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Patterns and trends in
child obesity
A presentation of the latest data on child obesity
Updated June 2017
Prevalence of excess weight among children
NationalChildMeasurementProgramme2015/16
2 Patterns and trends in child obesity
Child overweight (including obesity)/ excess weight: BMI ≥ 85th centile of the UK90 growth reference
One in five children in Reception is overweight or obese (boys 22.7%, girls 21.5%)
One in three children in Year 6 is overweight or obese (boys 36.0%, girls 32.3%)
Prevalence of obesity among children
NationalChildMeasurementProgramme2015/16
3 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
Around one in ten children in Reception is obese (boys 9.6%, girls 9.0%)
Around one in five children in Year 6 is obese (boys 21.7%, girls 17.9%)
BMI status of children by age
NationalChildMeasurementProgramme2015/16
4 Patterns and trends in child obesity
This analysis uses the 2nd, 85th and 95th centiles of the British 1990 growth reference (UK90) for BMI to classify children as underweight,
healthy weight, overweight or obese. These thresholds are the most frequently used for population monitoring within England.
Underweight
1.0%
Healthy weight
76.9%
Overweight
12.8%
Obese
9.3%
Reception
(aged 4-5 years)
Underweight
1.3%
Healthy weight
64.5%
Overweight
14.3%
Obese
19.8%
Year 6
(aged 10-11 years)
5 Patterns and trends in child obesity
Prevalence of overweight and obesity
Childrenaged2-10and11-15years;HealthSurveyforEngland2013-2015
Child overweight BMI between ≥ 85th centile and <95th centile, child obesity BMI ≥ 95th centile of the UK90 growth reference
13.8% 14.6% 13.0%
16.7%
14.6%
20.0%
12.5%
17.6%
28.4%
34.6%
25.5%
34.2%
0%
5%
10%
15%
20%
25%
30%
35%
40%
2-10 11-15 2-10 11-15
Boys Girls
Obese
Overweight
Trend in the prevalence of obesity
Childrenaged2-10and11-15years;HealthSurveyforEngland1995-2015
6 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference. 95% confidence intervals are displayed on the chart
0%
5%
10%
15%
20%
25%
30%
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Prevalenceofobesity
11-15
2-10
Trend in the prevalence of excess weight
Childrenaged2-10and11-15years;HealthSurveyforEngland1995-2015
7 Patterns and trends in child obesity
Child excess weight: BMI ≥ 85th centile of the UK90 growth reference. 95% confidence intervals are displayed on the chart
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Prevalenceofexcessweight
11-15
2-10
Trend in the prevalence of obesity and
excess weight
Childrenaged2-15years; HealthSurveyforEngland1995-2015
8 Patterns and trends in child obesity
Child excess weight BMI ≥ 85th centile, child obesity BMI ≥ 95th centile of the UK90 growth reference. 95% confidence intervals are displayed on the chart
0%
5%
10%
15%
20%
25%
30%
35%
40%
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Excess weight
Obesity
9 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
Prevalence of obesity by age and sex
NationalChildMeasurementProgramme2006/07to2015/16
0%
5%
10%
15%
20%
25%
2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
Obesityprevalence
Year 6 boys
Year 6 girls
Reception boys
Reception girls
10 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
95% confidence intervals are displayed on the chart
Prevalence of obesity by sex: Reception
NationalChildMeasurementProgramme2006/07to2015/16
10.7%
9.1%
10.4%
8.8%
10.3%
8.9%
10.5%
9.2%
10.1%
8.8%
9.9%
9.0%
9.7%
8.8%
9.9%
9.0%
9.5%
8.7%
9.6%
9.0%
0%
2%
4%
6%
8%
10%
12%
Reception boys Reception girls
Obesityprevalence
2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
11 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
95% confidence intervals are displayed on the chart
Prevalence of obesity by sex: Year 6
NationalChildMeasurementProgramme2006/07to2015/16
19.0%
15.8%
20.0%
16.6%
20.0%
16.5%
20.4%
17.0%
20.6%
17.4%
20.7%
17.7%
20.4%
17.4%
20.8%
17.3%
20.7%
17.4%
21.7%
17.9%
0%
5%
10%
15%
20%
25%
Year 6 boys Year 6 girls
Obesityprevalence
2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
12 Patterns and trends in child obesity
Child excess weight: BMI ≥ 85th centile of the UK90 growth reference
Prevalence of excess weight by age and sex
NationalChildMeasurementProgramme2006/07to2015/16
0%
5%
10%
15%
20%
25%
30%
35%
40%
2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
Excessweightprevalence
Year 6 boys
Year 6 girls
Reception boys
Reception girls
13 Patterns and trends in child obesity
Child excess weight: BMI ≥ 85th centile of the UK90 growth reference
