California, have activity levels closer to the national average, with New York reporting approximately 24% inactivity and California at 21%. Tennessee is noted as the only state lacking available data.

Encouraging Trends in National Activity Levels

Despite concerning inactivity statistics, there are signs of improvement. Nationally, the percentage of adults reporting no physical activity decreased from 24.2% in 2023 to 21.8% in 2024, marking the lowest level recorded since tracking began nearly three decades ago. States such as Minnesota, Vermont, and Wyoming have shown notable progress in reducing inactivity rates.

The report also outlines that inactivity rates are disproportionately higher among adults with lower incomes, less education, disabilities, and those residing in rural areas. Individuals in physically demanding jobs may be less inclined to engage in exercise during their leisure time compared to those in sedentary occupations.

Federal guidelines recommend a minimum of 150 minutes of moderate-intensity exercise each week, such as brisk walking, or 75 minutes of vigorous activity. Research published in the journal *Circulation* indicates that adults who meet these activity guidelines significantly lower their risk of death from cardiovascular disease and other causes. Even incorporating just 10 minutes of moderate-to-vigorous activity daily could prevent tens of thousands of premature deaths annually.

The report underscores the importance of addressing inactivity to improve public health. Dr. Margaret-Mary Wilson, executive vice president and chief medical officer at UnitedHealth Group, stated, “As we reflect on the findings in this year’s Annual Report, we must rededicate ourselves to improving health care in this country and creating a healthier nation for all.”

As data continues to evolve, the role of state-level factors in physical activity remains crucial. Improving exercise participation not only enhances individual health but also contributes to broader public health outcomes.