The prevalence of obesity among adults in England has been generally been trending upwards since 2000. In that year, 21 percent of men and women in England were classified as obese. However, by 2022 this share was 30 percent among women and 28 percent among men. Obesity causing strain on health service As the prevalence of obesity is increasing in England, the number of hospital admissions as a result of obesity has also increased. In the period 2019/20, around eight thousand women and nearly 2.7 thousand men were admitted to hospital. A huge rise from the admission levels fifteen years previously. The highest number of admissions due to obesity were found in the age group 45 to 54 years, with over 3.1 thousand admissions in that age group. Situation in Scotland In Scotland in 2022, the mean Body Mass Index of women was 28.1 and for men it was 27.9. A BMI of over 25 is classed as overweight. While the prevalence of obesity or morbid obesity in Scotland in 2020 was 30 percent among women and 26 percent among men.

This statistic displays the prevalence of childhood obesity* in the United Kingdom (UK) from 1975 to 2016, by gender. At the beginning of this time series, female children in the UK were more likely to be obese than males. This changed in 1995, when the obesity rates for both male and female children in the UK equaled eight percent. As of 2016, 12.7 percent of male children are considered obese, compared to 10.2 percent of female children. It is also notable that the obesity rate in female children has declined from a high point of 10.4 percent in 2010.

In 2019, 27 percent of boys and 20 percent of girls aged between 11 and 15 years in England were classed as obese. Additionally, in the age group two to ten years old, 15 percent of boys and eight percent of girls were obese. Prevalence among adults The prevalence of obesity among adults in England has been creeping upwards since 2000. In that year, 21 percent of men and women were classed as obese in England. However, by 2021 this share had increased to 26 percent for women and 25 percent for men. Obesity heavy on the health service The number of hospital admissions as a result of obesity in England has increased alongside the general increase in obesity. In the year 2019/20, almost 8.1 thousand women and 2.7 thousand men were admitted to hospital. A vast rise from the admission levels in 2002/03. The highest number of admissions due to obesity were found in the age group 45 to 54 years, with over 3.1 thousand admissions in that age group.

This statistical report presents a range of information on obesity, physical activity and diet, drawn together from a variety of sources.

The topics covered include:

• Overweight and obesity prevalence among adults and children

• Physical activity levels among adults and children

• Trends in purchases and consumption of food and drink and energy intake

• Health outcomes of being overweight or obese.

This report contains seven chapters which consist of the following:

• Chapter 1: Introduction; this summarises government policies, targets and outcome indicators in this area, as well as providing sources of further information and links to relevant documents.

• Chapters 2 to 6 cover obesity, physical activity and diet and provides an overview of the key findings from these sources, whilst maintaining useful links to each section of these reports.

• Chapter 7: Health Outcomes; presents a range of information about the health outcomes of being obese or overweight which includes information on health risks, hospital admissions and prescription drugs used for treatment of obesity.

• Figures presented in this report have been obtained from a number of sources and presented in a user-friendly format. Some of the data contained in the chapter have been published previously by the Health and Social Care Information Centre (HSCIC). Previously unpublished figures on obesity-related Finished Hospital Episodes and Finished Consultant Episodes for 2012-13 are presented using data from the HSCIC's Hospital Episode Statistics as well as data from the Prescribing Unit at the HSCIC on prescription items dispensed for treatment of obesity.

In 2022, 40 percent of women and 37 percent of men living in the North East of England were classed as obese, the highest rates for both genders. In most regions of England, around a third of adults had a BMI classed as obese.

Note August 2011: A number of errors have been identified in Table 7.5 - GHQ 12 score by body mass index (BMI) and gender, 2006 on page 164 of the Statistics on Obesity, Physical Activity and Diet: England, 2009 report. The errors also affect the corresponding table in the accompanying Excel workbook. The commentary in the pdf report is unaffected. Please see the errata note for further information and corrected figures. The NHS IC apologises for any inconvenience this may have caused. Summary: This publication presents a range of information on obesity, physical activity and diet, drawn together from a variety of sources. This publication also summarises government plans and targets in this area, as well as providing sources of further information and links to relevant documents and key sources. This, our third report on obesity, physical activity and diet includes: overweight and obesity prevalence among adults and children physical activity levels among adults and children trends in purchases and consumption of food and drink, and energy intake and health outcomes of being overweight or obese. For the first time, the report provides information on attitudes towards and knowledge about leading a healthy lifestyle for both adults and children. This includes information on how much physical activity should be done, barriers towards doing more physical activity, knowledge of the recommended daily number of portions of fruit and vegetables and attitudes towards a healthy diet.