95% confidence intervals are displayed on the chart
Prevalence of excess weight by sex: Reception
NationalChildMeasurementProgramme2006/07to2015/16
24.3%
21.5%
24.0%
21.1%
24.0%
21.5%
24.3%
21.8%
23.9%
21.3%
23.5%
21.6%
23.2%
21.2%
23.4%
21.6%
22.6%
21.2%
22.7%
21.5%
0%
5%
10%
15%
20%
25%
30%
Reception boys Reception girls
Excessweightprevalence
2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
14 Patterns and trends in child obesity
Child excess weight: BMI ≥ 85th centile of the UK90 growth reference
95% confidence intervals are displayed on the chart
Prevalence of excess weight by sex: Year 6
NationalChildMeasurementProgramme2006/07to2015/16
33.2%
30.0%
34.3%
30.7%
34.5%
30.7%
35.0%
31.6%
34.9%
31.8%
35.4%
32.4%
34.8%
31.8%
35.2%
31.7%
34.9%
31.5%
36.0%
32.3%
0%
5%
10%
15%
20%
25%
30%
35%
40%
Year 6 boys Year 6 girls
Excessweightprevalence
2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
BMI distribution: Reception children
NationalChildMeasurementProgramme2015/16
15 Patterns and trends in child obesity
BMI z score
Girls
Boys
1990 baseline
2nd centile
85th centile
91st centile
95th centile
98th centile
BMI distribution: Year 6 children
NationalChildMeasurementProgramme2015/16
16 Patterns and trends in child obesity
BMI z score
Girls
Boys
1990 baseline
2nd centile
85th centile
91st centile
95th centile
98th centile
Obesity prevalence and deprivation
NationalChildMeasurementProgramme2015/16–Year6children
17 Patterns and trends in child obesity
Local authorities in England
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
y = 0.0037x + 0.1129
R² = 0.6346
0%
5%
10%
15%
20%
25%
30%
0 5 10 15 20 25 30 35 40 45
Obesityprevalence
Index of Multiple Deprivation 2015 score
(High score = more deprived)
Obesity prevalence by deprivation decile
NationalChildMeasurementProgramme2015/16
18 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
26.0%
24.9%
23.7%
21.9%
19.9%
18.1%
17.0%
15.6%
14.0%
11.7%
12.5%
11.7%
10.9%
9.8% 9.2%
8.4%
7.7% 7.1% 6.8%
5.5%
0%
5%
10%
15%
20%
25%
30%
Most
deprived
Least
deprived
Obesityprevalence
Index of Multiple Deprivation 2015 decile
Year 6
Reception
19 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
Obesity prevalence by deprivation decile:
Reception
NationalChildMeasurementProgramme2006/07to2015/16
0%
2%
4%
6%
8%
10%
12%
14%
Most
deprived
Least
deprived
Obesityprevalence
Index of Multiple Deprivation (IMD 2010) decile
2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
Obesity prevalence by deprivation decile:
Year 6
NationalChildMeasurementProgramme2006/07to2015/16
20 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
0%
5%
10%
15%
20%
25%
30%
Most
deprived
Least
deprived
Obesityprevalence
Index of Multiple Deprivation (IMD 2010) decile
2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
Obesity prevalence by household income
HealthSurveyforEngland2015
21 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
18.0%
16.0%
12.8%
9.2% 9.2%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
Lowest Highest
Obesityprevalence
Equivalised household income quintile
Obesity prevalence by ethnic group: Reception
NationalChildMeasurementProgramme2015/16
22 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
9% 9%
10%
8%
11%
13%
11%
12%
17%
14%
12%
9%
8%
9%
7%
10% 10%
9%
12%
17%
14%
9%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
WhiteBritish
Whiteother
Mixed
Indian
Pakistani
Bangladeshi
Asianother
BlackCaribbean
BlackAfrican
Blackother
Anyotherethnicgroup
WhiteBritish
Whiteother
Mixed
Indian
Pakistani
Bangladeshi
Asianother
BlackCaribbean
BlackAfrican
Blackother
Anyotherethnicgroup
Boys Girls
Obesityprevalence
Obesity prevalence by ethnic group: Year 6
NationalChildMeasurementProgramme2015/16
23 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
19%
25%
23%
26%
29%
33%
28% 28%
29%
26%
28%
16%
18%
21%
17%
22% 22%
18%
31%
29%
26%
20%
0%
5%
10%
15%
20%
25%
30%
35%
40%
WhiteBritish
Whiteother
Mixed
Indian
Pakistani
Bangladeshi
Asianother
BlackCaribbean
BlackAfrican
Blackother
Anyotherethnicgroup
WhiteBritish
Whiteother
Mixed
Indian
Pakistani
Bangladeshi
Asianother
BlackCaribbean
BlackAfrican
Blackother
Anyotherethnicgroup
Boys Girls
Obesityprevalence
Obesity prevalence by ethnic group
NationalChildMeasurementProgramme2015/16
24 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
Children in Reception (aged 4-5 years) Children in Year 6 (aged 10-11 years)
9.3%
11.2%
7.3%
14.1%
16.6%
12.1%
9.7%
11.6%
10.4%
7.3%
9.3%
6.8%
13.3%
11.3%
8.6%
9.1%
8.8%
0% 5% 10% 15% 20%
Not stated
Any other ethnic group
