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Trends: Children

Obesity trends in children globally

Last updated 25-06-2024

The prevalence of obesity has been increasing worldwide among children and adolescents over the past four decades. Between 1990 and 2022, child and adolescent obesity increased in 186 countries for girls, and 195 countries for boys. The largest increases were observed in island nations of Polynesia and Micronesia, and the Caribbean, Brunei and Chile.

Key Evidence

01

Around the world, 6.9% of girls and 9.3% of boys were living with obesity in 2022

02

Obesity rates vary dramatically between countries and regions, with some of the highest rates in pacific island countries

Childhood obesity around the world

The NCD Risk Factor Collaboration estimated that in 2022, 65.1 million girls and 94.2 million boys aged 5-19 were living with obesity globally.1

Detailed data from 2022 showed that more than 30% of girls in the Bahamas, Tonga, Cook Islands, and Niue were living with obesity; and the same was true for boys in Tonga, Palau, Tuvalu, American Samoa, Chile, Tokelau, Nauru, Cook Islands, and Niue.1 2

A snapshot of childhood obesity

NCD Risk Factor Collaboration. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. The Lancet, 2017; 390(10113):2627-2642.

NCD Risk Factor Collaboration (2017). Child & Adolescent Body-Mass Index - global data. from http://www.ncdrisc.org/data-downloads-adiposity-ado.html

Global trends in childhood obesity

After controlling for age, the global prevalence of obesity for girls increased from 1.7% in 1990 to 6.9% in 2022, and 2.1% to 9.3% for boys, while rates of underweight decreased for both boys and girls over this time.1

The prevalence of obesity is relatively low in many low- and middle-income countries (LMICs) but is rapidly increasing over time. This has been driven by a transition away from traditional diets to more 'western' style diets characterised by highly processed foods high in sugar and fat, sometimes described as the ‘nutrition transition’.3 This means many LMICs are living with the double burden of under and over nutrition, leading to poorer educational and diet-related health outcomes across the life course.1

Global trends in childhood obesity among boys

NCD RisC (NCD Risk Factor Collaboration) ncdrisc.org

Note: Obesity defined as BMI >2 standard deviations above the median for age and sex, according to international reference.

5 year olds 10 year olds 15 year olds

Global trends in childhood obesity among girls

NCD Risk Factor Collaboration. ncdrisc.org

Note: Obesity defined as BMI >2 standard deviations above the median for age and sex, according to international reference.

5 year olds 10 year olds 15 year olds

Content for this page was written by Melanie Nichols, Deakin University and reviewed by Kathryn Backholer and Gary Sacks, Co-Directors at the Global Centre for Preventive Health and Nutrition at Deakin University. For more information about the approach to content on the site please see About | Obesity Evidence Hub.

References

1. NCD Risk Factor Collaboration (NCDRisC), Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults. Lancet, 2024.
2. NCD Risk Factor Collaboration (NCD RisC). NCD Risk Factor Collaboration: Data downloads. [Accessed March 2024]; Available from: https://www.ncdrisc.org/data-downloads.html.
3. Popkin BM. Nutritional Patterns and Transitions. Population and Development Review, 1993; 19(1):138-157.