West Virginia, Mississippi, and Arkansas are the U.S. states with the highest percentage of their population who are obese. The states with the lowest percentage of their population who are obese include Colorado, Hawaii, and Massachusetts. Obesity in the United States Obesity is a growing problem in many countries around the world, but the United States has the highest rate of obesity among all OECD countries. The prevalence of obesity in the United States has risen steadily over the previous two decades, with no signs of declining. Obesity in the U.S. is more common among women than men, and overweight and obesity rates are higher among African Americans than any other race or ethnicity. Causes and health impacts Obesity is most commonly the result of a combination of poor diet, overeating, physical inactivity, and a genetic susceptibility. Obesity is associated with various negative health impacts, including an increased risk of cardiovascular diseases, certain types of cancer, and diabetes type 2. As of 2022, around 8.4 percent of the U.S. population had been diagnosed with diabetes. Diabetes is currently the eighth leading cause of death in the United States.

Obesity percentages for Lake County, Illinois. Explanation of field attributes: Pct_Obese – The percent of people in the zip code who are considered obese, defined as having a BMI greater than or equal to 30. ObsOrOvrwt –The percent of people in the zip code who are considered overweight (defined as having a BMI greater than or equal to 25 but less than 30) or obese (defined as having a BMI greater than or equal to 30).

The adult obesity rate, or the percentage of the county population (age 18 and older*) that is obese, or has a Body Mass Index (BMI) equal to or greater than 30 [kg/m2], is illustrative of a serious health problem, in Champaign County, statewide, and nationally.

The adult obesity rate data shown here spans from Reporting Years (RY) 2015 to 2024. Champaign County’s adult obesity rate fluctuated during this time, peaking in RY 2022. The adult obesity rates for Champaign County, Illinois, and the United States were all above 30% in RY 2024, but the Champaign County rate was lower than the state and national rates. All counties in Illinois had an adult obesity rate above 30% in RY 2024, but Champaign County's rate is one of the lowest among all Illinois counties.

Obesity is a health problem in and of itself, and is commonly known to exacerbate other health problems. It is included in our set of indicators because it can be easily measured and compared between Champaign County and other areas.

This data was sourced from the University of Wisconsin’s Population Health Institute’s and the Robert Wood Johnson Foundation’s County Health Rankings & Roadmaps. Each year’s County Health Rankings uses data from the most recent previous years that data is available. Therefore, the 2024 County Health Rankings (“Reporting Year” in the table) uses data from 2021 (“Data Year” in the table). The survey methodology changed in Reporting Year 2015 for Data Year 2011, which is why the historical data shown here begins at that time. No data is available for Data Year 2018. The County Health Rankings website notes to use caution if comparing RY 2024 data with prior years.

*The percentage of the county population measured for obesity was age 20 and older through Reporting Year 2021, but starting in Reporting Year 2022 the percentage of the county population measured for obesity was age 18 and older.

Source: University of Wisconsin Population Health Institute. County Health Rankings & Roadmaps 2024. www.countyhealthrankings.org.

This dataset includes select data from the U.S. Census Bureau's American Community Survey (ACS) on the percent of adults who bike or walk to work. This data is used for DNPAO's Data, Trends, and Maps database, which provides national and state specific data on obesity, nutrition, physical activity, and breastfeeding. For more information about ACS visit https://www.census.gov/programs-surveys/acs/.

Background: Obesity is a multifaceted condition influenced by genetic, lifestyle, and cultural factors. The prevalence of obesity has risen globally, with distinct challenges faced by South Asian populations in the UK, due to genetic predispositions and dietary shifts. This study evaluated the impact of an educational intervention designed for medical students to increase understanding of obesity in the South Asian community.Approach: Participants were recruited via the medical school online platform and signed written consent forms. The study did not require ethics approval. Participants completed a Likert confidence scale questionnaire before the small group teaching intervention, and then after it, to assess the impact of the session. Written free text comments after the session illustrated participant thoughts on the intervention and how well they felt the medical school taught on ethnic minority health. The dataset is a spreadsheet that records participants' responses to questionnaireEvaluation: The intervention significantly improved participant confidence in understanding and awareness of obesity in the South Asian community. Free text comments highlighted positive engagement and suggested areas for improvement. All participants believed their medical school lacked sufficient teaching on obesity in ethnic minorities and expressed an ardent desire for more teaching in this area.Implications: This study underscores the need for tailored undergraduate medical teaching on obesity in diverse ethnic groups, particularly South Asians. It highlights the inadequacies of a one-size-fits-all approach in addressing obesity within ethnic minority communities. Future work should explore the readiness of medical students across the UK to study obesity and the management of it in ethnic minorities.The data set includes the consent form and feedback form used for the study, as well as anonymised feedback data from the study. The Wilcoxon signed rank test is also included, as well as evidence that an ethics application was not needed for the study.