Chinese
Black other
Black African
Black Caribbean
Asian other
Bangladeshi
Pakistani
Indian
Mixed other
Mixed: White and Asian
Mixed: White and Black African
Mixed: White and Black Caribbean
White other
White Irish
White British
Obesity prevalence
20.0%
25.6%
17.2%
26.0%
29.4%
29.3%
23.0%
27.4%
25.7%
21.5%
21.5%
18.4%
24.7%
25.1%
21.5%
17.8%
17.9%
0% 5% 10% 15% 20% 25% 30%
Not stated
Any other ethnic group
Chinese
Black other
Black African
Black Caribbean
Asian other
Bangladeshi
Pakistani
Indian
Mixed other
Mixed: White and Asian
Mixed: White and Black African
Mixed: White and Black Caribbean
White other
White Irish
White British
Obesity prevalence
Obesity prevalence by region: Reception
NationalChildMeasurementProgramme2015/16
25 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
9.3%
10.7%
10.4% 10.2%
9.8%
9.4% 9.1%
8.5% 8.3% 8.1%
0%
2%
4%
6%
8%
10%
12%
ENGLAND North East West
Midlands
London North West Yorkshire
and The
Humber
East
Midlands
South West East of
England
South East
Obesityprevalence
Obesity prevalence by region: Year 6
NationalChildMeasurementProgramme2015/16
26 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
19.8%
23.2%
22.4% 22.1%
20.6% 20.3%
19.0%
17.6% 17.1%
16.3%
0%
5%
10%
15%
20%
25%
ENGLAND London North East West
Midlands
North West Yorkshire
and The
Humber
East
Midlands
East of
England
South West South East
Obesityprevalence
Trend in obesity prevalence by region: Reception
NationalChildMeasurementProgramme
27 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
0%
2%
4%
6%
8%
10%
12%
ENGLAND North East West
Midlands
London North West Yorkshire and
The Humber
East Midlands South West East of
England
South East
Obesityprevalence
2006/07
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
2014/15
2015/16
Trend in obesity prevalence by region: Year 6
NationalChildMeasurementProgramme
28 Patterns and trends in child obesity
Child obesity: BMI ≥ 95th centile of the UK90 growth reference
0%
5%
10%
15%
20%
25%
ENGLAND London North East West
Midlands
North West Yorkshire and
The Humber
East
Midlands
East of
England
South East South West
Obesityprevalence
2006/07
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2013/14
2014/15
2015/16
29 Patterns and trends in child obesity
http://fingertips.phe.org.uk/profile/national-child-measurement-programmeScreenshot of webpage
30 Patterns and trends in child obesity
http://fingertips.phe.org.uk/profile/national-child-measurement-programmeScreenshot of webpage
Data sources
Health Survey for England (HSE)
http://content.digital.nhs.uk/healthsurveyengland
The HSE is a cross-sectional survey which samples a representative proportion of the
population. The next report on the HSE 2016 is due to be published online in December
2017. The data should be available from the UK Data Archive in the spring following
publication of the report.
National Child Measurement Programme (NCMP)
http://content.digital.nhs.uk/ncmp
The NCMP is an annual programme that measures the height and weight of children in
Reception (aged 4-5 years) and Year 6 (aged 10-11 years) in England. Although the
NCMP only covers certain age groups, it includes the majority of children in those year
groups. The participation rate in 2015/16 was 94.8%. NHS Digital will report NCMP data
for the 2015/16 school year in November 2017.
31 Patterns and trends in child obesity
For more information:
32 Patterns and trends in child obesity
Email: ncmp@phe.gov.uk
Twitter: @PHE_Obesity
33 Patterns and trends in child obesity
About Public Health England
Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. We
do this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist
public health services. We are an executive agency of the Department of Health, and are a distinct delivery organisation
with operational autonomy to advise and support government, local authorities and the NHS in a professionally
independent manner
Public Health England
Wellington House
133-155 Waterloo Road
London SE1 8UG
Tel: 020 7654 8000
www.gov.uk/phe
Twitter: @PHE_uk @PHE_Obesity
Facebook: www.facebook.com/PublicHealthEngland
© Crown copyright 2017
You may re-use this information (excluding logos) free of charge in any format or medium, under the terms of the Open
Government Licence v3.0. To view this licence, visit https://www.nationalarchives.gov.uk/doc/open-government-
licence/version/3/ or email psi@nationalarchives.gsi.gov.uk. Where we have identified any third party copyright
information you will need to obtain permission from the copyright holders concerned.
