PHE Obesity Adult SlideSet England 2020.pptx

OBESITY A KILLER

1. Patterns and trends in adult obesity A presentation of the latest data on adult obesity in England February 2020

2. Adult body mass index classification (slide 3) Latest prevalence by BMI category (slides 4-6) Perception of own weight (slide 7) Trends by BMI category (slides 8-10) Latest prevalence of obesity by age (slides 11-12) Latest prevalence of obesity by region (slide 13) Latest prevalence of obesity by socioeconomic status and ethnicity (slides 14-16) Waist circumference latest prevalence and trends (slides 17-20) Trends by health risk categories for BMI and waist circumference (slides 21-23) Prevalence of multiple risk factors (slides 24-25) Data sources (slide 26) Further information (slide 27) 2 Patterns and trends in adult obesity Contents

3. 3 Patterns and trends in adult obesity Adult body mass index classification BMI Range BMI Category Less than 18.5kg/m 2 Underweight 18.5 to <25kg/m 2 Healthy weight 25 to <30kg/m 2 Overweight 30 to <40kg/m 2 Obese 40kg/m 2 or more Severely obese https://www.nice.org.uk/guidance/cg189/ifp/chapter/Obesity-and-being-overweight In this presentation of data body mass index (BMI) is classified according to the following table, using BMI thresholds for adults recommended by the National Institute for Health and Care Excellence (NICE).

4. Overweight and obesity among adults Health Survey for England 2018 4 Patterns and trends in adult obesity Adult (aged 16+) overweight including obesity: BMI ≥ 25kg/m 2 Almost 7 out of 10 men are overweight or obese (66.9%) Almost 6 out of 10 women are overweight or obese (59.7%)

5. Obesity among adults Health Survey for England 2018 5 Patterns and trends in adult obesity Adult (aged 16+) obesity: BMI ≥ 30kg/m 2 Almost 3 out of 10 men are obese ( 26.2 %) Almost 3 out of 10 women are obese ( 29.2 %)

6. 6 Patterns and trends in adult obesity Adult BMI status by sex Health Survey for England 2018 Adult (aged 16+) BMI thresholds: Underweight: <18.5kg/m 2 Healthy weight: 18.5 to <25kg/m 2 Overweight: 25 to <30kg/m 2 Obese: ≥30kg/m 2

7. 7 Patterns and trends in adult obesity Perception of own weight Health Survey for England 2016 Men Women 0.7% Adult (aged 16+) BMI thresholds: Underweight: <18.5kg/m 2 Healthy weight: 18.5 to <25kg/m 2 Overweight: 25 to <30kg/m 2 Obese: ≥30kg/m 2

8. 8 Patterns and trends in adult obesity Adult (aged 16+) obesity: BMI ≥ 30kg/m 2 Trend in obesity prevalence among adults Health Survey for England 1993 to 2018 (three-year averages)

9. 9 Patterns and trends in adult obesity Adult (aged 16+) overweight including obesity: BMI ≥ 25kg/m 2 Trend in excess weight among adults Health Survey for England 1993 to 2018 (three-year average)

10. Trend in severe obesity among adults Health Survey for England 1993 to 2018 (three-year average) 10 Patterns and trends in adult obesity Adult (aged 16+) severe obesity: BMI ≥ 40kg/m 2

11. Prevalence of overweight and obesity by age: men Health Survey for England 2018 11 Patterns and trends in adult obesity Adult (aged 16+) BMI thresholds: Overweight: 25 to <30kg/m 2 ; Obese: ≥30kg/m 2

12. Prevalence of overweight and obesity by age: women Health Survey for England 2018 12 Patterns and trends in adult obesity Adult (aged 16+) BMI thresholds: Overweight: 25 to <30kg/m 2 ; Obese: ≥30kg/m 2

13. Prevalence of adult obesity by region Health Survey for England 2018 13 11 Patterns and trends in adult obesity 95% confidence intervals are shown Adult (aged 16+) obesity: BMI ≥ 30kg/m 2 Obesity prevalence is age standardised

14. Adult obesity prevalence by income Health Survey for England 2017 14 Patterns and trends in adult obesity 95% confidence intervals are shown Adult (aged 16+) obesity: BMI ≥ 30kg/m 2 Obesity prevalence is age standardised

15. Adult obesity prevalence by deprivation Health Survey for England 2018 15 Patterns and trends in adult obesity 95% confidence intervals are shown Adult (aged 16+) obesity: BMI ≥ 30kg/m 2 Obesity prevalence is age standardised