Adolescents Who Have Obesity - "This indicator shows the percentage of adolescent public high school students who are obese. In the last 20 years, the percentage of overweight/obese children has more than doubled and, for adolescents, it has tripled. Overweight/obese children are at increased risk of developing life-threatening chronic diseases, such as Type 2 diabetes." Link to Data Details

The prevalence of obesity in the adult population (18 years and older) in Trinidad and Tobago. Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health. Body mass index (BMI) is a simple weight-for-height index commonly used to classify overweight and obesity in adults. It is defined as a person's weight in kilograms divided by the square of his height in meters (kg/m2). Adults For adults, the World Health Organization (WHO) defines overweight and obesity as follows: overweight is a BMI greater than or equal to 25; and obesity is a BMI greater than or equal to 30. BMI provides the most useful population-level measure of overweight and obesity as it is the same for both sexes and all ages of adults. However, it should be considered a rough guide because it may not correspond to the same degree of fatness in different individuals. The Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO (CC BY-NC-SA 3.0 IGO) specifies that you must give appropriate attribution and credit to FAO for any work produced using a dataset or when data is re-disseminated. The following citation is recommended: [© FAO] [Year of publication] [Title of content] [Page number (for publications)] [Location on FAO website] [Date accessed and/or downloaded] Example: © FAO 2023, Prevalence of Moderate and Severe Food Insecurity, https://www.fao.org/faostat/en/#country/220, Accessed on November 21, 2023

Data on normal weight, overweight, and obesity among adults aged 20 and over by selected population characteristics. Please refer to the PDF or Excel version of this table in the HUS 2019 Data Finder (https://www.cdc.gov/nchs/hus/contents2019.htm) for critical information about measures, definitions, and changes over time.

SOURCE: NCHS, National Health and Nutrition Examination Survey. For more information on the National Health and Nutrition Examination Survey, see the corresponding Appendix entry at https://www.cdc.gov/nchs/data/hus/hus19-appendix-508.pdf.

Mali ML: Prevalence of Overweight: Weight for Height: % of Children Under 5 data was reported at 1.900 % in 2015. This records an increase from the previous number of 1.000 % for 2010. Mali ML: Prevalence of Overweight: Weight for Height: % of Children Under 5 data is updated yearly, averaging 2.100 % from Dec 1987 (Median) to 2015, with 6 observations. The data reached an all-time high of 4.700 % in 2006 and a record low of 0.500 % in 1987. Mali ML: Prevalence of Overweight: Weight for Height: % of Children Under 5 data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Mali – Table ML.World Bank: Health Statistics. Prevalence of overweight children is the percentage of children under age 5 whose weight for height is more than two standard deviations above the median for the international reference population of the corresponding age as established by the WHO's new child growth standards released in 2006.; ; UNICEF, WHO, World Bank: Joint child malnutrition estimates (JME). Aggregation is based on UNICEF, WHO, and the World Bank harmonized dataset (adjusted, comparable data) and methodology.; Linear mixed-effect model estimates; Estimates of overweight children are also from national survey data. Once considered only a high-income economy problem, overweight children have become a growing concern in developing countries. Research shows an association between childhood obesity and a high prevalence of diabetes, respiratory disease, high blood pressure, and psychosocial and orthopedic disorders (de Onis and Blössner 2003). Childhood obesity is associated with a higher chance of obesity, premature death, and disability in adulthood. In addition to increased future risks, obese children experience breathing difficulties and increased risk of fractures, hypertension, early markers of cardiovascular disease, insulin resistance, and psychological effects. Children in low- and middle-income countries are more vulnerable to inadequate nutrition before birth and in infancy and early childhood. Many of these children are exposed to high-fat, high-sugar, high-salt, calorie-dense, micronutrient-poor foods, which tend be lower in cost than more nutritious foods. These dietary patterns, in conjunction with low levels of physical activity, result in sharp increases in childhood obesity, while under-nutrition continues

