This Alabama city has an adult obesity rate of 36.8%. 23% say they smoke. The city has one of the highest premature death rates in the country, according to AL.COM.

Alabama has been consistently ranked as one of the least-healthy states, with high rates of heart disease, obesity, low percentages of people who exercise, and have healthy diets.

One city ranks worse than all others. Gadsden, Alabama has the third highest premature death rate in the nation, according to 24/7 Wall Street.