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Q: What do you feel prevents you from being more successful in losing weight?

Results among those who are trying to lose weight now, or have tried to lose weight in the past

1. 30% Willpower
2. 24% My general lifestyle
3. 21% Lack of commitment
4. 14% Affordability
5. 14% Genetics
6. 13% The people around me
7. 13% Lack of support
8. 12% My environment/where I live
9. 10% None of the above—I tend to be successful in losing weight when I want to
10. 8.5% Lack of access to health tools or medications
11. 8% Cultural factors 
12. 2% Other
13. 10% None of the above—I don't struggle to lose weight

Weight Loss Barriers Across the U.S.

Whether it's willpower or biology that Americans feel is holding them back, what's clear is that weight loss is personal and different people—and populations—report facing different barriers to getting to their . 

For example, New Yorkers are two times more likely than New Orleanians to name willpower as a reason (39.5% vs. 19%) and nearly three times more likely than their neighbors in Philadelphia to say that where they live is to blame (18.5% vs. 7%, respectively). 

Kansas City residents are seven times more likely than Omaha, NE, residents to say "lack of support" undermines their weight loss goals (23% vs. 3%). And residents of Albuquerque, NM, San Antonio, TX, and Austin, TX, reported that cultural factors were the culprit. 

Finally, smaller cities, like Greenville, SC, and Providence, RI, were more likely to say was the issue. 

Albuquerque, NM, topped the list of cities reporting the most barriers to weight loss (a full 100% say they face one or more barriers) and Philadelphia, PA reported facing the least (80%).

Weight Loss Barriers By City

The challenges to losing weight varied greatly by region. Here are the cities that reported facing each weight loss barrier most. 

City With the Most Weight Loss Barriers Overall

90% of Americans struggle overall

1. Albuquerque, NM: 100%
2. San Francisco, CA: 99%
3. Baltimore, MD: 96%
4. Seattle, WA: 95%
5. Orlando, FL: 95%

Willpower 

30% of Americans struggle overall

1. Baltimore, MD: 40%
2. New York, NY: 39.5%
3. Sacramento, CA: 38%
4. Pittsburgh, PA: 37.5%
5. Phoenix, AZ: 37%

General Lifestyle 

24% of Americans struggle overall

1. Denver, CO: 39.5%
2. Seattle, WA: 34%
3. New Orleans, LA: 34%
4. Austin, TX: 33%
5. Los Angeles, CA: 32%

Lack of Commitment 

21% of Americans struggle overall

1. Pittsburgh, PA: 31%
2. Norfolk, VA: 30%
3. New Orleans, LA: 29%
4. Houston, TX: 27%
5. Kansas City, KS: 27%

Affordability

14% of Americans struggle overall

1. Birmingham, AL: 26%
2. Charlotte, NC: 23%
3. Sacramento, CA: 22%
4. Detroit, MI: 21%
5. Albuquerque, NM: 21%

Genetics

14% of Americans struggle overall

1. Washington, D.C.: 24%
2. Chicago, IL: 23%
3. San Francisco, CA: 22%
4. Norfolk, VA: 20%
5. Milwaukee, WI: 20%

People Around Me

13% of Americans struggle overall

1. Orlando, FL: 27%
2. San Diego, CA: 23%
3. St. Louis, MO: 21.5%
4. Denver, CO: 20%
5. Dallas, TX: 18%

Lack of Support

13% of Americans struggle overall

1. Albuquerque, NM: 26%
2. Kansas City, KS: 23%
3. Oklahoma, OK: 21%
4. Norfolk, VA: 20%
5. Salt Lake City, UT: 20%

My Environment/Where I Live

12% of Americans struggle overall

1. St. Louis, MO: 21.5%
2. Albuquerque, NM: 21%
3. Portland, OR: 19%
4. New York, NY: 18.5%
5. Minneapolis, MN: 17%

Lack of Access to Health Resources

9% of Americans struggle overall

1. Greenville, SC: 19%
2. Providence, RI: 18%
3. Honolulu, HI: 17%
4. Salt Lake City, UT: 16%
5. Omaha, NE: 15.5%

Cultural Factors

8% of Americans struggle overall

1. San Antonio, TX: 16.5%
2. Albuquerque, NM: 16%
3. Austin, TX: 14%
4. Washington, D.C.: 12%
5. Cleveland, OH: 12%

City With the Least Weight Loss Barriers Overall

90% of Americans struggle overall

1. Philadelphia, PA: 80%
2. Atlanta, GA: 81%
3. Omaha, NE: 81%
4. Des Moines, IA: 82%
5. Portland, OR: 82%

No matter where you live, losing weight can be challenging. A good place to start is to set that are realistic and achievable to help you . Remember that weight loss is not linear and requires a daily commitment to making healthier choices. And when lifestyle changes aren't enough, speak to a healthcare provider about whether options like may be a good fit for you.

Data & Methodology 

This study is based on a 7,100-person online survey, which included (1) 5,000 18-to-65-year-old respondents in the top 50 metropolitan areas (100 respondents per city); (2) 5,000 18-65-year-old respondents in each of the 50 states (100 respondents per state); and (3) a nationally representative sample of 500 18-to-65-year-old respondents to contextualize results. These three categories are not mutually exclusive; some respondents fall within more than one category. The study was fielded in January 2025. 

Findings were analyzed by 190 demographic and psychographic cuts, including city, region, gender (when we refer to "women" and "men," we include all people who self-identify as such), age, race and ethnicity, relationship status, parenting status, sexual orientation (heterosexual, bisexual, gay, lesbian, pansexual, asexual, queer, etc.), fandoms (music, sports, etc.), and fitness and diet preferences, among other areas of interest. 

Metropolitan populations were determined by 2022 U.S. Census data. In order to represent as many states as possible within the study, five cities that did not fall in the top 50 metropolitan locations were selected in place of cities in states already represented. Cities added to the study included New Orleans, LA (51); Providence, RI (53); Little Rock, AR (59); Honolulu, HI (68); and Omaha, NE (71). Cities replaced in the study included West Palm Beach, FL (39); Jacksonville, FL (41); Grand Rapids, MI (42); Harrisburg, PA (44); and Greensboro, NC (45).

Results reflected above are among people who reported trying to lose weight now, or who have tried to lose weight in the past. Results reflect the percentage of people in each city who name each weight loss barrier as one they face.

All data in this study are from this source, unless otherwise noted. Independent research firm, Culture Co-op, conducted and analyzed research and findings.