Obesity is a disease that gives rise to metabolic syndrome problems as a contributor to all health problems associated with an unhealthy lifestyle. The purpose of this literature review is to determine the condition of obesity in adolescents based on urban and rural areas. This study is a literature review that focuses on discussing adolescent obesity in urban and rural areas. The results of this literature review show differences in the frequency and duration of physical activity and variations in consumption menus in overweight and obese adolescents based on regional differences. Differences in rural-urban areas in dealing with obesity problems require different intervention approaches.