A new analysis of American senior citizens has pinpointed Vermont as the premier state for those over 65 to enjoy a healthier, more active later life. The study, conducted by medical bed company Opera Beds, evaluated all 50 states and Washington D.C. based on a combination of health metrics and lifestyle factors.
The Stark Contrast Between Top and Bottom
The research paints a dramatic picture of geographical disparity in the quality of life for older Americans. Vermont emerged as the clear leader with a score of 8.4 out of 10, praised for its highly active senior population and low incidence of chronic disease. In stark contrast, West Virginia languished at the very bottom with a score of just 0.9, burdened by high obesity rates and significant physical limitations among its elderly residents.
Following Vermont in the top five were Hawaii (8.2), Colorado (8.1), Connecticut (7.8), and New Jersey (7.5). The worst-performing states after West Virginia were Alabama (1.7), Louisiana (1.8), with Mississippi and Indiana tied at 2.1.
What Makes Vermont a Standout for Seniors?
The data reveals a compelling health profile for Vermont's over-65s. An impressive three in four seniors in the state report being physically active, a key driver of wellbeing. Furthermore, it boasts the lowest diabetes rate in the nation, with only one in six residents affected. Rates of other serious conditions are also favourable: 17% have heart disease, 22% have cancer, and 27% report a functional disability.
Experts attribute this success to a combination of community and policy. Vermont is known for its picturesque retirement communities and proactive initiatives like 'Age Strong Vermont', a decade-long plan launched in 2024 to improve housing and social connections for the elderly. Dr. Carleara Weiss, a sleep scientist at Opera Beds, emphasised the importance of daily habits: 'Staying active is one of the most powerful tools you have. Aim for daily movement, whether that is walking, gardening, or gentle strength exercises.'
The Troubling Reality in West Virginia
At the opposite end of the spectrum, West Virginia's seniors face profound challenges. The study found that 40% of over-65s in the state are not physically active, and 34% are classified as obese. Alarmingly, two in five older adults there report serious limitations to their daily lives. Chronic disease is rampant, with 29% suffering from heart disease and 40% from a functional disability.
This poor health is reflected in life expectancy figures. West Virginia has the second-lowest life expectancy in the US at just 71 years, barely ahead of Mississippi at 70.9 years. Experts link these outcomes to systemic issues including a weaker health system and lower average wages, which hinder access to quality care and healthy living.
The national context remains concerning. Despite the US being a wealthy nation, its average life expectancy has fallen to 78.3 years, ranking 66th globally—behind the UK and Germany. More worryingly, obesity rates among over-65s nationwide have risen from 27.6% to 30.2% since 2015, and diabetes rates have also climbed, signalling a trend that could compromise the quality of life for millions of ageing Americans.
