Southern States Lag in Physical Activity as US Updates Health Guidelines

A new study has ranked US states by physical activity levels outside work. The findings reveal sharp regional differences, with southern states showing far higher inactivity rates. Meanwhile, the Department of Health and Human Services (HHS) has updated its exercise guidelines and food pyramid to tackle growing health concerns.

The 2024 study found that one in five Americans report no exercise beyond their jobs. Mississippi topped the list with 30.6% of adults physically inactive, followed by West Virginia (28.7%) and Arkansas (28.5%). Oklahoma, Louisiana, and Alabama also recorded high inactivity rates, all above 28%.

Southern states often face economic challenges, including higher poverty rates and limited access to gyms or sports facilities. Researchers suggest these factors may contribute to lower physical activity levels in the region. In contrast, Washington DC, Colorado, and Vermont had the lowest inactivity rates, at 13.9%, 15.6%, and 16% respectively. Alongside the study, HHS Secretary Robert F Kennedy Jr introduced a revised food pyramid. The new guidelines prioritise protein and healthy fats while warning against sugar and ultra-processed foods. Notably, the pyramid now includes full-fat dairy and red meat, reversing earlier recommendations. The department also reiterated its exercise advice: adults should aim for at least 150 minutes of moderate activity or 75 minutes of high-intensity exercise each week.

The study highlights a clear divide in physical activity across the United States, with southern states lagging behind. The updated HHS guidelines now encourage more protein and fats while discouraging processed foods. These changes reflect ongoing efforts to address dietary and fitness habits linked to long-term health issues.