Obesity

Global, regional, and national prevalence of child and adolescent overweight and obesity, 1990–2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021

LancetPublished Forecasting study

Authors' conclusion

Both overweight and obesity increased substantially in every world region between 1990 and 2021, suggesting that current approaches to curbing increases in overweight and obesity have failed a generation of children and adolescents. Beyond 2021, overweight during childhood and adolescence is forecast to stabilise due to further increases in the population who have obesity. Increases in obesity are expected to continue for all populations in all world regions. Because substantial change is forecasted to occur between 2022 and 2030, immediate actions are needed to address this public health crisis.

Study context

Population
Children and adolescents aged 5–24 years in 204 countries and territories, 1990–2021, with forecasts to 20501,321 data sources · 180 countries
Comparison
5-14 years vs 15-24 years
Outcome
Age-standardised prevalence of overweight and of obesity (separately), by age group and sex
Follow-up
1990–2021; forecasts 2022–2050
Methodological detailsGlobal Burden of Disease Study 2021, spatiotemporal Gaussian process regression, generalised ensemble forecasting assuming continuation of current trends, age-standardised estimates
  • Global Burden of Disease Study 2021
  • Spatiotemporal Gaussian process regression
  • Generalised ensemble forecasting assuming continuation of current trends
  • Age-standardised estimates

Main finding

As reported in the abstract

Obesity · 2021

5-14 years

93.1 million

UI 89.6–96.6

15-24 years

80.6 million

UI 78.2–83.3

Further findings

Outcome5-14 years15-24 years
Forecast obesity prevalence · 2050Forecast15.6% (UI 12.7–17.2) · n = 186 million [141-221]14.2% (UI 11.4–15.7) · n = 175 million [136-203]

Forecast obesity prevalence · 2050

Overweight (not obesity) prevalence forecast to stabilise; increase in obesity forecast greater than 1990–2021, substantial between 2022 and 2030

Males aged 5-14 years: obesity vs overweight · 2050

Obesity
16.5% [13.3-18.3]
Overweight
12.9% [12.2-13.6]
Females 5-24 years and males 15-24 years: overweight will remain more prevalent than obesity
  • Forecast

Original publication

Global, regional, and national prevalence of child and adolescent overweight and obesity, 1990–2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021. Lancet. Published 3 March 2025. doi:10.1016/s0140-6736(25)00397-6

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