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 report presents information on obesity, physical activity and diet drawn together from a variety of sources for England. More information can be found in the source publications which contain a wider range of data and analysis. Each section provides an overview of key findings, as well as providing links to relevant documents and sources. Some of the data have been published previously by NHS Digital. A data visualisation tool (link provided within the key facts) allows users to select obesity related hospital admissions data for any Local Authority (as contained in the data tables), along with time series data from 2013/14. Regional and national comparisons are also provided. The report includes information on: Obesity related hospital admissions, including obesity related bariatric surgery. Obesity prevalence. Physical activity levels. Walking and cycling rates. Prescriptions items for the treatment of obesity. Perception of weight and weight management. Food and drink purchases and expenditure. Fruit and vegetable consumption. Key facts cover the latest year of data available: Hospital admissions: 2018/19 Adult obesity: 2018 Childhood obesity: 2018/19 Adult physical activity: 12 months to November 2019 Children and young people's physical activity: 2018/19 academic year

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.

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.

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.

The spreadsheet contains regional level obesity trend data from the the HSE, BMI data from Understanding Society, and adjusted prevalence of underweight, healthy weight, overweight, and obesity by local authority from the Active People Survey.

Understanding Society data shows the percentage of the population aged 10 and over by their Body Mass Index Classification, covering underweight, normal weight, overweight, and three classes of obesity.

Questions on self-reported height and weight were added to the Sport England Active People Survey (APS) in January 2012 to provide data for monitoring excess weight (overweight including obesity, BMI ≥25kg/m2) in adults (age 16 and over) at local authority level for the Public Health Outcomes Framework (PHOF).

Health Survey for England (HSE) results at a national level are available on the NHS Information Centre website.

Other NHS indicators on obesity are available for Strategic Health Authorities (SHA).

Relevant links: http://discover.ukdataservice.ac.uk/series/?sn=2000053

http://www.noo.org.uk/visualisation/adult_obesity

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.

The HSCIC will be changing future publication dates for the four compendia reports which cover smoking, alcohol, drugs and obesity. The new dates for these reports will be approximately: Smoking - will move from end August to end May. Alcohol - will move from end May to end June. Drugs - will move from end November to end March. Obesity - will stay at end Feb (but 3rd March for 2015). One advantage of this change is that the Hospital Admissions data used in the Drugs compendia will now be able to use final data instead of provisional. A consequence is there will be no drugs compendia in 2015 with the next report being in March 2016. However, all the other data used in the report will be available from the sources where it is initially published. If you have any concerns over these changes then please send an email by 27 February 2015 to enquiries@hscic.gov.uk setting out your concerns. 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.

This statistic displays the prevalence of adolescent obesity* in the United Kingdom (UK) from 1975 to 2016, by gender. Between 1975 and 2005, the obesity rates for female adolescents in the UK was greater than that of male adolescents. This changed in 2010, when 9.4 percent of male adolescents were considered obese, compared to 9.2 percent of female adolescents. While the rate of obesity has continued to rise for males, female adolescents were less likely to be obese in 2015 and 2016 than they were in 2010.

This is the percentage of year 6 children who are living with obesity and includes children who are living with severe obesity.

The BMI classification of each child is derived by calculating the child's BMI centile and assigning the BMI classification. Obese is defined as a BMI centile greater than or equal to the 95th centile. Severely obese is defined as a BMI centile greater than or equal to 99.6 (This BMI classification is a subset of the "Obese" classification).

The results are derived from the postcode of the school. Measurement of children's heights and weights, without shoes and coats and in normal, light, indoor clothing, was overseen by healthcare professionals and undertaken in school by trained staff. Measurements could be taken at any time during the academic year. Some children could be over one year older than others in the same school year at the point of measurement. This does not impact upon a child's BMI classification since BMI centile results are adjusted for age.

The National Child Measurement Programme (NCMP) collects height and weight measurements of children in reception (aged 4-5 years) and year 6 (aged 10-11 years) primarily in mainstream state-maintained schools in England. Local authorities are mandated to collect data from mainstream state-maintained schools but collection of data from special schools (schools for pupils with special educational needs and pupil referral units) and independent schools is encouraged.