Published June 2017
PHE publications gateway number: 2017021

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Patterns and trends in child obesity (June 2017)

  • 1. Patterns and trends in child obesity A presentation of the latest data on child obesity Updated June 2017
  • 2. Prevalence of excess weight among children NationalChildMeasurementProgramme2015/16 2 Patterns and trends in child obesity Child overweight (including obesity)/ excess weight: BMI ≥ 85th centile of the UK90 growth reference One in five children in Reception is overweight or obese (boys 22.7%, girls 21.5%) One in three children in Year 6 is overweight or obese (boys 36.0%, girls 32.3%)
  • 3. Prevalence of obesity among children NationalChildMeasurementProgramme2015/16 3 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference Around one in ten children in Reception is obese (boys 9.6%, girls 9.0%) Around one in five children in Year 6 is obese (boys 21.7%, girls 17.9%)
  • 4. BMI status of children by age NationalChildMeasurementProgramme2015/16 4 Patterns and trends in child obesity This analysis uses the 2nd, 85th and 95th centiles of the British 1990 growth reference (UK90) for BMI to classify children as underweight, healthy weight, overweight or obese. These thresholds are the most frequently used for population monitoring within England. Underweight 1.0% Healthy weight 76.9% Overweight 12.8% Obese 9.3% Reception (aged 4-5 years) Underweight 1.3% Healthy weight 64.5% Overweight 14.3% Obese 19.8% Year 6 (aged 10-11 years)
  • 5. 5 Patterns and trends in child obesity Prevalence of overweight and obesity Childrenaged2-10and11-15years;HealthSurveyforEngland2013-2015 Child overweight BMI between ≥ 85th centile and <95th centile, child obesity BMI ≥ 95th centile of the UK90 growth reference 13.8% 14.6% 13.0% 16.7% 14.6% 20.0% 12.5% 17.6% 28.4% 34.6% 25.5% 34.2% 0% 5% 10% 15% 20% 25% 30% 35% 40% 2-10 11-15 2-10 11-15 Boys Girls Obese Overweight
  • 6. Trend in the prevalence of obesity Childrenaged2-10and11-15years;HealthSurveyforEngland1995-2015 6 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference. 95% confidence intervals are displayed on the chart 0% 5% 10% 15% 20% 25% 30% 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Prevalenceofobesity 11-15 2-10
  • 7. Trend in the prevalence of excess weight Childrenaged2-10and11-15years;HealthSurveyforEngland1995-2015 7 Patterns and trends in child obesity Child excess weight: BMI ≥ 85th centile of the UK90 growth reference. 95% confidence intervals are displayed on the chart 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Prevalenceofexcessweight 11-15 2-10
  • 8. Trend in the prevalence of obesity and excess weight Childrenaged2-15years; HealthSurveyforEngland1995-2015 8 Patterns and trends in child obesity Child excess weight BMI ≥ 85th centile, child obesity BMI ≥ 95th centile of the UK90 growth reference. 95% confidence intervals are displayed on the chart 0% 5% 10% 15% 20% 25% 30% 35% 40% 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Excess weight Obesity
  • 9. 9 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference Prevalence of obesity by age and sex NationalChildMeasurementProgramme2006/07to2015/16 0% 5% 10% 15% 20% 25% 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 Obesityprevalence Year 6 boys Year 6 girls Reception boys Reception girls
  • 10. 10 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference 95% confidence intervals are displayed on the chart Prevalence of obesity by sex: Reception NationalChildMeasurementProgramme2006/07to2015/16 10.7% 9.1% 10.4% 8.8% 10.3% 8.9% 10.5% 9.2% 10.1% 8.8% 9.9% 9.0% 9.7% 8.8% 9.9% 9.0% 9.5% 8.7% 9.6% 9.0% 0% 2% 4% 6% 8% 10% 12% Reception boys Reception girls Obesityprevalence 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
  • 11. 11 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference 95% confidence intervals are displayed on the chart Prevalence of obesity by sex: Year 6 NationalChildMeasurementProgramme2006/07to2015/16 19.0% 15.8% 20.0% 16.6% 20.0% 16.5% 20.4% 17.0% 20.6% 17.4% 20.7% 17.7% 20.4% 17.4% 20.8% 17.3% 20.7% 17.4% 21.7% 17.9% 0% 5% 10% 15% 20% 25% Year 6 boys Year 6 girls Obesityprevalence 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
  • 12. 12 Patterns and trends in child obesity Child excess weight: BMI ≥ 85th centile of the UK90 growth reference Prevalence of excess weight by age and sex NationalChildMeasurementProgramme2006/07to2015/16 0% 5% 10% 15% 20% 25% 30% 35% 40% 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 Excessweightprevalence Year 6 boys Year 6 girls Reception boys Reception girls
  • 13. 13 Patterns and trends in child obesity Child excess weight: BMI ≥ 85th centile of the UK90 growth reference 95% confidence intervals are displayed on the chart Prevalence of excess weight by sex: Reception NationalChildMeasurementProgramme2006/07to2015/16 24.3% 21.5% 24.0% 21.1% 24.0% 21.5% 24.3% 21.8% 23.9% 21.3% 23.5% 21.6% 23.2% 21.2% 23.4% 21.6% 22.6% 21.2% 22.7% 21.5% 0% 5% 10% 15% 20% 25% 30% Reception boys Reception girls Excessweightprevalence 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
  • 14. 14 Patterns and trends in child obesity Child excess weight: BMI ≥ 85th centile of the UK90 growth reference 95% confidence intervals are displayed on the chart Prevalence of excess weight by sex: Year 6 NationalChildMeasurementProgramme2006/07to2015/16 33.2% 30.0% 34.3% 30.7% 34.5% 30.7% 35.0% 31.6% 34.9% 31.8% 35.4% 32.4% 34.8% 31.8% 35.2% 31.7% 34.9% 31.5% 36.0% 32.3% 0% 5% 10% 15% 20% 25% 30% 35% 40% Year 6 boys Year 6 girls Excessweightprevalence 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
  • 15. BMI distribution: Reception children NationalChildMeasurementProgramme2015/16 15 Patterns and trends in child obesity BMI z score Girls Boys 1990 baseline 2nd centile 85th centile 91st centile 95th centile 98th centile
  • 16. BMI distribution: Year 6 children NationalChildMeasurementProgramme2015/16 16 Patterns and trends in child obesity BMI z score Girls Boys 1990 baseline 2nd centile 85th centile 91st centile 95th centile 98th centile
