Southern States Lag in Physical Activity as US Dietary Guidelines Shift Dramatically

A recent study has revealed stark differences in physical activity across the US, with southern states showing far higher inactivity rates. Nearly one in five Americans report doing no exercise outside of work. Meanwhile, the Department of Health and Human Services (HHS) has also introduced a revised food pyramid, marking a major shift in dietary advice.

The 2024 study ranked states by physical inactivity outside of work. Mississippi topped the list, with 30.6% of adults reporting no exercise, followed by West Virginia (28.7%) and Arkansas (28.5%). Oklahoma, Louisiana, and Alabama also had high rates, each around 28%.

In contrast, Washington DC had the lowest inactivity rate at 13.9%, with Colorado (15.6%) and Vermont (16%) close behind. Researchers suggest that poverty and limited access to exercise facilities may contribute to the higher inactivity levels in southern states. Separately, HHS Secretary Robert F. Kennedy Jr unveiled a new food pyramid this year. The updated guidelines now include full-fat dairy and red meat, reversing earlier advice. The focus has shifted to prioritising protein and healthy fats while warning against sugar and heavily processed foods. The HHS continues to recommend at least 150 minutes of moderate-intensity exercise per week—or 75 minutes of high-intensity activity—for adults.

The study highlights a clear regional divide in physical activity, with southern states struggling the most. The new food pyramid also signals a significant change in official dietary recommendations. Both developments could influence public health policies in the coming years.