16. 16 Patterns and trends in adult obesity 95% confidence intervals are shown Adult (aged 16+) obesity: BMI ≥ 30kg/m 2 Obesity prevalence is age standardised Adult obesity prevalence by ethnic group Health Survey for England 2017

17. Adult mean waist circumference Health Survey for England 2018 17 Patterns and trends in adult obesity Adults aged 16+

18. Adult very high waist circumference Health Survey for England 2018 18 Patterns and trends in adult obesity Adults aged 16+ Very high waist circumference is taken to be greater than 102cm in men and greater than 88cm in women

19. Adult very high waist circumference by age Health Survey for England 2018 19 Patterns and trends in adult obesity Adults aged 16+. 95% confidence intervals are shown Very high waist circumference is taken to be greater than 102cm in men and greater than 88cm in women

20. Trend in very high waist circumference among adults Health Survey for England 1993 to 2018 20 Patterns and trends in adult obesity Adults aged 16+. 95% confidence intervals are shown Very high waist circumference is taken to be greater than 102cm in men and greater than 88cm in women

21. Health risk categories Health Survey for England/NICE 21 Patterns and trends in adult obesity

22. Trend in prevalence of health risk categories Using BMI and waist circumference: Health Survey for England 2018 22 Patterns and trends in adult obesity Adults aged 16+. Using combined waist circumference and BMI classification, as recommended by NICE

23. 23 Patterns and trends in adult obesity Adults aged 16+. Using combined waist circumference and BMI classification, as recommended by NICE 1993-1994 2017 - 2018 Change in prevalence of health risk categories Using BMI and waist circumference Health Survey for England 2018

24. 24 Patterns and trends in adult obesity Prevalence of multiple risk factors: Obese men Health Survey for England 2016 and 2017 Adult (aged 16+) obesity: BMI ≥ 30kg/m 2 Obesity ( BMI ≥ 30kg/m 2 ) plus one or more of: Being a current cigarette smoker Drinking >14 units of alcohol per week Consuming <5 fruit and vegetables per day Spending <30 minutes per week engaged in moderate-to-vigorous intensity physical activity

25. 25 Patterns and trends in adult obesity Prevalence of multiple risk factors: Obese women Health Survey for England 2016 and 2017 Obesity ( BMI ≥ 30kg/m 2 ) plus one or more of: Being a current cigarette smoker Drinking >14 units of alcohol per week Consuming <5 fruit and vegetables per day Spending <30 minutes per week engaged in moderate-to-vigorous intensity physical activity Adult (aged 16+) obesity: BMI ≥ 30kg/m 2

26. 26 Patterns and trends in adult obesity Data sources Health Survey for England (HSE) https://digital.nhs.uk/data-and-information/publications/statistical/health-survey-for-england The HSE is a cross-sectional survey which samples a representative proportion of the population. The next report on the HSE 2019 is due to be published online in December 2020. The data should be available from the UK Data Archive in the summer following publication of the report.

27. 27 Patterns and trends in adult obesity For more information PHE Obesity Intelligence Knowledge Hub Register on https://khub.net/ and join the PHE Obesity Intelligence group PHE Obesity Intelligence Knowledge Hub public library (no need to join) https://khub.net/web/phe-obesity-intelligence/public-library PHE Web https://www.gov.uk/guidance/phe-data-and-analysis-tools#obesity-diet-and-physical-activity Adult BMI data by local authority https://fingertips.phe.org.uk/profile/public-health-outcomes-framework/supporting-information/further-info#obesity Adult overweight and obese indicator (Public Health Outcomes Framework) https://fingertips.phe.org.uk/profile/public-health-outcomes-framework/data#page/3/gid/1000042/pat/6/par/E12000007/ati/102/are/E09000002/iid/93088/age/168/sex/4 Email: [email protected] Twitter: @PHE_Obesity

28. 28 Patterns and trends in adult obesity A bout 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-leading 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 Social Care, and a distinct delivery organisation with operational autonomy. We provide central government, local government, the NHS, Parliament, industry and the public with evidence-based professional, scientific and delivery expertise and support. Public Health England Wellington House 133-155 Waterloo Road London SE1 8UG Tel: [phone] www.gov.uk/phe Twitter: @ PHE_uk Facebook: www.facebook.com/PublicHealthEngland © Crown copyright 2020 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 [email protected] . Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. Published February 2020 PHE publications gateway number: GW-1091