This document compares obesity rates between upstate New York counties and metropolitan counties. It finds that upstate counties with lower annual incomes, like Lewis, Jefferson, and St. Lawrence, have higher obesity rates around 67%. Metropolitan counties like New York, Westchester, and Suffolk have higher annual incomes and lower obesity rates around 50%. The document attributes the differences to the ability to afford healthy foods and more active lifestyles in metropolitan areas compared to reliance on processed foods and driving in upstate areas due to lower incomes.