A new survey lists Washington as the only state with cities ranked in the top five and the bottom five in the nation for obesity.

Bellingham is one of the nation's thinnest communities and Yakima among the most obese.

The Seattle Times reports the Gallup-Healthways Well-Being Index released its data last week for 2012 and 2013. The Index is based on health surveys with American adults in 189 metro areas.

Fewer than 19 percent of adults in the Bellingham area reported a body mass index of 30 or higher, which is consider obese.  That ranks Bellingham as having the fourth-lowest obesity rate among all metro areas in the study.

 But in Yakima, 36 percent of adults were obese -- the fourth-most obese in the nation.