Cameroon CM: Prevalence of Overweight: Weight for Height: Male: % of Children Under 5 data was reported at 12.200 % in 2018. This records an increase from the previous number of 7.100 % for 2014. Cameroon CM: Prevalence of Overweight: Weight for Height: Male: % of Children Under 5 data is updated yearly, averaging 8.200 % from Dec 1991 (Median) to 2018, with 7 observations. The data reached an all-time high of 12.200 % in 2018 and a record low of 6.000 % in 1991. Cameroon CM: Prevalence of Overweight: Weight for Height: Male: % of Children Under 5 data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Cameroon – Table CM.World Bank.WDI: Social: Health Statistics. Prevalence of overweight, male, is the percentage of boys under age 5 whose weight for height is more than two standard deviations above the median for the international reference population of the corresponding age as established by the WHO's 2006 Child Growth Standards.;UNICEF, WHO, World Bank: Joint child Malnutrition Estimates (JME). Aggregation is based on UNICEF, WHO, and the World Bank harmonized dataset (adjusted, comparable data) and methodology.;;Estimates of overweight children are from national survey data. Once considered only a high-income economy problem, overweight children have become a growing concern in developing countries. Research shows an association between childhood obesity and a high prevalence of diabetes, respiratory disease, high blood pressure, and psychosocial and orthopedic disorders (de Onis and Blössner 2003). Childhood obesity is associated with a higher chance of obesity, premature death, and disability in adulthood. In addition to increased future risks, obese children experience breathing difficulties and increased risk of fractures, hypertension, early markers of cardiovascular disease, insulin resistance, and psychological effects. Children in low- and middle-income countries are more vulnerable to inadequate nutrition before birth and in infancy and early childhood. Many of these children are exposed to high-fat, high-sugar, high-salt, calorie-dense, micronutrient-poor foods, which tend be lower in cost than more nutritious foods. These dietary patterns, in conjunction with low levels of physical activity, result in sharp increases in childhood obesity, while under-nutrition continues.

In 2023, it was estimated that around 37 percent of adults with an annual income of less than 15,000 U.S. dollars were obese, compared to 29 percent of those with an annual income of 75,000 dollars or more. This statistic shows the percentage of U.S. adults who were obese in 2023, by income.

