noo
National Obesity
Observatory
Examining available data for the
adult population
© NOO 2012
noo
National Obesity
Observatory
The National Obesity Observatory is
a single point of contact for wideranging authoritative information on
data, evaluation and evidence related
to weight status and its determinants
© NOO 2012
Overweight and obesity among adults aged 16+ years
Health Survey for England 2008-2010
More than 6 out of 10 men are overweight or obese (66.5%)
More than 5 out of 10 women are overweight or obese (57.1%)
© NOO 2012
Adult (aged 16+) overweight and obesity: BMI ≥ 25kg/m2
Prevalence of obesity among adults aged 16+ years
Health Survey for England 1993-2010
30%
Men
Women
Obesity prevalence
25%
20%
15%
10%
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
0%
1993
5%
The chart shows 95% confidence limits
© NOO 2012
Adult (aged 16+) obesity: BMI ≥ 30kg/m2
Prevalence of obesity among adults aged 16+ years
Health Survey for England 1993-2010 (3-year average)
21.4%
19.8%
22.3%
22.8%
23.1%
24.5%
23.8%
24.4%
24.9%
24.1%
23.3%
20.2%
18.5%
17.1%
21.8%
22.3%
23.9%
2006
21.2%
23.5%
2005
20.7%
22.6%
23.0%
2004
22.0%
Men
23.1%
2003
Women
24.3%
17.7%
19.0%
17.7%
16.2%
16.9%
15.2%
© NOO 2012
2009
2008
2007
2002
2001
2000
1999
1998
1997
1996
1995
1994
14.1%
Adult (aged 16+) obesity: BMI ≥ 30kg/m2
Adult prevalence by BMI status
Health Survey for England (2008-2010 average)
Obese
Obese
24.1%
24.9%
Healthy weight
31.8%
Healthy weight
Men
Women
40.8%
Underweight
Overweight
42.4%
1.7%
Overweight
32.2%
Underweight
2.1%
Adult (aged 16+) BMI thresholds
Underweight: <18.5kg/m2
Healthy weight: 18.5 to <25kg/m2
Overweight: 25 to <30kg/m2
Obese: ≥30kg/m2
© NOO 2012
Prevalence of morbid obesity among adults aged 16+ years
Health Survey for England 1993-2010
4.5%
Prevalence of morbid obesity
4.0%
Men
Women
3.5%
3.0%
2.5%
2.0%
1.5%
1.0%
0.5%
0.0%
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year of measurement
The chart shows 95% confidence limits
© NOO 2012
Adult (aged 16+) morbid obesity: BMI ≥ 40kg/m2
Adult (aged 18+ years) BMI distribution
Health Survey for England 2008-2010
Underweight
Healthy weight
18.5 to
<18.5kg/m2
<25kg/m2
Overweight
25 to <30
Obese
kg/m2
30 to
Morbidly obese
<40kg/m2
≥40kg/m2
Men
Men
26.1%
44.7%
Women
Women
24.0%
34.4%
Men
0.7%
Women
Women
1.2%
3.5%
36.8%
12
© NOO 2012
1.5%
27.0%
Women
Men
Men
Men
18.5
Women
25
30
40
50
Body mass index (kg/m2)
Adults aged 18+ years
Change in the adult BMI distribution
Health Survey for England 1991-1993 and 2008-2010 (population weighted)
Underweight
Healthy weight
Overweight
Obese
Morbidly obese
<18.5kg/m2
18.5 to <25kg/m2
25 to <30 kg/m2
30 to <40kg/m2
≥40kg/m2
Men
Men
Men
Men
1991-93: 0.7%
2008-10: 0.7%
1991-93: 37.8%
2008-10: 27.0%
Women
1991-93: 1.3%
2008-10: 1.2%
12
BMI (kg/m2)
© NOO 2012
Women
1991-93: 47.6%
2008-10: 36.8%
18.5
1991-93: 14.6%
2008-10: 26.1%
1991-93: 46.7%
2008-10: 44.7%
Women
Women
1991-93: 33.3%
2008-10: 34.4%
1991-93: 16.4%
2008-10: 24.0%
Men
1991-93: 0.3%
2008-10: 1.5%
25
30
Men 1991-1993
40
Women 1991-1993
Men 2008-2010
Women
1991-93: 1.4%
2008-10: 3.5%
50
Women 2008-2010
Adults aged 18+ years
Adult obesity prevalence by age and sex
Health Survey for England 2008-2010
Males
Men
Females
Women
34.2%
33.1%
33.6%
30.6% 30.2%
28.5%
26.3%
25.0% 25.2%
23.8%
18.8%
16.8%
13.9%
8.8%
16-24
© NOO 2012
25-34
35-44
45-54
55-64
65-74
75+
Adult (aged 16+) obesity: BMI ≥ 30kg/m2
Adult obesity prevalence by equivalised