In 2022, 39 percent of men and 31 percent of women in England were classed as overweight. At first glance, it may seem that the share of overweight people in England has decreased since the year 2000, but the share of obesity in England has increased since then, indicating that England’s problem with weight has gotten worse. Strain on health service due to obesity The number of hospital admissions as a result of obesity in England has increased alongside this rise in obesity. In the period 2019/20, over eight thousand women and 2.6 thousand men were admitted to hospital. An escalation from the admission levels in 2002/03. The highest number of admissions due to obesity were found in the age group 45 to 54 years, with over 3.1 thousand admissions in that age group. Situation in Scotland In Scotland in 2020, the mean Body Mass Index of women was 27.8 and for men it was 27.5. A BMI of over 25 is classed as overweight. While the share of adults classed as obese or morbidly obese in Scotland in this year was 30 percent for women and 26 percent for men.

Note, August 2011: A number of errors have been identified in Table 7.5 - GHQ 12 score by body mass index (BMI) and gender, 2008 on page 62 of the Statistics on Obesity, Physical Activity and Diet: England, 2011 report. The errors also affect the corresponding table in the accompanying Excel workbook. The commentary in the pdf report is unaffected. Please see the errata note for further information and corrected figures. The NHS IC apologises for any inconvenience this may have caused. Summary: This statistical report presents a range of information on obesity, physical activity and diet, drawn together from a variety of sources. The topics covered include: overweight and obesity prevalence among adults and children physical activity levels among adults and children trends in purchases and consumption of food and drink and energy intake health outcomes of being overweight or obese This report contains seven chapters: Chapter 1: Introduction; this summarises Government plans and targets in this area, as well as providing sources of further information and links to relevant documents. Note, many of these were introduced by the previous government but were relevant at the time the data were collected. Chapters 2 to 6 cover obesity, physical activity and diet providing an overview of the key findings from a number of sources of previously published information, whilst maintaining useful links to each section of the reports. Additional analysis has been undertaken of the Health Survey for England (HSE) to provide more detailed information previously unpublished. Chapter 7: Health Outcomes; presents a range of information about the health outcomes of being obese or overweight which includes information on health risks, hospital admissions and prescription drugs used for treatment of obesity. Figures presented in Chapter 7 have been obtained from a number of sources and presented in a user-friendly format. Most of the data contained in the chapter have been published previously by the NHS Information Centre or the National Audit Office. Previously unpublished figures on obesity-related Finished Hospital Episodes and Finished Consultant Episodes for 2009/10 are presented using data from the NHS Information Centre's Hospital Episode Statistics as well as data from the Prescribing Unit at the NHS Information Centre on prescription items dispensed for treatment of obesity.

Trend data from the GOV.UK Official Statistics - National Child Measurement Programme (NCMP) showing the prevalence of excess weight and obesity in children at MSOA area level.

This dataset provides analysis of trends in childhood obesity and excess weight in the United Kingdom, utilizing data from the National Child Measurement Programme (NCMP). The NCMP systematically measures the height and weight of children, providing insights into the dynamics of childhood obesity across various regions. The dataset allows for detailed analysis at the small-area level, including Middle Super Output Areas (MSOAs), electoral wards, Clinical Commissioning Groups (CCGs), and Local Authorities (LAs), enabling a nuanced understanding of regional disparities in childhood obesity rates.

By examining shifts in obesity prevalence, stakeholders can identify at-risk populations and regions, informing targeted public health policies and interventions. These insights are crucial for addressing the rising rates of childhood obesity and crafting effective strategies to promote healthier lifestyles, reduce obesity rates, and improve public health outcomes.

The data can be analyzed at a finely detailed geographical level, such as Middle Super Output Areas (MSOAs), electoral wards, Clinical Commissioning Groups (CCGs), and Local Authorities (LAs). This allows for a nuanced understanding of how childhood obesity rates differ from one locality to another, illuminating disparities in public health outcomes. Stakeholders are equipped with the insights necessary to identify at-risk populations and regions by examining shifts in the prevalence of child obesity and excess weight.

These insights are vital for crafting targeted public health policies and interventions tailored to combat the rising rates of childhood obesity. Understanding the prevalence and geographic distribution of this critical issue is essential for researchers, policymakers, and public health officials as they work collaboratively to promote healthier lifestyles, implement effective preventive measures, and ultimately reduce the prevalence of obesity among children in the UK.