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

SUMMARYThis analysis, designed and executed by Ribble Rivers Trust, identifies areas across England with the greatest levels of obesity in adults (aged 18+). Please read the below information to gain a full understanding of what the data shows and how it should be interpreted.ANALYSIS METHODOLOGYThe analysis was carried out using Quality and Outcomes Framework (QOF) data, derived from NHS Digital, relating to obesity in adults (aged 18+).This information was recorded at the GP practice level. However, GP catchment areas are not mutually exclusive: they overlap, with some areas covered by 30+ GP practices. Therefore, to increase the clarity and usability of the data, the GP-level statistics were converted into statistics based on Middle Layer Super Output Area (MSOA) census boundaries.The percentage of each MSOA’s adult population (aged 18+) that are obese was estimated. This was achieved by calculating a weighted average based on:The percentage of the MSOA area that was covered by each GP practice’s catchment areaOf the GPs that covered part of that MSOA: the percentage of registered patients that have that illness The estimated percentage of each MSOA’s adult population that are obese was then combined with Office for National Statistics Mid-Year Population Estimates (2019) data for MSOAs, to estimate the number of people in each MSOA that are obese, within the relevant age range.Each MSOA was assigned a relative score between 1 and 0 (1 = worst, 0 = best) based on:A) the PERCENTAGE of the adult population within that MSOA who are estimated to be obeseB) the NUMBER of adults within that MSOA who are estimated to be obeseAn average of scores A & B was taken, and converted to a relative score between 1 and 0 (1= worst, 0 = best). The closer to 1 the score, the greater both the number and percentage of the population in the MSOA that are estimated to be obese compared to other MSOAs. In other words, those are areas where it’s estimated a large number of people are obese, and where those people make up a large percentage of the population, indicating there is a real issue with obesity within the adult population and the investment of resources to address that issue could have the greatest benefits.LIMITATIONS1. GP data for the financial year 1st April 2018 – 31st March 2019 was used in preference to data for the financial year 1st April 2019 – 31st March 2020, as the onset of the COVID19 pandemic during the latter year could have affected the reporting of medical statistics by GPs. However, for 53 GPs (out of 7670) that did not submit data in 2018/19, data from 2019/20 was used instead. Note also that some GPs (997 out of 7670) did not submit data in either year. This dataset should be viewed in conjunction with the ‘Health and wellbeing statistics (GP-level, England): Missing data and potential outliers’ dataset, to determine areas where data from 2019/20 was used, where one or more GPs did not submit data in either year, or where there were large discrepancies between the 2018/19 and 2019/20 data (differences in statistics that were > mean +/- 1 St.Dev.), which suggests erroneous data in one of those years (it was not feasible for this study to investigate this further), and thus where data should be interpreted with caution. This dataset also shows rural areas (with little or no population) that do not officially fall into any GP catchment area and for which there were no statistics regarding adult obesity (although this will not affect the results of this analysis if there are no people living in those areas).2. It was not feasible to incorporate ultra-fine-scale geographic distribution of populations that are registered with each GP practice or who live within each MSOA. Populations might be concentrated in certain areas of a GP practice’s catchment area or MSOA and relatively sparse in other areas. Therefore, the dataset should be used to identify general areas where there are high levels of adult obesity, rather than interpreting the boundaries between areas as ‘hard’ boundaries that mark definite divisions between areas with differing levels of adult obesity.TO BE VIEWED IN COMBINATION WITH:This dataset should be viewed alongside the following datasets, which highlight areas of missing data and potential outliers in the data:Health and wellbeing statistics (GP-level, England): Missing data and potential outliersLevels of obesity, inactivity and associated illnesses (England): Missing dataDOWNLOADING THIS DATATo access this data on your desktop GIS, download the ‘Levels of obesity, inactivity and associated illnesses: Summary (England)’ dataset.DATA SOURCESThis dataset was produced using:Quality and Outcomes Framework data: Copyright © 2020, Health and Social Care Information Centre. The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital.GP Catchment Outlines. Copyright © 2020, Health and Social Care Information Centre. The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital. Data was cleaned by Ribble Rivers Trust before use.COPYRIGHT NOTICEThe reproduction of this data must be accompanied by the following statement:© Ribble Rivers Trust 2021. Analysis carried out using data that is: Copyright © 2020, Health and Social Care Information Centre. The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital.CaBA HEALTH & WELLBEING EVIDENCE BASEThis dataset forms part of the wider CaBA Health and Wellbeing Evidence Base.

This is a study of tirzepatide in participants with type 2 diabetes who have obesity or are overweight. The main purpose is to learn more about how tirzepatide affects body weight. The study will last 79 weeks (22 visits).