household income quintile
Health Survey for England 2006-2010
40%
Men
Women
Obesity prevalence
30%
30.7%
20%
24.6%
30.6%
28.7%
26.1%
26.7%
24.4%
24.2%
24.2%
18.5%
10%
0%
Lowest income
quintile
Highest income
quintile
The chart shows 95% confidence limits
© NOO 2012
Adult (aged 16+) obesity: BMI ≥ 30kg/m2
Adult obesity prevalence by highest level
of education
Health Survey for England 2006-2010
40%
Men
33.0%
30%
Obesity prevalence
Women
29.8%
30.7%
25.9%
20%
25.4%
26.5%
26.5%
23.9%
20.2%
24.8%
20.6%
17.0%
10%
0%
No qualification
NVQ1/CSE other
grade equiv
NVQ2/GCE O Level NVQ3/GCE A Level
equiv
equiv
Higher ed below Degree/NVQ4/NVQ5
degree
or equiv
The chart shows 95% confidence limits
© NOO 2012
Adult (aged 16+) obesity: BMI ≥ 30kg/m2
Adult obesity prevalence by Index of Multiple
Deprivation (IMD 2007) quintile
Health Survey for England 2006-2010
40%
Men
Women
Obesity prevalence
30%
31.5%
30.3%
26.7%
20%
23.8%
21.5%
25.2%
25.5%
26.4%
25.5%
21.8%
10%
0%
Least deprived
Index of Multiple Deprivation 2007 quintile
Most deprived
The chart shows 95% confidence limits
© NOO 2012
Adult (aged 16+) obesity: BMI ≥ 30kg/m2
Age standardised adult obesity prevalence by
ethnic group
Health Survey for England 2006-2010
45%
Men
Women
40%
Obesity prevalence
35%
30%
25%
31.6%
20%
15%
18.8% 18.7%
25.5%
26.2%
20.9%
17.4%
10%
13.9%
5%
16.0%
13.2% 13.1% 12.2%
11.5%
15.1%
0%
White
© NOO 2012
Irish
Indian
Pakistani
Bangladeshi Black African
Black
Caribbean
The chart shows 95% confidence limits
Adult (aged 16+) obesity: BMI ≥ 30kg/m2
Age standardised adult obesity prevalence by
ethnic group
Health Survey for England 2004
45%
40%
Men
Women
Obesity prevalence
35%
30%
25%
34.4%
27.6%
20%
15%
26.5%
17.8% 17.4%
10%
15.7% 15.3%
10.2%
5%
18.2%
16.4%
12.2%
4.4%
0%
White
© NOO 2012
14.4%
12.4%
Irish
Indian
Pakistani
Bangladeshi Black African
Black
Caribbean
The chart shows 95% confidence limits
Adult (aged 16+) obesity: BMI ≥ 30kg/m2
Adult obesity prevalence by social class
Health Survey for England 1994-2009 (5 year moving averages)
Men
Women
40%
30%
35%
25%
Obesity prevalence
20%
30%
15%
25%
10%
5%
Obesity prevalence
Obesity prevalence
30%
25%
20%
15%
10%
20%
5%
15%
0%
94-98 95-99 96-00 97-01 98-02 99-03 00-04 01-05 02-06 03-07 04-08 05-09
0%
94-98 95-99 96-00 97-01 98-02 99-03 00-04 01-05 02-06 03-07 04-08 05-09
10%
I - Professional
II - Managerial technical
IIIM - Skilled manual
IIIN - Skilled non-manual
IV - Semi-skilled manual
V - Unskilled manual
5%
0%
94-98
© NOO 2012
95-99
96-00
97-01
98-02
99-03
00-04
01-05
02-06
03-07
04-08
05-09
Adult (aged 16+) obesity: BMI ≥ 30kg/m2
Adult waist circumference
Health Survey for England
Year of survey
Mean waist circumference (cm)
% with raised* waist circumference
© NOO 2012
1993
2010
82cm
27%
88cm
45%
1993
2010
93cm
21%
98cm
33%
Adults aged 16+ years
* Raised waist circumference is taken to be greater than 102cm in men and greater than 88cm in women
% with raised waist circumference is a three year average for 1993-95 and 2008-10
Raised waist circumference among adults by age
Health Survey for England 2008-2010
70%
Men
Women
60%
63.5%
59.4%
58.1%
50%
49.3% 50.1%
51.0%
40%
44.8%
46.2%
40.6% 40.6%
30%
30.7%
20%
20.8%
33.5%
32.6%
18.6%
10%
10.2%
0%
16-24
© NOO 2012
25-34
35-44
45-54
55-64
65-74
75+
All ages
The chart shows 95% confidence limits
Adults aged 16+ years
Raised waist circumference defined as >102cm for men and >88cm for women
