Obesity

Prevalence of Clinical Obesity in US Adults, 2017–2020

Obesity (Silver Spring)Published Cross-sectional study

Authors' conclusion

This study provided the first nationally representative estimates of clinical obesity prevalence in US adults based on the new definition.

Study context

Population
US adults aged ≥20 years with complete data, National Health and Nutrition Examination Survey (NHANES) 2017–2020 cycle
Participants
8,037 adults
Outcome
Prevalence of clinical obesity (Lancet Diabetes & Endocrinology Commission definition)
Methodological detailsnationally representative
  • Nationally representative

Main finding

As reported in the abstract

Prevalence of clinical obesity

Overall prevalence of clinical obesity

9.7%

95% CI 8.9%–10.5%

Observational data: associations, not effects.

Further findings

OutcomeValues
Prevalence of clinical obesity by sexMales 9.8% · Females 9.6%
Prevalence of clinical obesity by ageAged 20-39 years 11.9% · Aged 40-59 years 8.2%
Prevalence of clinical obesity by race/ethnicity and sexMexican females 13.9% · Non-Hispanic Black females 13.5% · Non-Hispanic White males 10.6%

Prevalence of clinical obesity by sex

Comparable prevalence in males and females

Prevalence of clinical obesity by age

Highest prevalence in younger adults (aged 20-39 years)

Prevalence of clinical obesity by race/ethnicity and sex

Significant racial/ethnic and sex disparities; highest prevalence in Mexican females

Prevalence with new definition vs BMI alone

Prevalence decreased significantly when the new definition with organ dysfunctions or limitations of daily activities was applied vs BMI alone

Original publication

Prevalence of Clinical Obesity in US Adults, 2017–2020. Obesity (Silver Spring). Published 14 July 2025. doi:10.1002/oby.24352

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