A study released today by WalletHub ranked Tennessee the fifth-fattest state in the nation.

The study compared all 50 states and the District of Columbia based on several criteria, including obesity and overweight prevalence, unhealthy habits and consequences, and food and fitness. Experts used 17 metrics on a 100-point scale, the higher numbers indicating the unhealthiest conditions.

Tennessee scored a 60.87, only three points behind Mississippi, which ranked first on the list. Southern states comprised the entire top 10. 

Click here to read the full report.

According to a study by the Physical Activity Council, about 81.6 million Americans were “completely inactive” during 2015. 

In March, WalletHub also conducted a study of the fattest cities in America, with Chattanooga at sixth place on the list.