Bangladesh BD: Prevalence of Overweight: Weight for Height: Male: % of Children Under 5 data was reported at 1.400 % in 2022. This records a decrease from the previous number of 2.600 % for 2019. Bangladesh BD: Prevalence of Overweight: Weight for Height: Male: % of Children Under 5 data is updated yearly, averaging 1.600 % from Dec 1997 (Median) to 2022, with 10 observations. The data reached an all-time high of 2.600 % in 2019 and a record low of 0.800 % in 2004. Bangladesh BD: Prevalence of Overweight: Weight for Height: Male: % of Children Under 5 data remains active status in CEIC and is reported by World Bank. The data is categorized under Global Database’s Bangladesh – Table BD.World Bank.WDI: Social: Health Statistics. Prevalence of overweight, male, is the percentage of boys under age 5 whose weight for height is more than two standard deviations above the median for the international reference population of the corresponding age as established by the WHO's 2006 Child Growth Standards.;UNICEF, WHO, World Bank: Joint child Malnutrition Estimates (JME). Aggregation is based on UNICEF, WHO, and the World Bank harmonized dataset (adjusted, comparable data) and methodology.;;Estimates of overweight children are from national survey data. Once considered only a high-income economy problem, overweight children have become a growing concern in developing countries. Research shows an association between childhood obesity and a high prevalence of diabetes, respiratory disease, high blood pressure, and psychosocial and orthopedic disorders (de Onis and Blössner 2003). Childhood obesity is associated with a higher chance of obesity, premature death, and disability in adulthood. In addition to increased future risks, obese children experience breathing difficulties and increased risk of fractures, hypertension, early markers of cardiovascular disease, insulin resistance, and psychological effects. Children in low- and middle-income countries are more vulnerable to inadequate nutrition before birth and in infancy and early childhood. Many of these children are exposed to high-fat, high-sugar, high-salt, calorie-dense, micronutrient-poor foods, which tend be lower in cost than more nutritious foods. These dietary patterns, in conjunction with low levels of physical activity, result in sharp increases in childhood obesity, while under-nutrition continues.