Data is Powered by LG Inform Plus and automatically checked for new data on the 3rd of each month.

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.

This statistic displays the share of children in England aged 10-11 years who were classed as overweight or obese from 2007/08 to 2023/24. In 2023/24, 35.8 percent of children aged 10-11 years in England were classed as overweight or obese.

This set of files contains public data used to validate the grocery data. All references to the original sources are provided below.CHILD OBESITYPeriodically, the English National Health Service (NHS) publishes statistics about various aspects of the health and habits of people living in England, including obesity. The NHS National Child Measurement (NCMP) measures the height and weight of children in Reception class (aged 4 to 5) and year 6 (aged 10 to 11), to assess overweight and obesity levels in children within primary schools. The program is carried out every year in England and statistics are produced at the level of Local Authority (that corresponds to Boroughs in London). We report the data for the school year 2015-2016 (file: child_obesity_london_borough_2015-2016.csv). For the school year 2013-2014, statistics in London are also available at ward-level (file: child_obesity_london_ward_2013-2014.csv)The files are comma-separated and contain the following fields: area_id: the id of the boroughnumber_reception_measured: number of children in reception year measurednumber_y6_measured: number of children in reception year measuredprevalence_overweight_reception: the prevalence (percentage) of overweight children in reception year prevalence_overweight_y6: the prevalence (percentage) of overweight children in year 6prevalence_obese_reception: the prevalence (percentage) of obese children in reception yearprevalence_obese_y6: the prevalence (percentage) of obese children in year 6ADULT OBESITYThe Active People Survey (APS) was a survey used to measure the number of adults taking part in sport across England and included two questions about the height and weight of participants. We report the results of the APS for the year 2012. Prevalence of underweight, healthy weight, overweight, and obese people at borough level are provided in the file london_obesity_borough_2012.csv.The file is comma-separated and contains the following fields: area_id: the id of the boroughnumber_measured: number of people who participated in the surveyprevalence_healthy_weight: the prevalence (percentage) of healthy-weight peopleprevalence_overweight: the prevalence (percentage) of overweight peopleprevalence_obese: the prevalence (percentage) of obese peopleBARIATRIC HOSPITALIZATIONThe NHS records and publishes an annual compendium report about the number of hospital admissions attributable to obesity or bariatric surgery (i.e., weight loss surgery used as a treatment for people who are very obese), and the number of prescription items provided in primary care for the treatment of obesity. The NHS provides both raw counts at the Local Authority level and numbers normalized by population living in those areas. In the file obesity_hospitalization_borough_2016.csv, we report the statistics for the year 2015 (measurements made between Jan 2015 and March 2016).The file is comma-separated and contains the following fields:area_id: the id of the boroughtotal_hospitalizations: total number of obesity-related hospitalizationstotal_bariatric: total number of hospitalizations for bariatric surgeryprevalence_hospitalizations: prevalence (percentage) of obesity-related hospitalizations prevalence_bariatric: prevalence (percentage) of bariatric surgery hospitalizations DIABETESThrough the Quality and Outcomes Framework, NHS Digital publishes annually the number of people aged 17+ on a register for diabetes at each GP practice in England. NHS also publishes the number of people living in a census area who are registered to any of the GP in England. Based on these two sources, an estimate is produced about the prevalence of diabetes in each area. The data (file diabetes_estimates_osward_2016.csv) was collected in 2016 at LSOA-level and published at ward-level.The file is comma-separated and contains the following fields:area_id: the id of the wardgp_patients: total number of GP patients gp_patients_diabetes: total number of GP patients with a diabetes diagnosisestimated_diabetes_prevalence: prevalence (percentage) of diabetesAREA MAPPINGMapping of Greater London postcodes into larger geographical aggregations. The file is comma-separated and contains the following fields:pcd: postcodelat: latitudelong: longitudeoa11: output arealsoa11: lower super output areamsoa11: medium super output areaosward: wardoslaua: borough

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.

Proportion of children aged 4 to 5 years classified as 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 living with obesity or severe obesity (BMI on or above 95th 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.