Original Data Source: (Discontinued) GOV.UK Child obesity and excess weight: small area level data

Dataset Features

• Child_Group: Describes the group of children being measured (e.g., excess weight in different age groups).
• MSOA_Code: Unique identifier for the Middle Super Output Area (MSOA) of the data point.
• MSOA_Code_MSOA11_HCL_Name: Name of the MSOA area where the data was collected.
• LA_Code: Unique identifier for the Local Authority (LA) where the data was collected.
• LA_Code_Geography_Name: Name of the Local Authority (LA) where the data was collected.
• Measure: Specific measurement (e.g., Denominator, LCI, Numerator).
• Measure_Value: The value of the measure.
• Measure_Value_Str: String representation of the measure value.
• School_Year: School year(s) corresponding to the data (e.g., 2013/14 to 2015/16).
• Effective_Snapshot_Date: Date when the data snapshot was recorded.
• Report_Period_Length: Length of the report period (e.g., biannual).

Distribution

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Usage

This dataset is useful for a variety of purposes: - Public Health Analysis: Analyzing trends in childhood obesity and excess weight across the UK. - Policy Making: Supporting evidence-based policy development for child health and wellness programs to reduce obesity rates. - Geospatial Analysis: Mapping obesity trends at small-area levels (MSOAs, electoral wards) to identify regions with higher obesity rates. - Educational Research: Supporting studies into childhood obesity and its relationship with socio-economic and geographic factors. - Healthcare Insights: Identifying regions that may require more healthcare interventions and monitoring the success of public health strategies.

Coverage

The dataset covers childhood obesity and excess weight data across the United Kingdom, with detailed analysis at small-area geographical levels including Middle Super Output Areas (MSOAs), Local Authorities (LAs), Electoral Wards, and Clinical Commissioning Groups (CCGs). The data spans from 2011 to 2018, providing insights into regional disparities in childhood obesity rates and excess weight.

License

CUSTOM

Please review the respective licenses below:

1. Dat

Proportion of children aged 4 to 5 years classified as overweight or living with obesity. For population monitoring purposes, a child’s body mass index (BMI) is classed as overweight or obese where it is on or above the 85th centile or 95th centile, respectively, based on the British 1990 (UK90) growth reference data. The population monitoring cut offs for overweight and obesity are lower than the clinical cut offs (91st and 98th centiles for overweight and obesity) used to assess individual children; this is to capture children in the population in the clinical overweight or obesity BMI categories and those who are at high risk of moving into the clinical overweight or clinical obesity categories. This helps ensure that adequate services are planned and delivered for the whole population.

Rationale There is concern about the rise of childhood obesity and the implications of obesity persisting into adulthood. The risk of obesity in adulthood and risk of future obesity-related ill health are greater as children get older. Studies tracking child obesity into adulthood have found that the probability of children who are overweight or living with obesity becoming overweight or obese adults increases with age[1,2,3]. The health consequences of childhood obesity include: increased blood lipids, glucose intolerance, Type 2 diabetes, hypertension, increases in liver enzymes associated with fatty liver, exacerbation of conditions such as asthma and psychological problems such as social isolation, low self-esteem, teasing and bullying.

It is important to look at the prevalence of weight status across all weight/BMI categories to understand the whole picture and the movement of the population between categories over time.

The National Institute of Health and Clinical Excellence have produced guidelines to tackle obesity in adults and children - http://guidance.nice.org.uk/CG43.

1 Guo SS, Chumlea WC. Tracking of body mass index in children in relation to overweight in adulthood. The American Journal of Clinical Nutrition 1999;70(suppl): 145S-8S.

2 Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T. Do obese children become obese adults? A review of the literature. Preventative Medicine 1993;22:167-77.

3 Starc G, Strel J. Tracking excess weight and obesity from childhood to young adulthood: a 12-year prospective cohort study in Slovenia. Public Health Nutrition 2011;14:49-55.

Definition of numerator Number of children in reception (aged 4 to 5 years) with a valid height and weight measured by the NCMP with a BMI classified as overweight or living with obesity, including severe obesity (BMI on or above the 85th centile of the UK90 growth reference).

Definition of denominator Number of children in reception (aged 4 to 5 years) with a valid height and weight measured by the NCMP.

Caveats Data for local authorities may not match that published by NHS England which are based on the local authority of the school attended by the child or based on the local authority that submitted the data. There is a strong correlation between deprivation and child obesity prevalence and users of these data may wish to examine the pattern in their local area. Users may wish to produce thematic maps and charts showing local child obesity prevalence. When presenting data in charts or maps it is important, where possible, to consider the confidence intervals (CIs) around the figures. This analysis supersedes previously published data for small area geographies and historically published data should not be compared to the latest publication. Estimated data published in this fingertips tool is not comparable with previously published data due to changes in methods over the different years of production. These methods changes include; moving from estimated numbers at ward level to actual numbers; revision of geographical boundaries (including ward boundary changes and conversion from 2001 MSOA boundaries to 2011 boundaries); disclosure control methodology changes. The most recently published data applies the same methods across all years of data. There is the potential for error in the collection, collation and interpretation of the data (bias may be introduced due to poor response rates and selective opt out of children with a high BMI for age/sex which it is not possible to control for). There is not a good measure of response bias and the degree of selective opt out, but participation rates (the proportion of eligible school children who were measured) may provide a reasonable proxy; the higher the participation rate, the less chance there is for selective opt out, though this is not a perfect method of assessment. Participation rates for each local authority are available in the https://fingertips.phe.org.uk/profile/national-child-measurement-programme/data#page/4/gid/8000022/ of this profile.