SUMMARYThis analysis, designed and executed by Ribble Rivers Trust, identifies areas across England with the greatest levels of obesity, inactivity and inactivity/obesity-related illnesses. Please read the below information to gain a full understanding of what the data shows and how it should be interpreted.The analysis incorporates data relating to the following:Obesity/inactivity-related illnesses (asthma, cancer, chronic kidney disease, coronary heart disease, depression, diabetes mellitus, hypertension, stroke and transient ischaemic attack)Excess weight in children and obesity in adults (combined)Inactivity in children and adults (combined)The analysis was designed with the intention that this dataset could be used to identify locations where investment could encourage greater levels of activity. In particular, it is hoped the dataset will be used to identify locations where the creation or improvement of accessible green/blue spaces and public engagement programmes could encourage greater levels of outdoor activity within the target population, and reduce the health issues associated with obesity and inactivity.ANALYSIS METHODOLOGY1. Obesity/inactivity-related illnessesThe analysis was carried out using Quality and Outcomes Framework (QOF) data, derived from NHS Digital, relating to:- Asthma (in persons of all ages)- Cancer (in persons of all ages)- Chronic kidney disease (in adults aged 18+)- Coronary heart disease (in persons of all ages)- Depression (in adults aged 18+)- Diabetes mellitus (in persons aged 17+)- Hypertension (in persons of all ages)- Stroke and transient ischaemic attack (in persons of all ages)This information was recorded at the GP practice level. However, GP catchment areas are not mutually exclusive: they overlap, with some areas covered by 30+ GP practices. Therefore, to increase the clarity and usability of the data, the GP-level statistics were converted into statistics based on Middle Layer Super Output Area (MSOA) census boundaries.For each of the above illnesses, the percentage of each MSOA’s population with that illness was estimated. This was achieved by calculating a weighted average based on:The percentage of the MSOA area that was covered by each GP practice’s catchment areaOf the GPs that covered part of that MSOA: the percentage of patients registered with each GP that have that illness The estimated percentage of each MSOA’s population with each illness was then combined with Office for National Statistics Mid-Year Population Estimates (2019) data for MSOAs, to estimate the number of people in each MSOA with each illness, within the relevant age range.For each illness, each MSOA was assigned a relative score between 1 and 0 (1 = worst, 0 = best) based on:A) the PERCENTAGE of the population within that MSOA who are estimated to have that illnessB) the NUMBER of people within that MSOA who are estimated to have that illnessAn average of scores A & B was taken, and converted to a relative score between 1 and 0 (1= worst, 0 = best). The closer to 1 the score, the greater both the number and percentage of the population in the MSOA predicted to have that illness, compared to other MSOAs. In other words, those are areas where a large number of people are predicted to suffer from an illness, and where those people make up a large percentage of the population, indicating there is a real issue with that illness within the population and the investment of resources to address that issue could have the greatest benefits.The scores for each of the 8 illnesses were added together then converted to a relative score between 1 – 0 (1 = worst, 0 = best), to give an overall score for each MSOA: a score close to 1 would indicate that an area has high predicted levels of all obesity/inactivity-related illnesses, and these are areas where the local population could benefit the most from interventions to address those illnesses. A score close to 0 would indicate very low predicted levels of obesity/inactivity-related illnesses and therefore interventions might not be required.2. Excess weight in children and obesity in adults (combined)For each MSOA, the number and percentage of children in Reception and Year 6 with excess weight was combined with population data (up to age 17) to estimate the total number of children with excess weight.The first part of the analysis detailed in section 1 was used to estimate the number of adults with obesity in each MSOA, based on GP-level statistics.The percentage of each MSOA’s adult population (aged 18+) with obesity was estimated, using GP-level data (see section 1 above). This was achieved by calculating a weighted average based on:The percentage of the MSOA area that was covered by each GP practice’s catchment areaOf the GPs that covered part of that MSOA: the percentage of adult patients registered with each GP that are obeseThe estimated percentage of each MSOA’s adult population with obesity was then combined with Office for National Statistics Mid-Year Population Estimates (2019) data for MSOAs, to estimate the number of adults in each MSOA with obesity.The estimated number of children with excess weight and adults with obesity were combined with population data, to give the total number and percentage of the population with excess weight.Each MSOA was assigned a relative score between 1 and 0 (1 = worst, 0 = best) based on:A) the PERCENTAGE of the population within that MSOA who are estimated to have excess weight/obesityB) the NUMBER of people within that MSOA who are estimated to have excess weight/obesityAn average of scores A & B was taken, and converted to a relative score between 1 and 0 (1= worst, 0 = best). The closer to 1 the score, the greater both the number and percentage of the population in the MSOA predicted to have excess weight/obesity, compared to other MSOAs. In other words, those are areas where a large number of people are predicted to suffer from excess weight/obesity, and where those people make up a large percentage of the population, indicating there is a real issue with that excess weight/obesity within the population and the investment of resources to address that issue could have the greatest benefits.3. Inactivity in children and adultsFor each administrative district, the number of children and adults who are inactive was combined with population data to estimate the total number and percentage of the population that are inactive.Each district was assigned a relative score between 1 and 0 (1 = worst, 0 = best) based on:A) the PERCENTAGE of the population within that district who are estimated to be inactiveB) the NUMBER of people within that district who are estimated to be inactiveAn average of scores A & B was taken, and converted to a relative score between 1 and 0 (1= worst, 0 = best). The closer to 1 the score, the greater both the number and percentage of the population in the district predicted to be inactive, compared to other districts. In other words, those are areas where a large number of people are predicted to be inactive, and where those people make up a large percentage of the population, indicating there is a real issue with that inactivity within the population and the investment of resources to address that issue could have the greatest benefits.Summary datasetAn average of the scores calculated in sections 1-3 was taken, and converted to a relative score between 1 and 0 (1= worst, 0 = best). The closer the score to 1, the greater the number and percentage of people suffering from obesity, inactivity and associated illnesses. I.e. these are areas where there are a large number of people (both children and adults) who are obese, inactive and suffer from obesity/inactivity-related illnesses, and where those people make up a large percentage of the local population. These are the locations where interventions could have the greatest health and wellbeing benefits for the local population.LIMITATIONS1. For data recorded at the GP practice level, data for the financial year 1st April 2018 – 31st March 2019 was used in preference to data for the financial year 1st April 2019 – 31st March 2020, as the onset of the COVID19 pandemic during the latter year could have affected the reporting of medical statistics by GPs. However, for 53 GPs (out of 7670) that did not submit data in 2018/19, data from 2019/20 was used instead. Note also that some GPs (997 out of 7670) did not submit data in either year. This dataset should be viewed in conjunction with the ‘Levels of obesity, inactivity and associated illnesses: Summary (England). Areas with data missing’ dataset, to determine areas where data from 2019/20 was used, where one or more GPs did not submit data in either year, or where there were large discrepancies between the 2018/19 and 2019/20 data (differences in statistics that were > mean +/- 1 St.Dev.), which suggests erroneous data in one of those years (it was not feasible for this study to investigate this further), and thus where data should be interpreted with caution. Note also that there are some rural areas (with little or no population) that do not officially fall into any GP catchment area (although this will not affect the results of this analysis if there are no people living in those areas).2. Although all of the obesity/inactivity-related illnesses listed can be caused or exacerbated by inactivity and obesity, it was not possible to distinguish from the data the cause of the illnesses in patients: obesity and inactivity are highly unlikely to be the cause of all cases of each illness. By combining the data with data relating to levels of obesity and inactivity in adults and children, we can identify where obesity/inactivity could be a contributing factor, and where interventions to reduce obesity and increase activity could be most beneficial for the health of the local population.3. It was not feasible to incorporate ultra-fine-scale geographic distribution of