Trend in raised waist circumference among adults
Health Survey for England, 1993 - 2010
50%
Women
40%
Men
30%
20%
10%
0%
© NOO 2012
The chart shows 95% confidence limits
Adults aged 16+ years
Raised waist circumference defined as >102cm for men and >88cm for women
Health risk categories for BMI and waist
circumference
Health Survey for England/NICE
Waist circumference
BMI
Underweight
2
(< 18.5 kg/m )
Healthy weight
(18.5-24.9 kg/m2)
Overweight
(25-29.9 kg/m2)
Obese
(30-34.9 kg/m2)
Very Obese
(>35 kg/m2)
© NOO 2012
Low
Men: <94cm
Women: <80cm
High
Men: 94-102cm
Women: 80-88cm
Very high
Men: >102cm
Women: >88cm
Underweight
(Not Applicable)
Underweight
(Not Applicable)
Underweight
(Not Applicable)
No Increased Risk
No Increased Risk
Increased Risk
No Increased Risk
Increased Risk
High Risk
Increased Risk
High Risk
Very High Risk
Very High Risk
Very High Risk
Very High Risk
Change in prevalence of health risk categories
Using both BMI and waist circumference; Health Survey for England
13%
11%
18%
14%
16%
12%
12%
17%
20%
21%
21%
22%
22%
22%
23%
21%
15%
15%
15%
14%
15%
15%
15%
16%
17%
17%
18%
17%
45%
43%
44%
Very high risk
16%
High risk
18%
Increased risk
42%
No increased
risk
12%
18%
18%
18%
19%
56%
24%
55%
52%
18%
18%
18%
51%
45%
45%
45%
44%
45%
Underweight
1993
© NOO 2012
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Adults aged 16+ years
Using combined waist circumference and BMI classification, as recommended by NICE
Change in prevalence of health risk categories
Using both BMI and waist circumference; Health Survey for England
1993-1994
Men
55.6%
Women
55.2%
20.8%
15.8%
11.1%
12.2%
11.3%
14.8%
2008-2009
Men
44.1%
Women
41.8%
Underweight
© NOO 2012
No increased risk
19.5%
15.1%
Increased risk
13.7%
17.2%
High risk
21.0%
23.6%
Very high risk
Adults aged 16+ years
Using combined waist circumference and BMI classification, as recommended by NICE
Health risk categories for BMI and waist circumference
Proportion of adults at high or very high risk of
obesity related ill-health by age
Health Survey for England 2006-2010
60%
Men
Women
57.9%
50%
48.7%
44.9%
40%
53.3%
51.7% 50.8%
44.0%
42.1%
37.5%
33.9%
30%
30.1%
23.7%
20%
18.2%
10%
10.7%
0%
16-24
© NOO 2012
25-34
35-44
45-54
55-64
65-74
75+
Adults aged 16+ years. The chart shows 95% confidence limits.
Using combined waist circumference and BMI classification, as recommended by NICE
Proportion of adults at high or very high risk of
obesity related ill-health by ethnic group
Using both BMI and waist circumference; Health Survey for England 2006-2010
60%
Men
Women
50%
40%
30%
44.8%
29.8%
39.3%
39.5%
26.6%
20%
22.8%
25.0%
26.8%
19.1%
10%
22.7%
20.2%
17.7%
16.8%
17.9%
0%
White
© NOO 2012
Irish
Indian
Pakistani
Bangladeshi
Black African
Black
Caribbean
Adults aged 16+ years. The chart shows 95% confidence limits.
Using combined waist circumference and BMI classification, as recommended by NICE, see previous slide
Adult obesity prevalence modelled estimates
National Centre for Social Research, 2006-2008
Adult obesity
prevalence
(%) 2006-2008
Obesity
prevalence
(%)
byLocal
localAuthority
authority
by
13.1 to 22.3%
22.4 to 23.6%
23.7 to 25.0%
25.1 to 26.8%
26.9 to 32.9%
London inset:
© Crown Copyright. All rights reserved. DH 100020290 2011
© NOO 2012
Adult (aged 16+) obesity: BMI ≥ 30kg/m2
© NOO 2012
http://www.noo.org.uk/visualisation/eatlas
noo
National Obesity
Observatory
noo.org.uk
info@noo.org.uk
ncmp@noo.org.uk
© NOO 2012