A new report shows that Des Moines is one of the fattest cities in the nation.

WalletHub’s analysts compared 100 of the most populated U.S. cities. The criteria included the prevalence of obesity, the number of people who suffer from weight-related health problems, and whether they live in a healthy environment, meaning access to healthy food and an overall active lifestyle.

Overall, Des Moines ranked the 24th fattest, but researchers found that when it came to the number of fat people the city ranked 4th highest.

Des Moines ranked 39th for the number of health problems caused by being overweight, and in about the middle, 56th, for having a healthy environment.

Researchers say educating people about nutritious eating and active living is one way to help reverse the harmful effects of obesity, as are policy changes that focus on reducing obesity rates