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This report presents the prevalence of obesity and overweight among children in England, highlighting gender differences, age groups, income disparities, and the impact of parental BMI status.
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Statistics on Obesity, PA & Diet: England, Jan 08i Compiled by Sally Cornfield on behalf of PAN-WM Headline Findings
Obesity Headline Statements (Children) • In 2006 29.7% of 2-15yr olds were overweight or obese. The prevalence of overweight and obese and obese is higher in boys (30.6% & 17.3% respectively) than girls (28.7% & 14.7%)ii. • This higher prevalence is also true for younger children (2-10yrs) with 29.3% of boys overweight including obese compared to 25.9% of girls & 17.1% of boys obese compared to 13.2% of girlsii. (Figure 1) • Obesity is most prevalent for boys at the ages of 9yrs & 13yrs (both 23%) & for girls at 9yrs & 14yrs (both 19%). The highest prevalence of overweight for boys is at 11yrs (16%) & for girls at 14yrs (20%). For overweight including obese the highest prevalence for boys is at 9yrs, 11yrs & 13yrs (all 38%) & for girls at 14yrs (39%).
Figure 1 Boys 2-10 Boys 11-15 Boys 2-15 Girls 2-10 Girls 11-15 Girls 2-15 Boys Girls Health Survey for England 2006. The Information Centre, 2008. Available at: www.ic.nhs.uk/pubs/hse06cvdandriskfactors
Obesity Headline Statements (Children) • Trend data reveals that In 2006, 17.3% of boys & 14.7% of girls were obese compared to 10.9% & 12% in 1995ii. (Figure 2) • The data also shows the same overall increase among both younger children aged 2-10yrs (boys; 9.6% to 17.1% & girls; 10.3% to 13.2%) & for boys aged 11-15yrs (13.5% to 17.7%). The increase for girls (15.4% to 17%) was not statistically significantii. (Figure 2) • Although the 2006 estimate for girls aged 2-15yrs represents a significant decrease from the 2005 figure 18.3% - 14.6%, it is not know whether this is part of a downward trend yeti. Future years’ data is neededii. (Figure 2 – 2003 onwards weighted) • Whilst there has been a marked increase in the prevalence of obesity, the prevalence of overweight has remained similar (despite fluctuations)i. (Figure 3)
Overweight inc Obese (2-15) Obese (2-15) Overweight (2-15) Overweight inc Obese (11-15) Obese (11-15) Overweight (11-15) Overweight inc Obese (2-10) Obese (2-10) Overweight (2-10) Figure 2 Overweight & obesity prevalence among children by year & gender, 1995-2006 Health Survey for England 2006. The Information Centre, 2008. Available at: www.ic.nhs.uk/pubs/hse06cvdandriskfactors
Figure 3 Obesity prevalence among children aged 2-15, 1995 - 2006 Office of National Statistics (2008) Statistics on Obesity, Physical Activity & Diet: England. January, 2008. The Information Centre, Lifestyle Statistics. Available at: http://www.ic.nhs.uk/webfiles/publications/opan08/OPAD%20Jan%202008%20final.pdf
Obesity Headline Statements (Children) • Among boys & girls a pattern can be seen between obesity and income group. Among the lowest income group 20% of both boys & girls were obeseii. • In the highest income groups, 15% of boys & 9% of girls were obeseii. (Figure 4) • The proportion overweight or obese varied among girls from 24% in the highest income groups to 33% in the lowest. No pattern was found among boysii. (Figure 5). • Girls in the lowest income quintile were 2.5 times more likely to be overweight (inc obese) than those in the highest quintileii. • No clear relationship could be identified for boys nor for obesity & income (boys or girls)ii.