Analysis of ‘SHIP Adolescents Who Have Obesity 2010, 2013-2014, 2016’ provided by Analyst-2 (analyst-2.ai), based on source dataset retrieved from https://catalog.data.gov/dataset/e11c8330-87cb-4205-a871-f8f1d4556e79 on 26 January 2022.

--- Dataset description provided by original source is as follows ---

Adolescents Who Have Obesity - "This indicator shows the percentage of adolescent public high school students who are obese.

In the last 20 years, the percentage of overweight/obese children has more than doubled and, for adolescents, it has tripled. Overweight/obese children are at increased risk of developing life-threatening chronic diseases, such as Type 2 diabetes."

--- Original source retains full ownership of the source dataset ---

SUMMARYThis analysis, designed and executed by Ribble Rivers Trust, identifies areas across England with the greatest levels of asthma (in persons of all ages). Please read the below information to gain a full understanding of what the data shows and how it should be interpreted.ANALYSIS METHODOLOGYThe analysis was carried out using Quality and Outcomes Framework (QOF) data, derived from NHS Digital, relating to asthma (in persons of all ages).This information was recorded at the GP practice level. However, GP catchment areas are not mutually exclusive: they overlap, with some areas covered by 30+ GP practices. Therefore, to increase the clarity and usability of the data, the GP-level statistics were converted into statistics based on Middle Layer Super Output Area (MSOA) census boundaries.The percentage of each MSOA’s population (all ages) with asthma was estimated. This was achieved by calculating a weighted average based on:The percentage of the MSOA area that was covered by each GP practice’s catchment areaOf the GPs that covered part of that MSOA: the percentage of registered patients that have that illness The estimated percentage of each MSOA’s population with asthma was then combined with Office for National Statistics Mid-Year Population Estimates (2019) data for MSOAs, to estimate the number of people in each MSOA with asthma, within the relevant age range.Each MSOA was assigned a relative score between 1 and 0 (1 = worst, 0 = best) based on:A) the PERCENTAGE of the population within that MSOA who are estimated to have asthmaB) the NUMBER of people within that MSOA who are estimated to have asthmaAn average of scores A & B was taken, and converted to a relative score between 1 and 0 (1= worst, 0 = best). The closer to 1 the score, the greater both the number and percentage of the population in the MSOA that are estimated to have asthma, compared to other MSOAs. In other words, those are areas where it’s estimated a large number of people suffer from asthma, and where those people make up a large percentage of the population, indicating there is a real issue with asthma within the population and the investment of resources to address that issue could have the greatest benefits.LIMITATIONS1. GP data for the financial year 1st April 2018 – 31st March 2019 was used in preference to data for the financial year 1st April 2019 – 31st March 2020, as the onset of the COVID19 pandemic during the latter year could have affected the reporting of medical statistics by GPs. However, for 53 GPs (out of 7670) that did not submit data in 2018/19, data from 2019/20 was used instead. Note also that some GPs (997 out of 7670) did not submit data in either year. This dataset should be viewed in conjunction with the ‘Health and wellbeing statistics (GP-level, England): Missing data and potential outliers’ dataset, to determine areas where data from 2019/20 was used, where one or more GPs did not submit data in either year, or where there were large discrepancies between the 2018/19 and 2019/20 data (differences in statistics that were > mean +/- 1 St.Dev.), which suggests erroneous data in one of those years (it was not feasible for this study to investigate this further), and thus where data should be interpreted with caution. Note also that there are some rural areas (with little or no population) that do not officially fall into any GP catchment area (although this will not affect the results of this analysis if there are no people living in those areas).2. Although all of the obesity/inactivity-related illnesses listed can be caused or exacerbated by inactivity and obesity, it was not possible to distinguish from the data the cause of the illnesses in patients: obesity and inactivity are highly unlikely to be the cause of all cases of each illness. By combining the data with data relating to levels of obesity and inactivity in adults and children (see the ‘Levels of obesity, inactivity and associated illnesses: Summary (England)’ dataset), we can identify where obesity/inactivity could be a contributing factor, and where interventions to reduce obesity and increase activity could be most beneficial for the health of the local population.3. It was not feasible to incorporate ultra-fine-scale geographic distribution of populations that are registered with each GP practice or who live within each MSOA. Populations might be concentrated in certain areas of a GP practice’s catchment area or MSOA and relatively sparse in other areas. Therefore, the dataset should be used to identify general areas where there are high levels of asthma, rather than interpreting the boundaries between areas as ‘hard’ boundaries that mark definite divisions between areas with differing levels of asthma.TO BE VIEWED IN COMBINATION WITH:This dataset should be viewed alongside the following datasets, which highlight areas of missing data and potential outliers in the data:Health and wellbeing statistics (GP-level, England): Missing data and potential outliersLevels of obesity, inactivity and associated illnesses (England): Missing dataDOWNLOADING THIS DATATo access this data on your desktop GIS, download the ‘Levels of obesity, inactivity and associated illnesses: Summary (England)’ dataset.DATA SOURCESThis dataset was produced using:Quality and Outcomes Framework data: Copyright © 2020, Health and Social Care Information Centre. The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital.GP Catchment Outlines. Copyright © 2020, Health and Social Care Information Centre. The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital. Data was cleaned by Ribble Rivers Trust before use.COPYRIGHT NOTICEThe reproduction of this data must be accompanied by the following statement:© Ribble Rivers Trust 2021. Analysis carried out using data that is: Copyright © 2020, Health and Social Care Information Centre. The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital.CaBA HEALTH & WELLBEING EVIDENCE BASEThis dataset forms part of the wider CaBA Health and Wellbeing Evidence Base.

