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2025 Annual Report

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Nutrition and Physical Activity

Physical Inactivity
Graphic representation of Physical Inactivity information contained on this page. Download the full report PDF from the report Overview page for details.

Being physically active and reducing sedentary behavior improves health
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at all ages.66 Regular physical activity (at least 150 minutes a week) is associated with reduced risk
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of cardiovascular diseases, hypertension, Type 2 diabetes, certain cancers, dementia, anxiety and depression.66
Changes over time. Nationally, the percentage of adults who reported doing no physical activity or exercise other than their regular job in the past 30 days decreased 10% from 24.2% to 21.8% between 2023 and 2024. 
Between 2023 and 2024, the percentage of adults reporting physical inactivity decreased:
  • 17% among multiracial (22.6% to 18.8%), 9% among Hispanic (32.9% to 30.1%), and 8% among both Black (28.2% to 26.0%) and white (21.9% to 20.2%) adults.
  • 10% among men (22.1% to 20.0%) and 7% among women (27.3% to 25.4%).
  • 10% among adults with less than a high school education (47.0% to 42.4%), 8% among high school graduates (33.5% to 30.8%), 7% among adults with some post-high school education (24.8% to 23.0%) and 6% among college graduates (13.7% to 12.9%).
  • 10% among adults living in nonmetropolitan areas (29.5% to 26.5%) and 7% among those in metropolitan areas (23.6% to 21.9%).
  • 10% among adults with difficulty hearing (36.7% to 33.1%), 9% among those without a disability (18.6% to 16.9%), 8% among those who have difficulty with cognition (35.3% to 32.5%) and 4% among those who have difficulty with mobility (52.4% to 50.1%). 
  • 9% among adults age 65 and older (32.0% to 29.1%), 8% among those ages 45-64 (26.0% to 23.9%) and 7% among those ages 18-44 (20.2% to 18.7%).
  • 9% among adults with incomes less than $25,000 (43.7% to 39.6%) and 8% among those with incomes of $50,000 to $74,999 (24.0% to 22.2%).
  • 7% among straight adults (24.2% to 22.5%).
  • 8% among both adults who have served in the U.S armed forces (23.5% to 21.7%) and those who have not served (24.9% to 22.8%). 
During this time frame, the prevalence of physical inactivity decreased in 19 states, led by: 23% in Minnesota (22.8% to 17.5%), 21% in Vermont (20.3% to 16.0%) and 20% in Wyoming (26.2% to 21.0%). 
Graphic representation of Physical Inactivity By Income Group in 2024 information contained on this page. Download the full report PDF from the report Overview page for details.
Differences. The prevalence of physical inactivity varied significantly by income, disability status, educational attainment, geography, race/ethnicity, age, gender, metropolitan status and sexual orientation in 2024. The prevalence was:
  • 4.4 times higher among adults with incomes less than $25,000 (39.6%) compared with those with incomes of $150,000 or more (8.9%).
  • 3.4 times higher among adults who have difficulty with self-care (57.5%) compared with those without a disability (16.9%).
  • 3.3 times higher among adults with less than a high school education (42.4%) compared with college graduates (12.9%).
  • 2.0 times higher in Mississippi (30.6%) than in Colorado (15.6%).
  • 1.7 times higher among Hispanic (30.1%) compared with Asian (18.0%) adults.
  • 1.6 times higher among adults age 65 and older (29.1%) compared with those ages 18-44 (18.7%).
  • 1.3 times higher among women (25.4%) compared with men (20.0%).
  • 1.2 times higher among adults living in nonmetropolitan areas (26.5%) compared with adults in metropolitan areas (21.9%).
  • 1.1 times higher among straight (22.5%) compared with LGBQ+ (20.5%) adults.
Note: No data were available for Tennessee in 2024 or for Kentucky and Pennsylvania in 2023. The values for Asian (18.0%) and multiracial (18.8%) adults may not differ significantly based on overlapping 95% confidence intervals.

Graphic representation of E-Cigarette Use By Age Group information contained on this page. Download the full report PDF from the report Overview page for details.
Smoking and Tobacco Use

E-Cigarette Use

Electronic cigarettes, also called e-cigarettes
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or vape pens, are electronic devices that use heat to make an aerosol that is inhaled by the user.67 The aerosol made by e-cigarettes contains toxic substances
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that can cause cancer and serious lung disease.67 Use of e-cigarettes is associated with increased odds of developing respiratory symptoms or wheezing
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and respiratory disease
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.68,69
Changes over time. Nationally, the percentage of adults who reported using e-cigarettes or other electronic vaping products at least once in their lifetime and now use daily or some days increased 4% from 7.7% to 8.0% between 2023 and 2024. E-cigarette use significantly increased 41% in Wyoming (7.6% to 10.7%) and 26% in Wisconsin (6.6% to 8.3%).


