A new study done by the personal-finance website WalletHub compiled a list of the fattest states in America. Texas came out in the top ten.

November is National Diabetes Awareness Month. WalletHub wanted to encourage Americans to work towards better health, since Americans spend about $315.8 billion annually on obesity-related medical treatment. To try and help with this, they released their 2016 list of the fattest states in America.

The website used 17 key metrics to analyze the 50 states and the District of Columbia. They range from “percentage of adults and children who are overweight and obese” to “sugary-beverage consumption among adolescents.”

Here's how Texas came out in this study:

The Fat Problem in Texas (1=Worst; 25=Avg.)

  • 18th – % of Adults Who Are Overweight
  • 11th – % of Adults Who Are Obese
  • 9th – % of Children Who Are Overweight
  • 10th – % of Children Who Are Obese
  • 7th – % of Residents Who Are Physically Inactive
  • 19th – % of Residents with High Cholesterol
  • 19th – % of Adults Eating Less than 1 Serving of Fruits/Vegetables per Day
  • 13th – % of Residents with Diabetes
  • 16th – % of Residents with Hypertension

To read the entire study, please visit the WalletHub website.