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

Note: This data was created by the Center for Disease Control, not the City of Rochester. This map is zoomed in to show the CDC data at the census tract level. You can zoom out to see data for all 500 cities in the data set. This map has been built to symbolize the percentage of adults who, in 2017, had a body mass index (BMI) at/above 30.0, classifying them as obese according to self-reported data on their height on weight. However, if you click on a census tract, you can see statistics for the other public health statistics mentioned below in the "Overview of the Data" section.Overview of the Data: This service provides the 2019 release for the 500 Cities Project, based on data from 2017 or 2016 model-based small area estimates for 27 measures of chronic disease related to unhealthy behaviors (5), health outcomes (13), and use of preventive services (9). Twenty measures are based on 2017 Behavioral Risk Factor Surveillance System (BRFSS) model estimates. Seven measures (all teeth lost, dental visits, mammograms, Pap tests, colorectal cancer screening, core preventive services among older adults, and sleep less than 7 hours) kept 2016 model estimates, since those questions are only asked in even years. The project was funded by the Robert Wood Johnson Foundation (RWJF) in conjunction with the CDC Foundation. It represents a first-of-its kind effort to release information on a large scale for cities and for small areas within those cities. It includes estimates for the 500 largest US cities and approximately 28,000 census tracts within these cities. These estimates can be used to identify emerging health problems and to inform development and implementation of effective, targeted public health prevention activities. Because the small area model cannot detect effects due to local interventions, users are cautioned against using these estimates for program or policy evaluations.Data were provided by the Centers for Disease Control and Prevention (CDC), Division of Population Health, Epidemiology and Surveillance Branch. Data sources used to generate these measures include BRFSS data (2017 or 2016), Census Bureau 2010 census population data, and American Community Survey (ACS) 2013-2017 or 2012-2016 estimates. For more information about the methodology, visit https://www.cdc.gov/500cities or contact 500Cities@cdc.gov.