Figure 4 Prevalence of obesity by equivalised household income quintiles and gender, 2006 Office of National Statistics (2008) Statistics on Obesity, Physical Activity & Diet: England. January, 2008. The Information Centre, Lifestyle Statistics. Available at: http://www.ic.nhs.uk/webfiles/publications/opan08/OPAD%20Jan%202008%20final.pdf
Boys Overweight Boys Overweight inc Obese Girls Overweight Girls Overweight inc Obese Figure 5 Health Survey for England 2006. The Information Centre, 2008. Available at: www.ic.nhs.uk/pubs/hse06cvdandriskfactors
Obesity Headline Statements (Children) • Children in semi-routine & routine households were nearly twice as likely to be obese than those in managerial & professional households (boys odds ratio 1.85, girls 1.99)ii. • Parental BMI is a significant predictor for girls. Where either parent or the child’s mother were either overweight or obese 22% of girls (2-15yrs) were classed as obese compared with 8% in normal householdsii. (Figure 6) • Equivalent figures for those classed as either overweight or obese were 37% & 16%ii. • No clear relationship could be identified among boysii. • Girls living in overweight or obese households were over three times as likely to be overweight or obese than those living in normal households.
Figure 6 Prevalence of obesity by parental BMI status & gender, 2006 Office of National Statistics (2008) Statistics on Obesity, Physical Activity & Diet: England. January, 2008. The Information Centre, Lifestyle Statistics. Available at: http://www.ic.nhs.uk/webfiles/publications/opan08/OPAD%20Jan%202008%20final.pdf
Obesity Headline Statements (Children) • A relationship can be seen between overweight prevalence and physical activity levels for girls 2-15yrs. Overweight prevalence rates ranged from 18% in the low PA groups to 12% in the high PA groupii. (Figure 7) • No equivalent difference was identifies for girls PA levels & obesity nor for boys in any categoryii. • The prevalence of boys in Scotland (2003) who were overweight including obese was significantly higher than boys in England (2002) (34.6% in Scotlandiii, 30.3% in Englandiv). (Figure 8) • There were no significant differences between girls in England & Scotland.
Figure 7 Girls Boys Health Survey for England 2006. The Information Centre, 2008. Available at: www.ic.nhs.uk/pubs/hse06cvdandriskfactors
Figure 8 The Scottish Health Service 2003. Scottish Executive Health Department, 2005 Available at: http://www.scotland.gov.uk/Publications/2005/11/25145024/50251 Health Survey for England 2002: Department of Health, 2003. Available at: http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/ HealthSurveyForEngland/Healthsurveyresults/DH_4001558
Obesity Headline Statements (Children) • Obesity prevalence varied between the different Government Office Regions. For boys in 2006 prevalence of obesity ranged from 24% in London to 14% in both the North West & East England. Among girls values ranged from 18% in the East Midlands to 10% in East Englandii. (Figure 9) • In the 2006 HES children ages 8-15yrs were asked “Given your age & height, would you say that you are about the right weight, too heavy or too light?. Among girls classed as obese, 2/3 believed that they were too heavy while 1/3 said their weight was about rightii. (Figure 10) • 60% of obese boys believed that they were too heavy whilst 40% believed that their weight was about rightii. (Figure 10) • Obesity prevalence is predicted to double by 2025 among young people with an increase from 2003 in obesity from17% for boys to 19% & 16% for girls to 22% in 2010v.
Figure 9 Overweight & obesity prevalence by GO region & gender, 2006 Health Survey for England 2006. The Information Centre, 2008. Available at: www.ic.nhs.uk/pubs/hse06cvdandriskfactors
Figure 10 Men in England Men in Scotland Women in England Women in Scotland Boys Girls Health Survey for England 2006. The Information Centre, 2008. Available at: www.ic.nhs.uk/pubs/hse06cvdandriskfactors
References • i Office of National Statistics (2008) Statistics on Obesity, Physical Activity & Diet: England. January, 2008. The Information Centre, Lifestyle Statistics. Available at: http://www.ic.nhs.uk/webfiles/publications/opan08/OPAD%20Jan%202008%20final.pdf • ii Health Survey for England 2006. The Information Centre, 2008. Available at: www.ic.nhs.uk/pubs/hse06cvdandriskfactors • iii The Scottish Health Service 2003. Scottish Executive Health Department, 2005 Available at: http://www.scotland.gov.uk/Publications/2005/11/25145024/50251 • iv Health Survey for England 2002: Department of Health, 2003. Available at: http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/HealthSurveyForEngland/Healthsurveyresults/DH_4001558 • v Forecasting Obesity to 2010. Department of Health, 2006. Available at: http://www.scotland.gov.uk/Resource/Doc/76169/0019732.pdf