Understand more about: 1) The annual statistical report which presents a range of information on obesity, physical activity and diet. This report is drawn together from a variety of sources, including some data from the Health Survey for England 2012 as well as other relevant publications (compendium). 2) The Health Survey England 2012 3) The National Child Measurement Programme

1. Establishing an Evidence Base
Making the case for action on obesity
May 2014

2. Statistics on Obesity, Physical Activity and Diet
• Annual statistical report presents a range of information on obesity,
physical activity and diet, drawn together from a variety of sources, this
includes some data from the Health Survey for England 2012 as well as
other relevant publications (compendium).
• Includes new analyses of Health and Social Care Information Centre
Hospital Episode Statistics and Prescribing data.
• Statistics on Obesity, Physical Activity and Diet (SOPAD) covers topics
on:
– Overweight and obesity prevalence among adults and children
– Physical activity levels among adults and children
– Trends in purchases and consumption of food and drink and energy intake
– Health outcomes of being overweight or obese.

3. Highlights from Health Survey England 2012

4. Health Survey for England 2012 - Physical Activity
In Health Survey for England (HSE)
2012
• 67% of men and 55% of women
aged 16 and over, met the UK
guidelines for aerobic activity.
• In both sexes, the proportion who
met the guidelines generally
decreased with age.
Source: http://www.hscic.gov.uk/pubs/hse2012

5. HSE 2012 - Physical Activity
• In addition to aerobic activity,
current UK guidelines also
recommend that adults aged 19
and over should undertake
muscle-strengthening activities on
at least two days per week to
increase bone strength and
muscular fitness.
• 34% of men and 24% of women
aged 16 or over met this guideline.
• Overall 49% of men and 56% of
women did no muscle-strengthening
activity in the last
four weeks, with a sharp decline in
this type of activity as age
increased.
Source: http://www.hscic.gov.uk/pubs/hse2012

6. HSE 2012 - Physical Activity
• There was a clear association between
meeting the guidelines for aerobic activity
and body mass index (BMI) category.
• 75% of men who were not overweight or
obese, 71% of overweight men and 59%
of obese men met the guidelines.
• Correspondingly figures for women were
64%, 58% and 48%.
Source: http://www.hscic.gov.uk/pubs/hse2012

7. HSE 2012 – Obesity Prevalence
Marked increase in the proportion of adults that were obese between
1993 and 2012 from 13.2% to 24.4% among men and 16.4% to 25.1%
among women.
Source: http://www.hscic.gov.uk/pubs/hse2012

8. HSE 2012 – Obesity
The gap between perception of weight and classification of BMI, tends to be
greater for men than for women.
• Half of men who felt that their weight was ‘about right’ were in fact
overweight (45%) or obese (5%).
• Women who felt that their weight was ‘about right’ were in fact overweight
(22%) or obese (3%).
Source: http://www.hscic.gov.uk/pubs/hse2012

9. HSE 2012 – Obesity
Between 1993 and 2012
• Proportion of adults with a normal Body Mass Index (BMI) decreased from 41% to 32.1% among
men and 49.5% to 40.6% among women.
• Proportion of adults with a raised waist circumference increased, from 23% to 39% (from 20% to
34% among men and from 26% to 45% among women).
National Institute for Health and Clinical Excellence (NICE) risk categories
Waist circumference
Low High Very high
men - less than 94 cm men - 94cm to 102cm men - more than 102cm
women - less than 80 cm women - 80cm to 88cm women - more than 88cm
BMI classification
Normal weight
(18.5 to less than 25kg/m2)
No increased risk No increased risk Increased risk
Overweight
(25 to less than 30kg/m2)
No increased risk Increased risk High risk
Obesity I
(30 to less than 35kg/m2)
Increased risk High risk Very high risk
Obesity II
(35 to less than 40kg/m2)
Very high risk Very high risk Very high risk
Obesity III
(40kg/m2 or more)
Very high risk Very high risk Very high risk
Sources: www.nice.org.uk/guidance/CG43 page 4 (Accessed 18/08/2013); http://www.hscic.gov.uk/pubs/hse2012

10. SOPAD 2014 – Risk Factors
• Obesity increases the risks of developing a number of diseases relative to
the non-obese population. For example, it is estimated that an obese
woman is almost 13 times more likely to develop type 2 diabetes than a
woman who is not obese.
• The table gives a broad indication of the strength of association between
obesity and each of the diseases.

