National, State, and County Estimates of Adult Overweight and Obesity From Electronic Health Records and Kiosks in Retail Locations, 2024–2025
Authors' conclusion
Recent EHR and kiosk samples of US adults show a high prevalence of overweight and obesity and identify local hot spots that are masked in surveys.
Study context
- Population
- US individuals aged ≥18 years, January 2024–July 2025
- Exposure
- EHR vs kiosk prevalence estimates, compared with CDC surveys
- Electronic health records (EHRs)n = 85 million
- Kiosksn = 1.2 million
- Outcome
- Prevalence of overweight (BMI 25 to <30 kg/m²) or obesity (BMI ≥30 kg/m²)
Methodological detailsnear real-time, county-level, multilevel regression and post stratification (kiosks)
- Near real-time
- County-level
- Multilevel regression and post stratification (kiosks)
Main finding
As reported in the abstract
| Group | Value | Overweight | Obesity |
|---|---|---|---|
| EHRs | 39.1% | 39.1% | 43.7% |
| Kiosks | 33.6% (95% CI 32.8%–34.4%) | 33.6% (95% CI: 32.8%-34.4%) | 43.3% (95% CI: 42.3%-44.4%) |
Value
EHRs39.1%
Kiosks33.6% (95% CI 32.8%–34.4%)
Overweight
EHRs39.1%
Kiosks33.6% (95% CI: 32.8%-34.4%)
Obesity
EHRs43.7%
Kiosks43.3% (95% CI: 42.3%-44.4%)
Observational data: associations, not effects.
Further findings
| Outcome | EHRs | Kiosks |
|---|---|---|
| County hot spots (Southern and Midwestern states): correlation with modeled CDC estimates | 0.64 | 0.34 |
Subgroups
- Higher prevalence among Non-Hispanic Black adults, those aged 45-64 years, and rural residents
Original publication
National, State, and County Estimates of Adult Overweight and Obesity From Electronic Health Records and Kiosks in Retail Locations, 2024–2025. Obesity (Silver Spring). Published 11 February 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →