Patterns and trends inadult obesity

A presentation of the latest data on adult obesity

2 Patterns and trends in adult obesity

Overweight and obesity among adultsHealth Survey for England 2009-2011

Adult (aged 16+) overweight and obesity: BMI ≥ 25kg/m2

More than 6 out of 10 men are overweight or obese (66.2%)

More than 5 out of 10 women are overweight or obese (57.6%)

3 Patterns and trends in adult obesity

Prevalence of obesity among adultsHealth Survey for England 1993-2011 (3-year average)

Adult (aged 16+) obesity: BMI ≥ 30kg/m2

0%

5%

10%

15%

20%

25%

30%

Prev

alen

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f obe

sity

Women

Men

4 Patterns and trends in adult obesity

Prevalence of overweight among adultsHealth Survey for England 1993-2011 (3-year average)

Adult (aged 16+) overweight including obese: BMI ≥ 25kg/m2

30%

35%

40%

45%

50%

55%

60%

65%

70%

Prev

alen

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f ove

rwei

ght

Men

Women

5 Patterns and trends in adult obesity

Adult prevalence by BMI statusHealth Survey for England 2009-2011

Adult (aged 16+) BMI thresholds:Underweight: <18.5kg/m2

Healthy weight: 18.5 to <25kg/m2

Overweight: 25 to <30kg/m2

Obese: ≥30kg/m2

Underweight1.6%

Healthy weight32.2%

Overweight42.2%

Obese24.0%

Men

Underweight2.2%

Healthy weight40.2%

Overweight32.3%

Obese25.3%

Women

6 Patterns and trends in adult obesity

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

3.5%

4.0%

Prev

alen

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f sev

ere

obes

ity

Women

Men

Prevalence of severe obesity among adultsHealth Survey for England 1993-2011 (3-year average)

Adult (aged 16+) severe obesity: BMI ≥ 40kg/m2

7 Patterns and trends in adult obesity

Adult BMI distributionHealth Survey for England 2008-2010

Adults aged 18+ years

12 18.5 25 30 40 50Body mass index (kg/m2)Men Women

Underweight<18.5kg/m2

Men

0.7%Women

1.2%

Healthy weight18.5 to <25kg/m2

Men

27.0%Women

36.8%

Overweight25 to <30 kg/m2

Men

44.7%Women

34.4%

Obese30 to <40kg/m2

Men

26.1%Women

24.0%

Severely obese≥40kg/m2

Men

1.5%Women

3.5%

8 Patterns and trends in adult obesity

Change in the adult BMI distributionHealth Survey for England 1991-1993 and 2008-2010

Adults aged 18+ years (population weighted)

12 18.5 25 30 40 50

BMI (kg/m2) Men 1991-1993 Women 1991-1993 Men 2008-2010 Women 2008-2010

Underweight<18.5kg/m2

Men1991-93: 0.7%2008-10: 0.7%

Women1991-93: 1.3%2008-10: 1.2%

Healthy weight18.5 to <25kg/m2

Men1991-93: 37.8%2008-10: 27.0%

Women1991-93: 47.6%2008-10: 36.8%

Overweight25 to <30 kg/m2

Men1991-93: 46.7%2008-10: 44.7%

Women1991-93: 33.3%2008-10: 34.4%

Obese30 to <40kg/m2

Men1991-93: 14.6%2008-10: 26.1%

Women1991-93: 16.4%2008-10: 24.0%

Severely obese≥40kg/m2

Men1991-93: 0.3% Women2008-10: 1.5% 1991-93: 1.4%

2008-10: 3.5%

9 Patterns and trends in adult obesity

Adult obesity prevalence by ageHealth Survey for England 2009-2011

Adult (aged 16+) obesity: BMI ≥ 30kg/m2

9.4%

16.6%

23.1%

33.7% 33.4%

29.3%

25.8%

13.2%

19.3%

25.0%

29.3%31.0%

33.2%

28.2%

0%

5%

10%

15%

20%

25%

30%

35%

16-24 25-34 35-44 45-54 55-64 65-74 75+

Prev

alen

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f obe

sity

Men Women

10 Patterns and trends in adult obesity

Adult obesity prevalence by incomeHealth Survey for England 2006-2010

The chart shows 95% confidence intervalsAdult (aged 16+) obesity: BMI ≥ 30kg/m2Income measure is equivalised household income

24.6%

28.7%26.1%

24.4% 24.2%

30.7% 30.6%

26.7%24.2%

18.5%

0%

10%

20%

30%

40%

Lowest income quintile

Highest income quintile

Obe

sity

pre

vale

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Men Women

11 Patterns and trends in adult obesity

Adult obesity prevalence by educationHealth Survey for England 2006-2010

The chart shows 95% confidence intervalsAdult (aged 16+) obesity: BMI ≥ 30kg/m2Education measure is highest qualification attained

29.8%

25.9% 25.4%23.9%

26.5%

20.6%

33.0%

30.7%26.5%

20.2%

24.8%

17.0%

0%

10%

20%

30%

40%

No qualification NVQ1/CSE other grade equiv

NVQ2/GCE O Level equiv

NVQ3/GCE A Level equiv

Higher ed below degree

Degree/NVQ4/NVQ5 or equiv

Obe

sity

pre

vale

nce

Men Women

12 Patterns and trends in adult obesity

Adult obesity prevalence by deprivationHealth Survey for England 2006-2010

The chart shows 95% confidence intervalsAdult (aged 16+) obesity: BMI ≥ 30kg/m2Deprivation measure is Index of Multiple Deprivation (IMD) 2007

23.8%26.7%

25.2%26.4% 25.5%

21.5% 21.8%

25.5%

30.3% 31.5%

0%

10%

20%

30%

40%

Least deprived Most deprived

Obe

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Index of Multiple Deprivation 2007 quintile

Men Women

13 Patterns and trends in adult obesity

Adult obesity prevalence by ethnic groupHealth Survey for England 2006-2010

The chart shows 95% confidence intervalsAdult (aged 16+) obesity: BMI ≥ 30kg/m2Obesity prevalence is age standardised

18.8%

17.4%

13.2% 12.2%

11.5%

16.0%

20.9%

18.7%

13.9%13.1%

26.2%

15.1%

31.6%

25.5%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

White Irish Indian Pakistani Bangladeshi Black African Black Caribbean

Obe

sity

pre

vale

nce

Men Women

14 Patterns and trends in adult obesity

17.8%

15.7%

10.2% 12.4%

4.4%

12.2%

18.2%17.4%

15.3% 16.4%

26.5%

14.4%

34.4%

27.6%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

White Irish Indian Pakistani Bangladeshi Black African Black Caribbean

Obe

sity

pre

vale

nce

Men Women

Adult obesity prevalence by ethnic groupHealth Survey for England 2004

The chart shows 95% confidence intervalsAdult (aged 16+) obesity: BMI ≥ 30kg/m2Obesity prevalence is age standardised

15 Patterns and trends in adult obesity

Adult obesity prevalence by social classHealth Survey for England 1994-2009 (5 year moving average)

Adult (aged 16+) obesity: BMI ≥ 30kg/m2

0%

5%

10%

15%

20%

25%

30%

94-98 95-99 96-00 97-01 98-02 99-03 00-04 01-05 02-06 03-07 04-08 05-09

Obe

sity

pre

vale

nce

0%

5%

10%

15%

20%

25%

30%

35%

40%

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%

5%

10%

15%

20%

25%

30%

35%

40%

94-98 95-99 96-00 97-01 98-02 99-03 00-04 01-05 02-06 03-07 04-08 05-09

Obe

sity

pre

vale

nce

I - Professional II - Managerial technical IIIM - Skilled manual

IIIN - Skilled non-manual IV - Semi-skilled manual V - Unskilled manual

0%

5%

10%

15%

20%

25%

30%

94-98 95-99 96-00 97-01 98-02 99-03 00-04 01-05 02-06 03-07 04-08 05-09

Obe

sity

pre

vale

nce

I - Professional II - Managerial technical IIIM - Skilled manual

IIIN - Skilled non-manual IV - Semi-skilled manual V - Unskilled manual

Men Women

16 Patterns and trends in adult obesity

Adult waist circumferenceHealth Survey for England

Year of surveyMean waist circumference (cm)

% with raised* waist circumference

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 2009-11

1993

82cm

27%

2011

88cm

46%

1993

93cm

21%

2011

97cm

33%

17 Patterns and trends in adult obesity

Adult raised waist circumference by ageHealth Survey for England 2009-2011

Adults aged 16+ years* Raised waist circumference is taken to be greater than 102cm in men and greater than 88cm in women

10.2%

17.9%

30.2%

42.0%

48.7%53.0%

47.6%

20.1%

29.7%

43.3%

50.9%

59.7%

64.4%60.7%

0%

10%

20%

30%

40%

50%

60%

70%

16-24 25-34 35-44 45-54 55-64 65-74 75+

Prev

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sed

wai

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ircu

mfe

renc

e

Men Women

18 Patterns and trends in adult obesity

Adult raised waist circumferenceHealth Survey for England 1993-2011

Adults aged 16+ years* Raised waist circumference is taken to be greater than 102cm in men and greater than 88cm in women

0%

10%

20%

30%

40%

50%

Prev

alen

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f rai

sed

wai

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ircu

mfe

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e

Women

Men

19 Patterns and trends in adult obesity

Health risk categoriesHealth Survey for England/ NICE

Low High Very high

BMIMen: <94cm

Women: <80cmMen: 94-102cm

Women: 80-88cmMen: >102cm

Women: >88cm

Underweight

(<18.5kg/m2)Underweight

(Not Applicable)Underweight

(Not Applicable)Underweight

(Not Applicable)

Healthy weight

(18.5-24.9kg/m2)No increased risk No increased risk Increased risk

Overweight

(25-29.9kg/m2)No increased risk Increased risk High risk

Obese

(30-34.9kg/m2)Increased risk High risk Very high risk

Very obese

(≥40kg/m2)Very high risk Very high risk Very high risk

Waist circumference

20 Patterns and trends in adult obesity

56% 55% 52% 51%45% 45% 45% 44% 45% 45% 43% 44%

42% 42%

18% 18%18% 18%

19% 18% 18% 18% 17% 17% 18% 17%18% 16%

11% 12%12% 12%

15% 15% 15% 14% 15% 15% 15% 16%16% 16%

13% 14% 16% 17% 20% 21% 21% 22% 22% 22% 23% 21% 24% 23%

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Very high risk

High risk

Increased risk

No increased risk

Underweight

Change in prevalence of health risk categoriesUsing both BMI and waist circumference; Health Survey for England

Adults aged 16+ yearsUsing combined waist circumference and BMI classification, as recommended by NICE

21 Patterns and trends in adult obesity

Change in prevalence of health risk categoriesUsing both BMI and waist circumference; Health Survey for England

Adults aged 16+ yearsUsing combined waist circumference and BMI classification, as recommended by NICE

1993-1994

2010-2011

55.2%

55.6%

15.8%

20.8%

12.2%

11.2%

14.8%

11.3%

Women

Men

Underweight No increased risk Increased risk High risk Very high risk

55.2%

55.6%

15.8%

20.8%

12.2%

11.2%

14.8%

11.3%

Women

Men

Underweight No increased risk Increased risk High risk Very high risk

40.2%

43.5%

14.5%

19.7%

18.4%

13.6%

25.1%

21.8%

Women

Men

Underweight No increased risk Increased risk High risk Very high risk

22 Patterns and trends in adult obesity

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