California made an impressive non-showing in a recent WalletHub study of the most obese cities in the United States.

Americans are some of the most overweight people in the world, not just stereotypically but statistically too.

In fact, nearly 42% of U.S. adults are obese, and it’s costing us. Unfortunately, the extra pounds have inflated the costs of obesity-related medical treatment to approximately $190.2 billion a year and annual productivity losses due to work absenteeism to around $4.3 billion.

Certain places are more responsible than others for tipping the scale in favor of poor health, though.

To identify them, WalletHub compared 100 of the most populated U.S. metro areas across 19 key indicators of weight-related problems.

Our data set ranges from the share of physically inactive adults to projected obesity rates by 2030 to healthy-food access.

Here’s a look at WalletHubs top 20 overweight cities, which did not include any California locations:

1. McAllen, TX
2. Jackson, MS
3. Shreveport, LA
4. Mobile, AL
5. Little Rock, AR
6. Knoxville, TN
7. Memphis, TN
8. Lafayette, LA
9. Baton Rouge, LA
10. Chattanooga, TN
11. Birmingham, AL
12. Columbia, SC
13. Oklahoma City, OK
14. Tulsa, OK
15. Fayetteville, AR
16. Augusta, GA
17. New Orleans, LA
18. Canton, OH
19. Wichita, KS
20. Youngstown, OH

The Golden State made an impressive showing by not taking up much space on the list.

Only Riverside made the top 50, landing at #35 in the study. Los Angeles broke into the top 100 at #74.

See the full WalletHub list by clicking here.