This statistic displays the share of overweight individuals in England in 2022, by gender and region. In this year, 74 percent of men and 63 percent of women in the North East of England were classed as overweight.

This statistic displays the share of obese and overweight children using body mass index assessed against growth curve in Northern Ireland from 2010/11 to 2019/20, by age. In 2019/2020, approximately 25 percent of the children between the age of two and ten were classed as obese or overweight.

This statistic displays the share of children aged 10-11 years in England that were overweight or obese in 2023/24, by deprivation decile. In the most deprived decile 43.3 percent of children were classed as overweight and obese compared with approximately 25 percent in the least deprived decile.

Proportion of children aged 10 to 11 years classified as overweight or living with obesity. For population monitoring purposes, a child’s body mass index (BMI) is classed as overweight or obese where it is on or above the 85th centile or 95th centile, respectively, based on the British 1990 (UK90) growth reference data. The population monitoring cut offs for overweight and obesity are lower than the clinical cut offs (91st and 98th centiles for overweight and obesity) used to assess individual children; this is to capture children in the population in the clinical overweight or obesity BMI categories and those who are at high risk of moving into the clinical overweight or clinical obesity categories. This helps ensure that adequate services are planned and delivered for the whole population.

Rationale There is concern about the rise of childhood obesity and the implications of obesity persisting into adulthood. The risk of obesity in adulthood and risk of future obesity-related ill health are greater as children get older. Studies tracking child obesity into adulthood have found that the probability of children who are overweight or living with obesity becoming overweight or obese adults increases with age[1,2,3]. The health consequences of childhood obesity include: increased blood lipids, glucose intolerance, Type 2 diabetes, hypertension, increases in liver enzymes associated with fatty liver, exacerbation of conditions such as asthma and psychological problems such as social isolation, low self-esteem, teasing and bullying.

It is important to look at the prevalence of weight status across all weight/BMI categories to understand the whole picture and the movement of the population between categories over time.

The National Institute of Health and Clinical Excellence have produced guidelines to tackle obesity in adults and children - http://guidance.nice.org.uk/CG43.

1 Guo SS, Chumlea WC. Tracking of body mass index in children in relation to overweight in adulthood. The American Journal of Clinical Nutrition 1999;70(suppl): 145S-8S.

2 Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T. Do obese children become obese adults? A review of the literature. Preventative Medicine 1993;22:167-77.

3 Starc G, Strel J. Tracking excess weight and obesity from childhood to young adulthood: a 12-year prospective cohort study in Slovenia. Public Health Nutrition 2011;14:49-55.

Definition of numerator Number of children in year 6 (aged 10 to 11 years) with a valid height and weight measured by the NCMP with a BMI classified as overweight or living with obesity, including severe obesity (BMI on or above the 85th centile of the UK90 growth reference).

Definition of denominator The number of children in year 6 (aged 10 to 11 years) with a valid height and weight measured by the NCMP.

Caveats Data for local authorities may not match that published by NHS England which are based on the local authority of the school attended by the child or based on the local authority that submitted the data. There is a strong correlation between deprivation and child obesity prevalence and users of these data may wish to examine the pattern in their local area. Users may wish to produce thematic maps and charts showing local child obesity prevalence. When presenting data in charts or maps it is important, where possible, to consider the confidence intervals (CIs) around the figures. This analysis supersedes previously published data for small area geographies and historically published data should not be compared to the latest publication. Estimated data published in this fingertips tool is not comparable with previously published data due to changes in methods over the different years of production. These methods changes include; moving from estimated numbers at ward level to actual numbers; revision of geographical boundaries (including ward boundary changes and conversion from 2001 MSOA boundaries to 2011 boundaries); disclosure control methodology changes. The most recently published data applies the same methods across all years of data. There is the potential for error in the collection, collation and interpretation of the data (bias may be introduced due to poor response rates and selective opt out of children with a high BMI for age/sex which it is not possible to control for). There is not a good measure of response bias and the degree of selective opt out, but participation rates (the proportion of eligible school children who were measured) may provide a reasonable proxy; the higher the participation rate, the less chance there is for selective opt out, though this is not a perfect method of assessment. Participation rates for each local authority are available in the https://fingertips.phe.org.uk/profile/national-child-measurement-programme/data#page/4/gid/8000022/ of this profile.