  • 17. Obesity prevalence and deprivation NationalChildMeasurementProgramme2015/16–Year6children 17 Patterns and trends in child obesity Local authorities in England Child obesity: BMI ≥ 95th centile of the UK90 growth reference y = 0.0037x + 0.1129 R² = 0.6346 0% 5% 10% 15% 20% 25% 30% 0 5 10 15 20 25 30 35 40 45 Obesityprevalence Index of Multiple Deprivation 2015 score (High score = more deprived)
  • 18. Obesity prevalence by deprivation decile NationalChildMeasurementProgramme2015/16 18 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference 26.0% 24.9% 23.7% 21.9% 19.9% 18.1% 17.0% 15.6% 14.0% 11.7% 12.5% 11.7% 10.9% 9.8% 9.2% 8.4% 7.7% 7.1% 6.8% 5.5% 0% 5% 10% 15% 20% 25% 30% Most deprived Least deprived Obesityprevalence Index of Multiple Deprivation 2015 decile Year 6 Reception
  • 19. 19 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference Obesity prevalence by deprivation decile: Reception NationalChildMeasurementProgramme2006/07to2015/16 0% 2% 4% 6% 8% 10% 12% 14% Most deprived Least deprived Obesityprevalence Index of Multiple Deprivation (IMD 2010) decile 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
  • 20. Obesity prevalence by deprivation decile: Year 6 NationalChildMeasurementProgramme2006/07to2015/16 20 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference 0% 5% 10% 15% 20% 25% 30% Most deprived Least deprived Obesityprevalence Index of Multiple Deprivation (IMD 2010) decile 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
  • 21. Obesity prevalence by household income HealthSurveyforEngland2015 21 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference 18.0% 16.0% 12.8% 9.2% 9.2% 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 20% Lowest Highest Obesityprevalence Equivalised household income quintile
  • 22. Obesity prevalence by ethnic group: Reception NationalChildMeasurementProgramme2015/16 22 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference 9% 9% 10% 8% 11% 13% 11% 12% 17% 14% 12% 9% 8% 9% 7% 10% 10% 9% 12% 17% 14% 9% 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 20% WhiteBritish Whiteother Mixed Indian Pakistani Bangladeshi Asianother BlackCaribbean BlackAfrican Blackother Anyotherethnicgroup WhiteBritish Whiteother Mixed Indian Pakistani Bangladeshi Asianother BlackCaribbean BlackAfrican Blackother Anyotherethnicgroup Boys Girls Obesityprevalence
  • 23. Obesity prevalence by ethnic group: Year 6 NationalChildMeasurementProgramme2015/16 23 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference 19% 25% 23% 26% 29% 33% 28% 28% 29% 26% 28% 16% 18% 21% 17% 22% 22% 18% 31% 29% 26% 20% 0% 5% 10% 15% 20% 25% 30% 35% 40% WhiteBritish Whiteother Mixed Indian Pakistani Bangladeshi Asianother BlackCaribbean BlackAfrican Blackother Anyotherethnicgroup WhiteBritish Whiteother Mixed Indian Pakistani Bangladeshi Asianother BlackCaribbean BlackAfrican Blackother Anyotherethnicgroup Boys Girls Obesityprevalence
  • 24. Obesity prevalence by ethnic group NationalChildMeasurementProgramme2015/16 24 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference Children in Reception (aged 4-5 years) Children in Year 6 (aged 10-11 years) 9.3% 11.2% 7.3% 14.1% 16.6% 12.1% 9.7% 11.6% 10.4% 7.3% 9.3% 6.8% 13.3% 11.3% 8.6% 9.1% 8.8% 0% 5% 10% 15% 20% Not stated Any other ethnic group Chinese Black other Black African Black Caribbean Asian other Bangladeshi Pakistani Indian Mixed other Mixed: White and Asian Mixed: White and Black African Mixed: White and Black Caribbean White other White Irish White British Obesity prevalence 20.0% 25.6% 17.2% 26.0% 29.4% 29.3% 23.0% 27.4% 25.7% 21.5% 21.5% 18.4% 24.7% 25.1% 21.5% 17.8% 17.9% 0% 5% 10% 15% 20% 25% 30% Not stated Any other ethnic group Chinese Black other Black African Black Caribbean Asian other Bangladeshi Pakistani Indian Mixed other Mixed: White and Asian Mixed: White and Black African Mixed: White and Black Caribbean White other White Irish White British Obesity prevalence
  • 25. Obesity prevalence by region: Reception NationalChildMeasurementProgramme2015/16 25 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference 9.3% 10.7% 10.4% 10.2% 9.8% 9.4% 9.1% 8.5% 8.3% 8.1% 0% 2% 4% 6% 8% 10% 12% ENGLAND North East West Midlands London North West Yorkshire and The Humber East Midlands South West East of England South East Obesityprevalence
  • 26. Obesity prevalence by region: Year 6 NationalChildMeasurementProgramme2015/16 26 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference 19.8% 23.2% 22.4% 22.1% 20.6% 20.3% 19.0% 17.6% 17.1% 16.3% 0% 5% 10% 15% 20% 25% ENGLAND London North East West Midlands North West Yorkshire and The Humber East Midlands East of England South West South East Obesityprevalence
  • 27. Trend in obesity prevalence by region: Reception NationalChildMeasurementProgramme 27 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference 0% 2% 4% 6% 8% 10% 12% ENGLAND North East West Midlands London North West Yorkshire and The Humber East Midlands South West East of England South East Obesityprevalence 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
  • 28. Trend in obesity prevalence by region: Year 6 NationalChildMeasurementProgramme 28 Patterns and trends in child obesity Child obesity: BMI ≥ 95th centile of the UK90 growth reference 0% 5% 10% 15% 20% 25% ENGLAND London North East West Midlands North West Yorkshire and The Humber East Midlands East of England South East South West Obesityprevalence 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
  • 29. 29 Patterns and trends in child obesity http://fingertips.phe.org.uk/profile/national-child-measurement-programmeScreenshot of webpage
  • 30. 30 Patterns and trends in child obesity http://fingertips.phe.org.uk/profile/national-child-measurement-programmeScreenshot of webpage