11. SOPAD 2014 – Hospital Episode Statistics
• In 2012/13 there were 10,957 hospital admissions with a primary diagnosis of
obesity among people of all ages. 6.6% less admissions than 2011/12
(11,736), although this is almost nine times as high as 2002/03 (1,275).
• Over the period 2002/03 to 2012/13, in almost every year, more than twice as
many females were admitted to hospital than males

12. SOPAD 2014 – Bariatric Surgery
• The term ‘bariatric surgery’ is used to define a group of procedures that can
be performed to facilitate weight loss, although these procedures can also
be performed for other conditions.
• It includes stomach stapling, gastric bypasses and sleeve gastrectomy,
performed on the stomach and / or intestines to limit the amount of food an
individual can consume.
• In 2012/13 there were 8,024 recorded inpatient hospital episodes with a
primary diagnosis of obesity and a main or secondary procedure of bariatric
surgery.
• Females continue to account for the majority of these; in 2012/13 there
were 1,944 for males and 6,080 for females.
Source: http://www.hscic.gov.uk/pubs/sopad14

13. SOPAD 2014 - Prescribing
• 392,000 drug items were prescribed
for treating obesity in 2012 with
Orlistat (Xenical) being the only drug
prescribed.
• the number of prescription items
dispensed for the treatment of
obesity per 100,000 of the population
in each primary care trust (PCT) is
shown, with the lowest number of
prescribed items being predominantly
in the south.

14. SOPAD 2014 - Prescribing
• The Net Ingredient Cost (NIC) is the basic cost of a drug, not taking into
account discounts, dispensing costs, fees or prescription charges income.
• The total NIC for drugs
for the treatment of
obesity decreased from
£31.2 million in 2002 to
£13.3 million in 2012,
peaking at £51.6 million
in 2007.
• The NIC per item
decreased from £43 in
2002 to £34 in 2012
Source: Prescribing Analyses and Cost (PACT) from the Prescription Pricing Division of the NHS Business Services Authority (PPD of the
NHS BSA). Health and Social Care Information Centre, Lifestyles Statistics.

15. National Child Measurement Programme
• Annual data submission first collected in the 2006/07
school year
• Over 1 million child measurements have been collected
annually since 2008/09
• High participation rates – 93% in 2012/13
• Reliable data allowing detailed analysis of prevalence
and trends in child overweight and obesity levels
Source: http://www.hscic.gov.uk/pubs/ncmp1213

16. National Child Measurement Programme
In Reception the proportion of obese children in 2012/13 was lower
than in 2011/12 and also lower than in 2006/07
9.9% 9.6% 9.6% 9.8%
9.4% 9.5% 9.3%
11%
10%
9%
8%
7%
6%
5%
4%
3%
2%
1%
0%
2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13
Source: http://www.hscic.gov.uk/pubs/ncmp1213

17. National Child Measurement Programme
In Year 6 the proportion of obese children in 2012/13 fell, compared to
the previous year, for the first time since the NCMP collection began
17.5%
18.3% 18.3% 18.7% 19.0% 19.2% 18.9%
20%
18%
16%
14%
12%
10%
8%
6%
4%
2%
0%
2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13
Source: http://www.hscic.gov.uk/pubs/ncmp1213

18. National Child Measurement Programme
Proportion of children who were either overweight or obese in
Reception and Year 6 in 2012/13
Source: http://www.hscic.gov.uk/pubs/ncmp1213

19. Adult Obesity 2009 - 2011
Source: http://www.noo.org.uk/visualisation/adult_obesity

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