Graphic representation of E-Cigarette Use By Disability Status in 2024 information contained on this page. Download the full report PDF from the report Overview page for details.
Differences. E-cigarette use varied significantly by age, disability status, race/ethnicity, educational attainment, geography, income, gender and metropolitan status in 2024. The prevalence was:
  • 10.8 times higher among adults ages 18-44 (13.0%) compared with those age 65 and older (1.2%).
  • 2.9 times higher among adults who have difficulty with cognition (16.3%) compared with those who have difficulty with mobility (5.7%).
  • 2.4 times higher among multiracial (12.4%) compared with Black (5.2%) adults.
  • 2.4 times higher among high school graduates (8.4%) compared with college graduates (3.5%).
  • 2.1 times higher in Oklahoma (10.8%) than in Maryland (5.1%).
  • 1.6 times higher among adults with an annual household income less than $25,000 (7.5%) compared with those who have incomes of $150,000 or more (4.6%).
  • 1.2 times higher among men (8.3%) compared with women (6.9%).
  • 1.2 times higher among adults living in nonmetropolitan areas (9.1%) than in metropolitan areas (7.4%).
Note: No data were available for Tennessee in 2024 or for Kentucky and Pennsylvania in 2023. The values for adults who have difficulty with mobility (5.7%) and those with difficulty hearing (6.0%) may not differ significantly based on overlapping 95% confidence intervals. The same is true for adults without a disability (6.4%), adults with difficulty hearing (6.0%) and adults with difficulty with self-care (7.5%); multiracial (12.4%), Hawaiian/Pacific Islander and American Indian/Alaska Native (both 11.4%) adults; as well as Black (5.2%) and Asian (6.2%) adults; high school graduates (8.4%) and adults with some post-high school education (7.7%); and adults with incomes less than $25,000 (7.5%), those with incomes of $25,000 to $49,999 (7.4%), those with incomes of $50,000 to $74,999 (7.3%) and those with incomes of $75,000 to $99,999 (6.9%). Disability groups are not mutually exclusive.

Smoking

Smoking is the leading cause
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of preventable death in the U.S., accounting for more than 480,000 deaths every year.70 Smoking damages nearly every organ
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and can cause heart disease, stroke, diabetes, multiple types of cancer and respiratory conditions such as emphysema and chronic bronchitis.70
Changes over time. Nationally, the percentage of adults who reported smoking at least 100 cigarettes in their lifetime and currently smoke daily or some days decreased 4% from 12.1% to 11.6% between 2023 and 2024, continuing a longer-term decrease of 45% from 21.2% in 2011. Despite progress, the prevalence remains higher than the Healthy People 2030 target to reduce current cigarette smoking to 6.1% of adults
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Between 2023 and 2024, cigarette smoking decreased:
  • 13% among adults with independent living difficulty (22.8% to 19.9%).
  • 10% among adults ages 18-44 (11.1% to 10.0%).
  • 7% among men (13.0% to 12.1%).
  • 6% among white adults (12.0% to 11.3%).
  • 4% among adults who have not served in the U.S. armed forces (11.2% to 10.7%).
During this time frame, cigarette smoking decreased 16% in Minnesota (12.2% to 10.2%) and 12% in Washington (9.0% to 7.9%).
Differences. Cigarette smoking varied significantly by income, race/ethnicity, educational attainment, geography, disability status, age, metropolitan status, gender, sexual orientation and veteran status in 2024. The prevalence was:
  • 4.8 times higher among adults with an annual household income less than $25,000 (22.1%) compared with those who have incomes of $150,000 or more (4.6%).
  • 4.4 times higher among American Indian/Alaska Native (21.3%) than Asian (4.8%) adults.
  • 4.3 times higher among adults with less than a high school education (20.1%) than college graduates (4.7%).
  • 3.6 times higher in West Virginia (20.8%) than in Utah (5.7%).
  • 2.6 times higher among adults who have difficulty with self-care (22.0%) compared with those without a disability (8.4%).
  • 1.7 times higher among adults ages 45-64 (14.0%) compared with those age 65 and older (8.3%).
  • 1.5 times higher among adults living in nonmetropolitan areas (15.5%) than in metropolitan areas (10.1%).
  • 1.3 times higher among men (12.1%) than women (9.6%).
  • 1.1 times higher among LGBQ+ (12.3%) compared with straight (11.0%) adults.
  • 1.1 times higher among adults who have served in the U.S. armed forces (12.3%) than those who have not served (10.7%).
Graphic representation of Cigarette Smoking by Age information contained on this page. Download the full report PDF from the report Overview page for details.
Note: No data were available for Tennessee in 2024 or for Kentucky and Pennsylvania in 2023. The values for adults who have difficulty with self-care (22.0%) and adults with independent living difficulty (19.9%) may not differ significantly based on overlapping 95% confidence intervals. Disability groups are not mutually exclusive.
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