  • 31. Data sources Health Survey for England (HSE) http://content.digital.nhs.uk/healthsurveyengland The HSE is a cross-sectional survey which samples a representative proportion of the population. The next report on the HSE 2016 is due to be published online in December 2017. The data should be available from the UK Data Archive in the spring following publication of the report. National Child Measurement Programme (NCMP) http://content.digital.nhs.uk/ncmp The NCMP is an annual programme that measures the height and weight of children in Reception (aged 4-5 years) and Year 6 (aged 10-11 years) in England. Although the NCMP only covers certain age groups, it includes the majority of children in those year groups. The participation rate in 2015/16 was 94.8%. NHS Digital will report NCMP data for the 2015/16 school year in November 2017. 31 Patterns and trends in child obesity
  • 32. For more information: 32 Patterns and trends in child obesity Email: ncmp@phe.gov.uk Twitter: @PHE_Obesity
  • 33. 33 Patterns and trends in child obesity About Public Health England Public Health England exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. We do this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. We are an executive agency of the Department of Health, and are a distinct delivery organisation with operational autonomy to advise and support government, local authorities and the NHS in a professionally independent manner Public Health England Wellington House 133-155 Waterloo Road London SE1 8UG Tel: 020 7654 8000 www.gov.uk/phe Twitter: @PHE_uk @PHE_Obesity Facebook: www.facebook.com/PublicHealthEngland © Crown copyright 2017 You may re-use this information (excluding logos) free of charge in any format or medium, under the terms of the Open Government Licence v3.0. To view this licence, visit https://www.nationalarchives.gov.uk/doc/open-government- licence/version/3/ or email psi@nationalarchives.gsi.gov.uk. Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. Published June 2017 PHE publications gateway number: 2017021

Editor's Notes

  1. These PowerPoint slides present key data and information on child obesity and excess weight in clear, easy to understand charts and graphics. They have been produced by the Obesity Risk Factors Intelligence team in the Chief Knowledge Officer’s Directorate and can be used freely with acknowledgement to ‘Public Health England’. These slides should be useful to practitioners and  policy makers working to tackle child obesity at local, regional and national level. For example they are regularly used to make the case for tackling obesity in presentations to health and wellbeing boards, other committees and to elected members as well as in regional and national conference and workshop presentations.
  2. The National Child Measurement Programme (NCMP) measures the height and weight of over one million children (aged 4-5 and 10-11 years) each year in primary schools in England. Reception age 4-5 years. Year 6 age 10-11 years. National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  3. Reception age 4-5 years. Year 6 age 10-11 years. The actions in the government’s ‘Childhood obesity: a plan for action’ (2016) aim to significantly reduce England’s rate of childhood obesity within the next ten years. See https://www.gov.uk/government/publications/childhood-obesity-a-plan-for-action National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  4. National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  5. The Health Survey for England is an annual survey that measures the height and weight of a sample of the UK population aged 2-15 years. Child measurements are available from 1995. Prevalence of overweight and obesity increases with age among girls and boys. Health Survey for England (HSE) figures show that the prevalence of obesity in children aged 2–10 years (averaged over the latest three years, 2013-2015) is 13.6%; the prevalence of overweight including obesity is 27.0%. The prevalence of obesity in 11–15 year olds from the latest three years of HSE data is 18.8% and the prevalence of overweight and obesity is 34.4%. The published Health Survey for England data used to produce this chart are available from: http://digital.nhs.uk/pubs/hse2015
  6. The pattern of increase in obesity between 1995 and 2004 and 2005 was similar among both younger and older children (aged 2-10 and 11-15 respectively). Since then, the proportions of older children who are obese have remained broadly steady. Among younger children, there was a slight dip in the proportion who were obese in 2012, but this was not sustained. There was a further small decrease for both younger and older children in 2015 but this is not statistically significant. It is important to exercise caution in interpreting these data due to the relatively small sample sizes. The actions in the government’s ‘Childhood obesity: a plan for action’ (2016) aim to significantly reduce England’s rate of childhood obesity within the next ten years. See https://www.gov.uk/government/publications/childhood-obesity-a-plan-for-action The published Health Survey for England data used to produce this chart are available from: http://digital.nhs.uk/pubs/hse2015trend
  7. The prevalence of child excess weight (overweight including obesity) increased between 1995 and 2004. Since then, there is some evidence of a levelling of child excess weight prevalence for 2-10 and 11-15 year-olds. Among younger children, there was a slight dip in the proportion who were obese in 2012, but this was not sustained. There was a further small decrease for both younger and older children in 2015 but this is not statistically significant. It is important to exercise caution in interpreting these data due to the relatively small sample sizes. The published Health Survey for England data used to produce this chart are available from: http://digital.nhs.uk/pubs/hse2015trend
  8. The prevalence of child excess weight and child obesity increased between 1995 and 2004. Since 2004 there is some evidence of a levelling of both child obesity and excess weight prevalence for 2-15 year-olds. It is important to exercise caution in interpreting this data due to the relatively small sample sizes. The published Health Survey for England data used to produce this chart are available from: http://digital.nhs.uk/pubs/hse2015trend
  9. Analysis of trend using NCMP data from 2006/07 to 2015/16 shows a downward trend in obesity prevalence among boys in Reception (4-5 year-olds) while the trend among girls of this age appears to be relatively stable over time. Obesity prevalence among boys and girls in Year 6 (10-11 year-olds) shows an upward trend, with a higher average increase in Year 6 girls than boys. Public Health England publishes a report annually which examines trends in underweight, overweight, and obesity prevalence among children using data from the National Child Measurement Programme http://www.noo.org.uk/NCMP/National_report.   National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp .
  10. Analysis of trend using NCMP data from 2006/07 to 2015/16 shows a downward trend in obesity prevalence among boys in Reception (4-5 year-olds) while the trend among girls of this age appears to be relatively stable over time. Public Health England publishes a report annually which examines trends in underweight, overweight, and obesity prevalence among children using data from the National Child Measurement Programme http://www.noo.org.uk/NCMP/National_report.   National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp.
  11. Analysis of trend using NCMP data from 2006/07 to 2015/16 shows an upward trend in obesity prevalence among boys and girls in Year 6 (10-11 year-olds), with a higher average increase in Year 6 girls than boys. Public Health England publishes a report annually which examines trends in underweight, overweight, and obesity prevalence among children using data from the National Child Measurement Programme http://www.noo.org.uk/NCMP/National_report.   National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  12. Analysis of trends using NCMP data from 2006/07 to 2015/16 shows a downward trend in excess weight (overweight including obesity) prevalence among boys in Reception (4-5 year-olds), while the trend among girls of this age appears to be relatively stable over time. Excess weight prevalence among boys and girls in Year 6 (10-11 year-olds) shows an upward trend, with a higher average increase in Year 6 girls than boys. Public Health England publishes a report annually which examines trends in underweight, overweight, and obesity prevalence among children using data from the National Child Measurement Programme http://www.noo.org.uk/NCMP/National_report.   National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp   Prevalence of excess weight using NCMP data is being monitored by local authorities as part of the Public Health Outcomes Framework (PHOF) https://www.gov.uk/government/publications/public-health-outcomes-framework-2016-to-2019 http://www.phoutcomes.info/
  13. Analysis of trends using NCMP data from 2006/07 to 2015/16 shows a downward trend in excess weight (overweight including obesity) prevalence among boys in Reception (4-5 year-olds), while the trend among girls of this age appears to be relatively stable over time. Public Health England publishes a report annually which examines trends in underweight, overweight, and obesity prevalence among children using data from the National Child Measurement Programme http://www.noo.org.uk/NCMP/National_report.   National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp   Prevalence of excess weight using NCMP data is being monitored by local authorities as part of the Public Health Outcomes Framework (PHOF) https://www.gov.uk/government/publications/public-health-outcomes-framework-2016-to-2019 http://www.phoutcomes.info/
  14. Analysis of trends using NCMP data from 2006/07 to 2015/16 shows an upward trend in excess weight (overweight including obesity) prevalence among boys and girls in Year 6 (10-11 year-olds), with a higher average increase in Year 6 girls than boys. Public Health England publishes a report annually which examines trends in underweight, overweight, and obesity prevalence among children using data from the National Child Measurement Programme http://www.noo.org.uk/NCMP/National_report.   National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp   Prevalence of excess weight using NCMP data is being monitored by local authorities as part of the Public Health Outcomes Framework (PHOF) https://www.gov.uk/government/publications/public-health-outcomes-framework-2016-to-2019 http://www.phoutcomes.info/
  15. This chart shows the distribution of BMI z score for boys and girls in Reception year compared to the British 1990 (UK90) growth reference baseline. BMI z score is a standard deviation score which adjusts BMI for age and sex of children based on the UK90 growth reference. The centiles for population monitoring (85th and 95th) and clinical (91st and 98th) definition for overweight and obesity are marked as vertical lines on the chart. BMI below the 2nd centile is commonly used for underweight classification for both clinical and population monitoring. For both boys and girls the whole curve has shifted slightly to the right since 1990, however the shape of the distribution is very similar. This shows that the rise in BMI since 1990 is spread across the whole population, meaning that on average all Reception aged children are slightly heavier. National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  16. This chart shows the distribution of BMI z score for boys and girls in Year 6 compared to the British 1990 (UK90) growth reference baseline. BMI z score is a standard deviation score which adjusts BMI for age and sex of children based on the UK90 growth reference. The centiles for population monitoring (85th and 95th) and clinical (91st and 98th) definition for overweight and obesity are marked as vertical lines on the chart. BMI below the 2nd centile is commonly used for underweight classification for both clinical and population monitoring. The shape of the distribution has changed considerably since the 1990 baseline. The curve is now more skewed, with a higher proportion of children in Year 6 at the right hand side of the chart with higher BMI values, above the 85th centile (classed as overweight or obese). National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  17. Child obesity prevalence is strongly correlated with socioeconomic status and is highest among children living in the most deprived local authorities. This slide shows the pattern for children in Year 6, but a very similar pattern is seen in the Reception year.   The data represents the local authority of residence for the children measured. National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  18. Child obesity prevalence is closely associated with socioeconomic status. More deprived populations tend to have higher obesity prevalence. Obesity prevalence in the most deprived 10% of areas in England is more than twice the prevalence in the least deprived 10%. The deprivation deciles in this analysis have been assigned using the lower super output area (LSOA) of residence of children measured. National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  19. The inequalities gap in child obesity is widening. Prevalence of obesity is decreasing at the fastest rate among the least deprived children in Reception year (age 4-5 years) and among the most deprived children shows only potential signs of stabilisation. The deprivation deciles in this analysis have been assigned using the lower super output area (LSOA) of residence of children measured. National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  20. The inequalities gap in child obesity is widening. Prevalence of obesity shows a pattern of increase over time among the most deprived Year 6 children (age 10-11 years) whereas prevalence has remained relatively stable or is decreasing among the least deprived children.   The deprivation deciles in this analysis have been assigned using the lower super output area (LSOA) of residence of children measured.   National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  21. The Health Survey for England (HSE) collects information on household income, adjusted to take into account the number of people living in the household (equivalised household income). This can be used as a measure of socioeconomic status. This chart illustrates the prevalence of obesity among children split into five equal-sized groups (quintiles) by household income level. This chart shows a general trend of decreasing obesity prevalence with increasing household income. The published Health Survey for England data used to produce this chart are available from: http://digital.nhs.uk/pubs/hse2015
  22. Reception aged children from the Indian ethnic groups have similar or lower prevalence of obesity to White ethnic groups. Obesity prevalence among boys in Reception is highest in the Black African, Black other, and Bangladeshi groups. For girls in Reception obesity prevalence is highest among those from Black African, Black Caribbean and Black other ethnic groups. This pattern is consistent with data from previous years. Some of these differences may be due to the influence of other factors such as area deprivation. National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  23. Boys in Year 6 from all minority ethnic groups are more likely to be obese than White British boys, with boys of Bangladeshi ethnicity having the highest prevalence. For girls in Year 6, obesity prevalence is highest for children from Black Caribbean, Black African and Black other ethnic groups. This pattern is consistent with data from previous years. Some of these differences may be due to the influence of other factors such as area deprivation.   National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  24. Obesity prevalence in Reception aged children is highest among children from Black African, Black other, and Mixed White and Black African ethnic groups. Children in Year 6 from most minority ethnic groups (with the possible exceptions of Chinese and White Irish) are more likely to be obese than White British children. The ‘Not stated’ category includes records that have no ethnic group given (where ethnic coding is blank). Some of these differences may be due to the influence of other factors such as area deprivation. National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  25. The prevalence of obesity among children in Reception (age 4-5 years) varies by region across England. In 2015/16 obesity prevalence was highest in the North East and lowest in the South East. In this analysis postcode of school has been used to calculate regional data. National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  26. The prevalence of obesity among children in Year 6 (age 10-11 years) varies by region in England. In 2015/16 obesity prevalence was highest in London and lowest in the South East. In this analysis postcode of school has been used to calculate regional data. National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  27. The prevalence of obesity among children in Reception (age 4-5 years) varies by region across England. In this analysis postcode of school has been used to calculate regional data. National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  28. Prevalence of obesity among children in Year 6 (age 10-11 years) varies by region across England. In this analysis postcode of school has been used to calculate regional data. National Child Measurement Programme data source: NHS Digital http://content.digital.nhs.uk/ncmp
  29. Local authority level data from the National Child Measurement Programme is available in an online tool. Users can examine data on prevalence of underweight, healthy weight, overweight, and obesity. Data can be compared between local authorities and over time for individual local authorities. The tool also includes inequalities data (sex, deprivation, ethnic group) for child obesity by local authority. http://fingertips.phe.org.uk/profile/national-child-measurement-programme
  30. Local authority level data from the National Child Measurement Programme is available in an online tool. Users can examine data on prevalence of underweight, healthy weight, overweight, and obesity. Data can be compared between local authorities and over time for individual local authorities. The tool also includes inequalities data (sex, deprivation, ethnic group) for child obesity by local authority. http://fingertips.phe.org.uk/profile/national-child-measurement-programme